CMAJ Podcasts: Recent Episodes
Canadian Medical Association Journal
CMAJ Podcasts: Exploring the latest in Canadian medicine from coast to coast to coast with your hosts, Drs. Mojola Omole and Blair Bigham. CMAJ Podcasts delves into the scientific and social health advances on the cutting edge of Canadian health care. Episodes include real stories of patients, clinicians, and others who are impacted by our health care system.
A contrast allergy note on the chart can trigger delays, unnecessary steroids and avoided scans, yet often these labels are not clinically justified. A new practice article in CMAJ, “Hypersensitivity reactions to iodinated contrast media,” examines how the labels arise and why the standard premedication rests on contrast agents that are no longer used.
Dr. Samira Jeimy, an associate professor and program director of the division of clinical immunology and allergy at Western University and an author of the article, separates adverse reactions into Type A, the dose-dependent flushing, nausea and vasovagal symptoms anyone can get, and Type B, the bizarre ones from anaphylaxis to delayed reactions such as Stevens-Johnson syndrome. She notes the weak literature behind corticosteroid premedication is based on older high-osmolality agents that modern imaging has left behind.
Dr. Amit Katyan, a radiologist at the Ottawa Hospital and its lead for CT, has built a protocol that works back through the history for signs the reaction affected airway, breathing or circulation, or required epinephrine, an emergency visit or admission. For mild and moderate reactions his team skips steroids and switches to a contrast agent the patient has not had before, an approach he says the guidelines favour.
For physicians, the first move is to reverse-engineer the label rather than act on it, since many notes describe an expected physiological reaction rather than a true allergy. A necessary contrast study should not be delayed for steroid premedication when the history points to a mild reaction and another agent can be substituted.
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It’s been nearly two decades since the last Canadian clinical practice guideline on managing obesity in children. In that time, the science has advanced, treatment options have expanded, and the need for updated guidance has grown increasingly urgent. On this episode of the CMAJ Podcast, hosts Dr. Mojola Omole and Dr. Blair Bigham speak with three guests who contributed to or were impacted by the new guideline published in CMAJ. Together, they explore how the recommendations address the complexity of pediatric obesity and what it takes to implement them in real-world settings.
Dr. Geoff Ball, chair of the guideline steering committee, explains how the recommendations were shaped by evidence as well as the meaningful participation of parents and youth at every stage of development. He discusses how the panel weighed the benefits and risks of pharmacotherapy and bariatric surgery in the context of limited pediatric data and a rapidly evolving treatment landscape.
Dr. Michelle Jackman, a pediatrician and clinical lead at the Pediatric Centre for Wellness and Health in Calgary, shares how her team delivers multi-component behavioural interventions, often in the absence of system-wide supports. She reflects on how the new guideline has prompted her to reconsider referral pathways for bariatric surgery and advocate more strongly for patients.
Brenndon Goodman, a long-time patient advocate, offers his own experience navigating childhood obesity, including the emotional dimensions of eating, the impact of stigma, and the life-changing outcome of bariatric surgery. He calls for improved access to care and a stronger commitment to children and youth living with obesity.
This episode highlights both the progress and the persistent barriers in treating childhood obesity. The new guideline affirms that obesity is a complex chronic condition and provides much-needed support for physicians caring for children and youth living with it.
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Urinary incontinence affects about a third of adult women in Canada, yet many never receive a diagnosis or treatment. On this episode, Dr. Blair Bigham and Dr. Mojola Omole discuss the CMAJ review “Diagnosis and management of urinary incontinence in females,” which outlines how physicians can identify common forms of incontinence and begin management in primary care.
The episode opens with Sharon Roman, who shares her experience living with bladder dysfunction related to multiple sclerosis. Her story highlights the embarrassment, health consequences and barriers to care that can come with urinary incontinence, as well as the frustration of being told to simply keep living with symptoms that profoundly affect quality of life.
Dr. Louise-Helene Gagnon, an author of the review, a urogynecologist at Sunnybrook Hospital and assistant professor at the University of Toronto, explains the distinction between stress urinary incontinence and urge incontinence. She reviews common risk factors, including childbirth, menopause and pelvic floor injury, and walks through treatment options including pelvic floor physiotherapy, pessaries, mirabegron, vaginal estrogen and specialist referral.
For physicians, the central message is simple: patients may not raise urinary incontinence on their own. Asking about it directly can open the door to practical treatments that reduce isolation, embarrassment and daily disruption.
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Near-death experiences (NDE) are often described in spiritual, personal or even supernatural terms. But a new CMAJ article offers physicians a clinical entry point into understanding them as a distinct phenomenon that patients may report after cardiac arrest, critical illness or other life-threatening events.
Dr. Blair Bigham and Dr. Mojola Omole speak with Dr. Andrés Delgado-Ron, a senior data analyst at Simon Fraser University’s Faculty of Health Sciences and author of “Five things to know about near-death experiences”. He explains how NDEs differ from delirium or hallucinations, why they are often described as highly organized and vivid, and how veridical perceptions, where patients report details that can later be verified, raise important questions for researchers and clinicians.
They also speak with Dr. Marieta Pehlivanova, research assistant professor of psychiatry and neurobehavioural science at the University of Virginia Division of Perceptual Studies, about how physicians respond when patients disclose these experiences. She explains why dismissive reactions can be harmful, how they may prevent patients from processing an event that feels profound, and why clinicians can validate the experience without needing to explain or endorse every aspect of it.
For physicians, the message is practical: stay curious, listen without judgement and avoid automatically pathologizing or brushing aside a patient’s account. Patients may need space to talk about what happened, and clinicians can offer that space while still maintaining scientific rigour.
Lancet article discussed.
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Two articles in CMAJ look at endometriosis from sharply different angles. One shows how devastating delayed recognition can be, following a patient whose deep infiltrating endometriosis led to renal atrophy, bowel obstruction, sciatic nerve impingement and a permanent ostomy. The other offers a more reassuring picture, finding only a small increased risk of congenital anomalies among infants born to patients with endometriosis. Together, they show why endometriosis deserves earlier recognition, better imaging and more serious clinical attention.
Dr. Sony Singh, chair of the Department of Obstetrics and Gynecology at the University of Ottawa and head of the Department of Obstetrics, Gynecology and Newborn Care at The Ottawa Hospital, discusses the CMAJ practice article, “Renal atrophy, bowel obstruction, and sciatic nerve impingement secondary to endometriosis”. He explains how deep infiltrating endometriosis can invade adjacent organs and cause severe fibrosis when left untreated.
Bailey Milne, a PhD candidate in epidemiology at Queen’s University, discusses the CMAJ article, Risk of congenital anomalies for infants born to patients with endometriosis: a population-based cohort study. She emphasizes that although the study found a small increased risk of congenital anomalies, the overall risk remains low.
For physicians, the episode highlights the importance of considering endometriosis in patients with cyclical pelvic, abdominal, bowel, urinary or sexual pain, even when initial imaging is normal.
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While overall cancer rates in Canada continue to decline, reflecting decades of progress in screening and treatment, younger survivors face troubling gaps in their follow-up care. In the research article “Projected estimates of cancer in Canada in 2026” overall cancer incidence and mortality rates continue to decline when adjusted for population size, reflecting advances in screening, early detection, and treatment. But for adolescents and young adults, surviving cancer may mark the start of a more complex and less coordinated phase of care.
Dr. Darren Brenner, a molecular cancer epidemiologist at the University of Calgary, reports that more than 250,000 Canadians are expected to be diagnosed with cancer in 2026, with rates per 100,000 continuing to fall. Mortality has declined for several major cancers, though increases in pancreatic and uterine cancers highlight uneven progress. Brenner notes that a growing number of survivors are now living with elevated risk of second primary cancers and will require long-term follow-up.
Dr. Miranda Fidler-Benaoudia, a cancer epidemiologist at Cancer Care Alberta and co-author of the article, article “Subsequent primary neoplasm risk among survivors of cancer in adolescence and young adulthood: a population-based study from Alberta, Canada,” examines what happens after treatment for patients diagnosed between ages 15 and 39. Her study finds these survivors are twice as likely to develop a second primary cancer as their peers, often at younger ages than current screening programmes anticipate. Despite this, survivorship care is inconsistent. Patients treated in paediatric settings often receive lifelong, specialized follow-up, while those treated in adult systems may be discharged within a few years to primary care without standardized guidance or documentation. Many lack access to a family physician, and clinicians may not be equipped to manage the long-term risks associated with early cancer treatment.
For clinicians, these findings raise questions about how to manage a growing population of younger cancer survivors who face elevated risks over decades. Earlier onset of second cancers and the absence of clear follow-up pathways suggest current screening frameworks and transition practices may not be sufficient for this group.
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Transformative therapies for sickle cell disease are redefining what is possible for patients, offering the potential for cure alongside substantial risks. In CMAJ, the article Transformative therapies for sickle cell disease outlines how stem cell transplant and emerging gene therapies are changing the trajectory of a condition long defined by recurrent crises, shortened life expectancy, and inequities in care.
Dr. Kareem Jamani, a haematologist and clinical associate professor at the University of Calgary, explains how stem cell transplant replaces a patient’s blood-forming system to eliminate sickling haemoglobin, offering what can reasonably be considered a cure. Outcomes are generally favourable, particularly with matched sibling donors, but risks remain, including graft-versus-host disease, infertility, rejection, and mortality that can reach 5–7% with less well-matched donors. He also outlines the role of gene therapy, which modifies a patient’s own stem cells to increase fetal haemoglobin production, resulting in a functional cure with similar improvements in quality of life.
The episode is grounded in the experience of Ufuoma Muwhen, who underwent a stem cell transplant as a teenager after years of frequent hospitalizations and functional limitations. She describes the toll of both the disease and the treatment process, as well as the shift in her daily life following transplant, including her ability to travel, exercise, and live without recurrent crises. Her account highlights the importance of wraparound supports and trust in the healthcare system.
For physicians, these therapies require balancing meaningful benefit against real risk, often early in life and under uncertainty. The discussion also underscores persistent inequities, including delayed acute care, limited access to fertility preservation, and the challenges of delivering advanced therapies within systems designed around oncology rather than chronic genetic disease.
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Two research articles in CMAJ examine gaps in how maternal risk is captured and how it varies across populations in Canada. One study shows that extending surveillance beyond delivery reveals a higher burden of severe maternal morbidity, particularly in the postpartum period. A second examines obstetric trauma, identifying differences across racial and immigration groups and pointing to structural and sociocultural factors that shape risk during delivery.
Dr. Giulia Muraca, an obstetrician-gynecologist at McMaster University and principal investigator on the first study, explains that extending surveillance beyond delivery increases estimated rates of severe maternal morbidity from 1.7% to 2.7%, representing nearly 10 000 affected pregnancies annually in Canada. Maya Rajasingham, a perinatal epidemiologist at McMaster and co-author, notes that 29% of these events occur postpartum, with sepsis emerging as a key contributor. Muraca adds that postpartum sepsis rates are substantially higher than previously reported, with most cases occurring in the first week after discharge. She also identifies acute appendicitis as the most frequent severe maternal morbidity in the antepartum period, a finding that remains underexplored in the Canadian literature. The findings suggest current surveillance windows underestimate the true burden of maternal morbidity.
In a second CMAJ study on obstetric trauma, Muraca again serves as principal investigator alongside Irina Oltean, a PhD candidate at McMaster and co-author. The study finds that obstetric trauma affects 5.5% of vaginal births, with substantial variation across racial groups. Oltean reports higher rates among Asian patients and lower rates among Black patients compared with White patients, even after adjusting for clinical factors. Among immigrants, risk declines with increasing time in Canada. The authors suggest this pattern reflects differences in communication, access to care, and familiarity with the health system rather than biological factors.
For clinicians, these studies suggest the need to expand the window of concern beyond delivery and to account for how social and structural factors shape risk across populations.
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New prescriptions for stimulant medications used to treat attention-deficit/hyperactivity disorder (ADHD) doubled during the COVID-19 pandemic compared with the years before it, with the largest increases among adults aged 18 to 34 and among women.
Dr. Tara Gomes, a professor at the University of Toronto and principal investigator of the Ontario Drug Policy Research Network, discusses findings from the CMAJ research article Patterns of prescription stimulant initiation before and during the COVID-19 pandemic. Her team found that the number of Ontarian adults newly starting stimulants rose rapidly after an initial drop early in the pandemic. The interval between a first ADHD-related health care encounter and a stimulant prescription also fell from about seven years before the pandemic to less than one year during it. Gomes suggests the increase likely reflects both improved recognition of ADHD in adults and easier access through virtual care, which may be shortening the pathway from first expression of concern by a patient to prescription.
Dr. Ashley White, a family physician who treats many patients with ADHD and received her own diagnosis in adulthood, reflects on how the condition can go unrecognized in high-performing adults. While she explored her own diagnosis through an online clinic, she emphasizes the importance of careful assessment that accounts for overlapping conditions such as anxiety or trauma, which can benefit from different treatment.
The episode highlights a genuine tension: better recognition of adult ADHD is overdue, but the speed of the shift raises real questions about diagnostic rigour.
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Ontario’s expansion of online gambling and legalization of single-event sports betting were followed by a sharp rise in help-seeking for gambling problems, particularly among young men. A new CMAJ study, Help seeking for gambling problems following expansion of Ontario's online gambling market and legalization of single event sports betting, analyzes calls to Ontario's 24-hour mental health and addiction hotline before and after the 2022 policy changes. The findings suggest that increased accessibility, private-sector expansion, and in-play betting may be amplifying gambling-related harm.
Dr. Daniel Myran, a family physician, research chair in family and community medicine at North York General Hospital, and co-author of the study, reports that hotline contacts among males aged 15 to 24 tripled after the market opened to private operators. By the end of the study period, more than 70% of callers cited online gambling. He describes how legalization of single-event sports betting and in-play betting reduced friction and increased immediacy, features linked to higher addiction risk.
Dr. Daniela Lobo, medical lead of the Problem Gambling and Tech Use Clinic at CAMH and an assistant professor of psychiatry at the University of Toronto, describes seeing younger patients since the introduction of iGaming, including individuals in their late teens and early twenties. She explains how in-play betting mirrors other high-risk formats by offering rapid, repeated opportunities to wager. Gambling disorder shares features with substance use disorders, including tolerance, withdrawal symptoms, concealment, financial strain, and suicidal ideation. She also highlights medication-related risk, noting that dopamine agonists and certain atypical antipsychotics have been linked to new gambling behaviours.
Clinicians should consider gambling when patients present with unexplained financial stress, relationship conflict, mood symptoms, or suicidality, and remain alert to medication-induced behavioural change. Resources like ConnexOntario offer anonymous referral support for patients and providers.
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Child physical abuse often presents first with injuries that appear minor, but missing these early warning signs can have devastating consequences. Two recent CMAJ papers examine how sentinel injuries in infants may signal escalating risk and how patterns of severe maltreatment shifted during the COVID-19 pandemic. Together, they offer practical guidance on when clinicians should escalate concerns and highlight system factors that shape risk for vulnerable children.
Dr. Megan Cooney, a child maltreatment pediatrician at Health Sciences Centre Winnipeg and co-author of “Five things to know about sentinel injuries and indicators of child physical abuse”, explains why medically minor injuries in pre-cruising infants require careful scrutiny. She notes that more than one quarter of children who experience catastrophic abuse had previously been seen for minor injuries. Any unexplained or poorly explained injury in a non-cruising infant should raise concern. She also reviews the validated TEN-4-FACESp clinical decision rule to help clinicians identify bruising patterns that warrant further action.
Dr. Matthew Carwana, a pediatrician at BC Children’s Hospital and clinical investigator at the BC Children’s Hospital Research Institute, discusses findings from “Hospital admissions for maltreatment among children younger than 2 years during the COVID-19 pandemic in Canada”. He describes an early drop in maltreatment hospitalizations during the first 16 weeks of the pandemic, followed by a return to expected levels. However, ICU admissions rose above baseline for roughly the following year, raising concern that children may have been presenting with more serious injuries. Carwana suggests reduced early detection and loss of family and community supports during periods of isolation may have contributed.
For physicians, the message is to remain objective and act early. Injuries in pre-cruising infants should be treated as potential red flags, validated tools such as TEN-4-FACESp can support clinical judgment, and concerning cases should prompt timely reporting to child welfare agencies rather than waiting for certainty.
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On this episode of the CMAJ Podcast, Dr. Mojola Omole and Dr. Blair Bigham explore new evidence suggesting that rates of psychotic disorders are increasing in younger generations in Canada. Drawing on population-level data and broader psychiatric research, the episode examines how generational trends in psychosis intersect with substance use, social change, and the ongoing youth mental health crisis.
Dr. Daniel Myran, a family physician and public health researcher at North York General Hospital, discusses findings from his CMAJ study, Incidence of psychotic disorders by birth cohort: a population-based cohort study in Ontario, Canada. He explains how overall rates of psychosis appear stable when populations are viewed as a whole, but mask a substantial rise among people born in the 1980s, 1990s, and early 2000s. Dr. Myran outlines possible contributors, including substance exposure, changes in diagnostic practices, and social determinants, and emphasizes the implications for early intervention psychosis programs and frontline care.
The conversation then widens with Dr. Dafna Kahana, an associate professor of psychiatry at the University of Toronto and staff psychiatrist at CAMH, who draws on her article in the Journal of Psychiatry and Neuroscience, Are the kids alright? Making sense of the current youth mental health crisis in Canada through heuristic and data. She unpacks how social media use, sleep disruption, physical inactivity, pandemic-related isolation, and exposure to global crises may interact to affect youth mental health, while cautioning against oversimplified explanations or single-factor solutions.
For clinicians, the takeaway is twofold: emerging generational shifts in psychosis warrant attention in both primary care and mental health planning, and addressing youth mental health requires a coordinated, multi-pronged approach that spans early identification, family support, and system-level investment rather than reliance on any single intervention.
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On this episode of the CMAJ Podcast, Dr. Mojola Omole and Dr. Blair Bigham examine how large-scale events expose weaknesses in Canada’s health care capacity. The discussion draws on the CMAJ editorial Mass gathering events underscore serious vulnerabilities in health care capacity in Canada, which argues that Canada’s hospitals lack the flexibility to absorb even modest surges in demand. With the FIFA World Cup approaching, the episode asks how prepared the system really is.
Dr. Catherine Varner, deputy editor of CMAJ and an emergency physician, explains why she wrote the editorial now. Drawing on her frontline experience during major events in Toronto, she describes hospitals that routinely operate over capacity, with little ability to create space when demand rises. She distinguishes between mass casualty events and mass gatherings, noting that while catastrophic incidents are rare, sustained influxes of visitors predictably increase emergency department use. Varner also describes how prolonged overcrowding worsens patient outcomes and contributes to moral distress among clinicians forced to triage care daily.
The conversation then turns to national surge planning with Dr. Rob Fowler, chief of the trauma program at Sunnybrook Hospital and director of critical care at the University of Toronto. Fowler describes insights from tabletop exercises, including Canada Paratus, which examined how civilian and military health systems might respond to a large influx of casualties. He explains how hospitals already operating at or near capacity struggle to respond to sudden surges, particularly when care depends on moving patients across the system.
For physicians, the takeaway is stark: Canada’s health care system is already operating at or beyond its limits. Without meaningful capacity to flex or coordinated mechanisms to redistribute patients, even predictable increases in demand risk tipping routine strain into crisis.
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On this episode of the CMAJ Podcast, Dr. Mojola Omole and Dr. Blair Bigham examine the issues raised in a recent CMAJ commentary on Alberta’s Compassionate Intervention Act, which explores the ethical and clinical implications of this approach to involuntary treatment. As governments across Canada turn to coercive measures in response to the overdose crisis, the episode considers what these policies mean for patient autonomy, clinical practice, and the role of physicians in enforcing care.
Dr. Bonnie Larson, a family physician and addictions medicine specialist at the University of Calgary, joins the conversation to unpack the legislation. She explains how the Act allows individuals to be detained and treated even when they are deemed capable of making their own medical decisions. Dr. Larson describes how this represents a substantial departure from established principles of consent and autonomy, placing physicians in ethically complex positions and reshaping their role in care.
The discussion then turns to Massachusetts, where involuntary treatment for substance use has existed for decades under Section 35. Dr. Keren Ladin, a bioethicist and health services researcher at Tufts University, reveals the experiences of clinicians working within this framework. Drawing on her research, she describes how Section 35 has shaped clinical practice, contributed to moral distress among healthcare providers, and often resulted in people being treated in carceral rather than therapeutic settings.
Together, the guests reflect on what these policies reveal about how societies respond to addiction, the limits of coercive care, and the risks of prioritizing control over evidence-based, patient-centred treatment.
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On this ENCORE of our most popular episode of 2025, hosts Dr. Mojola Omole and Dr. Blair Bigham speak with two authors of the latest “Hypertension Canada guideline for the diagnosis and treatment of hypertension in adults in primary care”
The discussion reflects a shared urgency: despite past successes, Canada’s hypertension control rates are declining. The new guidelines aim to reverse this trend by simplifying diagnosis and treatment for frontline clinicians.
Dr. Rémi Goupil, a nephrologist and clinician researcher at Sacré-Cœur Hospital in Montreal, and Dr. Greg Hundemer, a nephrologist and clinician scientist at The Ottawa Hospital, explain that the updated guideline is deliberately designed for primary care providers. They highlight key shifts: lowering the diagnostic threshold for hypertension to ≥ 130/80 mm Hg, simplifying blood pressure targets, and emphasizing accurate, standardized measurement techniques both in clinic and at home. The guidelines were created with input from a majority-primary care committee—including family physicians, nurses, pharmacists, and patient partners—to ensure clinical applicability.
Together, the panel outlines a streamlined nine-step treatment algorithm, emphasizing combination therapy as first-line pharmacologic management. They explain the evidence supporting ARB–thiazide combinations, discuss cost considerations for drug selection, and address adherence challenges. They also explore red flags for secondary hypertension and how the algorithm supports—but does not replace—clinical judgment.
For physicians, this guideline offers a clear and practical roadmap: measure blood pressure correctly, aim for systolic pressure below 130 mm Hg, and use the simplified treatment sequence to improve adherence and outcomes. Designed to be easy to implement, the new approach aims to empower primary care providers to act with confidence
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Despite a range of effective prevention tools, HIV incidence continues to rise in Canada, with stark disparities across ethnicity, gender, Indigeneity and geography. Updated Canadian guidelines on HIV pre- and post-exposure prophylaxis reflect scientific advances since 2017 and address both new formulations and persistent barriers to equitable access.
Dr. Darrell Tan, lead author and clinician scientist at St. Michael’s Hospital, outlines several prophylaxis options now available. Daily oral tenofovir disoproxil fumarate with emtricitabine is close to 100 per cent effective with perfect adherence and remains forgiving of occasional missed doses. Long-acting injectable cabotegravir, administered every two months, shows even greater effectiveness in trials largely because it reduces the adherence challenges associated with daily pills, though cost and availability continue to limit uptake.
Natasha Lawrence, a community health worker at Women’s Health in Women’s Hands Community Health Centre in Toronto, reports that most women she serves have never heard of pre-exposure prophylaxis. Many people perceive their HIV risk as low until discussions explore relationship dynamics, including uncertainty about partner fidelity or difficulty negotiating condom use. She highlights how power imbalances and gender-based violence shape women’s risk and may limit the practicality of daily pills. Long-acting injectables can offer greater privacy and autonomy for some women, reducing the risk of partner detection. Public health messaging, she stresses, must be co-designed with communities to ensure cultural relevance and avoid stigma.
Clinicians should initiate sexual health conversations routinely, not only when patients raise concerns. Pre-exposure prophylaxis can be discussed during visits for contraception, mental health or other routine care. When patients express interest, access should not be limited by rigid criteria. Long-acting options may be especially helpful for women who face safety or privacy concerns in their relationships.
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Celiac disease affects between one and two percent of Canadians, yet many patients wait years before receiving a clear diagnosis. On this episode of the CMAJ Podcast, the hosts speak with two contributors to the CMAJ review article Diagnosis and management of celiac disease about the condition’s diverse clinical presentations, appropriate testing strategies, and the practical realities of long-term dietary management.
Jedid-Jah Blom, a registered dietitian at the McMaster Celiac Disease Clinic and researcher at the Farncombe Family Digestive Health Research Unit at McMaster University, shares her own experience being diagnosed and living with celiac. She explains how patients must identify hidden gluten sources in ingredients like dextrin and malt, and why cornmeal or corn flour products may be contaminated. Blom outlines the risks of cross-contamination and dining out challenges, emphasizing whole gluten-free grains over processed products that lack fortification.
Dr. Maria Ines Pinto-Sánchez, a gastroenterologist at Hamilton Health Sciences and director of the Celiac Clinic at McMaster University, explains why celiac is called a chameleon disease. She notes that about 30 percent of patients present with gastrointestinal symptoms, while others may have brain fog, fatigue, or anemia. She describes how TTG antibodies plus total IgA are used for screening, with positive results requiring endoscopy and biopsies for confirmation. Dr. Pinto-Sánchez emphasizes that patients should not start a gluten-free diet before testing. She discusses ongoing monitoring including TTG levels, bone density, and nutrient deficiencies.
For physicians, the discussion highlights the need for a low threshold when testing TTG antibodies in patients with unexplained fatigue, brain fog, or gastrointestinal symptoms. Both guests stress the importance of completing diagnostic testing before patients begin a gluten-free diet and arranging early dietitian referral.
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This episode of the CMAJ Podcast explores how physician identity can influence patient expectations, and how those expectations may contribute to gender, race, and immigration status pay gaps. The discussion builds on the CMAJ article “Family physician pay inequality: a qualitative study exploring how physician responses to perceived patient expectations may explain gender, race, and immigration status pay differences”.
Dr. Monika Dutt, a family physician, public health and preventive medicine specialist, and PhD candidate in health policy at McMaster University, explains how the study’s interviews with 55 family physicians across Ontario revealed patterns linking patient expectations to physician identity. She describes how gender and cultural background influence the types of visits physicians are asked to provide, and how these interactions may affect their earnings under fee-for-service models.
Dr. Meredith Vanstone, professor in the Department of Family Medicine at McMaster University, outlines how physicians adapt to explicit and inferred patient expectations and the income implications that follow. She discusses how these expectations are shaped by identity and why the resulting adjustments in care can lead to financial penalties for some physicians while improving patient relationships and trust.
