The visit note now writes itself. The requisition after the visit still doesn't. The next front in the paperwork fight is everything that happens after the exam room. ↓ sapiensecure.io/newsroom/cha…
The fix for evening charting wasn't typing faster. It was not typing at all. AI scribes are the first tool in years measurably handing Canadian clinicians their evenings back. ↓ sapiensecure.io/newsroom/cha…
Ontario gave 152 primary-care clinicians an AI scribe for one spring. After-hours charting fell 3 hrs/week — and 82% refused to give it back. 12,000+ clinicians are now enrolled nationally. The full story ↓ sapiensecure.io/newsroom/cha…
Surrey's dialysis capacity just went up 55%.
A new renal facility took the region from 39 to 60 stations — about 42,000 treatments a year to 65,000. Already open, seven days a week. ↓
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Nunavut went from one community screening for colorectal cancer to 22 of 25 — in a single year.
Two million square kilometres, no roads between communities. ↓
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About 6,000 people a year now get to eat breakfast.
Hamilton General cut pre-procedure fasting from "nothing after midnight" to two hours. Less nausea, no safety cost. ↓
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A Canadian trial just took a drug out of one of our most common operations.
5,429 patients: plain 81mg aspirin matched a newer blood thinner after hip/knee replacement — with less bleeding. ↓
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Canada is opening medical schools again — and pointing them at family medicine.
SFU took its first 48 students Aug 5, BC's first new school in ~60 years. Ontario put $55.8M into York's. ↓
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Yukon's primary-care waitlist: 4,606 → 2,445 in six months.
The mechanism: 34 family doctors each committing to take 10 people off the list, reconciled weekly. ↓
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Trim a nursing unit's documentation → one health system freed 30,000 hours a year for the bedside. Add a scribe → physicians see ~16% more patients an hour. Same people, more care. Admin capacity is the multiplier. ↓
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Physicians spend ~10.4 hrs a week on admin, half of it unnecessary. Cut just that and you'd win back the equivalent of 9,000 full-time doctors — nationally, without hiring one. Count the nurses too, and it climbs. ↓
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Everyone frames Canada's health workforce crisis as a doctor shortage. But nursing vacancies tripled between 2018 and 2023 — and for every 100 nurses under 35 who join, 40 walk away. It isn't just doctors. ↓
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Everyone's tried to “axe the fax” for 20 years. It keeps stalling. The smarter move: make the fax you already have intelligent — read the requisition, structure the data, no rip-and-replace. Meet clinics where they are. ↓
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Some good news: where Ontario's health systems actually connect, the fax quietly disappears. OntarioMD's Health Report Manager has routed 30M+ hospital reports straight into EMRs — no fax. The pipes are being built, just unevenly. ↓
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The fax machine was patented in 1843 — 33 years before the telephone, and older than Confederation. Your doctor still uses one every day. Not because they're behind — because it's the one thing that reliably works. Why ↓
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Physicians on short-staffed teams are more than twice as likely to burn out (AMA). A full team isn't a nice-to-have — it's the thing keeping people in the room. ↓
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The strongest protection against burnout isn't a wellness app or a resilience webinar. It's a team that has your back — the desk that clears the fax before it reaches you, the coordinator who catches the claim before it's lost. ↓
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Some good news for once: physician burnout in Canada fell from 53% (2021) to 46% (2025). Still too high — but the first real move in the right direction in years. And the system didn't fix it. The frontline did. ↓
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New from us: The Second Shift — a weekly note on the good news in Canadian healthcare, and how the frontline covers for each other. Less doom, more of what's working. First issue's live ↓
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"A Quarter of your Waitlist May Already Be in Your Building".
The national conversation about imaging wait times runs in one direction: we need more. More scanners. More radiologists. More funding. More capacity.
All true. But there's a number worth sitting with before that conversation goes further.
Research estimates that up to 25% of advanced imaging in Canada may be low-value - redundant studies, low-yield requisitions, or scans duplicating work done recently at another site. That's not a fringe finding - it's the conclusion of a 2025 Canadian-specific review by Yan, Jalal & Harris published in the Canadian Association of Radiologists Journal. Choosing Wisely Canada has built an entire initiative around closing this gap.
Do the math. If a meaningful share of the studies consuming your radiologists' reading time has limited clinical yield, then part of the capacity problem isn't a supply problem - it's a demand problem. And those have different levers.
A 2024 sustainability review put it in concrete terms: a 20% reduction in low-value imaging would eliminate waste across 7.2 million procedures nationally - with direct downstream effects on wait times and radiologist bandwidth. The same radiologists. Fewer studies that don't need to be read. More bandwidth for the work that actually matters clinically.
This reframe matters in two ways. First, it changes the burnout math. Canada has 6.9 radiologists per 100,000 residents versus 10.8 in the US. If your radiologists are burning reading time on low-yield studies, that's not just a volume problem - it's a focus problem. Second, it changes what the wait time crisis actually requires. A wait list that's partly a demand management problem is more tractable than one that's purely a resource problem.
Canada's supply-side gap won't close fast. But the gap between studies being ordered and studies worth ordering - that one is addressable now.
If you run a radiology group, do you know what percentage of your volume is delivering high clinical yield?










