As a primary care #physician, we r limited in having this conversation by a few factors. Main one is the 15-minute visit (#time). The second is that patients now rate, & that translates into needing to weigh our every word. Carefully.
The last thing we want to do is to offend.
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What a huge and valuable step forward
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What an amazing outcome! Would love to know if implementation strategies are posted/available somewhere to spread this kind of work.
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There is so much more improvement to be made in this area. My experience is that the clinicians do not tell the patient and family that they may be in end of life, so they don’t have the opportunity for their wishes to be followed.
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Today helped me embrace the journey we are on as advocates and educators. Changes in culture & conversations take time patience, & hard work
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Interesting. Do you know of any data on uptake of the American EOL planning fee codes that were recently introduced? I'm an inpatient MD in Ontario and have long believed similar in our provincial system was needed to nudge MDs towards opening these discussions.
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