The guests highlight how remuneration structures can either amplify or mitigate these inequities. They suggest that moving toward salary or time-based models could help reduce the impact of physician identity on income while supporting equitable, patient-centred care.
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A recent article in CMAJ, Mental health service use among Black adolescents in Ontario by sex and stress level: a cross-sectional study, reveals how patterns of mental health service use among Black youth shift with the level of psychological distress. Lead author Mercedes Sobers, a PhD candidate in epidemiology at the Dalla Lana School of Public Health and research coordinator at the Centre for Addiction and Mental Health, joins the podcast to unpack the findings and their implications.
The study found that Black male youth had higher odds of accessing services than white male youth when at low levels of distress but lower odds of accessing services at high levels. Black female youth had lower odds of service use than white female youth at both low and high distress levels. Mercedes explains how these patterns may reflect how behaviour is interpreted: Black boys may be referred to services more often at lower distress levels but steered toward more punitive responses when distress rises. For Black girls, she points to adultification and cultural mismatches in care.
Dr. Amy Gajaria, a psychiatrist at the Centre for Addiction and Mental Health and associate scientist in the Margaret and Wallace McCain Centre for Child, Youth and Family Mental Health, describes how programs like AMANI aim to provide culturally adapted care and build trust with Black youth. She shares how early encounters with the system can shape future engagement with care.
For physicians, the discussion underscores the importance of culturally sensitive care that embraces and reflects the experiences of Black youth, creating more meaningful and effective pathways to support.
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Rates of depression in Canada are rising, but a new CMAJ guideline advises against universal screening in primary care. The Canadian Task Force on Preventive Health Care found no evidence that routinely administering depression questionnaires to all adults improves outcomes and raised concerns about false positives, overdiagnosis, and strain on limited mental health resources.
Dr. Eddy Lang, lead author of the guideline and professor of emergency medicine at the Cumming School of Medicine, University of Calgary, explains the rationale behind the Task Force’s recommendation. He describes how the review found no benefit from universal screening in improving depressive symptoms or quality of life and that commonly used questionnaires frequently misidentify patients, generating false positives and false negatives. Lang emphasizes that while physicians should remain attentive to patients’ mental health, questionnaires are not the answer to identifying depression in the general population.
Dr. Jennifer Young, a family physician in Collingwood, Ontario, and past president of the Ontario College of Family Physicians, reflects on what this recommendation means for everyday practice. She agrees that routine screening would add little value, pointing out that vigilance and continuity of care already allow family doctors to identify depression through clinical judgment and patient relationships. She underscores that time spent on universal questionnaires could displace care for patients with other pressing needs.
For physicians, the key takeaway is clear: be alert to signs of depression, especially in vulnerable patients, but don’t rely on blanket screening tools. Thoughtful conversation, familiarity with patients, and clinical intuition remain the best ways to identify those who need help.
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Evidence is mounting that cannabis use can trigger first episode psychosis, particularly among young people. On this episode of the CMAJ Podcast, hosts Dr. Mojola Omole and Dr. Blair Bigham speak with researchers and a patient with lived experience about what the data show, who is most at risk, and how clinicians should respond.
Bailey Peterson, a 26-year-old student from Mississauga, Ontario, describes how her cannabis consumption progressed from casual use to daily, all-day use of high-potency products. She recounts her experience with psychosis, the challenges of her hospitalization, and what she wishes she and her clinicians had known earlier.
Sophie Li, a fourth-year medical student at the University of Ottawa and an author of the CMAJ article Cannabis and psychosis, explains how rates of schizophrenia associated with cannabis use disorder have risen sharply in recent years and notes that young men in their late teens and early 20s are most at risk. For women, the highest risk tends to occur later, in their late 20s and 30s. Dr. Marco Solmi, psychiatrist and medical director of On Track: The Champlain First Episode Psychosis Program, reviews the evidence supporting a causal link between cannabis and psychosis and discusses how clinicians can distinguish cannabis-induced psychosis from schizophrenia, as well as approaches to treatment and patient education.
For physicians, the takeaway is clear: cannabis use—particularly before age 25—carries worrisome psychiatric risks, and psychosis can occur even without very high levels of consumption. Detailed cannabis histories, psychoeducation, and early counseling should be part of routine care for patients at risk of psychosis.
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Spinal and bulbar muscular atrophy (SBMA), also known as Kennedy’s disease, is a rare, progressive neuromuscular disorder that is often misdiagnosed and diagnosed late. A new CMAJ guideline offers Canadian-specific recommendations for its recognition and management.
On this episode we hear from Richard Paul, a former bus driver from Saskatoon, who recalls how his symptoms began suddenly with an inability to bite into a sandwich and, over the years, progressed so gradually he barely noticed the loss of strength. His experience captures both the slow, inexorable progression of SBMA and the uncertainty of living without a diagnosis for decades.
Mr. Paul was finally diagnosed by Dr. Kerri Schellenberg, a neuromuscular neurologist at the University of Saskatchewan and lead author of the guideline. She explains the clinical hallmarks of SBMA, its overlap with conditions such as ALS, and the non-motor manifestations that require attention. She also discusses the higher prevalence among Indigenous populations in Canada and how her team worked with a community Guiding Circle to ensure the recommendations reflect culturally appropriate care.
For physicians, the guideline provides practical direction to support earlier recognition, timely referral, and multidisciplinary management. While there is no cure, coordinated care can significantly improve quality of life for people living with SBMA.
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Homelessness among pregnant and parenting people in Canada is rising, with grave consequences for both parents and children. On this episode of the CMAJ Podcast, Dr. Mojola Omole and Dr. Blair Bigham explore the scope of the problem and the supports that can improve outcomes for parents and children.
Dr. Stéphanie Manoni-Millar, co-author of the CMAJ commentary Tackling the crisis of homelessness amongst pregnant and parenting people in Canada, explains who is most affected and what risks they face. She describes a predominantly young population, many of whom are homeless or experiencing precarious housing. She highlights the health consequences for children, including developmental delays, infections, and increased rates of anxiety and depression, and stresses the importance of affordable housing and integrated services to support families.
Nerina Chiodo, a social worker in Toronto with MotherCraft Breaking the Cycle, shares insights from more than two decades of supporting pregnant people who are homeless. She describes what stability can look like when housing, addiction treatment, mental health services, and social supports are coordinated, an approach often described as wraparound care. Chiodo also reflects on the stigma many of her clients face in medical settings and underscores the importance of small acts of validation and compassion from clinicians.
Both guests emphasized that people experiencing homelessness during pregnancy often want to parent and demonstrate resilience despite immense challenges. They urged clinicians to approach this population without stigma, to recognize the risks faced by children, and to understand how even brief, supportive interactions can influence whether patients return for care.
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Smoking remains the leading cause of preventable disease and death in Canada. A new clinical practice guideline published in CMAJ on tobacco smoking cessation outlines evidence-based behavioural and pharmacological interventions to help patients quit. On this episode of the CMAJ Podcast, Dr. Mojola Omole and Dr. Blair Bigham speak with Dr. Eddy Lang, co-author of the guideline, and Dr. Andrew Pipe, a pioneer in smoking cessation research and practice, about how clinicians can better support patients ready to stop smoking.
Dr. Eddy Lang, an emergency physician and professor at the Cumming School of Medicine, describes how the Canadian Task Force on Preventive Health assessed a wide range of interventions to make sense of a complex evidence base. He outlines the strong recommendations in favour of pharmacological therapies such as nicotine replacement therapy, bupropion, varenicline, and cytosine, as well as behavioural interventions including counselling, group therapy, and quit lines. He also explains the conditional recommendation against e-cigarettes, citing limited long-term safety data and concerns about normalizing their use among youth.
Dr. Andrew Pipe, professor of medicine at the Ottawa Heart Institute and co-creator of the Ottawa Model of Smoking Cessation, offers practical guidance for everyday practice. He highlights how a state-of-the-art smoking cessation intervention can be delivered in as little as 26 seconds. This brief approach is non-judgemental, empathetic, and emphasizes that help is available whenever the patient is ready.
He also stresses that clinicians should treat cessation pharmacotherapy like any other chronic disease medication—titrated to patient response and continued as long as needed. Pipe emphasizes that nicotine replacement therapy is often underdosed, which undermines its effectiveness. He encourages physicians to combine long-acting patches with rapid-acting forms such as gum or lozenges, and to adjust dosing based on patient comfort, allowing individuals to guide their own titration.
This episode underscores that even brief encounters can open the door to meaningful change for patients ready to stop smoking. Asking about smoking status, offering practical, evidence-based assistance, and prescribing cessation therapies in sufficient doses can effectively help patients quit.
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—This is an encore presentation of an episode previously published June 30—
On this episode of the CMAJ Podcast, hosts Dr. Mojola Omole and Dr. Blair Bigham speak with two authors of the latest “Hypertension Canada guideline for the diagnosis and treatment of hypertension in adults in primary care”
The discussion reflects a shared urgency: despite past successes, Canada’s hypertension control rates are declining. The new guidelines aim to reverse this trend by simplifying diagnosis and treatment for frontline clinicians.
Dr. Rémi Goupil, a nephrologist and clinician researcher at Sacré-Cœur Hospital in Montreal, and Dr. Greg Hundemer, a nephrologist and clinician scientist at The Ottawa Hospital, explain that the updated guideline is deliberately designed for primary care providers. They highlight key shifts: lowering the diagnostic threshold for hypertension to ≥ 130/80 mm Hg, simplifying blood pressure targets, and emphasizing accurate, standardized measurement techniques both in clinic and at home. The guidelines were created with input from a majority-primary care committee—including family physicians, nurses, pharmacists, and patient partners—to ensure clinical applicability.
Together, the panel outlines a streamlined nine-step treatment algorithm, emphasizing combination therapy as first-line pharmacologic management. They explain the evidence supporting ARB–thiazide combinations, discuss cost considerations for drug selection, and address adherence challenges. They also explore red flags for secondary hypertension and how the algorithm supports—but does not replace—clinical judgment.
For physicians, this guideline offers a clear and practical roadmap: measure blood pressure correctly, aim for systolic pressure below 130 mm Hg, and use the simplified treatment sequence to improve adherence and outcomes. Designed to be easy to implement, the new approach aims to empower primary care providers to act with confidence.
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Iron deficiency affects as many as 40% of women of reproductive age, yet the problem often goes undetected—even when patients have symptoms and complications. On this episode, Dr. Blair Bigham and Dr. Mojola Omole speak with hematologists Dr. Michelle Sholzberg and Dr. Rita Selby about their structural solution to this pervasive problem: a province-wide change to how laboratories flag ferritin results. Their article, “Diagnosis and management of iron deficiency in females”, is published in CMAJ.
Dr. Michelle Scholzberg, a hematologist and clinician scientist at St. Michael’s Hospital and division director of Hematology at the University of Toronto, explains why iron deficiency without anemia is clinically important, how flawed reference standards and stigma around menstruation have contributed to underdiagnosis, why screening based on hemoglobin alone misses many patients and how structural barriers within medicine have long impeded timely detection and treatment. She outlines the evidence that drove a change to the clinical decision threshold for ferritin in Ontario laboratories and describes the movement that led to the change
Dr. Rita Selby, an academic hematologist and medical director of the Ontario Laboratory Medicine Program at Ontario Health, describes how change was implemented across Ontario’s major private labs. She clarifies the distinction between reference ranges and clinical decision limits, and how the shift helps clinicians identify subclinical iron deficiency earlier. She also discusses anticipated challenges, such as increased demand for treatment and the need for accessible knowledge translation tools.
This episode exemplifies how making structural change in Canadian medicine can be difficult, but is possible with grassroots advocacy and inter-institutional collaboration.
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Measles is resurging in Canada, with particularly serious implications for pregnant patients and newborns. A recent CMAJ article, Five things to know about measles in pregnancy, outlines the risks and clinical considerations. On this episode of the CMAJ Podcast, we speak with one of the article’s co-authors, Dr. Michelle Barton-Forbes, about what physicians need to know when caring for pregnant patients during a measles outbreak. We also get an update on the current state of the outbreak in Canada from Dr. Marina Salvadori.
Dr. Michelle Barton-Forbes, division chief of infectious disease at the Children’s Hospital at London Health Sciences Centre, highlights the risks of measles in pregnancy, including atypical presentations, preterm labour, and rare but severe complications like subacute sclerosing panencephalitis. She discusses the limitations of existing research, current guidance on immunoglobulin use in newborns, and the use of vaccines during pregnancy.
Dr. Marina Salvadori, senior medical advisor at the Public Health Agency of Canada, describes the scope of the ongoing measles outbreaks and their concentration in undervaccinated communities. She explains the public health challenges of engaging with vaccine-hesitant populations and outlines practical steps physicians can take to support informed vaccination decisions and to prevent further spread of the virus.
This episode offers physicians clinical guidance on recognizing measles in pregnancy, managing exposures and complications, and navigating conversations about vaccination during an ongoing outbreak.
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On this episode of the CMAJ Podcast, hosts Dr. Mojola Omole and Dr. Blair Bigham speak with two authors of the latest “Hypertension Canada guideline for the diagnosis and treatment of hypertension in adults in primary care”
The discussion reflects a shared urgency: despite past successes, Canada’s hypertension control rates are declining. The new guidelines aim to reverse this trend by simplifying diagnosis and treatment for frontline clinicians.
Dr. Rémi Goupil, a nephrologist and clinician researcher at Sacré-Cœur Hospital in Montreal, and Dr. Greg Hundemer, a nephrologist and clinician scientist at The Ottawa Hospital, explain that the updated guideline is deliberately designed for primary care providers. They highlight key shifts: lowering the diagnostic threshold for hypertension to ≥ 130/80 mm Hg, simplifying blood pressure targets, and emphasizing accurate, standardized measurement techniques both in clinic and at home. The guidelines were created with input from a majority-primary care committee—including family physicians, nurses, pharmacists, and patient partners—to ensure clinical applicability.
Together, the panel outlines a streamlined nine-step treatment algorithm, emphasizing combination therapy as first-line pharmacologic management. They explain the evidence supporting ARB–thiazide combinations, discuss cost considerations for drug selection, and address adherence challenges. They also explore red flags for secondary hypertension and how the algorithm supports—but does not replace—clinical judgment.
For physicians, this guideline offers a clear and practical roadmap: measure blood pressure correctly, aim for systolic pressure below 130 mm Hg, and use the simplified treatment sequence to improve adherence and outcomes. Designed to be easy to implement, the new approach aims to empower primary care providers to act with confidence.
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The rising global burden of mosquito-borne viral infections has important implications for Canadian clinicians—particularly those assessing febrile patients returning from tropical and subtropical regions. On this episode of the CMAJ Podcast, infectious diseases specialists Dr. Maxime Billick and Dr. Stephen Vaughan explain what clinicians need to watch for as these viruses expand their geographic reach. Dr. Billick is the lead author of Five things to know about dengue, and Dr. Vaughan is the lead author of Five things to know about Oropouche virus, both published in CMAJ.
Dr. Maxime Billick describes the dramatic surge in dengue cases in 2024 and outlines the major drivers behind the virus’s global spread. She explains the urban-dwelling mosquito vectors that make dengue difficult to contain, discusses the virus’s four serotypes, and emphasizes the risk of antibody-dependent enhancement with reinfection. She reviews key clinical warning signs, diagnostic tests, and why identifying dengue—despite limited treatment options—still matters for patient counselling and care.
Dr. Stephen Vaughan introduces the less common but emerging Oropouche virus. He explains its current geographic range, including recent Canadian travel-related cases, and the role of biting midges in its transmission. Vaughan highlights early evidence of possible sexual transmission and the potential risks for fetal neurological complications if infection occurs during pregnancy. He also discusses symptom recurrence and what physicians should consider when counselling patients who may have been exposed.
Physicians should consider dengue and Oropouche virus in febrile returned travellers and prioritize preventive counselling before travel. Identifying the virus may not change treatment, but it can shape long-term risk awareness and help prevent future complications.
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This two-part episode of the CMAJ Podcast explores the roots and repercussions of medical mistrust. It begins with a historical lens, revealing echoes of today’s strained relationships between patients and the medical system, then narrows the scope to focus on a pressing clinical example.
In part one, Dr. Kenneth Pinnow, a historian of Soviet medicine at Allegheny College and author of the article in CMAJ entitled Soviet medicine and the problem of public trust: 1921–1929, walks through the fraught relationship between physicians and the public in the early Soviet era. He explains how underfunding, class tensions, and unrealistic expectations resulted in widespread hostility toward physicians and fractured trust that proved difficult to repair.
Part two narrows in on vaccine hesitancy, a timely example of medical distrust made more urgent by recent measles outbreaks. Dr. Noni MacDonald, a pediatric infectious disease specialist at Dalhousie University and former member of the WHO’s Strategic Advisory Group of Experts on Immunization, describes how trust is built—or lost—between patients and clinicians. She outlines practical strategies for frontline providers, from using presumptive language to engaging in motivational interviewing, and offers tips for addressing vaccine concerns efficiently, even in short appointments.
For physicians, this episode is a reminder that trust must be earned repeatedly—through expertise, empathy, and systems that allow both to be seen.
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On this episode of the CMAJ Podcast, hosts Dr. Mojola Omole and Dr. Blair Bigham explore how changes to mifepristone regulation have reshaped abortion access in Ontario. Unlike most other countries, Canada allows the drug to be prescribed by any physician or nurse practitioner and dispensed by any community pharmacy, without additional restrictions or special certifications. The discussion draws on the article Changes in local access to mifepristone dispensed by community pharmacies for medication abortion in Ontario: a population-based repeated cross-sectional study, recently published in CMAJ.
Dr. Laura Schummers, reproductive epidemiologist and lead author of the study, explains how the 2017 policy change contributed to a significant shift in abortion access. Before mifepristone, abortion care in Ontario was concentrated in fewer than 100 clinics, most of them in urban centres. Within five years of the regulatory change, the percentage of Ontario abortion service users with local access rose from 37% to 91%. Dr. Schummers also notes that this shift happened even though only one in five pharmacies dispensed the drug. She describes how earlier work demonstrating the safety of medication abortion helped support these policy changes.
Dr. Wendy Norman, a professor of family practice at UBC and co-author on the CMAJ study, outlines what clinicians need to know about prescribing mifepristone. She explains that it can be safely offered without ultrasound or lab testing in many cases, and that virtual care is a viable model for appropriate patients. Dr. Norman also provides practical advice on gestational age limits, follow-up requirements, and how to identify patients at risk for ectopic pregnancy.
This episode offers physicians a clear picture of how a regulatory approach that treats mifepristone like any other prescription medication has expanded abortion access across Ontario—and what it takes to incorporate this care into practice.
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This episode of the CMAJ Podcast examines how recent changes to U.S. federal research funding are affecting the global scientific landscape—and what they could mean for Canada. The discussion focuses on indirect costs, talent retention, and whether Canada is positioned to step into any gaps left behind. The hosts speak with two guests who have written recent articles in CMAJ offering insight into how policymakers and institutions in Canada might respond.
Dr. William Ghali, vice president of research at the University of Calgary, outlines how indirect research costs are funded in both countries and explains why the proposed U.S. cuts—though now on hold—would have had severe consequences for American institutions. He also discusses the strength of Canadian research infrastructure, recent federal budget commitments, and the challenges of recruiting U.S.-based researchers without stronger domestic supports.
Dr. Kirsten Patrick, editor-in-chief of CMAJ, expands on the policy shifts required to improve Canadian research capacity. She calls for reforms to indirect cost funding and a reassessment of how Canada prioritizes health research—highlighting the gap between identifying systemic problems and investing in studies that offer practical solutions. She also reflects on the broader implications of editorial independence in a politically pressured environment.
The episode raises timely questions for policymakers: Is Canada prepared to fill the gap left by a potential U.S. withdrawal from medical research leadership? Are we investing strategically in infrastructure, talent, and funding priorities to meet this moment? And what will it take to ensure Canadian research moves from identifying problems to generating meaningful solutions?
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It’s been nearly two decades since the last Canadian clinical practice guideline on managing obesity in children. In that time, the science has advanced, treatment options have expanded, and the need for updated guidance has grown increasingly urgent. On this episode of the CMAJ Podcast, hosts Dr. Mojola Omole and Dr. Blair Bigham speak with three guests who contributed to or were impacted by the new guideline published in CMAJ. Together, they explore how the recommendations address the complexity of pediatric obesity and what it takes to implement them in real-world settings.
Dr. Geoff Ball, chair of the guideline steering committee, explains how the recommendations were shaped by evidence as well as the meaningful participation of parents and youth at every stage of development. He discusses how the panel weighed the benefits and risks of pharmacotherapy and bariatric surgery in the context of limited pediatric data and a rapidly evolving treatment landscape.
Dr. Michelle Jackman, a pediatrician and clinical lead at the Pediatric Centre for Wellness and Health in Calgary, shares how her team delivers multi-component behavioural interventions, often in the absence of system-wide supports. She reflects on how the new guideline has prompted her to reconsider referral pathways for bariatric surgery and advocate more strongly for patients.
Brenndon Goodman, a long-time patient advocate, offers his own experience navigating childhood obesity, including the emotional dimensions of eating, the impact of stigma, and the life-changing outcome of bariatric surgery. He calls for improved access to care and a stronger commitment to children and youth living with obesity.
This episode highlights both the progress and the persistent barriers in treating childhood obesity. The new guideline affirms that obesity is a complex chronic condition and provides much-needed support for physicians caring for children and youth living with it.
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A recent article in CMAJ entitled Effect of emergency department opioid prescribing on health outcomes examines a key concern facing many clinicians: can a single opioid prescription for acute pain lead to long-term harm? This study aimed to clarify the risks and inform safer prescribing practices.
Dr. Grant Innes, the study’s senior author, analyzed more than a decade of data from Alberta emergency departments to compare outcomes between patients who did and did not receive an opioid prescription. The study found no significant difference in rates of overdose, opioid use disorder, or death—challenging widely held fears about short-term opioid use. Innes notes that older and opioid-naive patients may be more vulnerable to adverse outcomes and encourages a balanced approach to pain management.
Dr. Hance Clarke, director of pain services at Toronto General Hospital, emphasizes the importance of structured follow-up and monitoring, especially for patients at higher risk of persistent use. He outlines practical strategies for safe prescribing and highlights underused and emerging alternatives, including ketamine, IV lidocaine, nerve blocks, and sodium channel blockers now in development. Clarke warns against “opioid phobia” and calls for individualized care supported by systems that can detect early warning signs.
The guests encourage physicians to not avoid prescribing opioids when clinically indicated, particularly in cases of severe acute pain. With thoughtful screening and mechanisms for follow-up, opioids can be relatively safe and effective. The goal is not zero prescribing, but safer, smarter prescribing.
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A research article in CMAJ examines mortality risk among people hospitalized for hallucinogen use. The study found that individuals who required acute hospital care for hallucinogen-related issues had a nearly fivefold increase in mortality risk compared to the general population.
Dr. Daniel Myran, a public health and preventive medicine physician, family physician, and researcher at the University of Ottawa, discusses the study’s findings and why the growing perception of psychedelics as therapeutic may be influencing increased use. He explains how individuals hospitalized for hallucinogen-related issues often have additional risk factors, including other substance use and underlying health conditions, which may contribute to their elevated mortality risk.
Dr. Ishrat Husain, a senior scientist and the scientific head of the clinical trials unit at CAMH in Toronto, explores the controlled medical use of hallucinogens in treatment-resistant depression. He outlines the intensive screening and psychological support involved in clinical trials and compares psilocybin therapy to other treatments such as electroconvulsive therapy (ECT) and ketamine. While early evidence is promising, Husain cautions that psilocybin remains experimental and requires significant resources, raising questions about its future accessibility.
The findings highlight the need for clear public health messaging and policy decisions that distinguish between medical and recreational use of hallucinogens.
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A new CMAJ study has found that alcohol-related hospitalizations and deaths in Canada surged during the COVID-19 pandemic. While overall alcohol consumption increased only modestly, the toll on the healthcare system was severe, with a 14% rise in hospitalizations and a 24% increase in deaths during the first two years of the pandemic. Researchers suggest that increased access to alcohol—through expanded retail hours and home delivery—contributed to these harms, particularly among heavier drinkers.
Dr. Tim Stockwell, a scientist at the Canadian Institute for Substance Use Research and an emeritus professor at the University of Victoria, discusses the study’s findings and why even a small rise in alcohol consumption can lead to a disproportionate increase in harm. He explains how heavier drinkers, already at risk, were pushed beyond critical health thresholds, contributing to the sharp rise in hospitalizations and deaths.
Dr. Adam Sherk, a senior scientist at the Canadian Centre on Substance Use and Addiction, examines the policy decisions that shaped alcohol access during the pandemic. While economic considerations played a role, he notes that governments were also reluctant to introduce new restrictions on alcohol at a time when the public was already under significant strain. He argues that a more balanced approach is needed in future public health crises—one that allows reasonable access to alcohol but uses measures like increased pricing and decreased availability to moderate its impact on the healthcare system.
The findings underscore the need to rethink how alcohol policy is handled during public health emergencies—not just in terms of balancing health and economic interests, but also in managing public willingness to accept restrictions in times of crisis.
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An article in CMAJ, "Move more, age well: prescribing physical activity for older adults," found that regular physical activity can reduce all-cause mortality by 31%. As Canada’s population ages, maintaining physical activity is becoming an increasingly critical factor in healthy aging.
On this episode, Dr. Samir Sinha, a geriatrician at Sinai Health and the University Health Network and co-author of the CMAJ article, explains the evidence supporting exercise as a tool for preventing frailty, cognitive decline, and chronic disease in older adults. He addresses common misconceptions about aging and physical activity, emphasizing that even small, progressive increases in movement can help people stay independent longer.
Physiotherapist Steve Di Ciacca, program manager at the Canadian Centre for Activity and Aging at Western University, outlines practical ways clinicians can help older patients build movement into their daily routines. He discusses the role of social engagement, personalized goal-setting, and structured exercise programs in improving adherence. He also highlights evidence showing that a simple written prescription for physical activity can increase adherence by up to 10%.
