Since 1986, the workers at family-owned King Kubota in North Vancouver have prepared sites for thousands of new homes across B.C.
Common sense Conservatives will build the homes by requiring municipalities permit 15% more construction/year to get federal funds.
I haven’t had a chance to triage referrals from this past week until now. The current system is not working but there is a solution that would provide better patient care. Teams.
From Monday Sept 11th until today I have 76 new patient referrals. I have a large contingent of current patients (around 8,500). About 60% of my time goes towards existing patients leaving 40% to see new referrals. I work typically 60 hours per week. Obviously more if doing hospital call but that isn’t every week.
40% of 60 hrs is 24 hrs or 1,440 minutes per week for new patients. With 76 new patients that gives about 19 minutes per patient. These are relatively complicated patients referred for specialist care. Within that 19 minutes I need to take a history, examine, review tests, paperwork, sort out additional testing, and communicate a diagnosis and plan to the patient. It’s not practical or safe to do that in 19 minutes.
So what happens? I do not end up seeing all of those 76 patients and a waiting list grows. Urgent problems are delayed. Outcomes worsen. Patients are harmed waiting. Health care costs rise dramatically because of these delays. I burn out.
What if I had access to a team? A physician assistant or nurse. Someone(s) that could help with that workload. To provide safe effective care I need 30 minutes with a new patient minimum. I could gain those missing 11 minutes with extenders or others working all together as part of a team. Patient care would be better. Plus it would lead to less burnout and shorter waiting lists.
The right team member(s) are much less costly than status quo. An ever growing waiting list is not a solution. Paying me more is not a solution. I’m using every darn minute I can. Patients need a new model. Not in years. Now. Well, yesterday if we are being truthful. Let’s fix this.
I'm 36. This is my honest advice for people in their 20s:
1. Make decisions your future self will thank you for, not resent you for.
2. Somebody you know and love is going to die within the next 10 years. It could even be you. So live accordingly.
Had another conversation with someone else in my industry (forestry) who is struggling to find employees.
A quick thread on some of my thoughts as someone who, in the last couple years, has been both hirer and the job seeker
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'BC has great people, fibre, know-how & tech to capitalize on the opportunity to be the preferred supplier of sustainably-produced, low-carbon🌲products to fight climate change; we can only do that by working together’ – Susan Yurkovich, COFI.
Read more: https://t.co/k1ZJ8E3PbN
@ianhanomansing Re the vaccine rollout. Have we considered that it is being “held back” for a few weeks so that the current government can then “find it” around the time they call an election?
From an employer's perspective, studies have shown that employees with low health literacy can cause the plan to cost four times as much https://t.co/wJccwsZln8