So on Tuesday's tweet, someone asked why AB doctors were so lazy that we needed to rely on US data.
Well troll, you just needed to be patient! Because I can deliver AB data too. In fact here it is!
And sorry #Alberta, the future of Family Medicine isn't looking good
1/x
The section of Family Med with @Albertadoctors released a survey to all FM docs in April 2023 about their future plans.
927 active Family Doctors responded
Here's what they said:
2/x
54% of FM docs planned to modify their practice in the next three years toward less comprehensive care. This included retiring, leaving the province, changing to locum or niche services, or reducing their panel/hours worked
It gets more concerning because the AMA also said:
3/x
"When [the survey data was] viewed as trends by demographic groups, which demonstrated increased intent to move into niche practice for those in the first 15 years of their career."
Aka: we aren't keeping or attracting new docs in to longitudinal care
4/x
But there's more:
"It is also clear that there is a lot riding on this election, with almost three-quarters of you stating the results are likely to impact how (or if) you practice medicine in this province"
So that's 75% of FM docs waiting on the results of May 29
5/x
We also could submit comments:
"The comments from this section made it clear that no matter which party forms government in June, that impact will not be positive for Alberta unless there is immediate action taken to appropriately support and value family doctors."
6/x
But it's not all doom and gloom
We could turn this around
Vote smart
Don't vote for the party that ripped up the contract with doctors and treated your family doc like garbage for the last 4 years
Don't vote in the UCP and maybe that 75% will change their minds
7/x
I was going to announce some other important news about the disintegration of #Alberta healthcare but we are pausing this week's program today for something much more important:
No child should ever be compared to feces. In any context. In any situation. Ever.
If @ABDanielleSmith doesn't immediately ask Jennifer Johnson, the @Alberta_UCP MLA candidate for Lacombe-Ponoka, to resign immediately, that is an endorsement by the UCP.
And endorsement by any political party that children should be literally compared to sh*t is abhorrent
I posted yesterday about how @ABDanielleSmith's suggestion that to solve the current hospital wait time crisis is that Family Doctors should just work evenings & weekends is absolutely ridiculous.
Many of you agreed.
But some of you didn't
Let's talk about the research:
1/x
My colleague recently posted on IG this excellent summary of 3 studies done in the US about how much time Family Docs would need to spend to meet the criteria of the US preventative task force health recommendations.
He has kindly agreed to allow me to repost them here
2/x
Study #1 reports that we would need 26.1 hrs in a day in order to complete everything required, and yet still manage acute care & charting
(We have all wished for more hours in a day. But Family Doctors actually need more hours in the day to even complete do their job)
What in the fresh hell is this new bullsh*t from @ABDanielleSmith ?!
Let's break this CTV news quote down
"NPs are trained almost to the level of Family Doctors"
Stop.
No they are not.
Any NP would confirm this as well. NPs are NOT the same as Family Doctors
1/x
Any NP who respects their own profession would also say they have absolutely zero interest in trying to replace us either.
Family Doctors are SPECIALISTS in preventative medicine. We must complete an undergrad degree, spend 3-4 yrs in med school and then 2 yrs residency
2/x
We can't work in teams because we can't afford to hire NPs to work alongside us. And the @Alberta_UCP has been actively working against that model of care because it would mean paying and MD and an NP simultaneously. They want the cheapest route. They only want to pay the NP
3/x
1. Universal coverage of contraception is not a subsidy to insurance companies. Insurance companies only cover a percentage of meds, rarely 100%. There is still pay out of pocket costs, and for young women, even this small cost isn't always affordable
2. IUDs can be up to $500. Insurance companies will only pay for 1 per year. So if it falls out, gets embedded, there's side effects, etc, they can't get another through insurance for at least a year. This usually falls on the doctor to find a "free" one
Constitutional law experts, correct me if I'm wrong, but am I reading that @ABDanielleSmith's Sovereignty Act allows the @Alberta_UCP to theoretically force Alberta Health/AHS to do any of the following, without it going through the legislature:
1. Delist and defund abortions, and quite possibly make it illegal for providers to perform them, as they could theoretically disagree with the Supreme Court's R v. Morgentaler?
2. Force all AHS hospitals and the CPSA to remove any masking policies in facilities or clinics because they don't agree with COVID masking recommendations (maybe they can do this anyway without this law right now, but have chosen not to...yet)
In the latest edition of "What the ***** did @ABDanielleSmith just say?!", we have this hot off the press. When @Albertadoctors asked her how #Alberta will ensure all citizens have access to quality care, we have this quote from her:
1/10
"l understand we have 11,000 doctors in the province. I have been told each GP should be able to have a patient panel of 1500 patients. This is clearly not occurring....
2/10
"...For whatever reason, it appears that GPs are not wanting to have this patient load otherwise we wouldn’t have the problem we have"
Okay let's talk about this Danielle. It will be short and sweet.