This episode provides evidence-based insights to help clinicians encourage physical activity in older patients, promoting better long-term health outcomes.
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Medicine remains frequently inaccessible to people with disabilities, despite their higher-than-average need for healthcare services. On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole tackle the systemic barriers that patients with disabilities face, from inaccessible clinic spaces to discriminatory attitudes.
The discussion is inspired by the CMAJ practice article, "Five ways to support people who use wheelchairs," authored by Dr. Lisa Freeman. Dr. Freeman, a public health and preventative medicine physician who uses a wheelchair, shares her lived experiences navigating a healthcare system riddled with obstacles. She introduces practical steps that physicians can take to make their practices more inclusive, such as improving communication, ensuring referrals are effective, and addressing physical accessibility.
David Lepofsky, chair of the Accessibility for Ontarians with Disabilities Act Alliance, explains the legal obligations that healthcare providers must meet to comply with human rights and accessibility laws. He offers actionable guidance on how physicians can reduce barriers, from small changes like posting signage to long-term planning for accessible infrastructure.
This episode underscores that accessibility is both a legal requirement and a fundamental part of equitable patient care. It challenges physicians to take immediate steps toward making their practices more inclusive for patients with disabilities.
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On this episode of the CMAJ Podcast, Dr. Mojola Omole and Dr. Blair Bigham discuss necrotizing fasciitis, a diagnosis that can strike fear into the hearts of clinicians due to its rapid progression and devastating consequences. The discussion builds on insights from the CMAJ practice article, “Necrotizing soft tissue infections caused by invasive group A Streptococcus,” co-authored by Dr. Saswata Deb and Dr. Stephanie Mason.
Dr. Deb, an emergency physician and clinician scientist at Sunnybrook Health Sciences Centre in Toronto, outlines the key clinical signs of necrotizing fasciitis, including pain out of proportion to physical findings and rapid hemodynamic deterioration. He emphasizes the importance of considering NSTI in the differential diagnosis for cellulitis and the need for prompt surgical consultation when red flags arise. Crucially, Dr. Deb explains that no imaging or laboratory tests can definitively rule in or rule out the diagnosis—only surgical exploration can confirm it.
Dr. Mason, a burn and general surgeon at Sunnybrook’s Ross Tilley Burn Centre, provides a surgeon’s perspective on managing these infections. She addresses common missteps in diagnosis, the need for aggressive surgical debridement, and the role of multidisciplinary care in saving patients’ lives. She also discusses how surgeons can overcome their fear of creating extensive wounds, reassuring listeners that reconstruction is possible once the patient is stabilized.
Together, the guests and hosts explore practical solutions to reduce delays in care, including the potential for institutional protocols—possibly a "code nec fasc"—to streamline decision-making and improve outcomes.
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On this episode of the CMAJ Podcast, Dr. Mojola Omole and Dr. Blair Bigham explore the growing challenge of antimicrobial resistance and how shorter courses of antibiotics are reshaping prescribing practices. The conversation builds on insights from the CMAJ practice article “Five things to know about shorter courses of antibiotics” co-authored by Dr. Maria Ivankovic, an emergency physician at St. Joseph’s Health Centre in Toronto.
Dr. Ivankovic explains why shorter courses of antibiotics are as effective as longer ones for many common infections and how this approach can reduce the risk of antimicrobial resistance and adverse effects for patients. She highlights key conditions with strong evidence for shorter durations and discusses practical strategies for implementing these changes in practice.
Dr. Lynora Saxinger, an infectious diseases specialist and professor of medicine at the University of Alberta, broadens the discussion by examining the current state of antimicrobial resistance in Canada and globally. She explores the drivers of resistance, including unnecessary and inappropriate antibiotic use. Dr. Saxinger introduces the concept of the antibiotic footprint as an analogue to the carbon footprint, encouraging physicians to consider the collective impact of their prescribing decisions.
This episode provides actionable advice for physicians looking to balance patient care with stewardship practices, helping to preserve the effectiveness of antibiotics for future generations.
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On this encore episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole discuss how artificial intelligence (AI) significantly improves the identification of hospital patients at risk of clinical deterioration compared to physician assessments alone. They are joined by Dr. Amol Verma, a general internist at St. Michael’s Hospital in Toronto, an associate professor at the University of Toronto, and the holder of the Temerty Professorship in AI Research and Education, who shares findings from his recent CMAJ article, “Clinical evaluation of a machine learning-based early warning system for patient deterioration”.
Dr. Verma explains how the AI system, ChartWatch, analyzes over 100 variables from a patient’s electronic medical record to predict deterioration more accurately than traditional early warning scores like the NEWS score. He discusses how the integration of AI into clinical workflows improves patient outcomes by complementing human decision-making, leading to better results than relying on physicians or AI alone.
The episode also looks at the potential future of AI in medicine, with Dr. Verma sharing insights on how AI tools should be thoughtfully integrated to support clinicians without overwhelming them. He stresses the need for AI systems to fit seamlessly into clinical workflows, ensuring patient care remains the priority. While AI is currently a tool to assist clinicians, Dr. Verma argues that the full extent of AI's role in healthcare—and its impact on the physician's place within it—remains ultimately unknowable.
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On this episode of the CMAJ Podcast, Dr. Mojola Omole and Dr. Blair Bigham explore a surprising case of scurvy. The conversation builds on the CMAJ practice article “Scurvy in a 65-year-old woman with severely limited function and social supports,” co-authored by Dr. Sally Engelhart, an internal medicine specialist at Mount Sinai Hospital.
Dr. Engelhart recounts the case of her patient, whose unexplained bruising and other symptoms led to a diagnosis of a rarely seen condition, scurvy. She explains how food insecurity and a diet lacking fruits and vegetables contributed to the patient’s condition and discusses the practical steps taken to diagnose and treat her.
Dr. Gary Bloch, a family physician at St. Michael’s Hospital and Inner City Health Associates, expands on the broader issue of food insecurity as a driver of nutritional deficiencies. He shares actionable strategies for identifying at-risk patients and connecting them with community resources, while highlighting the importance of addressing the social determinants of health in medical practice.
This episode offers valuable insights into recognizing and managing scurvy and other conditions linked to food insecurity, reminding physicians to think beyond the lab results
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On this episode of the CMAJ Podcast, Dr. Mojola Omole and Dr. Blair Bigham explore Premenstrual Dysphoric Disorder (PMDD), a debilitating condition affecting 5% of people who menstruate, yet it is often misdiagnosed or misunderstood. The conversation builds on insights from the CMAJ article, “Five things to know about…: PMDD,” co-authored by Dr. Erin Brennand, an associate professor at the Cumming School of Medicine in Calgary.
Abhi Bala shares her lived experience with PMDD, describing the profound impact of cyclical depressive symptoms, suicidal ideation, and emotional dysregulation on her life. Her journey from misdiagnosis to awareness highlights the importance of tracking symptoms and recognizing patterns linked to the menstrual cycle, which can lead to earlier diagnosis and treatment.
Dr. Brennand explains how PMDD is frequently mistaken for depression or bipolar disorder, delaying accurate diagnosis and treatment. She highlights the importance of recognizing that PMDD's cyclical symptoms align specifically with the luteal phase—the final two weeks of the menstrual cycle. Dr. Brennand also discusses evidence-based treatments, including SSRIs, oral contraceptives, and, in severe cases, GnRH agonists.
This episode provides valuable insights into diagnosing and managing PMDD, helping physicians better support their patients.
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On this episode of the CMAJ Podcast, Dr. Mojola Omole and Dr. Blair Bigham discuss the growing evidence around the impact of diet on mental health, particularly depression. The conversation is inspired by the CMAJ practice article, “Diet and depression,” co-authored by Dr. Nicholas Fabiano.
Dr. Fabiano explains how the mechanistic connection between diet and depression is not well understood, but it is theorized that diets known to promote inflammation may play a part in exacerbating symptoms. He highlights findings from the SMILES trial, which demonstrated how dietary interventions like the Mediterranean diet—rich in leafy greens, fish, fruits, and whole grains—reduced depression symptoms in trial participants.
Dr. Rachelle Opie, an accredited practicing dietitian and credentialed eating disorder clinician, offers practical advice on how physicians can coach patients toward dietary changes in a way that is inclusive, sustainable, and sensitive to individual needs. Drawing from her work on the SMILES trial, Dr. Opie highlights the importance of a whole-of-diet approach that prioritizes small, achievable changes, such as incorporating legumes, beans, or frozen and canned foods. She emphasizes trauma-informed, weight-neutral approaches to avoid triggering or alienating patients and encourages focusing on what patients can add to their diet rather than restricting foods.
Together, the hosts and guests explore how subtle, realistic changes in dietary habits can provide meaningful improvements in mental health without placing undue pressure on patients.
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On this episode of the CMAJ Podcast, Dr. Mojola Omole and Dr. Blair Bigham speak with Dr. Sarina Isenberg and Dr. Modupe Tunde-Byass about the emotional and systemic challenges surrounding early pregnancy loss care in Canada. The conversation builds on themes from the recent CMAJ article, “Diagnosis and management of early pregnancy loss,” in which the authors advocate for a dedicated EPL pathway to care that bypasses the emergency department.
Dr. Isenberg shares her personal experiences with early pregnancy loss and the stark disparity in care she received—from a lack of empathy in an emergency room to comprehensive support in a specialized clinic. Her story underscores the spectrum of care needed, particularly access to emotional support during one of the most vulnerable times in a patient’s life.
Dr. Tunde-Byass, co-author of the CMAJ article and an obstetrician at North York General Hospital, highlights the success of dedicated early pregnancy loss clinics, which provide timely diagnosis, options for management, and a supportive environment. She emphasizes that emergency departments, often overstretched and lacking privacy, are not designed for the unique needs of early pregnancy loss patients. Instead, she argues for dedicated spaces staffed by trained personnel, including nurses and counselors, who can provide both medical care and emotional support.
Together, they explore practical solutions, including integrated care pathways outside of emergency departments, self-referral options, and the provision of bereavement resources. Dr. Tunde-Byass advocates for a holistic approach that could be standardized across Canadian hospitals, enabling patients to access sensitive, informed care without the retraumatization that often comes from repeating their stories in high-stress environments.
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On this episode of the CMAJ Podcast, Dr. Mojola Omole and Dr. Blair Bigham explore the structural and cultural barriers faced by surgical residents and early career surgeons in balancing parenthood with their careers. The conversation centers around the points raised in the CMAJ article “Policies to better support childbearing surgeons”, which outlines the need for reforms to better accommodate surgical residents during pregnancy and early parenthood.
The discussion highlights how surgeons experience higher rates of infertility and pregnancy complications, independent of age or other potential risk factors. Dr. Caroline Cristofaro and Dr. Maryse Bouchard, the article’s co-authors, propose solutions such as flexible call schedules, protected time for prenatal and postnatal appointments, and clear institutional guidelines supporting the needs of pregnant surgeons.
Beyond structural barriers, the prevalent culture within surgical departments, such as the glorification of exhaustion and the perception that taking time off is a weakness or a burden to fellow residents, contributes to the unsupportive environment. The co-authors argue that gradual, transparent, and detailed policy reforms based on evidence are necessary to avoid resistance and ensure successful integration into surgical practice.
Dr. Omole’s personal experience, marked by significant support from her department during her pregnancy and postpartum recovery, serves as an example of what a compassionate and well-supported environment can look like. Her story highlights how proactive leadership and peer support can make a profound difference, benefiting both surgeons and their patients.
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On this episode of the CMAJ Podcast, Dr. Kirsten Patrick speaks with Dr. Shane Neilson, the author of a CMAJ Encounters article entitled, “Professional stigmatizations.” Dr. Neilson is a physician, writer, and academic, who shares his experiences navigating medical school and practice as a neurodiverse physician with bipolar disorder and autism.
Dr. Neilson reflects on the challenges he faced during medical school, including a moment when a preceptor told him, "There’s something wrong with you," without offering any support or guidance. He shares how this, along with the pressure to conform to normative expectations in medicine, made his training difficult, especially without any accommodations for neurodiverse students.
Dr. Patrick relates to these struggles, recounting her own experiences of feeling out of place in medical school. Together, they discuss how the culture of medical education at the time did not accommodate students who did not fit the traditional mold.
Dr. Neilson notes that while there are "little teeny, tiny occasional tales of change" happening now, such as program directors becoming more aware of neurodiversity and making small accommodations for students, these changes are still incremental. He expresses hope that this will continue to evolve, leading to broader acceptance and support for neurodiverse individuals in the medical profession.
He further argues that including neurodiverse physicians enriches the profession in several ways. By challenging rigid norms in medicine, neurodiverse individuals push the profession to be more inclusive and compassionate. They also provide care that is uniquely attuned to the needs of neurodiverse patients, offering identity-aligned support that can enhance patient satisfaction and outcomes. Dr. Neilson stresses that by fostering diversity, the profession not only lives up to its values but also improves care for all patients.
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On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole explore effective ways to manage pain during intrauterine device (IUD) insertions. They also address a broader issue: how women’s pain is often neglected during gynecologic procedures, and the failure of physicians to adequately seek consent. They are joined by Dr. Kristina Arion, an obstetrician and gynecologist at the Children's Hospital of Eastern Ontario, and Dr. Nadia Von Benzon, a lecturer and social geographer at Lancaster University.
The episode begins with Dr. Arion discussing the CMAJ article she co-authored, which outlines strategies for better management of pain during IUD insertions. She explains that the IUD is recommended as the first-line therapy for birth control and period management by the Canadian Pediatric Society and the Society of Obstetricians and Gynaecologists of Canada. Dr. Arion highlights how patient anxiety, lack of sedation options, and inconsistent practices contribute to unnecessary pain.Her key advice to doctors: listen to patients, explain each step of the procedure, and provide adequate pain management options.
Dr. Von Benzon broadens the discussion beyond IUD pain management to the neglect of women’s pain and autonomy during other gynecologic and obstetrical procedures. Her research article "My doctor just called me a good girl, and I died a bit inside: From everyday misogyny to obstetric violence in UK fertility and maternity services," illustrates how women’s pain is frequently dismissed and their consent overlooked. She discusses the long-term impact of these practices, with some women opting out of future pregnancies due to trauma. She advises healthcare professionals to clearly explain procedures, seek consent, and prioritize patient comfort and autonomy.
Dr. Omole and Dr. Bigham reflect on how patriarchal structures and time constraints within healthcare systems often lead to the failure to prioritize women’s pain and autonomy. The episode closes with a powerful call for healthcare providers to take the time to listen to their patients, ask questions, and ensure that consent and comfort are prioritized at every stage of care.
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On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole discuss how artificial intelligence (AI) significantly improves the identification of hospital patients at risk of clinical deterioration compared to physician assessments alone. They are joined by Dr. Amol Verma, a general internist at St. Michael’s Hospital in Toronto, an associate professor at the University of Toronto, and the holder of the Temerty Professorship in AI Research and Education, who shares findings from his recent CMAJ article, “Clinical evaluation of a machine learning-based early warning system for patient deterioration”.
Dr. Verma explains how the AI system, ChartWatch, analyzes over 100 variables from a patient’s electronic medical record to predict deterioration more accurately than traditional early warning scores like the NEWS score. He discusses how the integration of AI into clinical workflows improves patient outcomes by complementing human decision-making, leading to better results than relying on physicians or AI alone.
The episode also looks at the potential future of AI in medicine, with Dr. Verma sharing insights on how AI tools should be thoughtfully integrated to support clinicians without overwhelming them. He stresses the need for AI systems to fit seamlessly into clinical workflows, ensuring patient care remains the priority. While AI is currently a tool to assist clinicians, Dr. Verma argues that the full extent of AI's role in healthcare—and its impact on the physician's place within it—remains ultimately unknowable.
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On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole explore the ongoing public health concern of meningococcal disease, focusing on meningitis B outbreaks in Canadian universities. They are joined by Dr. Cristin Muecke, a medical officer of health in Halifax, and Dr. Savita Rani, a public health specialist at the University of Saskatchewan. The episode also features the personal story of Megan Plamondon, a Queen’s University student who contracted invasive meningococcal disease.
The discussion opens with a look at recent meningitis B outbreaks, including cases at Dalhousie University in 2022 and Queen’s University in 2023. The Halifax outbreak led to a targeted vaccination effort offering publicly funded MenB vaccines to students in congregate living environments, such as dormitories and residences.
Dr. Muecke provides insights into the Halifax outbreak and the public health response that followed. She discusses the complexities of identifying and controlling meningococcal disease in university settings, where asymptomatic carriers of Neisseria meningitidis can unknowingly contribute to the spread of the infection.
Dr. Rani expands on the current state of MenB vaccination, explaining why the vaccine is not included in routine immunization schedules and outlining the challenges of securing broader vaccine coverage across the country. She emphasizes the importance of early detection, given that meningitis can present with nonspecific symptoms which complicates diagnosis.
Megan Plamondon’s story brings a lived experience perspective to the conversation, highlighting the severe impact of meningococcal disease and the critical need for prevention efforts, particularly among students entering congregated living environments for the first time.
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On this episode of the CMAJ Podcast, Dr. Eve Purdy makes it clear what’s at stake when it comes to incivility in medicine. "It's very simple. Incivility kills patients, and that needs to be the single line of every healthcare leader responsible for managing and leading teams.” Dr. Purdy joins Dr. Sarah Kim and hosts, Drs. Blair Bigham and Mojola Omole, for an urgent panel discussion that looks into the deep-seated reasons behind incivility in medical settings.
Dr. Eve Purdy is an emergency medicine physician and applied anthropologist at Gold Coast Hospital and Health Service in Australia. She focuses on helping healthcare teams perform at their best. Dr. Sarah Kim is a family physician and an assistant professor in the Department of Family and Community Medicine at the University of Toronto. She's also the Medical Education Health Humanities Lead at Temerty Faculty of Medicine, where she researches the intersection of high performance and hierarchical systems.
Together, they explore the structural failures, embedded cultures, and the detrimental role "a few bad actors" can have on the effectiveness of entire teams. The conversation underscores the importance of prioritizing healthy communication practices, cultivating respect within healthcare teams, and the essential role leadership needs to play in combating incivility to safeguard patient care.
The episode begins with a conversation with Dr. Armand Aalamian, a family physician and executive director at the Canadian Medical Protective Association. He is a co-author of the article in CMAJ titled, "Five things to know about…Physician incivility in the health care workplace.” Dr. Aalamian reviews the evidence of the pervasive nature of incivility in health care, its detrimental effects on professional relationships, and its direct correlation to patient outcomes. The discussion not only highlights the problem but also proposes actionable solutions, emphasizing, once again, the role of leadership in fostering a culture of civility.
This episode is structured to arm medical professionals with both an understanding of the causes of incivility and the skills to combat it.
Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
You can find Blair and Mojola on X @BlairBigham and @Drmojolaomole
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The CMAJ Podcast is produced by PodCraft Productions
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On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole address the increasingly urgent issue of adolescent vaping. Rates of use of e-cigarettes containing nicotine by youth in Canada continue to be among the highest in the world. They speak with Dr. Madelynn Hannah, a clinical pharmacist, and Dr. Trisha Tulloch, a pediatrician specializing in adolescent and addiction medicine at CAMH and SickKids Hospital in Toronto. Both co-authors of the CMAJ article "E-cigarette use in adolescents.”
Dr. Madelynn Hannah provides critical insights into the stark differences between nicotine exposure from vaping versus traditional cigarettes, highlighting the unexpectedly high nicotine concentrations found in many vaping products. She also shares her clinical experiences managing adolescents in nicotine withdrawal and the practical challenges of using nicotine replacement therapy (NRT).
Dr. Tulloch discusses the broader physiological impacts of nicotine on adolescents, including cardiovascular issues and the potential for seizures. She emphasizes the need for behavioral interventions and technological tools, such as mobile apps, to aid in vaping cessation. Dr. Tulloch also highlights the critical role of parental involvement in supporting youth through their journey to quit vaping.
The conversation covers recent regulatory efforts, including Ontario's ban on vaping in schools, and calls for stronger enforcement and possible bans to protect young people. The guests argue for more stringent measures and better education to mitigate the health risks of vaping among adolescents.
Throughout the episode, the guests underscore the urgent and serious nature of adolescent vaping, and the need for immediate action. They advocate for a multifaceted approach that combines policy responses, such as increased taxation with comprehensive education for parents and young people about the dangerous and addictive nature of vaping.
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Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
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On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole tackle the complex issue of "socially admitted" patients, sometimes uncharitably referred to as "granny dumping." They explore the factors leading to these non-acute medical admissions, the challenges faced by healthcare providers and innovative solutions to the problem.
Dr. Jasmine Mah, a geriatrics fellow at Dalhousie University, shares insights from her qualitative study published in CMAJ, titled "Managing “socially admitted” patients in hospital: a qualitative study of healthcare providers' perceptions". She provides examples of typical “social admissions”, such as patients with chronic conditions whose care circumstances have changed, and highlights the high mortality rates associated with these cases.
The discussion moves to the attitudes of healthcare providers towards “socially admitted” patients, the systemic failures leading to these admissions, and potential solutions. Dr. Mah emphasizes the need for better understanding and support for these patients, suggesting systemic changes like integrating social vulnerability into case mix indices and improving community care to prevent unnecessary hospital admissions.
Dr. Andrew Boozary, a primary care physician and executive director of the Gattuso Center for Social Medicine at University Health Network in Toronto, expands on these ideas in an editorial response. He underscores that these issues are not personal failures but policy failures, advocating for increased support roles like peer support workers and social medicine navigators. Dr. Boozary highlights the importance of innovative team-based care models to address the gaps in the current healthcare system.
Throughout the episode, the hosts and guests call for a more integrated and empathetic approach to patient care, stressing the need for systemic changes to better manage “socially admitted” patients and improve overall healthcare outcomes.
Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
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On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole explore groundbreaking advancements in HIV treatment and prevention. They examine various innovative approaches that are transforming the landscape of HIV care.
Dr. Darrell Tan, a clinician scientist at St. Michael's Hospital and associate professor at the University of Toronto, discusses the article he co-authored, "Long-acting injectable antiretroviral therapy for HIV-1 infection in adults." He explains the newly approved long-acting injectable cabotegravir for PrEP, an integrase inhibitor administered as a deep intramuscular injection administered every two months. Dr. Tan highlights its superior effectiveness compared to daily oral PrEP, emphasizing its adherence benefits and potential to revolutionize HIV prevention. Additionally, he covers the long-acting injectable treatment regimen for HIV, which combines cabotegravir with rilpivirine, administered as two intramuscular injections every one to two months. This regimen offers an alternative to daily oral medication, easing the treatment burden for individuals living with HIV.
Dr. Maxime Billick, a graduating infectious diseases fellow at the University of Toronto and co-author of "HIV postexposure prophylaxis-in-pocket," introduces the concept of "PIP" (prophylaxis-in-pocket). She explains how this approach allows individuals who might rarely have high-risk encounters to keep a 28-day supply of PEP (post-exposure prophylaxis) on hand, enabling immediate use after potential HIV exposure. Dr. Billick discusses the importance of ongoing patient-provider relationships and the role of PIP in empowering patients to proactively manage their sexual health.
Throughout the episode, the hosts and guests explore the challenges and opportunities presented by these new treatments. They emphasize the importance of accessibility, awareness, and the need to address health inequities in HIV prevention. The conversation underscores the potential of these advancements to significantly impact public health and improve the quality of life for individuals at risk of or living with HIV.
Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
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On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole discuss the latest concerns surrounding the H5N1 virus. They explore the current state of its transmission, symptoms and treatments. They also assess our pandemic preparedness and whether we are applying the lessons learned from COVID-19 to this new potential threat.
Dr. Robert Kozak, a microbiologist at Sunnybrook Health Sciences Center and co-author of the article "Five things to know about highly pathogenic avian Influenza A: H5N1 Virus," addresses the recent cases of H5N1 transmission from dairy cattle to humans, explaining the symptoms and severity of the infections. He also discusses the current treatments available, the potential for human-to-human transmission, and the need for increased awareness among clinicians.
Dr. Thomas Piggott, the Medical Officer of Health and CEO of the city and county of Peterborough, Hiawatha, and Curve Lake First Nation Public Health, provides insights on pandemic preparedness. He reflects on the lessons learned from the COVID-19 pandemic and evaluates whether we are better equipped to handle another pandemic. Dr. Piggott stresses the importance of maintaining public health infrastructure, enhancing surveillance methods like wastewater testing, and ensuring equitable access to care for all populations.
Throughout the episode, the hosts and guests highlight the need for ongoing vigilance, improved public health measures, and a proactive approach to pandemic preparedness. They advocate for sustained investment in public health resources and infrastructure to better manage and mitigate future health crises.
Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
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On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole discuss the evidence supporting exercise as an effective treatment option for mild to moderate depression. They explore how exercise might be used effectively and the challenges involved in implementing it for patients.
Dr. Nicholas Fabiano, a second-year psychiatry resident at the University of Ottawa, is co-author of the paper "Exercise as treatment for depression." He surveys the evidence showing that exercise can be as effective as antidepressants and psychotherapy for mild to moderate depression. He explains the FITT principle (frequency, intensity, type, and time) for prescribing exercise and stresses the need for setting realistic goals. Dr. Fabiano's article recommends physicians reference a practical guide for exercise for people who have depression, written by Dr. Michelle Fortier and colleagues.
Dr. Fortier, a physical activity psychologist and professor at the University of Ottawa’s School of Human Kinetics, offers her perspective on encouraging patients with depression to include exercise as part of their overall treatment plan. She suggests bringing kinesiologists into primary care to help patients overcome barriers to exercise. Dr. Fortier talks about the importance of small, manageable steps and using motivational interviewing techniques to engage patients. She also discusses the "commit 10" approach, which encourages patients to start with just ten minutes of activity over a two week period.
Throughout the episode, the hosts and guests stress the importance of empathy, realistic goal setting, and systemic support to make exercise a practical treatment option for depression. They highlight the overall benefits of movement for both mental and physical health and advocate for a more integrated approach to patient care.
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Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
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On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole tackle an unexpected yet urgent topic: the resurgence of measles. With rising cases globally and in Canada, they discuss the implications and necessary actions for healthcare professionals.
