Sarah Taber (she/her/elle)

Med Ed and health system leader + part time fitness fanatic. Quality, policy, active use infrastructure and social justice. Opinions my own.

[Sarah Taber (she/her/elle) @36Sats]

Rapid #PDSA cycles as a way to introduce large scale #meded #change - Tara Phillips sharing the #CanRAC approach to implementing the new Canadian #PGME #accreditation system, #CanERA at #WFME2019

[Dr. Brian Goldman @NightShiftMD]

I advise followers to get their flu shot because it's available & takes +/- 10 days to gain immunity. If you don't want it, fine. Comments about your personal experience with flu shots are unhelpful. Saying the vaccine causes frequent catastrophic adverse effects is utter BS.

[Dr. Doug Eyolfson @DougEyolfson]

Denmark tracked over a million people for their first 21 years. They found those who had vaccines were linked to a staggering increase in the rates of autism, asthma and 48 other conditions.

That staggering increase was exactly zero

https://t.co/kBMUexuqQn

[Dr. Brian Goldman @NightShiftMD]

This.

[Helen Bevan @HelenBevan]

If we want sustainable organisational change, which group is more important?
(a) People who are active in response to the change (even if they are resistant); or
(b) People who accept the change?

Newly published research suggests (a); it is more important to get people active in change than it is to get favourable responses to it. Active dissenters/resisters/opponents are preferable to passive, seemingly accepting people who go along with the change.

Many existing change frameworks focus on “valence”: the extent to which people are positive or negative about the change. This research highlights the importance of another dimension: “activation” - the energy or action level in people’s response to change - whether they are engaged, energetic & visible (active) or quiet, withdrawn, & non-participative (passive).

The authors have created a four box framework called “the Change Response Circumplex Scale”. I’ve added some strategies for working with the different categories alongside their graphic.

Active resistance is preferable to passive disengagement because it:
-keeps the lines of feedback & dialogue open
-surfaces important information & risks that passive compliance might hide
-enables leaders to create psychological safety for diverse reactions to change.
-Creates the conditions for long term engagement in change.

Implications of this research for leaders of change:
1. Go beyond reducing resistance: Don’t just focus solely on minimising resistance or seeking passive agreement; aim to foster active, positive engagement from people -what the authors term “change proactivity.”
2. Understand engagement levels: Differentiate between passive acceptance, disengagement & truly active, positive support. Use the framework to understand people’s responses to your change initiative.
3. Create interventions accordingly: Disengaged people need approaches to increase involvement, passive assent can become active support & resistance can become constructive dialogue.
4. Leverage the value of dissent: Rather than viewing resistance solely as an obstacle, explore what motivates active dissent & use it as a resource for learning & adaptation.

I appreciate this model because it challenges so much of the existing (dubious) advice for change leaders to “overcome resistance to change”. Instead we should work to activate engagement in change. The research shows that both high activation responses (change proactivity & change resistance) show the most promise for long term change engagement. Activism is what changes the world.

There are two research articles about this framework.
The 1st, from 2024, validates the framework (This is a version from Scrid so it is it accessible): https://t.co/YVuM0zgfKf.
The 2nd, which sets the framework in a wider change context, is from 2025 & is attached to this LinkedIn post from Cheese Cheeseman: https://t.co/E0Sf7GzFVI. By Shaul Oreg & Noga Sverdlik.

[Andrew Boozary MD @drandrewb]

It’s been one year since we opened Dunn House — Canada’s first social medicine housing initiative. And this has been family over the past year.

The data is staggering. Emergency Department visits for the tenants have plunged by over 50%. And days spent in hospital have similarly plummeted by nearly 80%.

What started as a “radical” idea — turning a parking lot into 51 homes — became a place where people who were living inside and out of hospitals, shelters, or on the street could finally exhale.

But the real drive for change, I hope, is how human dignity and health economics are completely aligned in the stories we tell.

The first story is from @_VictoriaGibson at the Toronto Star — about Jason Miles, a man whose addiction and homelessness cost more than $260,000 through ER visits, shelters, and jail stays. Not because he wanted that path, but because there wasn’t another one.

The second is from @liamdevlincasey in the CBC, about our @UHN teams and community partners deciding to try something different and center those patients that been sidelined in the health system. The cost calculus is clear when it can be over $50k per month in hospital, $15k in provincial jail and $4k for supportive housing.

