Editor's Note, Volume 16 Issue 2

D’Arcy Little, MD, CCFP, FCFP, FRCPC Medical Director, JCCC and HealthPlexus.NET

In this issue of the Journal of Current Clinical Care, we present articles spanning artificial intelligence governance, structural health-system reform, forensic radiology, and the enduring power of the patient–physician relationship.

Drs. Jane Purvis and Chandi Chandrasena issue a timely call to action in AI Is Already Here. Physician Leadership Isn’t—Yet. AI has already embedded itself in Ontario’s clinical environments—often without independent evaluation or meaningful governance. While acknowledging real benefits such as AI scribes and clinical decision support, the authors document significant risks: hallucinations producing dangerous misinformation, erosion of longitudinal primary care, inequitable performance across diverse populations, and a governance vacuum that defaults to vendors rather than clinical expertise. Their message is clear: physicians must actively shape how AI is integrated into health care, or risk having it shaped for them.

Dr. Alykhan Abdulla offers a structural diagnosis in Designed for Yesterday: Why Ontario’s Health-Care System Must Be Rebuilt for the World We Are In. Drawing on 35 years of practice, he argues that what appears as recurring crisis is in fact predictable structural failure: efficiency-first planning that stripped resilience, a workforce treated as a cost, hospitals absorbing problems they were never designed to solve, and fragmentation masquerading as flexibility. The prescription—upstream investment, integrated community care, interoperable data, and AI-enabled infrastructure—demands structural commitment, not more temporary fixes.

Dr. D’Arcy Little provides a comprehensive review in Forensic Radiology: A Comprehensive Review for Non-Radiologist Physicians and Medical Students. From radiography’s first forensic use in 1896 Montreal to today’s postmortem CT, MRI, and AI-assisted injury detection, the review covers trauma documentation, non-accidental injury in children, identification of deceased individuals, criminal evidence documentation, and medicolegal considerations including chain of custody and expert testimony. Practical guidance for non-radiologist clinicians makes this a valuable cross-specialty reference. As the article emphasizes, imaging complements—but cannot replace—the skilled autopsy.

Finally, Dr. William Watson shares a warm narrative in The Patient as Teacher: A Valuable Experience for Students. Guiding first-year students through bedside interviews on a cardiology ward, Dr. Watson demonstrates what no textbook can replicate: patients’ own accounts of symptom progression, illness, and recovery. The encounters proved transformative for students and meaningful for patients alike—a quiet argument for patient-centred pedagogy and a reminder that medicine’s most enduring lessons are taught at the bedside.

We hope you find this edition both informative and inspiring, and we look forward to your feedback, as always.