Andrew Petrosoniak @petrosoniak
EM & trauma physician | #simulation & #design to improve care | speaker | high stakes decision making | Founding partner, @AdvPerformHD advancedperformance.ca Joined December 2012-
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Wow. Impressively clear and principle guided communication by a university president. - Principles are laid out - Examples provided relating to previous actions - detailed rational approach to future actions all underpinned by explicit guiding principles
Wow. Impressively clear and principle guided communication by a university president. - Principles are laid out - Examples provided relating to previous actions - detailed rational approach to future actions all underpinned by explicit guiding principles
In 2017, @CMA_Docs spent a lot of advocacy capital talking about the risk to physician practices with elimination of income splitting. It is now very clear that practicing as a family physician is not sustainable. Other reasons include, - historically low pay of family…
This. 100%.
Great idea and something we can do in ED.
Great idea and something we can do in ED.
100%. This.
Ask my dad if fam med is growing. He's a family doc in Ontario for >40yrs trying to retire for 2yrs & literally no one will take his practice If family medicine was "growing" and well supported, we wouldn't have 2.3M or 16% of the Ontario population without a fam MD!
Ask my dad if fam med is growing. He's a family doc in Ontario for >40yrs trying to retire for 2yrs & literally no one will take his practice If family medicine was "growing" and well supported, we wouldn't have 2.3M or 16% of the Ontario population without a fam MD!
The minister is accurate, if you need emergency care in Ontario and you don’t have valid OHIP, you will never be turned away. Every ED doc and surgeon I know has provided this care. The issue is that we provide this care for free. We don’t get paid for it. That’s the issue.
The minister is accurate, if you need emergency care in Ontario and you don’t have valid OHIP, you will never be turned away. Every ED doc and surgeon I know has provided this care. The issue is that we provide this care for free. We don’t get paid for it. That’s the issue.
Stop. You’re literally wrong. You have no clue what matching to family medicine means Most of these MDs will work in a non 1o care envt. How do I know this? Bc I literally teach them. They’re seeking clinical opportunities where they are paid enough to pay back their $150K debt.
Stop. You’re literally wrong. You have no clue what matching to family medicine means Most of these MDs will work in a non 1o care envt. How do I know this? Bc I literally teach them. They’re seeking clinical opportunities where they are paid enough to pay back their $150K debt.
The ultimate in knowledge translation. Case: cardiac arrest ED simulation to test & train our processes for dual sequential defibrillation. We were joined by @DrCheskes who changed practice w/ @NEJM pub Dose VF study. Amazing start to the day @UnityHealthTO w/ @Sim_UnityHealth
Fantastic session with so much gold Thank you to all those joined online and in person and importantly @FarahW1991 @Sim_UnityHealth @mjoithe @olivianlavery Missed you @garrick_mok 🫀
AI to reduce paperwork for family physicians 🤣🤣🤣 I think my favourite part will be when the AI generated paperwork will be faxed to another clinician...the pinnacle of technological advances. Anyone who thinks I'm joking? I'm not. This will happen. toronto.ctvnews.ca/ontario-launch….
AI to cutdown on paperwork for family physicians? But still no centralized referral system for specialists? Correct And we still fax everything? Correct And we repeat 1000s of tests because they’re not available across all clinics/hospitals? Yup 🤦♂️ cbc.ca/news/canada/to…
Does the Minister understand that Canadian medical students/residents training are supported financially by govt? The idea of losing Canadian MDs is ok & are replaceable by foreign trained MDs makes no economic sense. & frankly is insulting to me as an educator of these trainees
Does the Minister understand that Canadian medical students/residents training are supported financially by govt? The idea of losing Canadian MDs is ok & are replaceable by foreign trained MDs makes no economic sense. & frankly is insulting to me as an educator of these trainees
In other words PM Trudeau & Minister Freeland are telling the Canadian population that recruiting more family physicians for the 6M ppl without isn’t a priority. Increased tax revenue will likely be outweighed by the greater costs to healthcare systems (tho prov not fed issue!)
In other words PM Trudeau & Minister Freeland are telling the Canadian population that recruiting more family physicians for the 6M ppl without isn’t a priority. Increased tax revenue will likely be outweighed by the greater costs to healthcare systems (tho prov not fed issue!)
Incredible collaboration, organization and coordination to execute an event like this. Huge kudos to my sim team colleagues for their amazing work @mjoithe,kerry, nicole 🥳🥳🥳
Incredible collaboration, organization and coordination to execute an event like this. Huge kudos to my sim team colleagues for their amazing work @mjoithe,kerry, nicole 🥳🥳🥳
Mass casualty events are rare, but they happen. At @UnityHealthTO we use full scale clinical #simulation in the ED to test and train for our response in the event of a Code Orange (mass casualty). Amazing partnership betw our clinical, logistical and @Sim_UnityHealth team.
Mass casualty events are rare, but they happen. At @UnityHealthTO we use full scale clinical #simulation in the ED to test and train for our response in the event of a Code Orange (mass casualty). Amazing partnership betw our clinical, logistical and @Sim_UnityHealth team.
