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Family Physician Shortage in Quebec

La Pénurie = 1. penury n. 2. scarcity n. 3. dearth n. 4. shortage n.

Physician allocation system in Quebec inhibits recruitment CMAJ – January 6, 2009.

In 2004, the ministry and the Quebec Federation of General Practitioners set a goal of having one family doctor for every 1500 residents.

We may be able to solve this problem soon…

Le Clonage? = 1. cloning n. 2. clonage n.

The Harry Potter Sorting Hat and Psychiatry

Harry Potter Sorting HatPsychiatry is too complicated for a Muggle family physician like me. Using the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) makes me feel like I have been affected by a Confundus Charm.
Why take the time and effort required to conjure a psychiatric diagnosis when many conditions can be treated with the same medication?

For example, Paxil (paroxetine) is indicated for the treatment of:

  • major depressive disorder,
  • obsessive-compulsive disorder,
  • generalized anxiety disorder,
  • post-traumatic stress disorder,
  • panic disorder,
  • social anxiety disorder and
  • premenstrual dysphoric disorder.

Why don’t we treat first and ask questions latter?
Mnemonic devices such as SIGECAPS, DIGFAST and I DESPAIRR can help. But C GASP DIE sounds more like a magical incantation?

What we need is a magical solution. We could reprogram the Harry Potter Sorting Hat at Hogwarts School of Magic to sort patients by psychiatric condition.

The Sorting Hat could use Depressed Patients Seem Anxious, So Claim Psychiatrists:

  1. Depression and other mood disorders.
  2. Personality disorders.
  3. Substance abuse disorders.
  4. Anxiety disorders.
  5. Somatization disorder, eating disorders.
  6. Cognitive disorders.
  7. Psychotic disorders.

Now, we can use Divination to find the best treatment.

Image courtesy of SweetGirl by Creative Commons

From Burnout to Adventure

This week’s medical blogwatch…
A Resident’s Life

I am so tired of continually feeling beat down. I am so tired of feeling depressed. I am tired of crying. I am tired of worrying. I am tired of feeling that no matter what I do I will only disappoint myself and everyone around me.

Read The Lazy Person’s Guide To Success. How to Get What You Want without Killing Yourself for It – by Ernie J. Zelinski

Canadian Medicine about an article in the British Medical Journal.

“People don’t become doctors because they were destined to do so but because they weren’t good enough at anything else”

I don’t agree. I could have been a chartered accountant.

Plain Brown Wrapper

An Edmonton urologist has slapped RateMDs with a $12M lawsuit.

That will be his 15 minutes of fame.

Adventures In Medicine

Dr. H and I getting ready to go into a cave.