Dr. Sarah Wilson, a public health physician at Public Health Ontario, provides a comprehensive overview of the current measles situation. She explains the factors contributing to the increase in cases, including disruptions to immunization services during the COVID-19 pandemic and preexisting trends in declining vaccine acceptance. Dr. Wilson also highlights the severe complications of measles, especially for vulnerable groups such as children under five, pregnant individuals, and those who are immunocompromised.
The conversation shifts to practical steps for healthcare providers. Dr. Wilson details the importance of considering measles in differential diagnoses for patients with fever and rash, particularly those with relevant exposure histories. She emphasizes the need for appropriate diagnostic testing and discusses the public health response, including the administration of immune globulins for high-risk contacts.
The key practical step for controlling measles is, of course, widespread immunization. Dr. Samira Jeimy, an assistant professor and the program director for the division of Clinical Immunology and Allergy at Western University. She offers an overview of the vaccine including its effectiveness and safety, despite persistent misinformation. Dr. Jeimy explains the vaccination schedule for children and the importance of booster doses for adults, especially before travel to areas with active outbreaks. She also details the role of vaccination given within 72 hours of an exposure to reduce the risk of infection or lessen the severity of measles if infected.
Throughout the episode, the hosts and guests emphasize the need for improved communication and trust-building between healthcare providers and patients when addressing vaccine hesitancy.
Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
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On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole discuss the heated debate over proposed updates to the CanMEDS framework. The controversy ignited when an interim report placed principles of equity, social justice, and anti-racism at the heart of the framework, rather than medical expertise.
Dr. Kannin Osei-Tutu, author of a commentary in CMAJ, proposes a new model for CanMEDS that places shared humanity and compassion at the centre. He argues that the current model of medical education and practice needs to be reimagined, as it has resulted in gross systemic inequities in health outcomes that urgently need to be addressed. He calls for expanding and enriching the concept of medical expertise to incorporate principles of inclusive compassion and social justice.
Dr. Philip Berger agrees on the need for healthcare to be free from bias, discrimination, systemic injustice, and racism but criticizes Dr. Osei-Tutu’s model and the interim CanMEDS revisions for not placing medical expertise at the centre of physician competency. Dr. Berger, a Toronto family physician and member of the Canadian Medical Hall of Fame, is noted for his long history of advocacy on behalf of marginalized groups. He argues that failing to place medical expertise at the centre of CanMEDS is a fatal flaw, as it undermines the credibility of physicians, thereby reducing their influence, which is essential for effective social justice advocacy.
Throughout the discussion, the hosts and guests stress the importance of maintaining civil dialogue and prioritizing the improvement of healthcare outcomes for marginalized populations.
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Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
You can find Blair and Mojola on X @BlairBigham and @Drmojolaomole
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On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole explore the intricate relationship between medical assistance in dying (MAiD) and palliative care in Canada. They focus on a qualitative study titled "Perspectives of Canadian healthcare leaders on the relationship between medical assistance in dying and palliative and end-of-life care services: a qualitative study," which interviewed 36 professionals from both fields. The study reveals significant gaps in collaboration and coordination, leading to feelings of exclusion among MAiD providers.
Dr. Gilla Shapiro, a co-author of the study, discusses the diverse perspectives of health leaders on the integration of MAiD and palliative care services. She highlights the challenges posed by geographical, institutional, and personal factors in standardizing the relationship between these services. Dr. Shapiro shares insights into the initial tensions and the gradual improvements in cooperation, stressing the necessity for enhanced education, reduced stigma, and improved communication with patients to foster a collaborative environment that prioritizes their welfare.
Following this, the conversation shifts to Dr. Christopher Blake, a palliative care physician from Peterborough, Ontario. Dr. Blake shares his surprise at the study's finding that support for physician assisted dying among MAiD and palliative care practitioners is lower than that of the general population. He articulates a clear distinction between the objectives of palliative care and MAiD, the need for a seamless transition between services, and the ethical implications when patients are moved from palliative care to MAiD without adequate support. Dr. Blake advocates for robust funding for coordination and the establishment of clear standards across healthcare services, highlighting the importance of a unified approach in end-of-life care.
Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
You can find Blair and Mojola on X @BlairBigham and @Drmojolaomole
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On this episode of the CMAJ Podcast, Dr. Eve Purdy makes it clear what’s at stake when it comes to incivility in medicine. "It's very simple. Incivility kills patients, and that needs to be the single line of every healthcare leader responsible for managing and leading teams.” Dr. Purdy joins Dr. Sarah Kim and hosts, Drs. Blair Bigham and Mojola Omole, for an urgent panel discussion that looks into the deep-seated reasons behind incivility in medical settings.
Dr. Eve Purdy is an emergency medicine physician and applied anthropologist at Gold Coast Hospital and Health Service in Australia. She focuses on helping healthcare teams perform at their best. Dr. Sarah Kim is a family physician and an assistant professor in the Department of Family and Community Medicine at the University of Toronto. She's also the Medical Education Health Humanities Lead at Temerty Faculty of Medicine, where she researches the intersection of high performance and hierarchical systems.
Together, they explore the structural failures, embedded cultures, and the detrimental role "a few bad actors" can have on the effectiveness of entire teams. The conversation underscores the importance of prioritizing healthy communication practices, cultivating respect within healthcare teams, and the essential role leadership needs to play in combating incivility to safeguard patient care.
The episode begins with a conversation with Dr. Armand Aalamanian, a family physician and executive director at the Canadian Medical Protective Association. He is a co-author of the article in CMAJ titled, "Five things to know about…Physician incivility in the health care workplace.” Dr. Aalamanian reviews the evidence of the pervasive nature of incivility in health care, its detrimental effects on professional relationships, and its direct correlation to patient outcomes. The discussion not only highlights the problem but also proposes actionable solutions, emphasizing, once again, the role of leadership in fostering a culture of civility.
This episode is structured to arm medical professionals with both an understanding of the causes of incivility and the skills to combat it.
For more information from our sponsor, go to md.ca/EC2024
Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
You can find Blair and Mojola on X @BlairBigham and @Drmojolaomole
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The CMAJ Podcast is produced by PodCraft Productions
On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole closely examine anorexia nervosa in male adolescents, a topic that frequently escapes notice. Their discussion highlights the disorder's prevalence, especially among high-risk groups like LGBTQ+ individuals and those from varied racial and ethnic backgrounds. It also underscores the severity of anorexia nervosa in young males and stresses the critical need for early recognition and intervention.
This episode features an in-depth conversation with Sterling Renzoni, a fourth-year biochemistry student at Trent University, who shares his personal journey through diagnosis, treatment, and recovery from anorexia nervosa. Sterling's narrative provides valuable insights into the complexities of identifying and treating the disorder in males, highlighting the societal and personal challenges that can impede recognition and care.
Next, Drs. Omole and Bigham speak with Dr. Basil Kadoura, an adolescent medicine physician at BC Children's Hospital and the lead author of the article in CMAJ entitled, "Anorexia nervosa in adolescent males." He discusses diagnostic challenges, the distinct clinical presentation in males versus females, and the need for tailored approaches for effective treatment. Kadoura's insights contribute to a nuanced understanding of anorexia nervosa's impact on male adolescents and the critical role of healthcare professionals in facilitating early intervention and support.
This episode is structured to provide medical professionals with a deeper understanding of anorexia nervosa in male adolescents, underscoring the need for awareness and specialized care approaches. It serves as a resource for clinicians seeking to enhance their diagnostic and treatment strategies for this often-overlooked condition.
This podcast has been sponsored by the Yarmouth Region Medical Professional Recruitment Partnership. Click here for more information.
Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
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On this episode, Dr. Blair Bigham and Dr. Mojola Omole explore a clinical case involving a rare infection in a returned traveler, highlighting the critical role of travel history in diagnosing unusual diseases. They discuss the case of a woman in her 60s who presented with fever and ankle pain after returning from India. Initial concerns for septic arthritis led to further investigation when standard treatments failed to alleviate her symptoms. Dr. Mara Waters is the lead author of the clinical case entitled “Melioidosis with septic arthritis in a returning traveller,” published in Canadian Medical Association Journal (CMAJ). She details the steps the infectious diseases team took to ultimately identify the infection as caused by Burkholderia pseudomallei.
Dr. Waters, an infectious diseases fellow at the University of Toronto, describes the challenges of diagnosing and treating melioidosis, emphasizing the importance of considering travel history and the evolving geography of infectious diseases. She highlights the broader implications of climate change on the spread of infectious diseases and the interconnectedness of human, animal, and environmental health.
Following the case discussion, Dr. Jeffrey Pernica, a specialist in infectious diseases and tropical medicine, offers a refresher on common infections in returning travelers, such as malaria, dengue, and typhoid. He stresses the importance of considering these more prevalent conditions when evaluating a returning traveller with fever, providing practical advice on diagnosis and management.
This episode serves as a reminder of the complexities of diagnosing travel-related infections and the need for clinicians to be vigilant about travel history, especially in the context of global travel resurgence and the impacts of climate change on infectious disease patterns.
Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
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On this episode, Dr. Blair Bigham and Dr. Mojola Omole explore two articles in CMAJ focused on the critical importance of trust in the health care system. They speak with Louis Lochhead, who shares his experiences navigating the health care landscape as a caregiver after his wife's serious accident, which resulted in a coma lasting nearly two months. Lochhead highlights the difficulties in building trust with the medical team, pointing to challenges in communication and empathy. He recounts moments where the lack of clear, compassionate communication from health care providers compounded the stress and uncertainty of the situation, leaving him feeling isolated and disconnected from the decision-making process regarding his wife's care.
Next, Dr. Omole and Dr. Bigham speak with Dr. François Lamontagne, an intensive care specialist, who offers insights into how health care professionals can better connect with families and build trust, especially when faced with uncertain diagnoses or prognoses. He emphasizes the importance of acknowledging the inherent unpredictability of medicine and the value of being transparent about known facts and areas of ambiguity. Dr. Lamontagne suggests that by engaging in open, honest dialogues that respect the family's perspective and concerns, health care providers can create a more supportive environment that encourages shared decision-making. This approach not only helps in building trust but also empowers families during challenging times, making them feel valued and part of their loved one's care journey.
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Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
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On this episode of the CMAJ Podcast, Dr. Catherine Varner, deputy editor of CMAJ, sits in for Dr. Blair Bigham and joins Dr. Mojola Omole to explore two articles published in the journal that highlight troubling findings concerning the treatment of opioid use disorder.
They begin with a study that revealed significant gaps in treatment for opioid overdose patients, where only 5.5% received opioid agonist therapy within a week of their hospital visit. This comes five years after the release of guidelines for opioid use disorder management in Canada, which recommended starting opioid agonist therapy, specifically Suboxone, in patients with opioid use disorder. One of the paper’s co-authors, Dr. Jessica Kent-Rice, a PGY5 resident in emergency medicine and toxicology fellow at the University of Toronto, dissects the complexities of treating opioid use disorder in the emergency department and makes a passionate plea for physicians to increase their prescriptions of these life-saving therapies.
Transitioning to the second article, the hosts examine the presence of xylazine, a veterinary sedative, in the illicit opioid supply. Dubbed the "zombie drug" due to its effects on people's skin and prolonged effects during overdose, xylazine is raising alarm bells among emergency physicians. However, the article's co-author, Dr. Peter Wu, an internist and clinical pharmacology and toxicology physician at the University Health Network in Toronto, advocates for a balanced response. He cautions against excessive concern, noting that treatment continues to revolve around providing supportive care.
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On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole examine an article published in CMAJ titled, 'Tackling barriers to Canadian medical school admissions for students with disabilities.' The analysis highlights how medical education has historically devalued or excluded trainees with disabilities and emphasizes the need for more flexible and inclusive admission processes.
They are joined by Shira Gertsman, the lead author and a medical student at McMaster University, who shares her personal battle with Crohn's disease and the hurdles she encountered applying to medical school. Gertsman underscores the critical need for accommodations for individuals with disabilities and the importance of greater representation and understanding within the medical field.
Next, the hosts speak with Dr. Caroline Bowman, a family physician who developed multiple sclerosis mid-career, to discuss her initial symptoms, her fears and concerns, and the impact of MS on her ability to work as a family physician. She also talks about the challenges she faced in accepting her disability and the shame associated with it. Dr. Bowman offers her thoughts on how the medical profession can be more accommodating and understanding towards physicians with disabilities, and the benefits that both physicians and patients can gain from addressing shame and creating a more compassionate culture in medicine. The discussion acknowledges how strains in the medical system reduce flexibility and challenge its capacity to make systemic changes.
This podcast has been sponsored by MD Financial Management. Click here for more information.
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On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole discuss the practice article in the journal entitled, “Five things to know about…Novel obesity treatments". They discuss the impact of new medications like semaglutide and tirzepatide in treating obesity with Dr. Shohinee Sarma, the lead author. Dr. Sarma explains the significant effects these drugs have on weight loss and cardiometabolic health. They also discuss how these treatments can be combined with behavioral therapies for improved results, while considering potential side effects and complications.
Next, Dr. Ashley White, a family physician and diplomate of the American Board of Obesity Medicine, emphasizes the need for a comprehensive approach to obesity management. She stresses the importance of establishing realistic expectations with patients, addressing self-image concerns, and considering the long-term impacts on metabolic health. The conversation also touches on the societal biases and stigmas around obesity, highlighting the necessity for a change in how physicians and society view this medical condition.
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On this episode, Dr. Emmanuel Bujold addresses the gross underutilization of acetylsalicylic acid (ASA) in Canada during pregnancy, a treatment highly effective in preventing preterm preeclampsia among those at risk.
Dr. Bujold is an OB-GYN in Quebec City and a professor of Obstetrics & Gynecology at Laval University's School of Medicine. He is a co-author of the commentary in CMAJ entitled, “Screening for preeclampsia risk and prophylaxis with acetylsalicylic acid”.
Dr. Bujold presents evidence showing ASA's effectiveness in preventing more than 80% of severe preeclampsia cases. He advises that high-risk pregnant women take ASA up to 36 weeks of gestation, with ongoing research potentially adjusting this recommendation.
Dr. Bujold describes a simple, relatively inexpensive, and widely available testing protocol that can effectively predict preeclampsia in the first trimester and that starting aspirin before 16 weeks of pregnancy can prevent severe cases.
Next, Dr. Modupe Tunde-Byass, an OB-GYN based in Toronto and the inaugural president of the Black Physicians of Canada, emphasizes the disparities in pregnancy outcomes among racialized communities, particularly the higher rates of morbidity and mortality among Black women. She advocates for the implementation of race-based data collection in healthcare to better understand and address these disparities, highlighting the importance of tailored medical approaches to improve outcomes for these communities.
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On this episode, we revisit and update one of the most-read articles on the CMAJ website.
The article is titled, “Smartphones, social media use, and youth mental health.” It reviews the extensive literature linking poor mental health in adolescents with smartphone and social media use. The article details a variety of studies that implicate smartphone and social media use in increased mental distress, self-injurious behaviour, and suicidality among youth. It also indicates that there's a dose-response relationship, with the effects appearing to be most pronounced among girls.
The lead author of the paper is Dr. Elia Abi-Jaoude. He is a psychiatrist and researcher at The Hospital for Sick Children in Toronto. He delves into recent research exploring how social media and smartphone use negatively impact the mental health of young individuals.
Later in the episode, Dr. Michelle Ponti offers practical tips that physicians can provide parents to effectively manage their children's smartphone and social media use. Dr. Ponti is a paediatrician in London, Ontario, and Chair of the Digital Health Task Force for the Canadian Paediatric Society.
**Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
You can find Blair and Mojola on Twitter @BlairBigham and @Drmojolaomole Twitter (in English): @CMAJ Twitter (en français): @JAMC*Facebook* Instagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions**
== This is an encore presentation of an episode originally published on Jan 30, 2023 ==
Migraine is a common condition that affects around 12% of adults, with a higher prevalence in women (18%) than men (6%). Global burden of disease estimates in 2019 found migraine to be the leading cause of disability in women aged 15-49 years and the second leading cause of disability overall.
On this episode, Drs. Mojole and Bigham interview three authors of two review articles on the topic published in CMAJ, **which focus on diagnosis, acute treatment and prevention of migraine.
Dr. Velina Tzankova is a neurology resident at the University of Toronto; Dr. Werner Becker is a neurologist and the founding director of the Calgary Headache Assessment and Management Program, and currently professor emeritus in the Department of Clinical Neurosciences at the University of Calgary; and Dr. Tommy Chan is a neurologist and director of John H. Kreeft Headache Clinic at University Hospital in London, Ontario.**
As well, Drs. Bigham and Omole interview two women who have battled severe migraine since childhood: psychologist, Dr. Shanthy Edward, and med student, Zikra Awosanmi. They discuss the impact migraine headaches have had on their lives, the challenges they have faced accessing adequate treatment, and their thoughts on what physicians could better understand about this disabling condition.
**Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
You can find Blair and Mojola on Twitter @BlairBigham and @Drmojolaomole Twitter (in English): @CMAJ Twitter (en français): @JAMC*Facebook* Instagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions**
The award-winning essay in the CMAJ, "Sometimes, often," beautifully showcases the power of narrative to forge a deep connection between physicians and patients. The article clearly resonated with our readers, as it was the most-read humanities piece this year. On this episode, the author, Dr. Simran Sandhu, delivers a powerful reading of her article. She then speaks with Drs. Blair Bigham and Mojola Omole about what inspired her to write the essay and how storytelling enables her to build deeper connections with her patients, and in turn, find meaning in her practice.
Next, Dr. Indu Voruganti joins the conversation. She is a radiation oncologist and instructor in the Narrative-Based Medicine Program at the University of Toronto. Dr. Voruganti describes narrative medicine as a tool for combating burnout and promoting empathy in medical practice. She advocates for creating space for reflection and vulnerability, and argues that narrative medicine has the potential to enhance both patient care and physician well-being.
**Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
You can find Blair and Mojola on Twitter @BlairBigham and @Drmojolaomole Twitter (in English): @CMAJ Twitter (en français): @JAMC*Facebook* Instagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions**
Radon gas exposure is the leading cause of lung cancer in non-smokers, accounting for approximately 3,000 cases annually in Canada. A “Five things to know about…” paper in CMAJ entitled “Radon and lung cancer risk" encourages physicians to ask patients to test their home and workplace for the invisible gas.
Dr. Silvina Mema and Greg Baytalan are co-authors of the article, and on this episode, they detail the significant public health risk radon poses, the relative ease of testing, and the cost of successful mitigation. They argue that family doctors and specialists play a critical role in creating awareness about radon gas and reducing its impact on patient health and the public healthcare system.
Next, Dr. Aaron Goodarzi advocates for changes to cancer screening guidelines to include individuals with elevated lifetime radon exposure. Dr. Goodarzi is the Scientific Director of the Evict Radon national study. He points out that 40% of people who experience lung cancer will never be eligible for current screening programs because they don't use enough tobacco.
Dr. Goodarzi goes on to describe the many ways public policy can be used to reduce the risk of radon exposure, from updated building codes to mandatory testing of public spaces like daycares, and financial assistance for radon gas mitigation.
**Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
You can find Blair and Mojola on Twitter @BlairBigham and @Drmojolaomole Twitter (in English): @CMAJ Twitter (en français): @JAMC*Facebook* Instagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions**
Major hemorrhage is life-threatening and can occur in a variety of clinical settings. A review paper in CMAJ, entitled "Nonsurgical management of major hemorrhage," advocates for the implementation of massive hemorrhage protocols across all types of hospitals to optimize patient care.
Dr. Jeannie Callum, the article's lead author and the Director of Transfusion Medicine at Kingston's Health Sciences Centre speaks with Drs. Blair Bigham and Mojola Omole about her work standardizing massive hemorrhage protocols throughout Ontario. Dr. Callum shares the transformative moment that inspired her to develop a province-wide protocol, starting from the point of roadside patient care.
She then details the critical need for precision in managing major hemorrhage, emphasizing a rapid response within the "golden hour." Dr. Callum outlines key components of care such as swift administration of tranexamic acid and the detection of coagulopathy. She then simplifies the main elements of a massive hemorrhage protocol into what she calls "the seven 'T’s."
In rural settings, Dr. Callum identifies the need for a simplified protocol due to constraints like smaller medical teams and a lack of comprehensive laboratory tests. Despite these challenges, she recommends innovative solutions like the immediate administration of tranexamic acid and encourages physicians to educate themselves about novel point-of-care testing technologies such as viscoelastic testing.
**Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
You can find Blair and Mojola on Twitter @BlairBigham and @Drmojolaomole Twitter (in English): @CMAJ Twitter (en français): @JAMC*Facebook* Instagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions**
Many women complain that physicians are reluctant to treat menopause with the full range of available therapies, often dismissing symptoms as 'natural' and something to be endured. A review article in CMAJ finds that physician fears around menopausal hormone therapy and lack of knowledge regarding treatment options often impede patients from receiving treatment.
On this episode, Drs. Mojola Omole and Blair Bigham speak with Dr. Iliana Lega, the lead author of the review entitled "A pragmatic approach to the management of menopause." Dr. Lega is a Clinician Scientist and Endocrinologist at Women’s College Hospital in Toronto. She encourages physicians to update their therapeutic understanding of menopause and to initiate conversations with women about the symptoms of perimenopause as they enter their forties.
Drs. Omole and Bigham also hear from Janet Ko, the co-founder and president of the Menopause Foundation of Canada. She shares her personal experience of receiving a delayed diagnosis of perimenopause and the impact of hormone replacement therapy on her well-being. Ms. Ko also shares the results of the foundation's study on women's experience receiving care for menopause, and reports that 72 percent of women found medical advice to be unhelpful or only somewhat helpful.
**Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
You can find Blair and Mojola on Twitter @BlairBigham and @Drmojolaomole Twitter (in English): @CMAJ Twitter (en français): @JAMC*Facebook* Instagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions**
On this episode, Dr. Greg Hundemar, co-author of the practice paper in CMAJ “Screening for primary aldosteronism in primary care” discusses primary aldosteronism, its implications and the need to expand screening guidelines.
Primary aldosteronism, also known as primary hyperaldosteronism or Conn's syndrome, is an endocrine disorder where the adrenal glands secrete too much aldosterone, leading to hypertension. This condition was once thought to be a rare cause of hypertension, but recent research shows that it may account for 10-20% of cases.
Classic symptoms of primary aldosteronism include hypertension, low potassium, and metabolic alkalosis. Patients with this condition are at a disproportionately high risk for cardiovascular disease, rapid decline in kidney function, and higher mortality, independent of blood pressure. Early diagnosis and targeted treatments can significantly improve outcomes.
Dr. Hundemar stresses the importance of screening more people with hypertension for primary aldosteronism to diagnose and treat the condition earlier. Current guidelines recommend screening for those with severe or resistant hypertension, hypertension with low potassium, or hypertension with an adrenal nodule. However, Dr. Hundemar advocates for expanding screening for primary aldosteronism in patients with hypertension, as doing so can potentially identify a large number of undiagnosed cases.
**Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
You can find Blair and Mojola on Twitter @BlairBigham and @Drmojolaomole*CMAJ* Twitter (in English): @CMAJ Twitter (en français): @JAMC*Facebook* Instagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions**
Allopurinol hypersensitivity syndrome (AHS) affects approximately 1 in 1,000 patients prescribed allopurinol, with reported mortality rates between 20% and 25%. The risk of AHS is nearly 100 times higher in carriers of the HLA-B*58:01 allele than in noncarriers. Populations with a high allele frequency include Han Chinese (6%-8%), Korean (12%), and Thai (6%-8%) people.
In this episode, Drs. Wid Yaseen and Jonathan Zipursky discuss their paper published in CMAJ, titled "Five things to know about…allopurinol hypersensitivity syndrome". Dr. Jonathan Zipursky is a general internist, clinical pharmacologist, and clinician scientist at Sunnybrook Health Sciences Centre. Dr. Yaseen is a second-year internal medicine resident physician at the University of Toronto. They argue that the syndrome's frequency is often underestimated and emphasize the importance of genetic testing in susceptible populations.
Next, Dr. David Juurlink broadens the discussion beyond allopurinol to describe other common medications whose effectiveness and safety are significantly influenced by genetic predispositions. Dr. Juurlnk is a staff internist and head of division of clinical pharmacology and toxicology at Sunnybrook Health Sciences Centre in Toronto. He is also a medical toxicologist at the Ontario Poison Centre. He explores the need for expanded genetic testing to protect patients and ensure proper dosing.
**Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
You can find Blair and Mojola on Twitter @BlairBigham and @Drmojolaomole*CMAJ* Twitter (in English): @CMAJ Twitter (en français): @JAMC*Facebook* Instagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions**
Fragility fractures are a major health concern for older adults and can result in disability, admission to hospital and long-term care, and reduced quality of life.
The Canadian Task Force on Preventive Health Care guideline published in CMAJ provides evidence-based recommendations on screening for primary prevention of fragility fractures.
In this special episode of the CMAJ podcast, CMAJ editor-in-chief Dr. Kirsten Patrick speaks to Dr. Roland Grad, a family physician and an author of the new guideline, about the evidence reviews conducted by the task force, the main points of the new guideline, and how family doctors can use it in practice.
The guideline recommends screening females over 65 using the FRAX tool without bone mineral density (BMD) as a risk assessment first strategy. Dr. Grad emphasizes the importance of shared decision making, which can be facilitated using the Fragility Fracture Decision Aid, which incorporates the FRAX tool. This online, interactive tool helps guide discussions with patients about their fracture risk and potential benefits of preventive treatment.
Links to resources mentioned in the interview:
Canadian Task Force on Preventive Healthcare guideline
Fragility Fractures Clinician Infographic
Fragility Fracture Decision Aid
Article in Journal of Systematic Reviews
**Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
You can find Blair and Mojola on Twitter @BlairBigham and @Drmojolaomole*CMAJ* Twitter (in English): @CMAJ Twitter (en français): @JAMC*Facebook* Instagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions**
An estimated 23%-45% of patients undergoing major surgery have anemia, with the most common causes being iron deficiency anemia and anemia of inflammation or chronic disease.
