Marcus Greatheart MD MSW
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FREE RESOURCE: Trans Care BC Primary Care Toolkit

FREE RESOURCE: Trans Care BC Primary Care Toolkit

by Nicolas Mertens | Jun 11, 2021 | Barriers to Health Care, Blog, Equity Work, Medical Education, Transgender Health, Uncategorized | 0 comments

For healthcare providers of all specialties Not just family doctors. Nurses and nurse practitioners as well. The Primary Care Toolkit from Trans Care BC provides contagious guidelines for the care of our transgender patients.  Updated in December 2020,  this resource...
We have 15 minutes today

We have 15 minutes today

by Marcus Greatheart | Jun 7, 2021 | Blog, Communication Skills for Doctors, Medical Education, Uncategorized | 0 comments

 We know that doctors of different types and stripes have different appointment lengths, and if you’re working on an inpatient service you may not have a specific schedule.  Regardless of whether you have eight, fifteen or thirty minutes (like I do in my clinic...
What if my patient has too many issues to discuss during the visit? 

What if my patient has too many issues to discuss during the visit? 

by Marcus Greatheart | May 31, 2021 | Blog, Communication Skills for Doctors, Medical Education, Uncategorized | 0 comments

  The laundry list A common gripe from doctors is the patient who arrives with a never-ending list of issues.  “These patients have unrealistic expectations,” they complain. “We can’t possibly address them all in the short time we have.” We might think that...
Agenda setting for the doctor-patient clinical encounter

Agenda setting for the doctor-patient clinical encounter

by Marcus Greatheart | May 28, 2021 | Blog, Communication Skills for Doctors, Medical Education | 0 comments

Ask ‘What else?’ As doctors, there are few things more frustrating than attending a department or other meeting without a clear agenda, so it makes sense that we and our patients have the same expectation of why we are meeting and why we’re gathering and what we’re...
Ninety Seconds

Ninety Seconds

by Nicolas Mertens | May 22, 2021 | Barriers to Health Care, Blog, Communication Skills for Doctors, Uncategorized | 0 comments

A worsening doctor-patient communication problem Back in Medical school, we learned that doctors are quick to interrupt patients at the very start of the clinical encounter — my colleagues and I all committed to doing better.   Interestingly, that study from the 1980s...
An extraordinary full-circle moment

An extraordinary full-circle moment

by Marcus Greatheart | May 7, 2021 | Blog, Uncategorized | 0 comments

Rest in Power, Mary Lou! Mary Lou smiled wide as she spoke to me. Sure, she would help teach a safe sex workshop to the Friday night LGBTQ+ youth group, but first I’d have to come by the clinic myself for a check up. That way I could talk from experience, she...
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Recent Posts

  • The Good Goodbye
  • What’s something you sacrificed to become a doctor?
  • The four-part closure statement
  • CASE STUDY: My patient with opioid use disorder (OUD) has terrible cancer pain.
  • CASE STUDY: My patient just told me they are trans. What do I say?
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I acknowledge that my work takes place on the traditional, ancestral, unceded, and occupied territory of the xʷməθkwəy̓əm (Musqueam), Sḵwx̱wú7mesh (Squamish), and Səl̓ílwətaʔ (Tsleil-Waututh) nations.

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