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Patient-Oriented Care: A disruptive idea that will reshape hospitals

- 25 March 2015

An idea that is not dangerous is unworthy of being called an idea at all. Oscar Wilde A guest blog featuring Dr. David Holland, Nephrology I asked Dr. David Holland, an esteemed nephrology colleague, to write the following blog after he delivered a thought provoking Medical Grand Rounds Presentation, the premise of which was that focusing Health Care of the patient was a disruptive innovation…and not in a bad way.

The Th.D. and Innovation at University Hospitals: Advice From The Wizard of Oz

Dr. Archer's Blog

- 3 March 2015

The Th.D. and Innovation at University Hospitals: Advice From The Wizard of Oz Wizard of Oz: Why, anybody can have a brain. That's a very mediocre commodity. Every pusillanimous creature that crawls on the earth, or slinks through slimy seas has a brain! Back where I come from we have universities - seats of great learning - where men go to become great thinkers. And when they come out, they think deep thoughts, and with no more brains than you have. But - they have one thing you haven't got - a diploma!

Skin in the Game: Research, Education and Mohs Surgery-Queen’s has it all

Dr. Archer's Blog

- 10 February 2015

Spoiler alert-this is a good news story (but it starts out with some depressing facts) When I was in Medical school (1977-81), Queen’s University had 3-4 dermatologists. When I returned to Queen’s late in 2012, a lot had changed. Hall and Oates no longer had 2 hits in the top 10, The Jeffersons were no longer “movin on up” on TV and Queen’s no longer had a Dermatology program. Although the population of Frontenac county (in which Kingston is situated) had increased from 105,000 to almost 150,000 there was now only one dermatologist, Dr.

China in 2015-A SWOT Analysis

Dr. Archer's Blog

- 21 January 2015

Cantonese Opera-in the park in Guangzhou

Robert Heinlein wrote Stranger in a Strange Land in 1961 about Mr. Smith, who emigrates to Earth from Mars. This stranger interacts with and changes his strange new world. We don’t have to make the Mars-Earth jump to see a different world; we can simply visit China. It remains an open question who will be changed by the visit: guest or host?

Who is Mr. Fezziwig: A Carol for Queen’s University Department of Medicine Upon the Eve of Our Holiday Party 2014

Dr. Archer's Blog

- 16 December 2014

Who is Mr. Fezziwig: A Carol for Queen’s University Department of Medicine Upon the Eve of Our Holiday Party 2014 Jorkin: "Mr. Fezziwig, we’re good friends besides good men of business. We’re men of vision and progress. Why don’t you sell out while the going’s good? You’ll never get a better offer. It’s the age of the machine, and the factory, and the vested interests. We small traders are ancient history, Mr.

North Sea Myoclonus and Vasodilator-Responsive Pulmonary Arterial Hypertension (PAH): How Defining Deep Phenotypes Drives Disease Discovery

Dr. Archer's Blog

- 18 November 2014

We teach medical students, “When you hear hoof beats, think horses”. This is sage advice, designed to focus them on recognizing common diseases. However if the galloping beast has cutaneous stripes…we must acknowledge the possibility it is a zebra.

Resolute: Standing on Guard for Canada in an Age of Ebola and Terrorism

Dr. Archer's Blog

- 23 October 2014

A brave man dies once…a coward a thousand times-Chinese proverb

Application of Lean Methodology to Reducing Emergency Room Wait Times: Have Canadian Hospitals Adopted the Best Parts of the Mr. Toyoda’s Philosophy?

Dr. Archer's Blog

- 20 October 2014

“Be kind and generous, strive to create a warm, homelike atmosphere,” Sakichi Toyoda Sakichi Toyoda was born in the year of Canada’s confederation, 1867. He invented of a variety of automatic looms during the period between 1890 and 1924. His inventions revolutionized the textile industry. In 1926 he founded the Toyoda Automatic Loom Works, Ltd. This company evolved into Toyota Corporation, a global automobile manufacturing giant. Mr. Toyoda had strong views about how best to run a company.

The Ebola Epidemic of 2014 - The Revenge of Die Fledermaus

Dr. Archer's Blog

- 1 October 2014

"It may be that without a vaccine, we can't really stop this epidemic" … Peter Piot, a co-discoverer of the Ebola virus in 1976 and director of the London School of Hygiene and Tropical Medicine

The Pearls for Achieving a State of Aequanimitas

Dr. Archer's Blog

- 9 September 2014

I was recently part of a group of faculty members asked to talk to the 4^th year Medical Students at Queen’s University as part of a Pearls of Practice Session focused on imparting wisdom about how to be a resilient physician and avoid burnout. Dr. Tony Sanfilippo and Dr. Reneé Fitzpatrick instructed us to provide 3 brief Pearls revealing (in 3 minutes or less), “How we have managed to remain positive and committed to our careers despite heavy workloads, competing demands and all the stresses of your busy lives.”