Viser Juste: Shoot Straight (kind of)


It's tough to translate. Viser Juste. Not exactly "Shoot Straight" or "Get it Right," it's really about getting as close to the target as we can, hitting that bull's eye. In this case, hitting the sweet spot of 'Right Care.' Not too much or too little.

Training together during Family Practice Residency in Nanaimo, Simon-Pierre Landry and I shared a few things: an appreciation for the kind of jaded medical humour and cynicism in The House of God, love of the hits of the 90s, an eagerness to debate the fundamentals of Canadian culture, and a taste for fancy cheese. We both also had a curiousity about why we practice medicine the way we do and how we can do it better.

"Laws of the House of God, #13:  The delivery of good medical care is to do as much nothing as possible." — Samuel Shem, House of God

Dr Landry is now an Emergency Physician and Intensivist in Sainte-Agathe-des-Monts, QC. He writes a regular Méditorial column for Santé, a publication of the Canadian Medical Association. He interviewed me while I was in Yellowknife for part of his article about Appropriateness in Medicine.

In Viser Juste, Dr Landry brilliantly weaves together House of God, the Choosing Wisely (Canada) campaign, and Ken Murray's How Doctors Die to make the case for a "Less is More" approach to medicine.

As physicians, we know that advances in medical technology are undeniable progress. At the same time, we also understand that these technological advances are not without flaws, and the possible consequences must be analyzed by an objective expert who is skilled at dissecting complex situations, for example, the clinician. We also understand that these technologies have a cost and do not always offer value for money. Sometimes, investing in other types of medical care or improving the social determinants of health (eg. guaranteed minimum income, early childhood services, mold-free schools) would be a wiser use of public funds. (translated roughly by Google & I)

Read a translated version of the Viser Juste ["Shoot Straight"] article (in Google Translated English-ish).

Read the Viser Juste article (in French) and don't miss Dr Landry's other articles at Santé Inc.