David Urbach

Head, Department of Surgery, Women's College Hospital. Reimagining surgical care for the future of Canadian hospitals. he/him

[David Urbach @DavidUrbachMD]

Thanks Christal Malcolm for being such a great mentor, role model and advocate for Black women with alopecia! https://t.co/NErlnE4Y0j

[David Urbach @DavidUrbachMD]

Investor-owned surgical facilities in Alberta are draining staff and resources from hospitals, increasing wait times and throwing public hospital operations into crisis. Is this really what we want in Ontario?
https://t.co/r4htwLGL3f via @edmontonjournal

[David Urbach @DavidUrbachMD]

@JMeddings In Ontario payments to private for-profit facilities are about three times higher than to public hospitals. This report used data obtained through FOI: https://t.co/y4QbUet3Bh

[David Urbach @DavidUrbachMD]

Surgeons already know we can work together in teams to reduce surgical waits for our patients (and also create a more resilient work force in the process). Nothing is preventing us. #Leadership @CAGS_ACCG @CMA_Docs @OntarioHealthOH https://t.co/TjyohvAjWA

[David Urbach @DavidUrbachMD]

We can implement these truly exciting innovations broadly across Ontario hospitals to reduce surgical wait times and promote a sustainable health system. All we need is for surgical leaders and policy makers to come on board.

6/6

[David Urbach @DavidUrbachMD]

“…there will always be those that stand ideologically opposed to innovation in the health care system…” https://t.co/UU9tnZuruR

My thoughts on “innovation in the health care system”:

🧵 1/6

[David Urbach @DavidUrbachMD]

There are many innovative ways to reduce surgical wait times and reduce the cost of surgical care that don’t require privatization, and don’t even require more spending. We implemented many at @WCHospital

5/6

[David Urbach @DavidUrbachMD]

Our latest: why some people wait far too long for surgery in Canada while others wait very little (and the simple solution we could implement today) ⁦@OntarioHealthOH⁩ ⁦@CMA_Docs⁩ ⁦⁩ ⁦@UofTSurgery⁩ ⁦⁦@CAGS_ACCG⁩ https://t.co/LQB0AVGwjD

[David Urbach @DavidUrbachMD]

Like so many Canadian surgeons, I am profoundly grateful for all that Dr. Robin McLeod taught me—about surgery, clinical epidemiology, and to constantly strive to make our health system better. I can think of no finer role model. We lost her too soon.

[David Urbach @DavidUrbachMD]

Turns out Ontario public hospitals are amazingly efficient, and provide outstanding value for money to the public. Why not fund our hospitals to perform additional surgeries like joint replacements, rather than overpay at out of hospital facilities? https://t.co/y4QbUet3Bh

[David Urbach @DavidUrbachMD]

Congratulations @uOttawaGenSurg for blazing this trail and showing all of us how team-based models of care benefit patients and surgeons alike!

[Canadian Hepato-Pancreato-Biliary Association @CHPBAsurg]

@RichWDGilbert @dockcduncan @CAGS_ACCG @AHPBA @IHPBA @sapisochin @PaulKaranicolas @BertensK @SerranoAybar @ElijahDixon7 @HalletJulie @DrNCoburn @CDNCancerTrials Shared-care model for whipple
📝@uOttawaGenSurg model with multiple surgeons sharing care is safe and feasible. Outcomes align with peer hospitals.
➡️Suggests improved system efficiency without compromising safety
@BertensK @ChamoGui @JadAbouKhalil
🔗https://t.co/W5q844281A
/6

[David Urbach @DavidUrbachMD]

@karenpalmeryvr @DocMcConks @drpaulwinston @DoctorsOfBC @BCOrthopods @CdnDrs4Medicare Health system problems can’t be solved by individuals. They need system solutions. Until every patient is in the same queue, we don’t actually know what the *real* wait time is, or what additional resources are needed (if any…total joint waits are short at many GTA hospitals)

[David Urbach @DavidUrbachMD]

Lots of ideas about how to fix the surgical backlog and wait times without breaking our struggling health system

[CIHI_ICIS @CIHI_ICIS]

[The CHIP Episode 19] How can Canada reduce the huge backlog of surgeries? Find out with @Avis_Favaro and @DavidUrbachMD @WCHospital @UofT

Apple: https://t.co/Zs2p5TEhkD���
Google: https://t.co/aqydYmjb8N 
Spotify: https://t.co/fOqsOgZqPZ
YouTube: https://t.co/uyBsmyyGjL

[David Urbach @DavidUrbachMD]

Compared with Canadian hospitals, private for-profit surgical clinics: (1) are more expensive, (2) increase wait times, and (3) result in poorer quality of care. Remind me why we need them or want them? https://t.co/SnOfzkcnfq

[David Urbach @DavidUrbachMD]

@NoahIvers @drbobbell I wish I knew! Potentially, everyone* (depending on what’s actually happening)?

*everyone except people with non-volume-funded conditions like benign gynaecology, where the docs can’t cut deals with hospitals to get additional funded volumes from OH

[David Urbach @DavidUrbachMD]

Somehow, often missed in the debate about “private” care is that surgery in not-for-profit Canadian hospitals is actually cheaper AND better than in private for-profit clinics https://t.co/35FMelP89G