Latest Systemdesign Podcast Episodes
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Healthcare's low Digitization Index
Gregory Schmidt, MD - May 24, 2021 15:17 - 5 minutesHealthcare remains one of the least digitized sectors of the economy. Article: https://www.gregoryschmidt.com/articles/healthcare-digitization-index
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Healthcare productivity is the (second) worst
Gregory Schmidt, MD - May 21, 2021 18:57 - 2 minutesBetween 1990 and 2007 healthcare was the second worst sector of the USA economy in productivity improvement. In fact it had become less productive with time. Article: https:/www.gregoryschmidt.com/articles/healthcare-productivity-2014
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Growth in healthcare spending outpaces growth in GDP
Gregory Schmidt, MD - May 17, 2021 15:13 - 6 minutesCountries spend more on healthcare each year than their economy grows. Can this continue forever? Article: www.gregoryschmidt.com/articles/growth-healthcare-vs-gdp #HealthEcon
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CBC hides inflammatory article published on Nursing Day
Gregory Schmidt, MD - May 17, 2021 15:09 - 7 minutesCBC News published an article on Nursing Day that provoked public outcry. It turns out that the details of the original article were incorrect. CBC proceeded to rewrite the article (a new headline, byline, and content) but the new article was published overtop of their existing article.
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Single-sentence summaries improve EHR data display
Gregory Schmidt, MD - May 04, 2021 19:38 - 9 minutesThe addition of single-sentence summaries can dramatically improve the information communicated when generating summaries of patient data. This example focuses on trying to display that two consultations occurred in the same day. Article: https://www.gregoryschmidt.com/articles/single-sent...
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Risks of using medical story arcs
Gregory Schmidt, MD - May 04, 2021 03:02 - 11 minutesWhen we fit the patient's narrative into a typical medical story arc, we risk making diagnostic errors. Article: https://www.gregoryschmidt.com/articles/risks-of-using-medical-story-arcs
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Product Packaging UX: hard to open cardboard boxes
Gregory Schmidt, MD - April 26, 2021 01:07 - 6 minutesSometimes it is not clear which side of the box should be opened. Article: https://www.gregoryschmidt.com/articles/le-creusets-box
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5 Principles of Two-Factor Code Design
Gregory Schmidt, MD - April 25, 2021 04:49 - 5 minutesDo we even need letters in the code? Are number only codes preferred? Article: https://www.gregoryschmidt.com/articles/two-factor-design
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The patient's narrative is never written down
Gregory Schmidt, MD - April 24, 2021 03:56 - 6 minutesSummarizing the patient's narrative into a medical note introduces error into the earliest steps of the diagnostic and record-keeping process. Article: https://www.gregoryschmidt.com/articles/the-patients-narrative-is-never-written-down
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The patient's first-person narrative
Gregory Schmidt, MD - April 19, 2021 03:55 - 5 minutesThe original first-person patient narrative forms the foundation of clinical medicine, yet its original form rapidly becomes contaminated and evolve once the patient enters the medical system. Article: https://www.gregoryschmidt.com/articles/patient-first-person-narrative
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Series introduction: narrative language in medicine
Gregory Schmidt, MD - April 19, 2021 03:54 - 2 minutesNarrative language is everywhere in medicine. How does this influence how we think & document patient information? Article: https://www.gregoryschmidt.com/articles/narrative-language-in-medicine-intro Custom fields
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Back-in angle parking
Gregory Schmidt, MD - April 12, 2021 04:25 - 3 minutesBack-in angle parking combines the benefits of angle parking with those of bcak-in parking. Article: https://www.gregoryschmidt.com/articles/reverse-angle-parking
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Why do Americans not back into parking spaces?
Gregory Schmidt, MD - April 01, 2021 04:03 - 8 minutesIn some countries most cars back-into parking spaces. In other countries, almost nobody does. Why is this? Article: https://www.gregoryschmidt.com/articles/why-do-americans-not-back-into-parking-spaces
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Ways to avoid fatalities from car backovers
Gregory Schmidt, MD - March 28, 2021 19:25 - 7 minutesHelp reduce backover injuries and fatalities with these ideas. Full article: https://www.gregoryschmidt.com/articles/ways-to-avoid-fatalities-from-car-backovers
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Deaths from cars backing-over people
Gregory Schmidt, MD - March 27, 2021 15:33 - 4 minutesEach week in the USA, an estimated 280 people are injured and 4-5 people die as a result of backover injuries. Most of them children. Article: https://www.gregoryschmidt.com/articles/backover-deaths
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Costco's extra-wide parking stalls
Gregory Schmidt, MD - March 26, 2021 19:54 - 1 minuteCostco puts extra space between their parking stalls which ensures cars are always centered in the extra-wide parking stall. Full article: https://www.gregoryschmidt.com/articles/extra-wide-parking-stalls
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Life Update: 2020
Gregory Schmidt, MD - January 09, 2021 06:59 - 1 minute2020 was quiet year for new posts on this website, but busy year for Gregory. Read at: www.gregoryschmidt.com/article/life-update-2020
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COVID-19: Should clinicians age 60+ only do tele-care?
