Notes de terrain

Regards sur la santé

Perspectives sur l’infrastructure clinique, les flux de travail des médecins et la technologie qui transforme les cliniques de soins primaires et de spécialistes.

Nos articles sont offerts en anglais seulement pour le moment.

Opérations de la clinique

The Leaky Bucket: Calculating the Real ROI of Automating Clinic Forms and Bookings

There is a line item missing from almost every independent clinic's monthly financial review. The manual clinic is not a free clinic. It is an expensive one. The cost is simply distributed across enough small frictions that it never lands on a single line that demands attention.

Sécurité et conformité

The Anatomy of a Safe Handoff: How AI Recognizes Its Limits in Primary Care

The question physicians ask most often about patient-facing AI is not about data security. It is simpler and more visceral: what happens when the system gets something wrong? A wrong answer delivered with confidence is more dangerous than no answer at all.

Sécurité et conformité

Privacy, Security, and Accountability: The Architecture of Trust

Technology in healthcare is only as trustworthy as the systems behind it. For clinics, privacy, compliance, and accountability are not optional features; they are foundational requirements.

Technologies de la santé

The Rise of the Postmodern Stack: Why the Best EMR Strategy Is a Modular One

The electronic medical record is not failing. It is being asked to do something it was never designed to do. The frustration clinics feel with the gap is real; the source of it is a structural misunderstanding about what these systems were built to be.

Opérations de la clinique

Beyond the Charting Crisis: The Real Cost of Administrative Burnout in Canadian Primary Care

The resignation letter rarely mentions the phones. Underneath almost every departure from a Canadian primary care clinic is a quieter truth: the administrative weight of the job became too heavy, and nobody found a way to lift it in time.

Gestion du changement

The "Not Another Tool" Dilemma: Overcoming App Fatigue in Clinic Software Onboarding

Ask any experienced MOA what they think about learning new software and watch the expression that crosses their face before they answer. It is not hostility. It is exhaustion. Clinic staff are not resistant to technology; they are resistant to the version of it they keep being handed.

Technologies de la santé

The Quantified Scribe: What Clinical Trials Reveal About Ambient AI Documentation

There is a term that has quietly become a fixture in conversations about physician burnout: pajama time. For most Canadian primary care physicians, it is not an occasional inconvenience; it is a structural feature of the job.

Sécurité et conformité

What BC's AI Scribe Guidance Signals for the Rest of Your Clinic's Tech Stack

On January 28, 2026, BC's privacy commissioner released best practices for AI scribes under PIPA, the same day Ontario issued parallel guidance. What the convergence means for how BC clinics should evaluate every AI tool they adopt, not just scribes.

Gestion du changement

Beyond the Rollout: The Proven Path to a Successful Healthcare Software Adoption

There is a version of this story that most clinics have lived through at least once. A new platform gets selected, the vendor runs an onboarding session, and then, slowly, the system starts collecting dust. That story is not about software.

Opérations de la clinique

The Family Physician Shortage in Canada: What It Means for Independent Clinics

Canada's family physician shortage is real. But a meaningful share of the access gap is being created inside clinics that are already operational, consumed by administrative infrastructure that costs clinical time faster than training pipelines can replace it.

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