In this episode, Drs. Mojola Omole and Blair Bigham speak with Dr. Clarissa Skorupski and Dr. Yulia Lin, two authors of the practice paper in CMAJ, "Five things to know about preoperative anemia in major elective surgery." Dr. Skorupski is a third-year internal medicine resident at the University of Toronto, and Dr. Yulia Lin is the division head of transfusion medicine and tissue bank at Sunnybrook Health Sciences in Toronto. They highlight the high prevalence of preoperative anemia, its adverse outcomes, and the importance of targeting a preoperative hemoglobin level of 130 g/L for both sexes.
Next, Drs. Bigham and Omole take a critical look at the WHO guideline which sets a lower hemoglobin threshold of 120 g/L for female bodies. They speak with Dr. Michelle Sholzberg, the head of hematology-oncology and the director of the Hematology Oncology Clinical Research Group at St. Michael's Hospital in Toronto. Dr. Sholzberg argues that the WHO's sex-based hemoglobin thresholds for diagnosing anemia perpetuate structural discrimination in medicine, as they normalize anemia in females and are based on outdated data with a high risk of bias. Dr. Sholzberg describes how the policies and clinical practices following the biased thresholds may impact health-related quality of life, cognitive function, and the health of pregnant individuals and their babies.
**Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
You can find Blair and Mojola on Twitter @BlairBigham and @Drmojolaomole*CMAJ* Twitter (in English): @CMAJ Twitter (en français): @JAMC*Facebook* Instagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions**
Many patients report their symptoms of endometriosis are often dismissed by healthcare providers as “normal” dysmenorrhea. This worldwide trend results in delays to diagnosis that are estimated to range from 6 to 11 years from symptom onset.
On this episode, Drs. Bigham and Omole speak with Dr. Catharine Allaire, a clinical professor at UBC's Department of Obstetrics and Gynaecology and co-author of the review in CMAJ entitled “Diagnosis and management of endometriosis”. Dr. Allaire discusses the challenges and delays in diagnosing endometriosis, its symptoms and causes, and the different varieties of the condition. She also explains the role of imaging in diagnosing endometriosis and how it can be managed through various treatment options from hormone therapies to surgery.
Drs. Bigham and Omole also speak with Hannah Robinson, an emergency department nurse who has struggled with endometriosis for seven years. She describes the challenges she faced receiving a diagnosis and accessing care.
**Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
You can find Blair and Mojola on Twitter @BlairBigham and @Drmojolaomole*CMAJ* Twitter (in English): @CMAJ Twitter (en français): @JAMC*Facebook* Instagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions**
Clinicians may find diagnosing polyneuropathy challenging due to the vague and insidious onset of symptoms. Identifying signs consistent with polyneuropathy and determining which investigations to conduct and when to be concerned can be daunting.
Polyneuropathy involves simultaneous dysfunction of multiple peripheral nerves, with the most common form being distal symmetric polyneuropathy. Symptoms primarily occur distally, mainly at the bottom of the feet, and progress proximally. Sensory symptoms are more frequent than motor symptoms and signs. Patients with distal symmetric polyneuropathy may experience neuropathic pain, impairments in walking, and distal motor function, significantly impacting their quality of life.
Dr. Ario Mirian, a fifth-year neurology resident at the University of Western Ontario's Schulich School of Medicine and Dentistry, is the lead author of a review article in CMAJ entitled "Diagnosis and management of patients with polyneuropathy". In this episode, Dr. Mirian presents a practical approach to diagnosing and managing polyneuropathy while highlighting 'red flags' that should prompt clinicians to investigate potentially serious underlying causes, such as malignancy or vasculitis.
**Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
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The use of electric scooters (e-scooters) has witnessed a substantial surge globally.
However, the presence of these motorized vehicles on sidewalks poses a significant risk to pedestrians. A recent practice paper published in CMAJ describes the case of a 68-year-old woman who suffered serious injuries while walking on a city sidewalk after being hit by an e-scooter traveling at approximately 30 km/h.
While the authors of the paper recognize e-scooters as a popular, efficient and green form of transportation, they argue effective policies are needed to mitigate risks associated with their use.
On this episode, Drs. Blair Bigham and Mojola Omole speak with Zach Williams, the director of policy and government partnerships and Jamie Perkins the director of communications for Superpedestrian. Superpedestrian is an e-scooter company that spun off from the MIT Sensible City Lab. They discuss the necessary changes to urban infrastructure as well as the responsibilities of e-scooter providers to ensure safety for riders and pedestrians.
The discussion then shifts to Catherine McKenney, a former Ottawa city councilor and mayoral candidate, who proposed substantial investments in biking infrastructure during their campaign. They argue that debates about safe urban transit have become too polarized and that it is not a matter of being for or against cars, but rather about finding effective solutions to make transportation safe and efficient for all users.
**Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
You can find Blair and Mojola on Twitter @BlairBigham and @Drmojolaomole*CMAJ* Twitter (in English): @CMAJ Twitter (en français): @JAMC*Facebook* Instagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions**
Uptake of the SARS-CoV-2 vaccine for children aged 5–11 years has been lower than anticipated in Canada. Although research has explored parental intentions toward SARS-CoV-2 vaccination for children, the drivers of parents’ decisions to seek vaccination for their children - or not - have not been studied in-depth.
A research paper published in CMAJ, entitled Parents’ perspectives on SARS-CoV-2 vaccinations for children: a qualitative analysis, sought to explore parents’ decision-making. It was a collaboration between physicians, social scientists and research scientists.
On this episode, four of the paper’s authors discuss their findings with hosts, Drs. Omole and Bigham. They emphasize the importance of existing trusting relationships between parents and their primary care providers when it comes to making difficult healthcare decisions for children.
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Early in the COVID-19 pandemic, Ontario saw a 5600% increase in virtual visits to health care practitioners, while in-office visits decreased by 79% from the previous year. In 2018, only 4% of family physicians in Canada were offering video visits while, at the peak of the pandemic, about 80% of primary care visits were being delivered virtually in Ontario.
Media reports at the time suggested patients were substituting emergency department (ED) visits when in-person consultations were unavailable, leading to additional strain on already stretched ED resources.
A research paper published in CMAJ looked at whether this shift in care was in fact taking place. Dr. Hemant Shah is an internal medicine physician and hepatologist at Toronto General Hospital and co-author of the study entitled Association between virtual primary care and emergency department use during the first year of the COVID-19 pandemic in Ontario, Canada.
On today’s episode, Dr. Shah discusses the study’s surprising findings with hosts Dr. Blair Bigham and Dr. Mojola Omole.
Drs Omole and Bigham then speak with Toni Leamon, the CMA’s patient voice chair, a member of CMA's Virtual Care Taskforce and a co-author of the CMA's Virtual Care Companion for Patients. She offers the patient’s vision of high quality virtual care.
Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.
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Migraine is a common condition that affects around 12% of adults, with a higher prevalence in women (18%) than men (6%). Global burden of disease estimates in 2019 found migraine to be the leading cause of disability in women aged 15-49 years and the second leading cause of disability overall.
In this article, Drs. Mojole and Bigham interview three authors of two review articles on the topic published in CMAJ, which focus on diagnosis, acute treatment and prevention of migraine. Dr. Velina Tzankova is a neurology resident at the University of Toronto; Dr. Werner Becker is a neurologist and the founding director of the Calgary Headache Assessment and Management Program, and currently professor emeritus in the Department of Clinical Neurosciences at the University of Calgary; and Dr. Tommy Chan is a neurologist and director of John H. Kreeft Headache Clinic at University Hospital in London, Ontario.
As well, Drs. Bigham and Omole interview two women who have battled severe migraine since childhood: psychologist, Dr. Shanthy Edward, and med student, Zikra Awosanmi. They discuss the impact migraine headaches have had on their lives, the challenges they have faced accessing adequate treatment, and their thoughts on what physicians could better understand about this disabling condition.
Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the podcast.
You can find Blair and Mojola on Twitter @BlairBigham and @Drmojolaomole
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Diagnosing long COVID, or post-acute sequelae of SARS-CoV-2 infection (PASC), is challenging for clinicians. With up to 200 possible symptoms, heterogeneous presentations and no definitive diagnostic test, the diagnosis is a clinical one.
**In this episode, Dr. Kieran Quinn, a general internist and palliative care physician at Mount Sinai and Bridgepoint Hospitals in Toronto, emphasizes the importance of judicious diagnostic testing in patients with suspected long COVID.
Dr. Quinn, who is co-author on three “Five Things to Know…” articles published in CMAJ that cover diagnosing, assessing and treating long COVID, suggests that limited routine blood work and, occasionally, an echocardiogram or pulmonary function test may be sufficient to make the diagnosis without the need for extensive testing and consultations.**
The episode also features the personal experience of Suzie Goulding, the founder of COVID Long Haulers Canada, a support group for people struggling with long COVID, who shares her journey with the illness and her ongoing recovery process.
Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the podcast.
You can find Blair and Mojola on Twitter @BlairBigham and @Drmojolaomole
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On this special episode, Drs. Blair Bigham and Mojola Omole interview CMAJ editor-in-chief, Dr. Kirsten Patrick, and executive editor, Dr. James Maskalyk. They talk about the journal's accomplishments over the past year and some of the challenges related to its increased focus on social determinants of health and equity.
In the year ahead, Drs. Patrick and Maskalyk say the journal will focus on exploring topics related to access to care, and particularly encourage the submission of articles that discuss bold solutions that can bring about wide-reaching systemic change.
**A popular theory to explain the crisis in primary care in Canada is that newly graduating physicians simply do not see as many patients as previous generations. But recently published research has thoroughly debunked that myth.
David Rudoler is the lead author of research published in CMAJ entitled Changes over time in patient visits and continuity of care among graduating cohorts of family physicians in 4 Canadian provinces that looked at the number of patient contacts for physicians at all career stages. He and his co-authors found no generational differences in family physician practice.**
On this episode, David Rudoler, who is an assistant professor in the faculty of health sciences at Ontario Tech University, tells Drs. Bigham and Omole that, while his research disproves the ‘lazy millennial physician’ trope, it does show that the number of patient contacts has declined for all primary care physicians over the years.
Dr. Tara Kiran, Fidani Chair in Improvement and Innovation at the University of Toronto and a family medicine physician at St. Michael's Hospital Academic Family Health Team, then talks to the hosts about what Canada can do to ensure that everyone in Canada has access to adequate primary care. Dr. Kiran is the author of a commentary in CMAJ entitled Keeping the front door open: ensuring access to primary care for all in Canada.
Dr. Kiran argues that interprofessional team-based care, coupled with payment reform, has the potential to improve primary care capacity, access and outcomes for patients, as well as provider well-being. She advocates for more radical reforms such as regionally organized after-hours care and neighbourhood-based primary care, models that currently exist in several European countries.
An “old wives’ tale” has persisted in the treatment of anterior epistaxis. A practice article in CMAJ entitled, "Five things to know about anterior epistaxis" discusses what many are doing wrong and the proper way to treat anterior epistaxis. On this episode, co-author and rhinologist Dr. Leigh Sowerby elaborates on the causes and the full suite of options for treating this common cause for emergency department visits.
Next, Drs. Bigham and Omole speak with Dr. Michelle Sholzberg, a hematologist and medical director of the coagulation laboratory at St. Michael's Hospital about how to determine if a patient may have a bleeding disorder and needs investigation. Dr. Sholzberg discusses the usefulness of the INR and PTT and then goes on to call out structural sexism in hematology, and in the diagnosis of bleeding disorders, in particular.
"Five things to know about anterior epistaxis"CMAJ
A practice article in CMAJ presents 8 images of monkeypox mucocutaneous lesions presenting in Canadian patients from May to July 2022. The images show a spectrum of common lesions seen in patients with human monkeypox during the 2022 outbreak in non-endemic countries.
On this episode, Dr. Sharon Sukhdeo and Dr. Darrell Tan, two co-authors of the article discuss their intention that the image atlas be a necessary corrective to the proliferation of images from endemic countries seen early in the outbreak that primarily featured Black patients, often children.
Host Dr. Mojola Omole speaks with these guests about the current epidemiology of human monkeypox in Canada, lessons learned from the 2022 outbreak, the importance of accurately describing who is at risk, and how generating awareness of monkeypox transmission in communities at risk may have slowed its spread.
Dr. Sukhdeo is an infectious disease fellow at the University of Toronto, and Dr. Darrell Tan is an infectious disease physician at St. Michael's Hospital in Toronto.
Artificial intelligence, such as computer-aided detection and computer-aided diagnosis or differentiation uses complex algorithms to identify and characterize polyps in situ during screening for colorectal cancer. Emergent evidence suggests that the performance of AI models is superior to current standards of practice.
On this episode, Drs Bigham and Omole speak with Dr. Michael Byrne, co-author of a practice paper in CMAJ entitled Artificial intelligence in colorectal cancer screening. He argues that while artificial intelligence will not replace physicians, physicians who use AI will eventually replace physicians who don’t.
Next they speak with Zayna Khayat, a future strategist and Vice President of Growth & Client Success at digital health solutions firm, Teladoc Health. She's also adjunct faculty at the Rotman School of Business. Zayna says that AI’s biggest impact on medicine will come from reducing costs and increasing the number of patients that can be guided through the system.
Efforts to combat anti-Black racism in Canadian healthcare are underway but much remains to be done to dismantle the ideas, systems and implicit biases that underpin this specific form of discrimination.
On this special one-hour episode, Drs Omole and Bigham explore the history of anti-Black racism in Canada’s medical schools, in particular at Queen’s University, where a ban on Black students was only formally lifted in 2018.
They also explore solutions, including the development of a curriculum at Queen’s aimed at addressing anti-Black racism. Drs. Omole and Bigham speak with Dr. Sabreena Lawal, a co-author of a paper in CMAJ entitled: Anti-Black racism and medical education: a curricular framework for acknowledging and learning from past mistakes.
They then explore the broad set of challenges still facing medicine in Canada and the efforts still needed to address anti-Black racism, with two Black physician leaders, Dr. Onye Nnorom and Dr. Kannin Osei-Tutu.
Dr. Osei-Tutu is an acute-care hospitalist physician in Calgary. He is the anti-racism and EDI Strategic Advisor to the CEO of the Royal College of Physicians and Surgeons of Canada.
Dr. Nnorom is an Assistant Professor at the University of Toronto and is the co-lead of the Black Health Education Collaborative, which played a major role in the CMAJ special issues on anti-Black racism.
Black and immigrant populations are disproportionately underrepresented in regular screening for cancer. Race-based data from Canada are minimally-available, but research from the United States and Europe has shown that the lifetime risk of developing prostate cancer is much higher among Black people compared to white people and Black people who do get the disease tend to have more aggressive tumors and to present at a later stage.
On this episode, Drs Omole and Bigham speak with Kikachukwu Otiono, lead author of an analysis in CMAJ titled, Prostate cancer screening in Black men in Canada: a case for risk-stratified care. Ms. Otiono is a final-year medical student at McMaster University in Hamilton. She argues that Black patients should be understood to be at a potentially higher risk for developing prostate cancer and physicians should screen them earlier than guidelines currently recommend, based on evidence from other jurisdictions.
They also speak with Dr. Doreen Ezeife, the author of another analysis in CMAJ entitled, Ensuring equitable access to cancer care for Black patients in Canada. Dr. Ezeife describes the barriers to receiving optimal cancer care for Black patients in Canada and discusses the steps that can be taken to ensure more equitable access. Dr. Ezeife also makes the case for the collection of race-based data in Canada to improve understanding of the challenges that minority populations face in accessing medical care.
Several hospitals are known for providing particularly excellent care to people experiencing a sickle cell crisis. For example, the ER at UHN meets a key recommendation from the 2017 Ontario Clinical Handbook that patients receive analgesia within 30 minutes of triage. The handbook also recommends that centres support patients’ individual coping strategies through ready access to food, phone chargers and blankets.
Many ERs are not meeting this standard. A general lack of awareness about sickle cell disease among physicians, misplaced suspicion about drug-seeking and other biases lead to lengthy delays in patients receiving treatment.
On today’s episode, Drs Bigham and Omole speak with Dr. Jennifer Bryan, a founding member of the UHN Emergency Department Sickle Cell Working Group, an emergency physician at UHN and the co-chair of the 2022 Sickle Cell Summit being organized by the Sickle Cell Awareness Group in Ontario.
They also speak with Lance Archer, a patient and sickle cell disease advocate about his varied experiences seeking care for painful flare-ups.
These interviews prompt a spirited, impromptu “M&M round” in the discussion between the co-hosts as Dr. Bigham reflects on a recent experience of treating a patient with sickle cell disease in an overly-busy ER.
CMAJ
Hereditary angioedema (HAE) is a rare autosomal dominant disorder characterized by recurrent episodes of painful swelling without urticaria that leads to substantial morbidity and even mortality if left untreated.
On this episode, Dr. Victoria Cook, an immunologist working in Victoria, BC, describes the case of a woman who had 6 emergency department presentations, 1 hospital admission and saw 5 different specialists over 11 months before finally being diagnosed with HAE.
Drs. Bigham and Omole, then speak with Dr. Ed Etchells about how physicians can work to strip away biases and cognitive obstacles that can prevent timely diagnoses of rare and challenging conditions. Dr. Etchells works in the division of General Internal Medicine at Women's College Hospital in the University of Toronto.
Article discussed
Transcript
CMAJ
Many families of organ donors describe feeling alone and abandoned at the moment when their loved one is taken to the operating room for donation. Heather Talbot says she and her family were left on their own as her son was wheeled into the OR. The experience left her thinking, “Well, they got what they wanted and they’ve moved on.”
A qualitative study in CMAJ examined the experiences of donor families. They found that many families felt unsupported at critical transition periods. Authors of The experiences of family members of deceased organ donors and suggestions to improve the donation process conducted 271 in-depth interviews with family members of organ donors.
On this episode, Drs Bigham and Omole speak with the study’s lead author Dr. Aimee Sarti. Dr. Sarti is an ICU physician in Ottawa. But first, they speak with Heather Talbot. Ms. Talbot’s son Jonathan became an organ donor after his death in 2009.
Functional Neurological Disorders (FND) make up a significant portion of referrals to neurology, maybe as high as 30%. However, misconceptions regarding these disorders remain across medicine, and patients are frequently dismissed as “faking it.”
FND are neuropsychiatric conditions in which patients experience neurologic symptoms due to a “functional” disruption of brain networks rather than a “structural” disorder of the nervous system.
On this episode, Drs Bigham and Omole speak with Peter Gill, a patient with FND. Mr. Gill describes his seven-year journey to diagnosis and his recent success with various approaches to therapy.
**Next, Drs Bigham and Omole speak with Dr. Matthew Burke, a cognitive neurologist at Sunnybrook Hospital in Toronto and an expert in FND. They discuss the current understanding of the disorder, diagnostic criteria and therapeutic options.
Links:**
Neurosymptoms.org
Functional neurologic disorder associated with SARS-CoV-2 vaccination
CMAJ
When contemplating issues of diversity and inclusion, medicine needs to consider menopause. A commentary in CMAJ argues that discussion about and, where needed, accommodation of menopause is a necessary step toward providing women physicians with a supportive and comfortable work environment.
On this episode, Drs. Bigham and Omole speak with the lead author of the commentary “Hot Flash: Experiencing menopause in medicine.” Dr. Marie Christakis is an OB-GYN at St Michael’s hospital in Toronto. She has completed a fellowship in Menopause and Mature Women’s Health at Mount Sinai Hospital.
They discuss why there has been little discussion on the effect, and potential burden, of menopause on mature- or potentially peak-career women physicians. And they explore what needs to be done to better support physicians through menopause.
Drs. Bigham and Omole also speak with Dr. Kim Wynd, an anesthesiologist who practices in Peterborough Ontario, about her experiences during menopause. Dr. Wynd began having symptoms of perimenopause in her early 40s at a time when her practice was thriving.
This is an encore presentation of our most popular episode of the past year.
Postural orthostatic tachycardia syndrome (POTS) is a disorder that can profoundly affect patients' quality of life. Its main characteristic is tachycardia on standing without a drop in blood pressure. Patients complain of lightheadedness and palpitations when upright, which sometimes leads to syncope. This can cause substantial functional disability, which may be economically devastating.
Despite these serious consequences for patients, diagnosis can be delayed up to 6 years.
In this episode, Dr. Satish Raj, author of the recent CMAJ narrative review article Diagnosis and management of Postural Orthostatic Tachycardia Syndrome talks to our hosts about difficulties in making the diagnosis of POTS, its complex range of comorbidities, how patients are typically affected by the syndrome and treatment options.
The short answer to this question, according to a new guideline published in CMAJ, is “No.”
In this special episode, CMAJ editor in chief, Dr. Kirsten Patrick, talks to Dr. Eddy Lang, lead author of the guideline entitled Recommendation on instrument-based screening for depression during pregnancy and the postpartum period produced by the Canadian Task Force on Preventive Health Care. They discuss why there’s not enough evidence to support a recommendation to screen routinely, why that doesn’t mean that depression in pregnancy and the postpartum period is not important to diagnose, and in what circumstances use of a screening instrument might be helpful.
Blair and Jola will be back next episode.
In an effort to reduce the high burden of injury in Canadian youth ice hockey, most associations have restricted bodychecking nationally among leagues for younger players (age 11–12 yr), as well as in certain nonelite divisions of play in older age categories (age 13–17 yr.) This has been shown to be associated with reduced rates of injury, including concussion.
However, despite the evidence, some argue that gaining earlier bodychecking experience may protect young players from injuries, including concussions, later on when they progress to play in leagues where bodychecking is allowed.
A study published in the CMAJ entitled Bodychecking experience and rates of injury among ice hockey players aged 15–17 years found the opposite, however. Players with more experience in bodychecking had a greater incidence of concussion.
On today’s episode, Drs. Omole and Bigham speak with two authors of the study. Paul Eliason is a postdoctoral fellow in the Sport Injury Prevention Research Centre at the University of Calgary and Carolyn Emery is a physiotherapist and epidemiologist at the University of Calgary.
They discuss the new study’s findings and their implications for policy in youth hockey. They also explore how hockey compares to other contact and non-contact sports and discuss how to keep kids both active and safe in sport.
Drug shortages are a persistent problem in Canada and around the world. They interfere with patients’ ability to consistently take medication to manage chronic diseases. And they disrupt urgent care as critical drugs like epinephrine and propofol face shortages.
The COVID-19 pandemic led to concerns that the pandemic would exacerbate existing issues with drug shortages in Canada. Canadian policy-makers responded with several important measures in March 2020 in an attempt to ensure a steady supply of medication.
On this episode, Mina Tadrous discusses the impact of those measures as well as the ongoing challenges to Canada’s supply of pharmaceuticals. Mina Tadrous is coauthor of the paper, “COVID-19 in the prevalence of drug shortages in Canada,” published in CMAJ. He's an assistant professor at the University of Toronto.
Drs. Bigham and Omole also speak with Andrew MacIsaac about the role Canadian manufacturing can play in easing the problem of drug shortages. Andrew Maclsaac is the CEO of Applied Pharmaceutical Innovation, or API. API is partnered with University of Alberta to create the Canadian Critical Drug Initiative. One of its goals is to make Canada less vulnerable to drug shortages.
Links:
COVID-19 in the prevalence of drug shortages in Canada
Canadian Critical Drug Initiative
Applied Pharmaceutical Innovation
CMAJ
**The author of a new study in CMAJ says the risk of suicidality among transgender youth, “is really a crisis.”
Mila Kingsbury and her co-authors found that trans and non-binary teens were as much as 7 times more likely than cishet peers to have thought about or tried suicide. More than half of the trans 15-17 year olds in a nationally-representative Canadian survey said they’d thought about suicide, and about 40% had attempted suicide in their lifetime.**
The research entitled Suicidality among sexual minority and transgender adolescents drew its data from the 2019 Canadian Health Survey on Children and Youth, a carefully-conducted cross-sectional survey. The researchers used a sub-sample of 6800 15-17 year olds.
On this episode, Drs. Blair Bigham and Dr. Mojola Omole discuss the implications of the study’s findings with one author, Mila Kingsbury. They then speak with Dr. Tyler Black, medical director of the pediatric psychiatric emergency inpatient unit at British Columbia Children's Hospital. He discusses the research on transgender teens in the broader context of what’s known about suicide risk amongst adolescents in Canada.
This episode focuses extensively on the issue of suicide.
If you are in crisis:
Call 911 or go to the nearest hospital.
Call the Canada Suicide Prevention Service (available 24/7) at 1-833-456-4566. For residents of Quebec, call 1 866 APPELLE (1-866-277-3553).
People who use drugs are at elevated risk of death due to the toxic illicit drug supply. Providing easy access to a supply of safe, clean substances may reduce overdose deaths, decrease harms associated with substance use, and improve users’ trust in addiction care.
Safer Alternatives for Emergency Response (SAFER) is a low-barrier, flexible safe supply program that provides several replacement options for people who use illicit drugs, including fentanyl, and is integrated with other healthcare and social services.
In this episode, Drs. Omole and Bigham speak with two physicians who work with the SAFER initiative. Dr. Sukhpreet Klaire is the lead author of the article in CMAJ entitled Low-Barrier, Flexible Safe Supply to Prevent Overdose. He is an addiction medicine specialist working in Vancouver. Dr. Melanie van Soeren is a family physician and addiction medicine specialist in Vancouver.
Drowning accounts for hundreds of deaths in Canada every year. A study published in CMAJ examines how pre-existing medical conditions contribute to drowning deaths. Drs Mojola Omole and Blair Bigham speak with the study’s lead author Dr. Cody Boone about what the study’s findings mean for physicians and patients.
They then speak with Audrey Giles, a professor of human kinetics at the University of Ottawa, about the high rates of drownings experienced by Northern Indigenous communities in Canada. Professor Giles has spent decades working with people in Northern regions to adapt and customize water safety programs so that they meet communities’ specific cultural and practical needs. She discusses issues from cold water drowning to cultural safety.
Links:
The link between medical conditions and fatal drownings in Canada: a 10-year cross-sectional analysisDecades of water safety training culturally “irrelevant” to First Nation peopleCMAJ
In this episode, Dr. Kaveh Shonjania argues that despite the billions of dollars spent on clinical and quality improvement research, most of the interventions that are studied are shown not to work and those that do work produce only marginal benefits for some patients.