Gregory Schmidt, MD - March 12, 2020 04:46 - 12 minutesIt may make the most sense to encourage clinicians above a certain age, and those with comorbidities to focus as much as possible on telemedicine care to reduce their risk of mortality from coronavirus.
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Lasting impact at scale, the work of Kevin Starr & Mulago
Gregory Schmidt, MD - September 01, 2019 19:55 - 34 minutesSummary of the step-by-step process taught by Kevin Starr to design for building lasting impact at scale. Original article: http://www.gregoryschmidt.ca/writing/lasting-impact-at-scale-kevin-starr
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App design: positional space
Gregory Schmidt, MD - August 25, 2019 20:15 - 10 minutesDo not teleport your users to different parts of the application. They must take a road to get there, and know which part of the app's 3D space they are in. Original article: http://www.gregoryschmidt.ca/writing/app-design-positional-space
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Navigation options starting with mobile
Gregory Schmidt, MD - August 25, 2019 15:16 - 11 minutesNavigation options starting with mobile: On-page / Bottom tab / Top tab / Side navigation drawer Combining navigation patterns: acceptable & not Original article: http://www.gregoryschmidt.ca/writing/navigation-options-starting-with-mobile
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PATIENT FILE: Major UX Regions
Gregory Schmidt, MD - August 24, 2019 09:57 - 4 minutesThe major user interface regions of the PATIENT FILE Original article: http://www.gregoryschmidt.ca/writing/patient-file-ux-regions
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When is a pixel not a pixel? px, pts, dps
Gregory Schmidt, MD - August 21, 2019 10:43 - 7 minutesIf you are designing on the web, Android, or iOS, a pixel is probably not what you think it means. Pixels, Points, and Display-indepdnent pixels Original Article: http://www.gregoryschmidt.ca/writing/when-is-a-pixel-not-a-pixel-pixels-points-dps
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Why 4K is misleading
Gregory Schmidt, MD - August 21, 2019 10:21 - 4 minutesIf 1080p is 2x as vertically dense as 720p, Why is 4K not 4x as vertically dense as 1080P? Original Article: http://www.gregoryschmidt.ca/writing/why-4k-is-misleading
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Why are phone dimensions backwards: Height x Width ?
Gregory Schmidt, MD - August 21, 2019 10:01 - 4 minutesMobile phones and tablets advertise Height x Width x Depth ? This seems backwards. Original article: http://www.gregoryschmidt.ca/writing/why-are-phone-dimensions-backwards
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UI/UX: Writing X vs Y dimensions
Gregory Schmidt, MD - August 21, 2019 09:58 - 3 minutesAlmost always write the HORIZONTAL dimension first, the VERTICAL second. Unless, you are a fine art dealer or mobile phone manufacturer. Original article: http://www.gregoryschmidt.ca/writing/writing-dimensions
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Lean Impact: how to innovate for radically greater social good (detailed summary)
Gregory Schmidt, MD - August 16, 2019 18:49 - 21 minutesThe book for organizations and individual who measure their success not in terms of dollars and cents, but by their social impact. It challenges us to think big, start small, and relentlessly seek impact. http://www.gregoryschmidt.ca/writing/lean-impact-detailed-summary
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Engines of Growth in Social Impact
Gregory Schmidt, MD - August 16, 2019 18:06 - 5 minutesWho are the doers at scale? Who is the payer at scale? Lessons from the book Lean Impact by Ann Mei Chang and work of Kevin Starr. Original article: http://www.gregoryschmidt.ca/writing/engines-of-growth-in-social-impact
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Why philanthropy & grants hampers innovation
Gregory Schmidt, MD - August 16, 2019 18:03 - 12 minutesHow philanthropic & grant based funding differs from traditional startup venture capital. Rigid waterfall grants. Small linear steps. Unscalable solutions. Original article: http://www.gregoryschmidt.ca/writing/why-philanthropy-hampers-innovation
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Lean Startup + Lean Impact: Combined Short Summary
Gregory Schmidt, MD - August 16, 2019 17:57 - 8 minutesThe entrepreneurship startup principles of Lean Startup, applied to social ventures as described in Lean Impact. How to build a social impact project that scales. Original Article: http://www.gregoryschmidt.ca/writing/lean-impact-lean-startup-brief-summary
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