“Health Minister Leo Glavine says the province’s new doctors will have fewer patients.
“The new doctors we have on contract are going to practice differently, what I call slow medicine,” he said in an interview with the Chronicle Herald this week.
“They’re going to take a lot more time with patients and take on a lot less patients,” he said, acknowledging the province is struggling under the weight of an aging population, cancer, cardiac and chronic disease.
Older, more established, doctors in the province have patients numbering into the thousands and a reduction in patient load has been progressive. Doctors hired about six years ago have about 1,200 patients, but newer ones hired on contract within the past year only have around 500, he said.”
For the full article, see http://thechronicleherald.ca/novascotia/1453192-doctors-moving-toward-fewer-patients-glavine
Here is a just published excellent summary of the history of Slow Medicine, so far. Dr. Bauer also makes it clear that really what we are talking about are Slow Medicines, with the essential being style at least as much as minutes. See here: http://slowmedicine.com.br/slow-medicine-interview-ladd-bauer/
Dr. Sweet spoke at the Undergraduate Commencement for Sacred Heart University in Connecticut on May 15, 2016. For her address, see here, starting at 48:45–58:17. http://www.sacredheart.edu/aboutshu/news/newsstories/2016/may/sacred-heart-university-celebrates-50th-commencement-.html
An excellent article, finally, on Medical Taylorism, has been published in the New England Journal of Medicine: http://www.nejm.org/doi/full/10.1056/NEJMp1512402.
Frederick W. Taylor was the fellow who wrote The Principles of Scientific Management, ironically enough, published the same year as Abraham Flexner’s report on how to make medical schools that could educate excellent, humanistic and scientific physicians. Taylor was the efficiency expert who followed his factory workers around with a stopwatch, broke their crafts into single tasks, and insisted that each one do the repetitive, mind-numbing work that has come to represent the twentieth century. He fired those who continued to try to practice their craft as a craft, as “inefficient.”
In this essay, Hartzband and Groopman analyze how this same approach, Taylorism, is now being applied to physicians, and is not simply pernicious, but wrong. Worth reading.
For all those readers of German, here: http://www.luzern60plus.ch/aktuell/kolumne/wenn-expertokratie-krank-macht/#.VmfhW0xrDuc.mailto
I didn’t know him very well, but what a difference he made in my life, from abstract–his writing and thinking–to personal. He befriended me and my work, and my life changed. He did this for many people. For his obituary, see http://www.nytimes.com/2015/08/31/science.
Dr. S. was invited to Budapest to give a TEDx talk, and also to debate Dr. Bertalan Mesko MD PHD, a medical futurist, on Apps. v. Medicine, at the first Annual Brain Bar Budapest. She began the debate with a 2o minute talk on: Dr. Virtual and Dr. Personal, telling three stories about technology in medicine; The good, the bad, and the ugly. Here: https://www.youtube.com/watch?v=dc2MqZR5x80