Innovative technologies and shifting public expectations are altering the practices of many industries, particularly those that provide a service. Medical practices should take heed and recognize these trends or risk losing patients and market share to others more open to adopting new strategies. How does one differentiate a high-performing medical practice from another that’s falling behind? And what are the forces that drive the discrepancy? What strategies can your practice implement ...

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At a time when physicians are feeling besieged on all sides, it hardly seems fair to write about the lack of civility demonstrated by some members of the profession on social media in Canada. But it’s still an important issue that needs to be addressed — with the caveat that no profession or segment of society is blameless and the focus is due to the focus of this particular blog. The post ...

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By now, we have all seen the cell phone footage of a doctor being dragged off a United Airlines flight. I’ve seen it on Twitter, on Facebook, on cable news and read about it in the printed press. I’ve been texted links to the various videos each from different angles but all showing the same images — a man being dragged away with a bloody face. This has prompted quite ...

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Look me up. I’m on Twitter (@MattDynamic). This isn’t particularly remarkable. In fact, there are 313 million other active Twitter users. But for me, it is remarkable and a major departure from my past behavior. As a resident, I am bombarded by messages about the dangers of Twitter and, more broadly, social media. I have sat through many HIPAA and human resource meetings with dire warnings to not post ...

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I have been a member of a social network for physicians since 2008 or 2009. It’s a network that bills itself as a “virtual doctors’ lounge” and “voice of physicians.”  I joined because I thought it would be a great place to continue to interact with my peers, after I’d left the collegiality of medical school and residency behind for private practice. I’m not sure what subset of physicians participates, but ...

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During sports physical appointments, I routinely address preventive health topics that range from asking about alcohol, drugs, and sexuality, to addressing accident prevention and updating immunizations.  At one such appointment recently, a young male teen was due for two routine vaccines.  The mother accompanying him had no concerns about one of the vaccines, but expressed concern about the other. A friend had recently shared information on Facebook about how the ...

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As I met with the vice dean of academic affairs to discuss my readiness for promotion from assistant to associate professor of pediatrics, I led with the usual list of accomplishments. After all, I thought I was pretty well rounded, with achievements in teaching, patient care, institutional service, quality improvement, and research. Unfortunately, this meeting was not going as I had hoped and I sensed ambivalence from the other end ...

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This foreign body was removed from a non-healing abdominal wall incision in an elderly lady with many comorbidities and previous operations. It was a rigid plastic tube which was 7 cm long and 2 to 3 mm in diameter. There were four transverse grooves at either end. foreign-body Physicians caring for her were unable to identify it. One of them emailed me the photos ...

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When it comes to social media, oversharing is the new norm. When #flu season comes around, everyone on Twitter becomes inundated with talk of runny noses, strangers sneezing on their morning commute bus ride, and avoidance of the airport. People update their statuses on their interactions, frustrations, struggles and even locations. When a friend is not feeling well, they may post about it on social media and get an instant ...

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Are you 100 percent sure your customers know where you are located? If you are like me, you think the answer is an obvious "yes." But in reality, I did not have a clue because I wasn't aware of local SEO. SEO, traffic and ranking on the "first page of Google" are what marketing agencies stress to physicians, but I found out there is a side branch of SEO called local ...

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