Dr. Shojania is the Vice Chair of Quality and Innovation for the Department of Medicine at the University of Toronto and past Editor-in-Chief of BMJQuality and Safety. He joins Drs. Blair Bigham and Mojola Omole to discuss a study published in CMAJ recently, entitled Inappropriate Use of Clinical Practices in Canada: A Systematic Review, in which the authors sifted through 174 studies to identify ineffective clinical practices that are either overused, effective practices that are underused, or other practices that are just misused..
Dr. Shojania wrote a short commentary related to the study, entitled What problems in health care quality should we target as the world burns around us? In which he called for health research resources to be shifted more towards research on the social determinants of health, for a greater return on investment. Drs. Bigham, Omole and Shojaniadiscuss how this might actually work in practice.
A study of more than 3000 health care leaders in Canada found that while gender parity was present, racialized executives were substantially under-represented. Diversity among health care leaders in Canada: a cross-sectional study of perceived gender and race was published in CMAJ. It found that at the ministry level fewer than 7 percent of health care leaders were racialized.
The representation gap between racialized executives in healthcare and the racial demographics of the population it serves ranged from a low of 7.3% for Prince Edward Island to a high of 27.5% for Manitoba. The gap was highest in geographic locations with a greater percentage of racialized residents.
On this episode, Drs. Omole and Bigham speak with the lead author of the study Anjali Sergeant, a final year medical student at McMaster University. She describes how researchers determined race, compares results in different parts of the country and discusses how closely the results of the study reflect what she is seeing in her medical school cohort.
Drs Omole and Bigham also speak with Anna Greenberg, the Chief Regional Officer, Toronto and East for Ontario Health. Ms. Greenberg is also the agency’s Executive Lead for Equity, Inclusion, Diversity, and Anti-Racism. She discusses the efforts her agency is making to address this disparity. She also explains why it is important for healthcare leaders to ask themselves, “Why does this matter?”
COVID-19 disrupted the medical licensing examination system in Canada. During the pandemic, exams delivered by The College of Family Physicians of Canada (CFPC) and the Royal College of Physicians and Surgeons of Canada (RCPSC) were delayed, canceled or adapted, disrupting the lives of hundreds of physicians.
However, those challenges prompted many to rethink the historical approach to medical licensure in Canada.
In this episode, Drs. Brent Thoma and Teresa Chan discuss their proposal to shift away from all-or-nothing examinations and towards a system of graduated licensure. They are two authors of a recent CMAJ commentary entitled Replacing high-stakes summative examinations with graduated medical licensure in Canada.
Dr. Thoma is an emergency and trauma physician in Saskatoon and an associate professor of emergency medicine at the University of Saskatchewan. Dr. Chan is an associate professor of medicine at McMaster University, where she is the Associate Dean of Continuing Professional Development.
Postural orthostatic tachycardia syndrome (POTS) is a disorder that can profoundly affect patients' quality of life. Its main characteristic is tachycardia on standing without a drop in blood pressure. Patients complain of lightheadedness and palpitations when upright, which sometimes leads to syncope. This can cause substantial functional disability, which may be economically devastating.
Despite these serious consequences for patients, diagnosis can be delayed up to 6 years.
In this episode, Dr. Satish Raj, author of the recent CMAJ narrative review article Diagnosis and management of Postural Orthostatic Tachycardia Syndrome talks to our hosts about difficulties in making the diagnosis of POTS, its complex range of comorbidities, how patients are typically affected by the syndrome and treatment options.
Physicians working in hospitals see the mountains of medical waste generated each day. Meanwhile, the climate crisis challenges the medical system to reduce its contribution to greenhouse gas emissions. Globally, healthcare systems contribute as much carbon dioxide as the airline industry. In Canada, healthcare accounts for 4.6% of our total emissions. The problem is urgent, but potential solutions are both easier and more complex than many might think.
Guests on this episode are advocates in the climate and health space. Dr. Samantha Green is the co-author of the CMAJ article, Five Things to Know About Metered Dose Inhalers and their Impact on Climate Change. She's a family physician at Unity Health Toronto and the climate and health lead at the University of Toronto's Department of Family and Community Medicine.
In the article, she and her co-authors point out that pressurized metered-dose inhalers (pMDIs) are an important contributor to greenhouse gas emissions. Dr. Green says measurements done in the United Kingdom by the National Health Service found that MDIs contribute 3.1% of the entire health system's carbon emissions. One MDI contributes the equivalent of driving 290km by car.
Meanwhile, dry powdered inhalers (DPIs) and soft mist inhalers (SMIs) are effective available alternatives with lower environmental impact. Dr. Green encourages physicians to make the switch for eligible patients and explains how her clinic has created resources to facilitate the prescribing change.
Addressing such low-hanging fruit of climate action in the healthcare system is important but, according to Dr. Andrea MacNeill, reducing waste, changing prescriptions, and recycling are the tip of the iceberg. What’s really needed is profound systemic change. Dr. MacNeill argues that emissions are driven by a system focused on providing the most complex and carbon-intensive care.
“New healthcare funding seems to go into very complex resource-intensive treatments that modify very advanced disease processes. And I would suggest that we need to shift that focus upstream and start to think, okay, could we have prevented this from ever happening? And in many cases, the answer to that is yes,” says Dr. MacNeill.
Along with a focus on prevention, Dr. MacNeill argues healthcare systems need to put pressure on the supply chain, which accounts for the bulk of emissions. In England, the NHS is demanding that vendors match the NHS's climate target to decarbonize by 2030.
Links to resources discussed on the episode:
Inhaler Toolkit for Physicians
Cascades
Planetary Health Lab
The clinical teaching unit is a widely-used clinical training model that requires reform to prepare physicians for practice in the 21st century.
In a systematic review in CMAJ, Dr. Brandon Tang and co-authors identified practices in internal medicine clinical teaching units that contribute to improved clinical education and health care delivery.
Dr. Tang, a PGY4 in general internal medicine at the University of Toronto, speaks with Drs. Blair Bigham and Mojola Omole about the findings of the review, his experience with CTUs, what inspired him to look into the research, and his thoughts on how CTUs can be reimagined to improve both learner and patient outcomes.
Drs. Bigham and Omole then speak with Dr. Lisa Richardson, a clinician-educator in the U of T’s Division of General Internal Medicine, about other aspects of medical training that are due for a rethink.
Dr. Richardson, who also practices at the University Health Network and is an Education Researcher at the Wilson Centre, argues that medical training needs to create space for learners to bring their whole selves to their educational experience, rather than struggle to conform to a narrower sense of what it means to be a physician.
CMAJ is the journal of the Canadian Medical Association.
Reported gonorrhea cases have more than doubled in recent years. Untreated gonorrhea may occasionally cause potentially fatal conditions, such as infective endocarditis.
In this episode, Dr. Carl Boodman, infectious disease and medical microbiology fellow at the University of Manitoba, discusses a case of disseminated gonococcal infection in a 54- year old man who presented to ER with a new heart murmur. The case was described in a recent CMAJarticle, which explains that the patient had developed an aortic root abscess and a fistula from his right ventricle to the aortic root.
Dr. Boodman tells Dr. Blair Bigham and Dr. Mojola Omole that, while severe cases of disseminated gonococcal infection such as this remain relatively rare, he is seeing more of them in Manitoba. He emphasizes the importance of detecting and treating gonococcal infection before it has a chance to progress.
Gonorrhea is just one of the bacterial STIs on the rise. Drs. Bigham and Omole also speak with Dr. Jason Wong, a Public Health and Preventive Medicine specialist in BC, about what’s behind the rise in STIs and about what lessons can be learned from the relative decline in HIV infections.
Operative vaginal delivery (OVD) is considered safe if carried out by trained personnel; however, the rate of maternal trauma following OVD in Canada greatly exceeds that of any other OECD country. In Canada, maternal trauma occurred in more than one-quarter of deliveries with forceps, whereas in the UK, the rate is 8%-12%, and in Australia, it sits at 9.3%-14.1%.
A research study published in CMAJ found that rates of trauma following OVD in Canada are higher than previously reported, irrespective of region, level of obstetric care and volume of instrument use among hospitals. The authors argue these results support a reassessment of OVD safety in Canada.
In this episode, Dr. Bigham and Blair and Dr. Mojola Omole speak with Dr. Giulia Muraca, the lead author of Maternal and neonatal trauma following operative vaginal delivery: a national cohort study. They explore possible causes for these troubling findings.
They then speak with Dr. Nirmala Chandrasekaran, an OB/GYN and Maternal-Fetal-Medicine specialist at St. Michael’s hospital in Toronto. Dr. Chandrasakan trained in the UK, and she describes how exposure to OVD during residency differs in the two countries. She also discusses the vital role OVD plays in safe deliveries.
People with kidney failure who live in rural and remote areas of Canada do not have the same access to the full suite of dialysis modalities as urban dwellers. Many need to relocate for life-sustaining renal replacement therapy. Often this means moving hours away from their home communities for months, sometimes years, at a time.
In this episode, hosts Drs. Mojola Omole and Blair Bigham speak with Dr. Aaron Trachtenberg, a nephrologist at the University of Manitoba about his commentary in CMAJ, in which he and coauthors argued that patients who must leave their home communities for dialysis should be prioritized for the allocation of deceased donor kidney transplants.
They also speak with Vanessa Tait whose father needed to relocate to Winnipeg, twelve hours away from his home community of O-pipon-na-piwin Cree Nation, for dialysis. Ms. Tait became a living donor to her father in an effort to bring him back home. She talks about the toll relocation takes on patients from remote communities.Commentary in CMAJCMAJ
The CMAJ podcast is taking a break for one episode as everyone enjoys their holidays and gets prepared for the year ahead. In this brief chat, Mojola and Blair preview some of the upcoming episodes and wish all our listeners a happy and safe holiday.
One simple question can offer clinicians a powerful insight into the lives of their vulnerable patients. Asking, “Do you ever have trouble making ends meet at the end of the month” can help physicians identify significant barriers to restoring the health of their patients.
The link between the social conditions in which we live and health outcomes is well-known. However, health provider action to address the social determinants of health is an emerging area of practice innovation and research. This episode looks at what social prescribing looks like in action and what the evidence tells us about its effectiveness.
Drs. Mojola Omole and Blair Bigham speak with Janet Rodriguez, a patient at St. Michael’s Family Health Care Clinic in Toronto. She describes the profound impact social interventions had on her physical and mental health.
They also speak with Dr. Gary Bloch, a family physician at St. Michael’s Family Health Care Clinic and a co-author of the analysis published in CMAJ titled “An Evidence-Based Guide to Social Interventions in Primary Care.”
The pandemic recovery period presents an opportunity to address health inequities that have led to an unfair distribution of the burden and harms of COVID-19.
New guidance for policy published in CMAJproposes 13 practical ways to address inequities exposed and worsened by COVID-19 in the pandemic recovery period, based on evidence that was accumulating before the pandemic.
In this special episode of the podcast, CMAJ interim editor-in-chief Dr. Kirsten Patrick talks to Dr. Nav Persaud, lead author on the new guideline, about its genesis, the evidence underpinning its recommendations, and the importance of positioning equity at the centre of policy-making as Canada emerges from the pandemic.
**Pain is one of the most common complaints among patients visiting the ER, and pain management has become a quality of care indicator. But the options available for the treatment of acute pain that isn’t controlled by over-the-counter medications are limited.
With the opioid epidemic leading physicians to avoid prescribing narcotics, the anaesthetic drug, ketamine, is being reconsidered for the treatment of pain, as well as other indications.
A practice article in CMAJ argues that ketamine is an underutilized and effective analgesic and a safer alternative to opioids for the management of acute pain, with reported adverse effects at low doses occurring at the same frequency as placebo.**
In this episode, Blair and Mojola speak to Dr. William Silverstein, a co-author of the practice article “Five things to know about the use of ketamine in the treatment of acute pain” about ketamine’s indications and contraindications, how to prescribe it in the ambulatory care setting, and practical steps physicians can take to add ketamine to their pain-busting arsenal.
They also speak with Dr. Marshall Ross, a physician who also uses ketamine as an emergency physician, but has also pioneered its use in patients with treatment-resistant depression, using cutting edge techniques.
One in four women physicians report a diagnosis of infertility. One reason for this is physicians tend to delay attempts to become pregnant until “the time is right” for their career. But, in the medical profession, it seems there is really no “good” time to have children. Parenthood, especially motherhood, is seen as an inconvenience during medical training and beyond.
In this episode, Dr. Sophia Park speaks with hosts Dr. Mojola Omole and Dr. Blair Bigham about her personal struggle with infertility. And, Dr. Andrea Simpson, the lead author of a commentary in the CMAJ titled, “The inconvenience of motherhood during a medical career” calls for systemic change in medicine to support parenthood.
Dr. Sophia Park is a medical biochemist at Royal Columbian Hospital and a Clinical Associate Professor at the UBC Department of Pathology and Laboratory Medicine.
Dr. Andrea Simpson is an obstetrician and minimally invasive gynaecologic surgeon at St. Michael’s Hospital. She is also an assistant professor at the University of Toronto.
She co-authored her commentary with Drs. Maria Cusimano and Nancy Baxter. It is published in CMAJ: https://www.cmaj.ca/content/193/37/E1465
Episode transcript: https://www.cmaj.ca/transcript-211255
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Button batteries, sometimes called coin batteries, are small round batteries that power various electronic devices such as watches, remote controls or small kid toys. They are small and shiny, which is why young children will sometimes grab them and put them in their mouths. But they can cause severe injury in a child if the button battery becomes lodged in the digestive tract. In this episode, Dr. Savithiri Ratnapalan talks about the dangers of swallowing button batteries, what parents can do immediately at home, and how button battery ingestion is managed in hospital.Dr. Savithiri Ratnapalan is a pediatric emergency physician at the Hospital for Sick Children in Toronto.She co-authored a practice article with Dr. Amy Zipursky. It is published in CMAJ: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.210572Podcast transcript: https://www.cmaj.ca/transcript-210572-----------------------------------This podcast episode is brought to you by Scotiabank Healthcare+. Learn more at: https://mdm.ca/promos/you-ve-come-a-long-way?utm_source=CMAJ&utm_medium=display&utm_campaign=CTP&utm_content=PHD-----------------------------------This podcast episode is brought to you by Dr. Bill. Dr. Bill makes billing on the go easy and pain free. Start your 45-day free trial today: www.drbill.app/cmaj-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:https://www.shingrix.ca/en-ca/index.html-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Artificial intelligence (AI) and machine learning (ML) have transformed our lives. The adoption of AI in medicine has perhaps lagged its adoption in other areas, and machine learning in healthcare has had mixed results. In this episode, Drs. Muhammad Mamdani and Amol Verma discuss a series of three CMAJ articles on the development, use, misuse, and evaluation of machine-learned models in medicine. Dr. Muhammad Mamdani is vice-president of data science and advanced analytics at Unity Health Toronto, director of the Temerty Center for Artificial Intelligence Education and Research in Medicine, and professor at the University of Toronto. Dr. Amol Verma is a physician and scientist at St. Michael's Hospital and the University of Toronto, an AMS healthcare fellow in compassion and artificial intelligence and a provincial clinical lead in health quality improvement with Ontario Health. They are both two of the authors of the articles series published in CMAJ: Implementing machine learning in medicinehttps://www.cmaj.ca/lookup/doi/10.1503/cmaj.202434Problems in the deployment of machine-learned models in health carehttps://www.cmaj.ca/lookup/doi/10.1503/cmaj.202066Evaluation of machine learning solutions in medicinehttps://www.cmaj.ca/lookup/doi/10.1503/cmaj.210036Podcast transcript: https://www.cmaj.ca/transcript-202434-----------------------------------This podcast episode is brought to you by Audi Canada. The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at https://www.audiprofessional.ca.-----------------------------------This podcast episode is brought to you by Dr. Bill. Dr. Bill makes billing on the go easy and pain free. Start your 45-day free trial today: https://www.drbill.app/cmaj-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:https://www.shingrix.ca/en-ca/index.html-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit https://www.cmaj.ca/page/multimedia/podcasts.
Many options exist nowadays for teenagers choosing to be on hormonal contraceptives. They are generally categorized into SARCs (short-acting reversible contraceptives) and LARCs (long-acting reversible contraceptives). LARC methods are recommended as first-line contraceptives. These include intrauterine devices and a new option that gets implanted into the arm and lasts up to three years.In this episode, Dr. Margot Rosenthal, a fifth-year obstetrics and gynaecology resident, explains the different contraception options, which choice is best, and what side effects to watch out for.She co-authored a practice article with Dr. Sarah McQuillan. The article is published in CMAJ: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.202413Podcast transcript: https://www.cmaj.ca/transcript-202413Calling all aspiring podcasters! Are you our next podcast host? CMAJ seeks a curious, astute and dynamic Canadian physician as the new voice of CMAJ Podcasts. For details and to apply:https://www.cmaj.ca/content/cmaj-podcast-host-----------------------------------This podcast episode is brought to you by Dr. Bill. Dr. Bill makes billing on the go easy and pain free. Start your 45-day free trial today: https://www.drbill.app/cmaj-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:https://www.shingrix.ca/en-ca/index.html-----------------------------------Listen to Cold Steel, the official podcast of the Canadian Journal of Surgery: https://canjsurg.ca/podcasts-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit https://www.cmaj.ca/page/multimedia/podcasts.
In this episode, Dr. Kirsten Patrick, interim editor-in-chief, chats with Francine Buchanan about her experience as a patient partner. Francine is in a unique position at the intersection of caregiver for her medically fragile son, PhD candidate in health services research, and a patient and family advisor at The Hospital for Sick Children. She wrote a Humanities article published in CMAJ called "How are we going to do this?" https://www.cmaj.ca/lookup/doi/10.1503/cmaj.210457Dr. Kirsten Patrick also chats with Victoria Saigle, Lead of Patient Involvement at CMAJ. Victoria shares the different ways patients have been contributing to the journal in recent months and plans for the future.CMAJ is launching a new article type called 360 Cases. CMAJ's first 360 Case explores the end of life of a woman who passed away suddenly after an unexpected serious diagnosis. The article is co-written by the woman's husband, her social worker, one of her nurses and the ICU physician who treated her at the end of her life. You can read the article on our website: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.210463If you're interested in learning more about patient involvement, patient peer review, or patient authorship, contact Victoria: victoria.saigle@cmaj.caMore details are in CMAJ’s Statement of Purpose for Patient Engagement https://www.cmaj.ca/statement-purpose-patient-engagementCMAJ's themed issue on patient engagement at the journal: https://www.cmaj.ca/content/193/27Podcast transcript: https://www.cmaj.ca/transcript-210457-----------------------------------This podcast episode is brought to you by Audi Canada. The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------Listen to Cold Steel, the official podcast of the Canadian Journal of Surgery: canjsurg.ca/podcasts-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
New research shows that Indigenous People living in rural Canada are 16 times more likely to have to travel long distances to give birth compared to non-Indigenous people living in rural areas. In this podcast, Dr. Janet Smylie and Evelyn George explain these striking findings.Dr. Janet Smylie is Métis-Cree, a family practitioner and professor of public health at the University of Toronto. Evelyn George is a Nbissing registered midwife living in Syilx territory of British Columbia.They were two of the authors of a research article published in CMAJ:www.cmaj.ca/lookup/doi/10.1503/cmaj.201903Podcast transcript: www.cmaj.ca/transcript-201903-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------This podcast episode is brought to you by Dr. Bill. Dr. Bill makes billing on the go easy and pain free. Start your 45-day free trial today: www.drbill.app/cmaj-----------------------------------Listen to Cold Steel, the official podcast of the Canadian Journal of Surgery: http://canjsurg.ca/podcasts-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Malika Sharma and Dr. Rahel Zewude explain the tenets of critical race theory. They also share how it has helped them tackle racism in the practice of medicine and how they've applied it to their professional and personal lives as physicians in Canada.Dr. Malika Sharma is an HIV and infectious diseases specialist and assistant professor in the Department of Medicine at the University of Toronto. Dr. Rahel Zewude is an internal medicine resident at the University of British Columbia and president of Black Physicians of British Columbia.They co-authored a humanities article published in CMAJ.
