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Tara Kiran Profile picture
@tara_kiran
Jan 13, 2022 • 12 tweets • 11 min read • Read on X
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Are you confused about #COVID?

How do you know when you have it?
Who can get a test?
When to use a RAT?
When to call a doctor?

You're not alone.

We @UofTFamilyMed @OntarioCollege have pulled together answers to common COVID Q's
dfcm.utoronto.ca/confused-about…

Here's a rundown 🧵
1. How do you know you have COVID?

Bottom line: If you have symptoms, assume you have COVID

(Most people don't qualify for a PCR test)

dfcm.utoronto.ca/sites/default/…
2. When should I call my doctor?

i) if you have a pre-existing condition that needs attention
ii) if you might quality for treatment (e.g. very weak immune system, over 60, over 50 + certain medical conditions)
iii) you really are not feeling well!

dfcm.utoronto.ca/sites/default/…
Some specific advice in there too about what to do if you are caring for a child with COVID and when you should be worried
3. Do I need a COVID PCR test?

Most people aren't eligible for one in Ontario

These tests are now reserved for high-risk settings and individuals at high-risk of more severe illness 👇🏽

dfcm.utoronto.ca/sites/default/…
4. When do I use a RAT?

There are 3 main recommended uses:

1. Testing when you have symptoms
2. As part of an organized screening program
3. Testing to return to work

(A 4th use, one-time testing before gathering, is no longer really recommended)

dfcm.utoronto.ca/sites/default/…
5. What should I do if I've been exposed to COVID?

(This one was the hardest to write b/c so confusing!)

Bottom line:
self-isolate if
-you have symptoms
-you live with the person with COVID
-you have <2 vaccines or a very weak immune system

dfcm.utoronto.ca/sites/default/…
Some people won't have to self-isolate but should still be careful!

(and guidance is different if you work in a high-risk setting!)
6. How do I keep safe during Omicron?

Vaccination, vaccination, vaccination—whether that's your 1st, 2nd, 3rd, or 4th dose!

Most people with 2+ vaccines & healthy immune systems will be able to recover at home without seeing a doctor

dfcm.utoronto.ca/sites/default/…
We will do our best to keep these resources up-to-date with evolving guidance

We will also be translating them into a few commonly spoken languages

And we would love your feedback. Did we get something wrong? What questions do you have that we should answer? Replies welcome!
Grateful to work on these alongside @docdanielle and our terrific comms team @UofTFamilyMed

Thank you to the many who provided edits including @NoahIvers @AndreaChittle @OCFP_President @NoorRamji @DrJPeranson + others!
Tagging some friends, colleagues, and sci comm heroes to help share these @RitikaGoelTO @DanyaalRaza @OnyeActiveMD @AndrewDPinto @drandrewb @DocMCohen @heysciencesam @DrKateJMiller @kgrindrod @PharmacistMama @MPaiMD @nilikm @jkwan_md @MoriartyLab @KrishanaSankar @DrJeffKwong

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More from @tara_kiran

Tara Kiran Profile picture
Jun 10, 2024
Fun fact: nearly every person in Denmark 🇩🇰 has the name of their GP (or group of GPs) on their healthcard

It's an organized system where 98+% have access to primary care.

How do they do it? One key lies in how GPs are organized. 🧵

(photos of Christian Folsach's practice) Image
GPs in Denmark are small business owners, similar to family doctors in Canada. They rent or own the office space, hire staff who work in the office, and pay for everything from internet to paper. Most practices in Denmark are small with b/w 1 to 3 GPs working together. Image
In order to get paid by government for the services they provide, GPs need a supplier number. These supplier numbers are issued by the region based on projected population demand.
Read 12 tweets
Tara Kiran Profile picture
Jun 3, 2024
How is that >98% of Danes have a GP? Part of the answer lies in their approach to training physicians.

Here's a summary of some of what I've learned on my trip to Denmark 🇩🇰 🧵

(the photo here is a wall of some of the 170+ residents trained at the practice I visited) Image
After high school, most Danes take a gap year where they typically work and travel (the average is 2 gap years but several take even more). They would then apply and gain admission to medical school which is 6 years in total.
After graduating from medical school, every new doctor does a one year "internship" of sorts, 6 months of which is in a GP practice and the other 6 months in a hospital.

Where they do this internship is based on luck.
Read 12 tweets
Tara Kiran Profile picture
Oct 16, 2023
Today we concluded the #OurCare Manitoba Priority Panel, our 5th & final reference panel on primary care in Canada

30 members of the public, randomly selected, spent >30 hrs since the start of Sept, learning, deliberating & coming to consensus on recommendations for better 🧵 Image
These members of the public, roughly represented the demographics of the province — with one exception. We deliberately overrepresented people who identified as First Nations, Métis or Inuit. Image
They heard from over a dozen experts on primary care on a range of topics from the basics to in-depth sessions on accountability, rural and remote care and tradeoffs

Image
Image
Image
Read 9 tweets
Tara Kiran Profile picture
Apr 28, 2023
In 2021, family docs were being blamed for seeing too many patients virtually, purportedly causing more people to visit the ED

Our latest research @JAMANetworkOpen @ICESOntario shows that simply was NOT true 🧵

w/ @RickGlazier1 @DrMichaelGreen1
jamanetwork.com/journals/jaman… Image
Let's start by going back to fall 2021. Most people had been vaccinated and we thought we were heading out of the pandemic. We were starting to try and clear the backlog of care.

EDs were overcrowded and some people blamed it on family docs.
In the spring, we had just experienced a brutal COVID wave. At that time most of us were appropriately taking a virtual-first approach, seeing patients by phone or video first and then bringing them to the office if needed in an effort to minimize COVID spread.
Read 25 tweets
Tara Kiran Profile picture
Apr 4, 2023
Primary care is in crisis. How can we do better?

We brought Ontarians into a room and asked them.

Today we release their final report.

35 volunteers, randomly selected
39 hrs of learning & deliberation
23 recommendations for better🧵

#OurCare
https://t.co/1aXw6oLCP5ourcare.ca/s/OurCare-ON-P…
We were blown away by interest in this process

1250+ people volunteered to be part of the panel!

From those, we randomly selected 36 to roughly represent the demographics of Ontario, over-representing equity-deserving groups

(ultimately 1 wasn't able to participate)
Participants came from all across the province.

In essence, we managed to pull together Ontario in a room
Read 24 tweets
Tara Kiran Profile picture
Feb 12, 2023
Today we’ll hear the draft recommendations from a group of 36 everyday Ontarians about how to make the #primarycare system better

They were randomly selected from 1250 who volunteered

They’ve spent 40+ hrs learning from experts and each other

What’s been in the curriculum?
We started virtually with talks from

@ElizabethMuggah on primary care in ON

@AndrewDPinto @snewbery1 @DrFitzsimon and F Garwe on equitable access

And myself on models of care from other countries

Talks all available here: OurCare.ca/Ontario
On Thursday eve, we gathered everyone in person here in Toronto

People came in from all corners of Ontario (and even directly from a hospital discharge!) #Commitment

After dinner, I walked folks through the result of our national survey
Data.OurCare.ca
Read 7 tweets

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