Great article. 4 key strategies to build a high performing team. @AdvPerformHD @HumanFact0rz medium.com/parsa-vc/build…
Recent ED shift Patient: I dont have a family physician. Is there a website or centralized list of family physicians who are taking pts? I'm willing to drive far! Me:😀...but no Patient: why? Me: 🤷♂️ We seem to only centralize bad ideas in this system...not good ones...
I had 3 unrelated patients ask me during my last shift if I could find them a family physician. Each begging me bc their family physician retired. No docs I know are taking more patients I told them to check out pharmacist led clinics that govt thinks solve issue. Good luck 🤷♂️
Ontario has completely lost the plot with where it has decided to prioritize healthcare. Now we have added another layer of fragmentation to patient care. Voters think this is great bc it solves short term problems. But long term this adds zero value. simcoe.com/news/pharmacis…
Cliff Reid @cliffreid
42K Followers 3K Following EM/ICM/PHEM doc. LOVE learning + teaching. I work in the sky above Sydney, have the attention span of a bullet, + often have days that are like cartoons #FOAMed
alan drummond @alandrummond2
21K Followers 5K Following M.D.,C.M (McGill '78), Rural Physician, Coroner, Emergency Medicine Advocate, Underemployed Sommelier (DipWSET) and Father of Triplets.
David Juurlink @DavidJuurlink
68K Followers 872 Following Internal Medicine, Clinical Pharmacology/Toxicology and drug safety research @Sunnybrook and @UofTMedicine. Inexplicably fortunate husband.
Ken Milne MD @TheSGEM
28K Followers 903 Following Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to EM. (he/him)
𝙟𝙤𝙨𝙝 𝙛.. @PulmCrit
62K Followers 548 Following zentensivist 😷 FOAMite 🌊 diuresis jedi 💦 leader of the rebel alliance ⚔️ resuscitationist 💉 humanist 😢 writer with aweful speling 😬 no COI 💰
David Carr @davidcarr333
12K Followers 1K Following Professor of Emergency Medicine. Old fashioned bedside clinical educator & lover of almost all sports. My views are mine & don’t represent the views of my work
Dr. Katharine Smart @KatharineSmart
24K Followers 1K Following Former President @CMA_Docs, Pediatrician, Mom of 2, dx: Excessive Passion Syndrome #EPS, Lover of Change, Seeker, views are my own, she/her
Anand Swaminathan MD .. @EMSwami
37K Followers 397 Following EM doc | Views my own | Medical commentary on CNN, Yahoo, MSNBC, NBC. he/him/his
Steve Flindall @flindall_steve
9K Followers 568 Following Emerg Doc in the GTA. I like motorcycles and hockey. Love my wife and kids. Bad knee and, possibly, a bad attitude. Opinions expressed are my own.
Christopher Hicks @HumanFact0rz
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Justin Morgenstern @First10EM
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EM Ottawa @emergmedottawa
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Rick MaskDonald MD �.. @Kidsdoc1Rick
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Segun Olusanya (He/Hi.. @iceman_ex
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Eve Purdy @purdy_eve
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42K Followers 3K Following EM/ICM/PHEM doc. LOVE learning + teaching. I work in the sky above Sydney, have the attention span of a bullet, + often have days that are like cartoons #FOAMed
alan drummond @alandrummond2
21K Followers 5K Following M.D.,C.M (McGill '78), Rural Physician, Coroner, Emergency Medicine Advocate, Underemployed Sommelier (DipWSET) and Father of Triplets.
David Juurlink @DavidJuurlink
68K Followers 872 Following Internal Medicine, Clinical Pharmacology/Toxicology and drug safety research @Sunnybrook and @UofTMedicine. Inexplicably fortunate husband.
Ken Milne MD @TheSGEM
28K Followers 903 Following Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to EM. (he/him)
𝙟𝙤𝙨𝙝 𝙛.. @PulmCrit
62K Followers 548 Following zentensivist 😷 FOAMite 🌊 diuresis jedi 💦 leader of the rebel alliance ⚔️ resuscitationist 💉 humanist 😢 writer with aweful speling 😬 no COI 💰
David Carr @davidcarr333
12K Followers 1K Following Professor of Emergency Medicine. Old fashioned bedside clinical educator & lover of almost all sports. My views are mine & don’t represent the views of my work
Dr. Katharine Smart @KatharineSmart
24K Followers 1K Following Former President @CMA_Docs, Pediatrician, Mom of 2, dx: Excessive Passion Syndrome #EPS, Lover of Change, Seeker, views are my own, she/her
Anand Swaminathan MD .. @EMSwami
37K Followers 397 Following EM doc | Views my own | Medical commentary on CNN, Yahoo, MSNBC, NBC. he/him/his
Dr. Alika Lafontaine .. @AlikaMD
16K Followers 2K Following Immediate past-President @cma_docs. Podcast host, The Healthcare Divide. 🐥s re: tech, equity, culture. Folks who fix things are the future.
Steve Flindall @flindall_steve
9K Followers 568 Following Emerg Doc in the GTA. I like motorcycles and hockey. Love my wife and kids. Bad knee and, possibly, a bad attitude. Opinions expressed are my own.
