September

Clinicians often spot opportunities for improvement in their day-to-day practice. They usually become apparent after concerns are shared with colleagues in a hallway or cafeteria, or due to a clinician’s own drive to experience job satisfaction. But how does one turn an idea into action in our exceedingly complex health care system? 

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Canada’s legalization of recreational cannabis in October 2018 reignited the issue of workplace impairment for many employers and workers in BC. Impairment at work, which is not a new health and safety concern, can create significant risk of injury and death not only to the impaired worker, but also to co-workers and members of the public.

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References

With so many clinical articles published every week, it can be challenging to narrow them down to those that provide new and relevant information for clinical practice. 

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The Canadian Academy of Sport and Exercise Medicine (CASEM) recently published a position statement reminding medical professionals that our own physical activity habits influence our physical activity counseling practices, and recommending that “clinicians lead by example and integrate physical activity into their own lives, for their own health and well-being, and to provide further credibility and empathy for the challenges patients face.”[1-2] Ergo, it is in the best interests of physicians and patients to apply this recommendation to the new Canadian 24-Hour Movement

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References

“Without enough sleep we all become tall two-year-olds” 
—JoJo Jensen, Dirt Farmer Wisdom, 2002

Many physicians are required to do overnight or multiple days of call to ensure patients have access to care when needed. I am midway through another 48-hour call shift for our obstetrical clinic as I write this Comment. For all of us who do multiday overnight call, we understand the importance of sleep to our personalities and our performance. However, we also understand that there are different types of sleep for physicians on call.