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White Coat, Black Art

Dr. Brian Goldman, photo source: http://www.cbc.ca

If you’re interested in an informative and entertaining podcast that explores medicine warts and all, we highly recommend subscribing to Dr. Brian Goldman’s “White Coat, Black Art.” Dr. Goldman is a Toronto ER physician and living in the land of socialized medicine with a less litigious population enables him to speak more candidly about taboo subjects like doctor’s errors. That said, the first time he admitted medical mistakes while extremely cathartic for him and his patients, caused a furor in the physician community with concerns about future lawsuits. Interestingly, Dr. Goldman noted that admitting mistakes and apologizing made patients and families less likely to sue.

You can hear about this at “After the Error.”

Another more recent podcast that caught our attention was on Lean Healthcare. (Featured is the hospital I was born in, in Kitchener, Ontario.) Interestingly, only days after the episode was aired the government of Saskatchewan pulled the plug on their $40M lean overall of the system. While some significant quality improvements have definitely resulted from a lean healthcare approach, we have noticed that the expense of lean processes are sometimes prohibitive for initial projects. That is, the people and process costs of lean might make the overall project more effective and efficient but the startup costs are high. Ironic isn’t it? Of course Toyota hasn’t been upholding the quality standards they have been known for recently either. I suppose this is why in software development, lean is also equated with agile. It’s not good enough to look at making sure your processes are effective, you also need to understand how to implement quickly and cheaply. Not an easy proposition.

You can listen to White Coat, Black Art live on CBC and CBC streaming or on demand podcasts on CBC’s website.

 

 

Posted in: Healthcare Disruption, Healthcare transformation, Lean Healthcare

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2 Comments

  1. Susan November 15, 2014

    dr Goldman
    I understand your motives behind the topics you discuss but I have often wondered whether your approach to honesty, transparency and challenges in medicine are embraced by your peers?
    I have a nursing background so some of what you wrote in “The Secrect Language etc. was not new. However your colleagues might not find the exposure as interesting.
    Your thoughts?
    Susan

  2. Anne Weiler November 17, 2014

    Note that this is not Dr. Goldman’s site. We recommend that you address your comments directly to him.

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