Podcast transcript
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Anticraving medications are a lesser-known therapy for patients with moderate to severe alcohol use disorder. In this podcast, Dr. Jon Mong and Dr. Paxton Bach explain how to recognize and diagnose moderate to severe alcohol use disorder and how to talk to patients about treatment options.Dr. Jon Mong is a general internist working at The Ottawa Hospital, with a clinical focus in addiction medicine. He is currently completing his Masters in Quality Improvement and Patient Safety through the University of Toronto's IHPME.Dr. Paxton Bach is a clinical assistant professor in the department of medicine at the University of British Columbia, and a general internist and addiction physician at St. Paul’s Hospital in Vancouver, BC. He additionally serves as the program director for the British Columbia Centre on Substance Use Clinical Addiction Medicine Fellowship Program.They co-authored, along with Dr. Keith Ahamad, a practice article published in CMAJ:www.cmaj.ca/lookup/doi/10.1503/cmaj.200895Podcast transcript: https://www.cmaj.ca/transcript-200895-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------This podcast episode is brought to you by Audi Canada. The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Olga Kciuk and Dr. Sari Kives talk about painful periods (dysmenorrhea) in teens – what causes it, how to diagnose it, how to rule out secondary causes, and how best to treat. Dr. Olga Kciuk is a fourth year resident in obstetrics and gynecology at the University of Toronto. Dr. Sari Kives is a gynecologist in Toronto, both at the Hospital for Sick Children and St. Michael's Hospital.They co-authored a practice article published in CMAJ:www.cmaj.ca/lookup/doi/10.1503/cmaj.201972Podcast transcript: https://www.cmaj.ca/transcript-201972-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------This podcast episode is brought to you by Audi Canada. The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Ainsley Moore discusses a new guideline by the Canadian Task Force on Preventive Health Care. The guideline recommends opportunistic screening for chlamydia and gonorrhea in primary care for individuals not known to be at high risk. Ainsley unpacks the recommendation and talks about what it means for clinical practice.Dr. Ainsley Moore is a family physician and an associate clinical professor in medicine at McMaster University.She is one of the authors of the CTFPHC guideline published in CMAJ:www.cmaj.ca/lookup/doi/10.1503/cmaj.201967Podcast transcript: https://www.cmaj.ca/transcript-201967-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dre Guylène Thériault explique les recommandations clé des nouvelles lignes directrices sur dépistage de la chlamydia et de la gonorrhée en médecine de soins primaires chez les personnes non connues comme appartenant à un groupe à risque.Dre Guylène Thériault est médecin de famille et membre du Groupe d’étude canadien sur les soins de santé préventifs. Dre Thériault enseigne aussi la médecine fondée sur les données probantes et la prise de décision partagée.Le Groupe d’étude canadien sur les soins de santé préventifs vient de publier les nouvelles lignes directrices dans le Journal de l’association médicale canadienne.Lignes directrices : https://www.cmaj.ca/lookup/doi/10.1503/cmaj.201967-fTranscription de la conversation: https://www.cmaj.ca/transcript-201967-f
Prof. Jonathan Berman discusses what drives antivaccine and anti-mask protests, such as the Montréal vaccine protest of 1885 which turned violent. He talks about vaccine hesitancy in history and how it relates to our current COVID-19 pandemic.Jonathan Berman is a physiologist at the New York Institute of Technology medical school and a science educator.He wrote an humanities article published in CMAJ:www.cmaj.ca/lookup/doi/10.1503/cmaj.202820Podcast transcript: https://www.cmaj.ca/transcript-202820-----------------------------------This episode is brought to you by the MD Platinum Global Private Credit Pool. With bond yields sitting near record lows, investors are looking for ways to boost returns. The challenge? Most options offering higher returns often require taking on more equity risk. Enter private credit. Get access to potentially higher returns, historically tested stability and added diversification typically reserved for institutional investors. MD Platinum Global Private Credit Pool: Bond-like stability. Equity-like returns. For more information, visit https://mdm.ca/promos/bond-like-stability-equity-like-returns?utm_source=cmaj%20podcast&utm_medium=podcast_description&utm_campaign=Private%20Credit%20-%202021&utm_content=CMAJ%20Sound%20Cloud%20description -----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Drs Shirin Dason and Mara Sobel discuss how to diagnose and treat adenomyosis, a common cause of heavy and painful menstrual periods. Dr. Shirin Dason is a resident and soon-to-be infertility fellow at Mount Sinai Fertility in Toronto. Dr. Mara Sobel is a gynaecologist at Mount Sinai Hospital and Women's College Hospital in Toronto.To read the practice article published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201607Podcast transcript: https://www.cmaj.ca/transcript-201607-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Prof. Andrea Tricco and Dr. Ainsley Moore discuss gender inequity in medicine at the senior leadership level and how it's intertwined with race. They also outline practical ways of advancing gender equity in medicine.Dr. Ainsley Moore is a family physician and an associate clinical professor in medicine at McMaster University. Prof. Andrea Tricco is a scientist at St. Michael's Hospital at Unity Health Toronto and an associate professor at the Dalla Lana School of Public Health in Toronto.They co-authored an analysis article published in CMAJ:www.cmaj.ca/lookup/doi/10.1503/cmaj.200951Podcast transcript: https://www.cmaj.ca/transcript-200951-----------------------------------This podcast episode is brought to you by Audi Canada. The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
A prescribing cascade happens when the side effects of a prescribed drug are misinterpreted as a new medical condition for which an additional drug is prescribed. Some prescribing cascades can become complicated to untangle and hard to catch. In this podcast, Dr. Paula Rochon outlines some of the common prescribing cascades that occur in older adults.Dr. Paula Rochon is a geriatrician at Women’s College Hospital in Toronto and the RTO chair in geriatric medicine at the University of Toronto.The practice article she co-authored is published in CMAJ. It's titled "Five things to know about prescribing cascades in older adults."www.cmaj.ca/lookup/doi/10.1503/cmaj.201564Podcast transcript: https://www.cmaj.ca/transcript-201564-----------------------------------This podcast episode is brought to you by Audi Canada. The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Andreas Laupacis, editor-in-chief of CMAJ, interviews two authors of a research article published in CMAJ. The research looked at SARS-CoV-2 infection among patients undergoing long-term dialysis in Ontario during the first wave of the pandemic.Rebecca Cooper is the director of clinical programs at the Ontario Renal Network, and Peter Blake is a nephrologist and the provincial medical director of the Ontario Renal Network, which is part of Ontario Health.To read the research published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.202601Podcast transcript: https://www.cmaj.ca/transcript-202601-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Prof. Colleen Flood discusses the legalities around requiring health care workers to be vaccinated against the virus that causes COVID-19, both at the employer or hospital level and at the provincial government level.Colleen Flood is a professor in the faculty of law and the inaugural director of the Centre for Health Law Policy & Ethics, both at the University of Ottawa.She co-authored, with Prof. Bryan Thomas and Dr. Kumanan Wilson, an analysis article published in CMAJ. It's titled "Mandatory vaccination for health care workers: an analysis of law and policy."To read the analysis article published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.202755Podcast transcript: https://www.cmaj.ca/transcript-202755-----------------------------------This podcast episode is brought to you by Audi Canada. The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
At the start of the COVID-19 pandemic, most hospitals in Canada adopted no-visitor policies because of concern that visitors would spread the virus. It was also a way of preserving personal protective equipment, which was in short supply at the time. Now, almost one year later, the authors of a commentary published in the Canadian Medical Association Journal argue that it’s time to reconsider such a strict policy. In this podcast, Dr. Andreas Laupacis, editor-in-chief of CMAJ, interviews one of the authors of the commentary, Dr. Fahad Razak, a general internist at St. Michael's Hospital in Toronto. Also joining the conversation are Lee Fairclough, president of St. Mary’s General Hospital in Kitchener, Ontario, and Corinna Riquelme who is a care partner and a member of the Patient and Family Advisory Council at St. Mary’s. To read the commentary published in CMAJ: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.202636Read the podcast transcript: https://www.cmaj.ca/transcript-202636-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Carl Boodman discusses four cases of trench fever from Bartonella quintana which is transmitted by body lice. Trench fever was common during the First World War and killed millions of people. In modern times, it is rare, but outbreaks tend to be associated with homelessness, poor living conditions or a history of severe alcohol use disorder or IV drug use. Dr. Boodman first talks about a patient who presented to the emergency department with endocarditis from B. quintana. He then discusses the three other linked cases that were diagnosed over the following weeks. Dr. Carl Boodman is a fifth year medical resident in a combined infection disease and medical microbiology program at the University of Manitoba in Winnipeg, Manitoba.The practice article he co-authored is published in CMAJ: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.201170Podcast transcript: https://www.cmaj.ca/transcript-201170-----------------------------------This episode is brought to you by MD Financial Management and Scotiabank. Together, we’re able to provide physician-focused advice and unique financial solutions tailored to your needs at every stage of your medical career. Find out more about how we can help you, visit bit.ly/2Grtd5H-----------------------------------This podcast episode is brought to you by Audi Canada. The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Christen Shoesmith and Dr. Colleen O’Connell discuss the first Canadian guideline on the care and management of patients with amyotrophic lateral sclerosis (ALS). Dr. Shoesmith and Dr. O'Connell are two of the authors of the guideline, which is intended for ALS clinicians, allied health professionals and primary care providers and includes a patient-focused approach to care, with attention to holistic and emotional aspects of well-being.Dr. Christen Shoesmith is a neurologist and medical director of the Motor Neuron Disease Clinic at London Health Sciences Centre in London, Ontario. She is also chair of the ALS guidelines working group. Dr. Colleen O’Connell is a physical medicine and rehabilitation physician at the Stan Cassidy Rehabilitation Centre in Fredericton, New Brunswick.The clinical practice guideline is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191721Podcast transcript: https://www.cmaj.ca/transcript-191721Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Prone positioning has been widely adopted and is considered standard of care for patients with acute respiratory distress syndrome (ARDS). But how beneficial is prone positioning for patients with COVID-19 who are awake and not intubated? In this podcast, Dr. Kevin Venus talks about evidence, lung physiology and observational studies regarding prone positioning.Dr. Kevin Venus is general internist at University Health Network in Toronto. He co-authored a review article published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201201Podcast transcript: https://www.cmaj.ca/transcript-201201-----------------------------------This episode is brought to you by MD Financial Management and Scotiabank. Together, we’re able to provide physician-focused advice and unique financial solutions tailored to your needs at every stage of your medical career. Find out more about how we can help you, visit bit.ly/2Grtd5H-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Caroline Quach and Dr. Shainoor Ismail discuss guidance on identifying priority populations for COVID-19 immunization. It's likely that when Canada does get a vaccine, it will not be possible to immunize all Canadians at once. We therefore need to have a plan in place for prioritization within our population.Dr. Quach and Dr. Ismail are two of the authors of an evidence-based guideline publishing in CMAJ outlining which key populations need to be prioritized for early COVID-19 immunization. They wrote this guidance as part of Canada’s National Advisory Committee on Immunization (NACI). This work was supported by the Public Health Agency of Canada (PHAC). Dr. Caroline Quach is a pediatric infectious diseases specialist and microbiologist at CHU Sainte-Justine and is also a professor at the University of Montreal. Dr. Shainoor Ismail is a senior medical specialist at PHAC.The summary guideline is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.202353The full guideline is available on the Public Health Agency of Canada's website: https://www.canada.ca/en/public-health/services/immunization/national-advisory-committee-on-immunization-naci/guidance-key-populations-early-covid-19-immunization.htmlPodcast transcript: https://www.cmaj.ca/transcript-202353-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, a musician, a nurse and a doctor come together to provide a virtual bedside music concert for some of their sickest patients with COVID-19.The article is read by its authors. First, Melanie Ambler, the musician and aspiring physician, then Laura Wodecki, nurse manager at Rhode Island Hospital, and ending with Dr. Timothy Amass, intensive care physician in Denver, Colorado.They wrote a Humanities Encounters article published in CMAJ called "Virtual bedside concerts for patients with COVID-19: a trio of perspectives."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.201662Podcast transcript: https://www.cmaj.ca/transcript-201662Melanie Ambler developed musICforU and received the Rosalind Swenson Enrichment Award from the French American Fulbright Commission to begin a live virtual concert program for hospitals and nursing homes in France, called Petite Pause Musicale. Any hospitals interested in live virtual concerts are welcome to contact her, at petitepausemusicale@gmail.com.-----------------------------------Music: "Sun Up," composed in 2008 by cellists Stephen Katz and Derek Snyder, originally written for 6 cellos, performed by Melanie Ambler.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
The spread of misinformation during epidemics is not a new phenomenon. But the COVID-19 pandemic is certainly the largest epidemic in recent times and its intersection with the internet and social media have amplified a modern infodemic of misinformation. In this podcast, history professor Nancy Tomes unpacks this modern infodemic and shares her thoughts on the role of health care providers in managing misinformation.Dr. Nancy Tomes is a professor of history at Stony Brook University in Stony Brook, New York. She wrote a medical humanities article published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201905Podcast transcript: https://www.cmaj.ca/transcript-201905-----------------------------------This episode is brought to you by MD Financial Management and Scotiabank. Together, we’re able to provide physician-focused advice and unique financial solutions tailored to your needs at every stage of your medical career. Find out more about how we can help you, visit bit.ly/2Grtd5H-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Maxim Ben-Yakov and Dr. Maala Bhatt discuss emergency procedural sedation in children. They cover safety, protocol, sedative agents, recommendations around fasting for this emergency procedure and more.Dr. Maala Bhatt is an emergency physician and the director of emergency research at the Children’s Hospital of Eastern Ontario in Ottawa and also associate professor at the University of Ottawa. Dr. Maxim Ben-Yakov is assistant professor of pediatrics and medicine at the University of Toronto and an emergency physician in Toronto.Their practice article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200332Podcast transcript: https://www.cmaj.ca/transcript-200332-----------------------------------This podcast is brought to you by Health Match BC, a free health professional recruitment service funded by the Government of British Columbia. Health Match BC is currently recruiting for physicians of all specialties on behalf of BC's publicly funded health employers. Visit www.healthmatchbc.org for more information and to speak with one of the recruitment consultants.-----------------------------------This podcast episode is brought to you by Audi Canada. The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Many workplaces are essential for our health care, our supply chains, or the economy and are under immense pressure to stay open. The work bubble is one strategy that can be used to open businesses while limiting the risk of COVID-19 outbreaks.In this podcast, Dr. Jeffrey Shaw and Ms. Hayley Wickenheiser explain the work bubble concept. They also describe how a large Canadian company, Bombardier, applied the principles with much success.Dr. Jeffrey Shaw is a cardiologist and ICU physician in Calgary and is also currently a fellow at the University of Calgary Cumming School of Medicine. Ms. Hayley Wickenheiser is a fourth year medical student at the University of Calgary and was formerly an Olympic hockey athlete. They co-wrote an analysis article published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201582Podcast transcript: https://www.cmaj.ca/transcript-201582-----------------------------------This episode is brought to you by MD Financial Management and Scotiabank. Together, we’re able to provide physician-focused advice and unique financial solutions tailored to your needs at every stage of your medical career. Find out more about how we can help you, visit https://bit.ly/2Grtd5H-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
With so much talk about COVID-19 and frequent updates to protocols and guidelines, is COVID-19 affecting the way physicians diagnose? In this podcast, two physicians describe how they misdiagnosed a patient back in April of this year. The patient presented with classic COVID-19 symptoms, but her diagnosis turned out to be something entirely different. And it took the physicians quite a lot of time to get to the correct diagnosis.Dr. Alex Kobza and Dr. Brandon Budhram are both second year internal medicine residents at McMaster University in Hamilton, Ontario and they co-wrote a practice article about the case with Dr. Naufal Mohammed. The article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201426You'll also hear from Dr. Justin Morgenstern, an emergency doctor who has spent a lot of time analyzing physician decision-making. He digs into the many factors that influence the way doctors diagnose, including cognitive bias. He discusses how the COVID-19 pandemic might be influencing physicians decision-making and diagnosis. His website is First10EM https://first10em.com/who-am-i/ Podcast transcript: https://www.cmaj.ca/transcript-201426-----------------------------------This podcast is brought to you by Health Match BC, a free health professional recruitment service funded by the Government of British Columbia. Health Match BC is currently recruiting for physicians of all specialties on behalf of BC's publicly funded health employers. Visit www.healthmatchbc.org for more information and to speak with one of the recruitment consultants.-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Tara Kiran and Dr. Michelle Cohen share their analysis of the gender pay gap as it relates specifically to physicians. They discuss their personal experiences as well as current data showing that, in many medical specialties, men are still getting paid more than women for roughly equivalent work.Dr. Michelle Cohen is a family doctor in Brighton, Ontario and is assistant professor in the department of family medicine at Queen's University in Kingston, Ontario. Dr. Tara Kiran is a family doctor and researcher at St. Michael's Hospital in Toronto and is vice-chair of quality and innovation at the department of family and community medicine at the University of Toronto.Their analysis article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200375Podcast transcript: https://www.cmaj.ca/transcript-200375-----------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Ellen Warner and Dr. Karen Glass discuss different options for fertility preservation for young women who must undergo breast cancer treatment. They also discuss the importance of early referral to fertility preservation counselling, an option that is often not presented to women until it's too late.Dr. Ellen Warner is a medical oncologist and director of PYNK: Breast Cancer Program for Young Women at the Sunnybrook Odette Cancer Centre in Toronto. Dr. Karen Glass is the director of fertility preservation at CReATe Fertility Centre in Toronto and also works at Sunnybrook Hospital.Their review article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200245-----------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
La gestion du poids doit valider le vécu des patients, aller au-delà des approches simplistes qui consistent à leur conseiller de « manger moins et de bouger plus » et s’attaquer aux racines profondes de l’obésité.Les Dres Marie-France Langlois et Angela Alberga expliquent les recommandations clé des nouvelles lignes directrices sur l'obésité chez l'adulte. Elles sont interviewées par Dre Jo-Anne Gilbert, spécialiste en gestion du poids.Dre Marie-France Langlois est professeure titulaire à la faculté de médecine de l'Université de Sherbrooke, endocrinologue et directrice médicale de la clinique médico-chirurgicale du traitement de l'obésité au CIUSSS de l'Estrie-CHUS. Dre Angela Alberga est professeure adjointe au département de santé, physiologie appliquée et kinesiologie à l'Université Concordia et est aussi professeure agrégée au département de pédiatrie à l'Université McGill.Elles sont deux des auteurs du guide de pratique clinique sur l'obésité chez les adultes publié dans le Journal de l'Association médicale canadienne.Lignes directrices : www.cmaj.ca/lookup/doi/10.1503/cmaj.191707
In this podcast, Dr. Patrick Lawler and Dr. Lucas Godoy discuss the evidence around endothelial injury related to SARS-CoV-2 cellular invasion. In some cases, thrombosis is a prominent clinical feature of COVID-19 that may lead to organ failure, multi system injury or death.Dr. Lawler is a cardiologist at the Peter Munk Cardiac Centre in Toronto and a clinician-scientist at the Toronto General Hospital Research Institute. Dr. Godoy is a cardiologist and research fellow at the Peter Munk Cardiac Centre in Toronto.The review article they authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201240Podcast transcript: https://www.cmaj.ca/transcript-201240-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Sean Wharton and Dr. David Lau discuss a newly published clinical practice guideline on obesity management. They are joined by Lisa Schaffer, who talks about her experience as a Canadian living with obesity. They discuss the complex interplay of factors that can lead to obesity, such as genetics, metabolic, behavioural, psychological and environmental factors. They also talk about stigma and its negative impact on health independent of other factors. Dr. Sean Wharton is an internist, associate professor and clinical researcher at McMaster University in Hamilton and York University in Toronto, Ontario. Dr. David Lau is an endocrinologist, researcher and professor of medicine, biochemistry and molecular biology at the University of Calgary Cumming School of Medicine. Lisa Schaffer is a patient-partner and chair of the public engagement committee with Obesity Canada.The clinical practice guideline is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191707Podcast transcript: https://www.cmaj.ca/transcript-191707-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Nathan Stall and Dr. Andrew Costa discuss the results of their research on the risk of outbreaks and deaths from COVID-19 in long-term care homes in Ontario by for-profit or not-for-profit status. Dr. Nathan Stall is a geriatrician at Sinai Health System and a research fellow at Women's College Research Institute. He is also completing a PhD in clinical epidemiology and health care research at the University of Toronto.Dr. Andrew Costa is an associate professor and holds a research chair in clinical epidemiology and aging at McMaster University in Hamilton, Ontario. He is also research director in the St. Joseph's health system.The research article they authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201197Podcast transcript: https://www.cmaj.ca/transcript-201197-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------This episode is brought to you by Dr. Bill. Dr. Bill makes medical billing easy, fast, and pain free. Spend your time on patient care, let us handle billing for you. Dr. Bill is now available for free. Visit www.dr-bill.ca and get started today.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Acute aortic syndrome is a life-threatening emergency. It is difficult to diagnose and is often missed in the emergency department, but it’s a syndrome that must be on a physician’s radar. Dr. Robert Ohle discusses how to identify acute aortic syndrome and how to diagnose it.Dr. Ohle is one of the authors of a clinical practice guideline on the topic. He is an emergency medicine physician and research director for emergency medicine at Health Science North in Sudbury, Ontario.The guideline article he co-authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200021Podcast transcript: https://www.cmaj.ca/transcript-200021-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Clare Pain and Dr. Ruth Lanius draw from their expertise in the fields of trauma and conflict to discuss how this pandemic can affect mental health and those who suffered from childhood traumas. They also talk about how this pandemic compares to other public health disasters, conflict, war or unrest.Dr. Clare Pain is a psychiatrist and associate professor at the University of Toronto. She has done extensive work in the field of trauma, including with refugees. Dr. Ruth Lanius is a psychiatrist clinician-scientist at Western University in London, Ontario, who works in the field of trauma-related disorders. She has a particular interest in how trauma affects the brain and body physiology.The practice article they co-authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200736Podcast transcript: https://www.cmaj.ca/transcript-200736-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------This podcast episode is brought to you by the MD Market Watch Podcast.Want the latest information about current market events and developments? MD Financial Management fund and portfolio updates? And insights on where things are headed? Our expert contributors break it down and give you all the info that you’ll need.Listen to the MD Market Watch Podcast invested.mdm.ca/podcasts/market-watch or through your favourite podcast provider.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr Stéphane Groulx explique les recommandations des lignes directrices sur le dépistage de l'adénocarcinome oesophagien chez les patients atteints de reflux gastro-œsophagien chronique.Dr Groulx est médecin de famille, a été membre du Groupe d’étude canadien sur les soins de santé préventifs pendant 4 ans et a contribué à de nombreuse lignes directrices. Il était le président du groupe de travail de la ligne de conduite.Le Groupe d’étude canadien sur les soins de santé préventifs vient de publier les nouvelles lignes directrices dans le Journal de l’association médicale canadienne.Lignes directrices : www.cmaj.ca/lookup/doi/10.1503/cmaj.190814-fTranscription de la conversation: https://www.cmaj.ca/transcript-190814-f
Dr. Scott Klarenbach shares the key messages out of a new clinical practice guideline on screening for esophageal adenocarcinoma in patients with chronic gastroesophageal reflux disease.Dr. Klarenbach is a professor in the Department of Medicine, and Assistant Dean, Health Outcomes at the University of Alberta. He is currently Chair of the Alberta Expert Committee on Drug Evaluation and Therapeutics and member of the Canadian Task Force on Preventative Health Care.The guideline is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190814Podcast transcript: https://www.cmaj.ca/transcript-190814-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
With immunotherapy, a cancer patient's immune system is mobilized to attack cancer cells. It's a promising cancer therapy, but it's not without risks and possible complications. In this podcast, Drs. Megan Himmel, Sam Saibil, and Alex Saltman discuss how immune checkpoint inhibitors work, what cancers they work best for, and what to keep in mind when considering this therapy.Dr. Megan Himmel has a PhD in experimental medicine with a focus on T-cell immunology and is currently a PGY4 rheumatology resident at the University of Toronto. Dr. Sam Saibil is a medical oncologist at Princess Margaret Cancer Centre in Toronto and is a PhD scientist in T-cell activation at the Ontario Institute for Cancer Research. Dr. Alex Saltman is a rheumatologist and palliative care physician at Princess Margaret Cancer Centre and at Mount Sinai Hospital in Toronto.The practice article they co-authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191231Podcast transcript: https://www.cmaj.ca/transcript-191231-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:https://www.shingrix.ca/en-ca/index.html-----------------------------------This podcast episode is brought to you by the MD Market Watch Podcast.Want the latest information about current market events and developments? MD Financial Management fund and portfolio updates? And insights on where things are headed? Our expert contributors break it down and give you all the info that you’ll need.Listen to the MD Market Watch Podcast https://invested.mdm.ca/podcasts/market-watch or through your favourite podcast provider.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Prof. Esyllt Jones discusses the 1918-1920 influenza pandemic, how it exposed social inequalities and racism, how it relates to our current COVID-19 global pandemic and how it's connected to the social unrest happening in the United States. Prof. Esyllt Jones is a professor of history at the University of Manitoba and part-time faculty member at the department of community health sciences, also at the University of Manitoba. She is also the author of the award-winning book Influenza 1918: Disease, Death and Struggle in Winnipeg. She wrote a Medicine & Society article published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201074Podcast transcript: https://www.cmaj.ca/transcript-201074-----------------------------------This podcast episode is brought to you by Dr. Bill.This episode is brought to you by Dr. Bill. Dr. Bill makes medical billing easy, fast, and pain free. Spend your time on patient care, let us handle billing for you. Dr. Bill is now available for free. Visit www.dr-bill.ca and get started today.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Planned surgeries have virtually ground to a halt owing to service closures related to the COVID-19 pandemic response. But the backlog of elective and non-emergency surgeries is building and at some point, they will have to resume. The question is how?Dr. David Urbach argues that a combined team-based and single-entry approach could help address the problem. He says the pandemic might be an opportunity for transformation of surgical services in Canada.Dr. David Urbach is surgeon-in-chief and medical director of perioperative services at Women’s College Hospital in Toronto, senior scientist at ICES and Women’s College Research Institute, and professor of surgery at the University of Toronto.He co-wrote a commentary with Dr. Danielle Martin on the topic.The commentary is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200791Podcast transcript: https://www.cmaj.ca/transcript-200791CMAJ COVID-19 resource page: www.cmaj.ca/covid-19-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Le Dr François Lamontagne explique les recommandations des lignes directrices sur le traitement de la COVID-19. Le guide de pratique est divisé en trois sections : les corticostéroïdes, le plasma de convalescents, et les médicaments antiviraux. Il est interviewé par le Dr Luc Lanthier. Le Dr François Lamontagne est spécialiste en médecine interne générale et en soins intensifs au CIUSSS de l'Estrie-CHUS à Sherbrooke et professeur à la faculté de médecine et des sciences de la santé de l'Université de Sherbrooke, et il est expert en recherche clinique aux soins intensifs. Il est aussi co-auteur du guide de pratique clinique sur le traitement de la COVID-19 publié dans le Journal de l'Association médicale canadienne.Dr Luc Lanthier est spécialiste en médecine interne générale au CIUSSS de l'Estrie-CHUS à Sherbrooke et professeur à la faculté de médecine et des sciences de la santé de l'Université de Sherbrooke. Il anime aussi BaladoCritique: https://www.usherbrooke.ca/baladocritique/ Lignes directrices : www.cmaj.ca/lookup/doi/10.1503/cmaj.200648-fCe guide de pratique sera mis à jour ici (en anglais) : https://app.magicapp.org/app#/guideline/EK6W0n à mesure qu'il y aura des nouvelles données probantes.Transcription de la conversation: https://www.cmaj.ca/transcript-200648-f