Christopher Hicks @HumanFact0rz
12K Followers 300 Following Emergency physician and TTL @UnityHealthTO; Chief Creative Officer @AdvPerformHD; Si el mundo es ilusión la perdida del mundo es ilusión también; He/Him
Justin Morgenstern @First10EM
18K Followers 672 Following Emergency Doctor - Janus General Hospital | #FOAMed | Opinions obviously my own | https://t.co/GUv5FkBJnl
Stephen W. Smith @smithECGBlog
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4K Followers 615 Following Emerg doc, meditator, author, recovering medical editor.
EM Ottawa @emergmedottawa
6K Followers 500 Following Dept. of EM, uOttawa, @ TOH. https://t.co/FMdfeCn35n #FOAM (posts by Drs. Hans Rosenberg/Shahbaz Syed) Not medical advice. Not official corporate page for TOH.
Rick MaskDonald MD �.. @Kidsdoc1Rick
11K Followers 3K Following Just a pediatrician. Husband,father to 3 boys & 1 good boi, lost in the woods when I can, cyclist, paddleboarder #Tweetiatrician
Segun Olusanya (He/Hi.. @iceman_ex
19K Followers 3K Following Husband to @monanniecakes| Intensivist @nhsbartshealth| Ultrascoundrel |#FOAMed|@thosewecarry|@ics_updates|@wicsbottomline|@esicm|@tea_empathynhs| 🇳🇬
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924 Followers 351 Following Trauma surgeon, resuscitationist, mama and wife, ski bum, bourbon drinker & red headed ball of fire. Tweets are my opinion, not that of employer
@RitikaGoelTO @SarooSharda_MD The reality which you fail to recognize is that your involvement in the CANmeds re-evaluation, is the major reason for disengagement.
@RitikaGoelTO @SarooSharda_MD You continue to miss the mark and push your agenda. Fortunately, the concerns have been raised to the Royal College about your hidden agenda
In 2017, @CMA_Docs spent a lot of advocacy capital talking about the risk to physician practices with elimination of income splitting. It is now very clear that practicing as a family physician is not sustainable. Other reasons include, - historically low pay of family…
@StGodardTed @CMA_Docs People go to where they’re treated best. Folks also won’t remain in a type of work where they’re treated relatively worse. Also not suggesting all MDs need this help urgently, but it’s clear primary care does. This premise mirrors our current situation, where family physicians…
HIV Postexposure Prophylaxis-in-Pocket (also known as PEP-in-Pocket, or "PIP") is a patient centered HIV-prevention modality for those with infrequent (eg. 0-4 per year) high risk exposures. Mia Sapin (grad stuent extraordinaire) presents her work on the cost effectiveness of…
Most people are unhappy. So, I've spent 100 hours studying Naval Ravikant over 2 years . What I found? Naval's Happiness Theory:
@MakisMD @petrosoniak @CMA_Docs You seem like a bit of a crackpot, Will. Are you perhaps a bit of a crackpot?
@petrosoniak Of the 10 family medicine residents in our program this year, I’m informed 0 are planning to start full service family practices. Cannot blame them..
@petrosoniak @MakisMD @CMA_Docs Thousands, Petro. We all know the vaccine had a deadly predelection for docs with CFPC certification. Interesting that someone can maintain such a detailed record of statistics but not an active medical license.
@vickyrobinbaum @petrosoniak @hemeoncABnorth Hospital will bill for hospital costs (or absorb their own - they can afford to hire collections). Physicians have to carry a POS machine and hope the patient or family will pay. Otherwise free labour because hiring collections or a lawyer makes the transaction net negative
@vickyrobinbaum @petrosoniak @hemeoncABnorth The problem is the government is getting a steal with this deal where the onus is on the physician to collect, not the hospital, nor the government (birth tourism remains huge).
Medicine has this ladder of importance. We keep putting family physicians at the bottom. It’s a terrible idea and it reflects the way they are paid, the way they are treated and the way they’re perceived.
Change starts with respect and a new brand. Family physicians are often called GPs or non-specialists. Medical students who “specialize”in family medicine are called family physicians. It’s time to recognize that family physicians are specialists too. @CFPC_e
Singapore General Hospital has a programme called Get Rid Of Stupid Stuff. I want to hear from NHS staff about the stupid stuff that wastes your time, patients’ time, and taxpayers’ pounds. Let me know how you think we can deliver a better NHS here 👇 labour.org.uk/improve-our-NHS
Dr Peter Petrosoniak and I worked together in the same Family Health Team. Peter for > 40 years, me for 34 years. I looked for four years. I couldn’t give my practice away, I couldn’t even pay someone to take it off my hands! Family Medicine is certainly not growing.
Ask my dad if fam med is growing. He's a family doc in Ontario for >40yrs trying to retire for 2yrs & literally no one will take his practice If family medicine was "growing" and well supported, we wouldn't have 2.3M or 16% of the Ontario population without a fam MD!
@petrosoniak Compliments for his service. He needs to do something for himself after a lifetime. If it were my dad.
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