Applied Bimatics - An Informatics & eHealth Blog

I am a clinician with a passion for informatics. This blog is about my eHealth journey exploring interoperability in Electronic Medical Records (EMR/EHR), Patient Safety, Pharmacovigilance, Data Analytics, Clinical Research and Bioinformatics in a clinical context. Comparing Canadian, Indian and Middle Eastern healthcare systems and services. Join our open facebook group here: https://www.facebook.com/groups/clinical.bioinformaticians/

The information presented here is not intended to diagnose, treat, cure or prevent any disease. Always seek the advice of your own physician or other qualified health care professional. Read full Disclaimer.

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Sunday, December 15, 2013

What is wrong with the culture of medicine?

“What is wrong with the culture of medicine?”

I posted an article about burnt-out doctors that got lots of comments in DsB. Here is an excellent TED talk from Dr Zubin Damania, Director of Healthcare Development for Downtown Project Las Vegas.

“Medical schools are like Hogwarts where doctor wizards are trained to cure muggles using arcane contraptions like pagers (owls)”.

He has a plan to fight back against a system that can dehumanize doctors and patients alike. He is just too good. Must watch!


This article proposes telehealth as the future of healthcare delivery through virtual consultation and remote diagnosis. It will not only reduce the burden on secondary health care provision, but also improve the quality where accessibility to secondary care is limited. With the dwindling number of dermatologists in many parts of Canada, teledermatology also has huge potential. I am working on a dermatology imaging standard called DICODerm. I am planning to propose it to DICOM standards committee through Canada health infoway once it is completed. WG-19 (DICOM dermatology group) discontinued such a move long back, but when I proposed this idea in DsB I received huge support. Our ongoing work is available here. Standardization is a huge bottleneck for teledermatology systems, and if we can agree on a DICOM standard for dermatology, existing PACS systems may be used for store-and-forward teledermatology.

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