I believe both these stories show the cost of crisis — and the return on compassion.

It’s still early, and there’s a lot more to do across the province. But one year in, I’m certain of this more than ever:

housing is healthcare.
compassion saves lives.
and dignity has to be co-designed into the system — not left to chance.

[Warren Kinsella @kinsellawarren]

On Truth and Reconciliation day - as a Dad to an Indigenous girl - I say to residential school deniers: stop with your sophistry about graves. Stop. Thousands of Indigenous kids were taken from their parents and terribly abused. That's the truth. So, reconcile. #cdnpoli

[Deonandan @deonandan]

We can measure this, you know. There is something called the inequality-adjusted Human Development Index, which measures living standards.

Lowest in the world is Sierra Leone (0.324).
Canada's score = 0.864, ranked #18 in the world.

By the way, the USA scores 0.832, ranked #29.

[The Royal College @Royal_College]

Don’t miss the opportunity to present your #CBME program evaluation work. Abstract submissions are now being accepted.
Deadline: May 18 2025. https://t.co/gXj7Lx03SB #MedEd

[The Royal College @Royal_College]

Important Notice: phishing attempt

We have been informed about a recent phishing attempt involving an individual pretending to be a representative of the Royal College. This person is soliciting money for exam exemptions via social media. 1/

[The Royal College @Royal_College]

It’s National Volunteer Week and we celebrate our contributors who dedicate their time, knowledge, skills and passion to support us in our work. Thank you!

#VolunteersMakeWaves #NVW2025

[Bruce Fanjoy 🍁 @brucefanjoy]

Where’s Pierre?! He’s missed every debate in Carleton, he doesn’t answer emails from his constituents, and he only visited this riding by accident last week.

Help us win. Sign up to volunteer this weekend!

https://t.co/QHImdAQWnR

#FanjoyVsPoilievre #WheresPierre👀

[Marley 🇨🇦 🍁Just another Liberal @MTW2478]

To my Liberal friends, let’s start posting more of @MarkJCarney daily announcements that Media seem to pretty much ignore. Like this one.

[The Royal College @Royal_College]

#RCFellow Dr. Thomas Piggott shares the unique challenges and rewards public health physicians experience in their work as they support an entire population rather than a single person: https://t.co/2AmJrGwbJw
@PHC_MSPC @twpiggott @Ptbohealth @JillianHortonMD #MedEd

[International Conference on Residency Education @ICREConf]

Attention: deadline for #ICRE2025 Residency Education Awards has been extended to April 24, 2025.

Don't miss out on your chance to nominate a trailblazing resident leader, PA, or medical educator: https://t.co/tWWYpfNq2S

@AtkinsonAdelle @ChrisWatling3 @IMWendyYe @OrthopodReg

[Courtney Theriault @cspotweet]

Mark Carney asked about Alberta's transgender policies, and if he would use the CHA to ensure that care for those who want it.

Carney says access to health care is a fundamental right and he will defend it for all Canadians without exception.

[The Royal College @Royal_College]

Don’t miss this special webinar to understand the Canadian certification steps. Experts from the Royal College of Physicians and Surgeons will guide you through the process and answer questions.

Seats are limited; register now - https://t.co/SPJr26ytlU

[O'Leary @talk2oleary]

PM Mark Carney declined to participate in a for-profit debate that excluded a political party & charged a $75K entry fee.

Pierre Poilievre refused to attend a leadership debate organized by his own party & paid a $50K fine.

See the difference. 🤷‍♂️

@MarkJCarney
@PierrePoilievre

[Jen (ESC) 🇨🇦❤️🦋 @Smil3yAngel]

Canadian Leader Debates:

French - April 16, 9pm EST, Montreal
English - April 17, 7pm EST, Montreal

A SECOND French language debate, organized by TVA, was proposed, at a cost of $75K to participate. Carney declined *this one*

Be smarter Canada. The lies are starting already 🙄

[Warren Kinsella @kinsellawarren]

Carney didn't refuse to participate in THE French debate. He's still doing it. He refused to participate in ANOTHER French debate hosted by a separatist who was demanding $75,000 from him.

It's sloppy journalism (or worse) to claim otherwise.

#cdnpoli