Learn Tools for Complex Clinical Encounters

Bridging the gap between doctors and patients through effective relationship-based care

re-discover your ‘why’

Get my FREE workbook
Remind Me Why I Went to Medical School Again?: (Re)Finding Joy in Being a Doctor
You’ll also receive timely communication tips to uplevel your medical practice.

course for doctors

upgrade your medical practice

with effective and efficient doctor-patient communication and a better work-life balance

An 8-week practical course for all physicians working in any setting, and all levels.

We are deconstructing the clinical encounter with counselling techniques you can learn today and use in your medical practice tomorrow.

DB+

course for doctors

upgrade your medical practice

with effective and efficient doctor-patient communication and a better work-life balance

An 8-week practical course for all physicians working in any setting, and all levels.

We are deconstructing the clinical encounter with counselling techniques you can learn today and use in your medical practice tomorrow.

resources

Transgender Health

If you are trans and looking for resources, check out ​The Transgender Project​.

If you are a doctor or other health care provider working with the transgender community, there are great resources here: Transgender Resources for Doctors. ​

If you are a trans or non-binary and looking for a doctor in British Columbia, contact ​Trans Care BC where the Peer Navigators can help you connect with services in your area. ​

Health of Bears

Learn about primary care guidelines for Bears, a sub-group of gay men who are generally identified by their larger body size, facial and body hair. In the medical clinic, they are often seen as obese men at increased risk for cardiovascular disease and diabetes. Read about culturally sensitive care for this little recognized community.

Addiction Medicine

As a family doctor, I work daily with patients living with substance use disorders and prescribe Opioid Agonist Therapy. More recently, my team began managing frail elders with addiction in the long term care setting. Learn more about our Quality Improvement project and grab some great resources.

Medical Education

Physicians, Medical Students, Residents and International Medical Graduates (IMGs) check out these great resources. Read my insights on complex patient care, family medicine in the context of the opioid crisis, transgender health, equity and social justice in healthcare on my blog.

New Patients

I wish I could be your doctor, but we only accept patients who live in our downtown Vancouver catchment area and meet the medical complexity criteria set by our government-funded clinic. All applicants fill out an application at our clinic and complete a mandate screening review with our nursing team. Even then, patients are assigned to physicians and nurse practitioners by the clinic based on multiple factors.

articles

How to Overcome a History of Medical Violence

How to Overcome a History of Medical Violence

We carry the burden of our patients’ past mistreatments. We know from history how doctors have participated in the medical violence brought upon Black people, transgender and queer community, and women--just to name a few. Think about the roles physicians played in...

read more
How Do We Address Addiction in Long Term Care Facilities?

How Do We Address Addiction in Long Term Care Facilities?

Last year, I was invited to speak at the Catholic Health Association of BC annual conference about a novel and, for some, controversial pilot project we’re undertaking at our long term care facility in Vancouver. We’ve invited patients taking methadone and other...

read more

books

Transforming Practice:

Life Stories of Transgender Men that Change How Health Providers Work

Marcus Greatheart MD MSW

Annals of Gay Sexuality:

The Contemporary HIV Zeitgeist

Marcus Greatheart MD MSW

Dr. Greatheart is awesome! Incredible ability to become attuned to the needs of the conversation and push individual and group boundaries in learning and reflection. Very grateful for his facilitation skills and feel like our group has benefited from his perspectives.”

about

I was 40 years old when I packed up and moved across the country to start Medical School.

I arrived with a real sense of calling as a doctor. In my back pocket I had a BA in Art History and a Master’s degree in Social Work. I didn’t need a Science degree to get into Med school, but I sure needed one on the first day.

It was a challenging journey but when I finished, I moved back to my hometown to complete a residency in Family Medicine.

As a resident, I noticed the many comments I received on my last name.

“You should be a cardiologist, or a pediatrician,” they said, if they even got my name right. I got Greyheart and, of course, Braveheart (ugh, that terrible movie!) Goodheart is a tough one because when I reply “Great, not Good,” I sound like I’m full of myself.

What I could not have anticipated was the comfort my name would give patients, especially at 2AM in the hospital. Patients and their familiies would ask me about my name, or comment that I must be a good doctor with my name, and the small talk helped initially-nervous patients relax and tell me what brought them to the ER.

Nowadays, I work alongside the city’s 5 percent most complex patients with medical, mental health and psychosocial issues, using strengths-based and trauma-informed practice through a social justice lense.

I live with my beekeeper husband, Brandford, and our Golden Retriever pup Vince.

– Marcus Greatheart

about

I was 40 years old when I packed up and moved across the country to start Medical School.

I arrived with a real sense of calling as a doctor. In my back pocket I had a BA in Art History and a Master’s degree in Social Work. I didn’t need a Science degree to get into Med school, but I sure needed one on the first day.

It was a challenging journey but when I finished, I moved back to my hometown to complete a residency in Family Medicine.

As a resident, I noticed the many comments I received on my last name.

“You should be a cardiologist, or a pediatrician,” they said, if they even got my name right. I got Greyheart and, of course, Braveheart (ugh, that terrible movie!) Goodheart is a tough one because when I reply “Great, not Good,” I sound like I’m full of myself.

What I could not have anticipated was the comfort my name would give patients, especially at 2AM in the hospital. Patients and their familiies would ask me about my name, or comment that I must be a good doctor with my name, and the small talk helped initially-nervous patients relax and tell me what brought them to the ER.

Nowadays, I work alongside the city’s 5 percent most complex patients with medical, mental health and psychosocial issues, using strengths-based and trauma-informed practice through a social justice lense.

I live with my beekeeper husband, Brandford, and our Golden Retriever pup Vince.

– Marcus Greatheart