Dr. Gordon Guyatt discusses available evidence for many of the treatments being trialed in patients with COVID-19. He and his co-authors developed a clinical practice guideline that systematically reviewed and critically appraised direct and indirect evidence.Dr. Guyatt is a specialist in internal medicine and clinical epidemiologist at McMaster University in Hamilton, Ontario. He is also an officer of the Order of Canada for his ground-breaking work in evidence-based medicine.The guideline article he co-authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200648This guideline will be updated at https://app.magicapp.org/app#/guideline/EK6W0n as new evidence becomes available.CMAJ COVID-19 resource page: www.cmaj.ca/covid-19Podcast transcript: https://www.cmaj.ca/transcript-200648-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Elissa Abrams talks about asthma and COVID-19: what asthma patients should keep in mind, how viruses interact with asthma, whether patients should be using a nebulizer, and how asthma exacerbations should be treated.Dr. Elissa Abrams is a pediatric allergist immunologist in Winnipeg, Manitoba.The practice article she co-authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200617Podcast transcript: https://www.cmaj.ca/transcript-200617CMAJ COVID-19 resource page: www.cmaj.ca/covid-19-----------------------------------This podcast episode is brought to you by Dr. Bill.This episode is brought to you by Dr. Bill. Dr. Bill makes medical billing easy, fast, and pain free. Spend your time on patient care, let us handle billing for you. Dr. Bill is now available for free. Visit www.dr-bill.ca and get started today.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Michael Slawnych discusses how to manage dyspnea, or breathlessness, at the end of life. He says all physicians should be prepared to manage dyspnea, especially during the COVID-19 pandemic. He goes over details such as medications, swallowing difficulties and agitation.Dr. Michael Slawnych is a cardiologist and a palliative care physician at Libin Cardiovascular Institute in Calgary, Alberta.The practice article he wrote is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200488Podcast transcript: https://www.cmaj.ca/transcript-200488CMAJ COVID-19 resource page: www.cmaj.ca/covid-19-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Paul Norman and Dr. Christopher Patey talk about their approach to redesigning the emergency department of the rural hospital in Carbonear, Newfoundland, to face the COVID-19 pandemic. They hope it can serve as a potential model for others to follow.Dr. Christopher Patey is a family physician and Paul Normal is a nurse. They both work in the emergency department of Carbonear General Hospital in Newfoundland.The practice article they co-authored with Dr. Shabnam Asghari and Oliver Hurley is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200509Appendix: https://www.cmaj.ca/content/early/2020/04/21/cmaj.200509.1/tab-related-contentThe guest host for this episode was Dr. Sarah Newbery, rural generalist family physician in Marathon, Ontario and member of the CMAJ editorial advisory board.Podcast transcript: https://www.cmaj.ca/transcript-200509CMAJ COVID-19 resource page: www.cmaj.ca/covid-19-----------------------------------This podcast episode is brought to you by Dr. Bill.This episode is brought to you by Dr. Bill. Dr. Bill makes medical billing easy, fast, and pain free. Spend your time on patient care, let us handle billing for you. Dr. Bill is now available for free. Visit www.dr-bill.ca and get started today.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Lisa Richardson about the meaning of good medicine and traditional Indigenous healing.Dr. Lisa Richardson is an internist of Anishinaabe descent and is a strategic advisor for Indigenous health in the Faculty of Medicine at the University of Toronto.Dr. Horton and Dr. Richardson discuss the following:- Indigenous models of health and healing- integrating Indigenous health into medical education- holistic self care- academic medical systems- and much moreDr. Jillian Horton is a general internist and director of the Alan Klass health humanities program at the Max Rady college of medicine in Winnipeg, Manitoba.For more of her podcasts or for the Dear Dr. Horton column: www.cmaj.ca/medlifePodcast transcript: https://www.cmaj.ca/transcript-200491-----------------------------------This podcast episode is brought to you by Dr. Bill.This episode is brought to you by Dr. Bill. Dr. Bill makes medical billing easy, fast, and pain free. Spend your time on patient care, let us handle billing for you. Dr. Bill is now available for free. Visit www.dr-bill.ca and get started today.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Shane Neilson discusses what it's like to navigate medical education and the medical profession with a mental illness. He discusses what has changed over the years, and what areas are still in need of improvement.Dr. Shane Neilson is a disabled poet, physician, and critic. Shane completed his PhD in English and Cultural Studies at McMaster University in 2018. He recently received the Governor General’s Gold Medal for his dissertation in disability studies, and he received the Regional Dean’s Award of Excellence in Medical Education for his work on disability in McMaster’s medical faculty. The humanities article he wrote is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191597Also mentioned in the podcast:Handcuffed: Rethinking physical restraints for mental health transfers in university settingsShane Neilson, Andrea Chittle and Juveria Zaheerhttps://www.cfp.ca/content/65/7/460Podcast transcript: https://www.cmaj.ca/transcript-191597-----------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr James Downar discute avec Dr Bruno Gagnon et ils partagent leurs conseils pour optimiser les soins palliatifs pendant la pandémie COVID-19.Le Dr Bruno Gagnon est médecin spécialiste en soins palliatifs, professeur agrégé à l’Université Laval, et consultant en soins palliatifs au centre intégré universitaire de santé et services sociaux de la Capitale nationale, Québec.Le Dr James Downar, médecin chef de la division des soins palliatifs à l’Université d’Ottawa et médecin en soins critiques à l’hopital d’Ottawa.Ils ont collaboré avec Dr Sandy Buchman et Dr Amit Arya pour écrire un article qui est publié dans le Journal de l’Association médical Canadienne.Article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.200465-fTranscription de la conversation: https://www.cmaj.ca/transcript-200465-f
Dr. James Downar and Dr. Amit Arya discuss how to optimise provision of palliative care during the COVID-19 pandemic.Dr. James Downar is head of the division of palliative care at the University of Ottawa and is a critical care physician at The Ottawa Hospital.Dr. Amit Arya is a palliative care physician at Brampton Civic Hospital in Brampton, Ontario and has faculty appointments at both McMaster University and the University of Toronto. They co-authored an analysis article with Dr. Sandy Buchman and Dr. Bruno Gagnon. Their article is published in CMAJ: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.200465Podcast transcript: https://www.cmaj.ca/transcript-200465-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Theodore Wein and Dr. Jeff Habert discuss the recommendations of a new Heart & Stroke guideline on the use of acetylsalicylic acid (ASA), or Aspirin, for prevention of vascular events.Dr. Theodore Wein is a neurologist at McGill University and chair of the Heart & Stroke writing group that developed the guideline. Dr. Jeff Habert is a family physician in Thornhill, Ontario and a member of the guideline writing group. The Heart & Stroke guideline is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191599Heart & Stroke best practices site: www.strokebestpractices.ca/recommendations/ASA-for-preventionPodcast transcript: https://www.cmaj.ca/transcript-191599-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Wayne Gold and Dr. Eric Coomes discuss quarantine and how it differs from home isolation. They also chat about: social distancing, mental health during quarantine, lessons from SARS, preparing for COVID-19, and more.Dr. Wayne Gold is an infectious diseases physician at University Health Network-Sinai Health Systems and residency program director for adult infectious diseases at the University of Toronto.Dr. Eric Coomes is a resident training in infectious diseases at the University of Toronto.The practice article they co-authored with Dr. Jerome Leis is published in CMAJ: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.200393Podcast transcript: https://www.cmaj.ca/transcript-200393-----------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Adam Farmer discusses irritable bowel syndrome, or IBS. He explains symptoms, diagnosis, treatments, drug therapies, diet, microbiome, genetics, and more. Dr. Farmer is a gastroenterologist, senior lecturer and clinical director of specialised medicine at Royal Stoke University Hospital in Staffordshire, United Kingdom.The review article he co-authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190716Podcast transcript: https://www.cmaj.ca/transcript-190716-----------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Andreas Laupacis, editor-in-chief of CMAJ, speaks with two people on the front lines of the COVID-19 pandemic: Mike Nolan and Dr. Jerome Leis.Dr. Jerome Leis is medical director, Infection Prevention and Control at Sunnybrook Health Sciences Centre in Toronto and Mike Nolan is chief paramedic and director of emergency services for Renfrew County in Renfrew, Ontario.They discuss:- the latest info on who should be tested for COVID-19- where people should go to get tested- how paramedics are involved in testing patients in their home- what guidance we need from government- the meaning of social distancing- what social distancing measures we should put in place- practical details about self isolation at home- and morePodcast transcript: https://www.cmaj.ca/transcript-12mar2020CMAJ COVID-19 resource page: www.cmaj.ca/covid-19-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Andreas Laupacis, editor-in-chief for CMAJ discusses the clinical practice guideline for homeless and vulnerably housed people and people with lived homelessness experience. He discusses with Dawnmarie Harriott, who shares her story of homelessness and how she got involved with the guideline group. He also chats with Dr. Kevin Pottie and Dr. Gary Bloch, who are two of the authors of the guideline.Dawnmarie Harriott is a Voices from the Street Coordinator with the organization Working for Change in Toronto. Dr. Gary Bloch is a family physician at St. Michael’s Hospital and Inner City Health Associates in Toronto.Dr. Kevin Pottie is a family physician and clinical investigator at C.T. Lamont Primary Health Care Research Centre and at Bruyère Research Institute and professor of family medicine at University of Ottawa. The guideline article they co-authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190777The linked commentary by Prof. Jesse Thistle and Dr. Janet Smylie is published in CMAJ:www.cmaj.ca/lookup/doi/10.1503/cmaj.200199Podcast transcript: https://www.cmaj.ca/transcript-190777-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Maryam Hamidi about how nutrition, sleep, and hydration interplay to influence short-term alertness and performance as physicians.Dr. Hamidi is Associate Director of Scholarship and Health Promotion at the Stanford Medicine WellMD| WellPhD Center and researcher in the Department of Psychiatry Behavioral Sciences. She completed her masters and doctoral studies in clinical nutrition, nutritional epidemiology and medical sciences at University of Toronto. Over the course of her career, she has authored many highly cited scientific papers on nutrition and physician well-being.Dr. Horton and Dr. Hamidi discuss the following:- nutrition for optimum short-term alertness- nutrition and caffeine to combat fatigue- the role of nutrition in sleep- dehydration and performance- and much moreTo read the CMAJ article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.200238Dr. Jillian Horton is a general internist and director of the Alan Klass health humanities program at the Max Rady college of medicine in Winnipeg, Manitoba.For more of her podcasts or for the Dear Dr. Horton column: www.cmaj.ca/medlifePodcast transcript: https://www.cmaj.ca/transcript-200238-----------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Ms. Jaclyn Parks and Dr. Tim Takaro discuss the results of the research article they co-authored on the link between childhood asthma, lung health and usage of common cleaning products in the home. They unpack the results and explain the associations.Ms. Jaclyn Parks is a graduate student in the Faculty of Health Sciences at Simon Fraser University in Vancouver, British Columbia, where she researches how indoor exposures are related to the development of childhood asthma and allergy using data from the CHILD birth cohort. Dr. Tim Takaro is a physician-scientist trained in occupational and environmental medicine, public health and toxicology, a lead researcher of CHILD, CANUE, and ECHO, and a Professor and mentor to students in the Faculty of Health Sciences at Simon Fraser University. CHILD= Canadian Healthy Infant Longitudinal Development study, CANUE= the Canadian Environmental Urban Exposure platform, and *ECHO = the rural Environmental Health Observatory. The research article they co-authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190819Podcast transcript: https://www.cmaj.ca/transcript-190819-----------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Jonathan Zipursky and Dr. Nathan Stall discuss cannabis edibles, and what's important for users and health care providers to keep in mind.Dr. Zipursky is an internist at Sunnybrook Health Sciences Centre and Mount Sinai Hospital in Toronto and is working on a PhD in clinical epidemiology and health care research at the University of Toronto. Dr. Stall is a geriatrician at Sinai Health System and a research fellow at Women's College Research Institute. He is also completing a PhD in clinical epidemiology and health care research at the University of Toronto.The practice article they co-authored along with Dr. Orly Bogler is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191305Podcast transcript: https://www.cmaj.ca/transcript-191305-----------------------------------This podcast episode is brought to you by Dr. Bill.Dr. Bill is an easy-to-use mobile and web solution that truly simplifies the way you do medical billing. Join over 1500 physicians already using our billing software to save time, boost productivity and earn more. Visit www.dr-bill.ca for more information.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. James Downar and Dr. Jennifer Gibson discuss the results and insights from a research study on cases of medical assistance in dying (MAiD) in Ontario between 2016 and 2018. The study allows us to understand who’s getting MAiD, how and under what circumstances.Dr. Jennifer Gibson is Sunlife Financial chair in bioethics and the director of the joint centre for bioethics at the University of Toronto and associate professor in the Dalla Lana school of public health.Dr. James Downar is head of the division of palliative care at the University of Ottawa and critical care physician at The Ottawa Hospital.The research article they co-authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200016Podcast transcript: https://www.cmaj.ca/transcript-200016-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Karline Treurnicht Naylor and Dr. Elia Abi-Jaoude chat about the rise in social media and smartphone usage in adolescents and the mounting evidence that this may be linked to the increasing rates of mental distress. They also give practical and realistic tips for parents, teachers, and teenagers for managing smartphone and social media use.Dr. Abi-Jaoude is a psychiatrist, researcher, and clinical educator based at the Hospital for Sick Children in Toronto.Dr. Treurnicht Naylor is fifth-year psychiatry resident at the University of Toronto.The analysis article they co-authored along with Dr. Antonio Pignatiello is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190434Podcast transcript: https://www.cmaj.ca/transcript-190434-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Jenna Gale and Dr. Paul Claman discuss elective egg freezing for age-related fertility decline, including cost, process, rates of success and more.Dr. Claman is a professor emeritus, University of Ottawa and is currently Professor, Obstetrics and Gynecology and Reproductive Medicine at Hadassah University Hospital in Jerusalem. Dr. Gale is a gynecologist and specialist in reproductive endocrinology and infertility in Ottawa and is lecturer at the University of Ottawa Department of Obstetrics and Gynecology. She is currently completing a master degree in clinical epidemiology.The practice article they co-authored along with Dr. Aisling Clancy is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191191Podcast transcript: https://www.cmaj.ca/transcript-191191-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Jason Brooks about optimizing mental and cognitive performance.Dr. Jason Brooks has a PhD in population health with a focus on kinesiology and human performance. He is a mental performance coach who works with high performers in diverse fields, including elite athletes, tactical law enforcement officers, musicians, and doctors.Dr. Horton and Dr. Brooks discuss the following:- common issues that he comes across in his work coaching physicians- pursuing "balance" as a goal- approaching transitions in day-to-day life- how physicians can use rehearsal to achieve high performance- individual versus organization factors that drive burnout- and much moreDr. Jillian Horton is a general internist and director of the Alan Klass health humanities program at the Max Rady college of medicine in Winnipeg, Manitoba.For more of her podcasts or for the Dear Dr. Horton column: www.cmaj.ca/medlifePodcast transcript: https://www.cmaj.ca/transcript-200096-----------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------The opinions stated in this podcast are made in a personal capacity and do not necessarily reflect those of the Canadian Medical Association Journal.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Kirsten Patrick, deputy editor for CMAJ, interviews three infectious disease specialists who work within the University Health Network in Toronto – Dr. Alon Vaisman, Dr. Susy Hota and Dr. Isaac Bogoch. They discuss:- what’s currently known about the coronavirus- the state of the outbreak both in China and globally- what health care practitioners can do to protect patients and themselves from infection- how to approach the evaluation of a patient with possible coronavirus infection- where to find reliable up-to-date information- whether travel restrictions will be effective in slowing the spread of the virus globally- vaccine development- and morePodcast transcript: https://www.cmaj.ca/transcript-03feb2020-----------------------------------This podcast episode is brought to you by Dr. Bill.Dr. Bill is an easy-to-use mobile and web solution that truly simplifies the way you do medical billing. Join over 1500 physicians already using our billing software to save time, boost productivity and earn more. Visit www.dr-bill.ca for more information.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Rachel Cooper talks about the emotional journey of her mother receiving Medical Assistance in Dying (MAiD) and her experience of the days leading up to her mother’s death.She wrote a Humanities Encounters article published in CMAJ about the same topic. You can read her article on our website: “Complicated gratitude: a letter to my mother’s physician” https://www.cmaj.ca/lookup/doi/10.1503/cmaj.191259Podcast transcript: https://www.cmaj.ca/transcript-191259-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Derek Crinion and Dr. Adrian Baranchuk discuss atrial fibrillation in the "older" athlete. They define what is meant by older when it comes to the heart and they discuss why and how too little or too much exercise can increase risk of atrial fibrillation. Dr. Derek Crinion is an electrophysiology fellow at Kingston Health Sciences Center in Kingston, Ontario.Dr. Adrian Baranchuk is a cardiologist-electrophysiologist at Kingston Health Sciences Center and professor of medicine at Queen's University. He is also editor-in-chief of the Journal of Electrocardiology.The practice article they co-authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191209Podcast transcript: https://www.cmaj.ca/transcript-191209-----------------------------------This episode is brought to you by RepHresh Pro-B. RepHresh Pro-B is a vaginal probiotic clinically shown to balance yeast and bacteria.Visit http://bit.ly/RepHresh for more information.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Victoria Sweet about rediscovering how to practice slow medicine.Dr. Victoria Sweet is an associate clinical professor of internal medicine at the University of California in San Francisco, a general internist and the author of two bestselling books, God’s Hotel and Slow Medicine. She has a PhD in the history of medicine and is a Guggenheim fellow.Dr. Horton and Dr. Sweet discuss the following:- Dr. Sweet's unconventional view of medicine- efficiency/inefficiency of practice beyond measures of cost- physician's capacity for healing versus therapeutic nihilism- the meaning of slow medicine- parts of medical history that have influenced Dr. Sweet- and much moreDr. Jillian Horton is a general internist and director of the Alan Klass health humanities program at the Max Rady college of medicine in Winnipeg, Manitoba.For more of her podcasts or for the Dear Dr. Horton column: www.cmaj.ca/medlifePodcast transcript: https://www.cmaj.ca/transcript-191711-----------------------------------This podcast episode is brought to you by Dr. Bill.Dr. Bill is an easy-to-use mobile and web solution that truly simplifies the way you do medical billing. Join over 1500 physicians already using our billing software to save time, boost productivity and earn more. Visit www.dr-bill.ca for more information.-----------------------------------The opinions stated in this podcast are made in a personal capacity and do not necessarily reflect those of the Canadian Medical Association Journal.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Lucy Kalanithi about joy, purpose, and meaning in work as a physician.Dr. Lucy Kalanithi is an internist and clinical assistant professor of medicine at the Stanford University School of Medicine. She is the widow of Dr. Paul Kalanithi, author of the #1 New York Times bestselling memoir When Breath Becomes Air. Dr. Kalanithi, who has special interests in end-of-life care, physician wellness, and caregiving, has appeared at TEDMED, the Aspen Institute, and in the New York Times. She lives in California with her 5-year-old daughter.Dr. Horton and Dr. Kalanithi discuss the following:- the problem with end of life care in its current state- the role of a physician with patients who have a serious illness- patient communication- how to cope with a patient's death- how being a caregiver and widow helped her with being a physician- and much moreDr. Jillian Horton is a general internist and director of the Alan Klass health humanities program at the Max Rady college of medicine in Winnipeg, Manitoba.For more of her podcasts or for the Dear Dr. Horton column: www.cmaj.ca/medlifePodcast transcript: https://www.cmaj.ca/transcript-191590---------The opinions stated in this podcast are made in a personal capacity and do not necessarily reflect those of the Canadian Medical Association Journal.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Clare Atzema and Dr. Noah Ivers discuss the research they published on prescribing of oral anticoagulants in the emergency department and subsequent long-term use by older adults with atrial fibrillation. They also discuss the broader issue of difficulties in communication between family physicians and emergency physicians when treating the same patient.Dr. Ivers is a family physician with a PhD in clinical epidemiology and an associate professor in the Department of Family and a Community Medicine at the University of Toronto. He also holds the Canada Research Chair in Implementation of Evidence-Based Practice. Dr. Atzema is an emergency physician at Sunnybrook Health Sciences Centre in Toronto, an associate professor at the University of Toronto, and a Senior Scientist at I.C.E.S. and Sunnybrook Research Institute.The research article they co-authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190747Podcast transcript: https://www.cmaj.ca/transcript-190747-----------------------------------This episode is brought to you by First Response, a trusted leader in pregnancy for every step in the journey from conception planning to post-natal nutrition.First Response prenatal gummy vitamin supplements offer essential nutrients throughout every step of your pregnancy journey, without having to swallow a big pill. These soft, delicious gummy vitamins are available without a prescription at major pharmacies across Canada.Visit http://bit.ly/FirstResponse-PreNatal for more information about First Response prenatal vitamins and other products to support your patients on their conception journey. -----------------------------------This podcast episode is brought to you by Dr. Bill.Dr. Bill is an easy-to-use mobile and web solution that truly simplifies the way you do medical billing. Join over 1500 physicians already using our billing software to save time, boost productivity and earn more. Visit www.dr-bill.ca for more information.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Tracy Wasylak and Dr. Braden Manns discuss the activities of Alberta Health Service’s Strategic Clinical Networks (SCNs). These multistakeholder networks have improved and optimized Alberta's health system. Ms. Wasylak and Dr. Manns share how these networks function, what the ingredients to success are, and they also share lessons learned.Dr. Braden Manns is a professor in health economics, a kidney specialist at the University of Calgary and the associate chief medical officer for the Alberta Health Services’ Strategic Clinical Networks. Tracy Wasylak is the chief program officer for the Strategic Clinical Networks. She is also an adjunct assistant professor with the Faculty of Nursing at the University of Calgary.To read the supplement published in CMAJ: https://www.cmaj.ca/content/191/supplementPodcast transcript: https://www.cmaj.ca/transcript-191232-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Prof. Emilia Nielsen discusses the problem of the usual breast cancer narrative. She says that the happy stories of breast cancer survivors are so common that any other types of narrative almost require an apology.Emilia Nielsen is an assistant professor of arts, medicine and healing at York University’s Health & Society Program, Department of Social Science. She is the author of the scholarly text Disrupting Breast Cancer Narratives: Stories of Rage and Repair as well as two collections of poetry, Body Work and Surge Narrows.Her CMAJ Medicine and Society article is titled “The problem of standardized breast cancer narratives.” The article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190549Podcast transcript: https://www.cmaj.ca/transcript-190549-----------------------------------This episode is brought to you by Replens. Replens helps replenish internal vaginal moisture and relieves external vaginal dryness. Visit http://bit.ly/Replens-Products for more information.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Matthew Stanbrook and Dr. Andreas Laupacis discuss the case of a 17-year old who contracted bronchiolitis obliterans, or popcorn lung, from vaping of e-cigarettes. This novel pattern of pulmonary disease associated with vaping appears distinct from the type of alveolar injury predominantly reported in the recent outbreak of cases of vaping associated pulmonary illness in the United States. The case is published in CMAJ. They also discuss lack of regulation by Canadian government related to electronic cigarettes. A linked editorial authored by Dr. Stanbrook is published in CMAJ.Dr. Matthew Stanbrook is deputy editor at CMAJ and respirologist at Toronto Western Hospital. Dr. Andreas Laupacis is editor-in-chief of the Canadian Medical Association Journal.NB: this conversation reflects the latest evidence available at the time of the recording (Monday November 11, 2019).To read the research case report published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191402To read the editorial published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191503Podcast transcript: https://www.cmaj.ca/transcript-191503-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dre Guylène Thériault et Dr Roland Grad expliquent les recommandations clé des nouvelles lignes directrices sur dépistage de la dysfonction thyroïdienne chez les adultes sans symptômes.Dre Guylène Thériault est médecin de famille et co-responsable des soins primaires pour « Choisir avec soin Canada ». Dre Thériault enseigne aussi la médecine fondée sur les données probantes et la prise de décision partagée. Dr Roland Grad est médecin de famille et professeur agrégé de médecine de famille à l’Université McGill. Il est aussi membres du Groupe d’étude canadien sur les soins de santé préventifs.Le Groupe d’étude canadien sur les soins de santé préventifs vient de publier les nouvelles lignes directrices dans le Journal de l’association médicale canadienne.Lignes directrices :
In this interview, Dr. Richard Birtwhistle discusses the recommendations in the clinical practice guideline on screening asymptomatic adults for thyroid dysfunction. The guideline comes from the Canadian Task Force on Preventive Health Care and is published in CMAJ.Dr. Birtwhistle is a family physician, clinical epidemiologist, and emeritus professor of family medicine and public health sciences at Queen’s University. He is also chair of the working group for screening for thyroid dysfunction and previous vice chair of the Canadian Task Force or Preventive Health Care. To read the clinical practice guideline published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190395Podcast transcript: https://www.cmaj.ca/transcript-190395-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Leah Smith unpacks a research article that looked at cancer incidence trends by age in Canada from 1971 to 2015. Previous reports show cancer trends with all ages combined but this data analysis digs deeper into trends by age group and cancer type.Leah Smith is an epidemiologist and senior manager of surveillance at the Canadian Cancer Society.The research article she co-authored is titled “Age-standardized cancer-incidence trends in Canada, 1971–2015.” The article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190355Podcast transcript: https://www.cmaj.ca/transcript-190355-----------------------------------This episode is brought you by First Response, a trusted leader in pregnancy for every step in the journey from conception planning to post-natal nutrition.Visit http://bit.ly/FirstResponse-Pregnancy for more information about First Response products to support your patients on their conception journey. -----------------------------------This podcast episode is brought to you by Dr. Bill.Dr. Bill is an easy-to-use mobile and web solution that truly simplifies the way you do medical billing. Join over 1500 physicians already using our billing software to save time, boost productivity and earn more. Visit www.dr-bill.ca for more information.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Christine Sinsky about joy, purpose, and meaning in work as a physician.Dr. Horton and Dr. Sinsky discuss the following:- how to find efficiencies and rethink daily tasks to make more time for what is most valuable and most enjoyable- psychological hurdles to implementing change- studies about joy in practice - how an individual can reconnect with what brings them joy- the concept of practice redesign- macro- or system-level changes to help with efficiencies- and much moreDr. Christine Sinsky is an internist and is vice president of professional satisfaction at the American Medical Association. Dr. Jillian Horton is a general internist and director of the Alan Klass health humanities program at the Max Rady college of medicine in Winnipeg, Manitoba.For more of her podcasts or for the Dear Dr. Horton column: www.cmaj.ca/medlifePodcast transcript: https://www.cmaj.ca/transcript-191400---------The opinions stated in this podcast are made in a personal capacity and do not necessarily reflect those of the Canadian Medical Association Journal.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Michael Sklar and Dr. Laveena Munshi discuss high-flow nasal oxygen therapy, a new and unique oxygen delivery method with rapid uptake into many fields of acute care medicine.Dr. Sklar is an anesthesiologist and adult critical care medicine fellow at the University of Toronto. Dr. Munshi is an adult critical care physician at Sinai Health System at the University of Toronto.The Practice article they co-authored is titled “Five things to know about...high-flow nasal oxygen therapy in adults with hypoxemia.” The article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191021Podcast transcript: https://www.cmaj.ca/transcript-191021-----------------------------------This podcast episode is brought to you by Dr. Bill.Dr. Bill is an easy-to-use mobile and web solution that truly simplifies the way you do medical billing. Join over 1500 physicians already using our billing software to save time, boost productivity and earn more. Visit www.dr-bill.ca for more information.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Brett Schrewe describes how a family tragedy put the doctor side of him at odds with the son side.Dr. Schrewe is a pediatrician in Vancouver and clinical assistant professor at the University of British Columbia.He wrote a Humanities Encounters article published in CMAJ called "The Line."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190570Podcast transcript: https://www.cmaj.ca/transcript-190570-----------------------------------Music: Impromtu in Quarter, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Priya Koilpillai and Dr. Sudhir Nishtala discuss the latest evidence, risks and benefits of low-dosage acetylsalicylic acid in primary and secondary prevention of cardiovascular disease.Dr. Koilpillai is a second year internal medicine resident at the University of Calgary who has a keen interest in medical education and women’s cardiovascular health. Dr. Nishtala is a former cardiac intensive care pharmacist and now is a cardiology fellow at the University of Calgary Libin Cardiovascular Institute.The Practice article they co-authored is titled “Five things to know about...the cardiovascular benefits of low-dosage acetylsalicylic acid.” The article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191037Podcast transcript: https://www.cmaj.ca/transcript-191037-----------------------------------This podcast episode is brought to you by Dr. Bill.Dr. Bill is an easy-to-use mobile and web solution that truly simplifies the way you do medical billing. Join over 1500 physicians already using our billing software to save time, boost productivity and earn more. Visit www.dr-bill.ca for more information.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Carrie Bernard realises that, despite many obstacles including stigma, disclosing her mental illness was ultimately the best decision for her. Dr. Bernard is a family doctor in Brampton, Ontario, assistant clinical professor at McMaster University, and assistant professor at the University of Toronto. She wrote a Humanities Encounters article published in CMAJ called "Disclosure."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190374Podcast transcript: https://www.cmaj.ca/transcript-190374-----------------------------------Music: Evening Fall Harp, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Ms. Shannon Cushman shares the emotional journey of watching her daughter be diagnosed with Crohn disease, an illness she was all too familiar with.Shannon Cushman is a mom and finance professional who lives in Strathroy, Ontario.She wrote a Humanities Encounters article published in CMAJ called "From patient to parent: a dual-generation journey."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190524Podcast transcript: https://www.cmaj.ca/transcript-190524-----------------------------------Music: Friday Morning, Kevin MacLeod, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Mehdi Aloosh discusses the latest evidence and information around e-cigarette use, smoking cessation, vaping of cannabis, and pulmonary illnesses linked to vaping.Dr. Mehdi Aloosh is a third year resident in Public Health and Preventive Medicine including Family Medicine at McMaster University. He is also doing a Master's in Epidemiology at McGill University.The Practice article he co-authored is titled “Five things to know about...e-cigarettes.” The article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190552Podcast transcript: https://www.cmaj.ca/transcript-190552-----------------------------------This podcast episode is brought to you by Dr. Bill.Dr. Bill is an easy-to-use mobile and web solution that truly simplifies the way you do medical billing. Join over 1500 physicians already using our billing software to save time, boost productivity and earn more. Visit www.dr-bill.ca for more information.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Ron Epstein about dealing with stress and toxic culture in medicine.Dr. Horton and Dr. Epstein answer the following listener questions:- In an under-resourced settings, how do we reconcile the quality of care we wish to provide with the quality we feel we're limited to provide?- Are circumstances in health care in current times the most difficult they've even been?- What are good strategies to avoid internalizing stressors?- How can we best cope with change?- How can we find hope in a toxic culture or environment?- How do you teach resilience?- How can meditation help?- Has mindfulness become too pop culture?- and much moreDr. Ron Epstein is a family physician, palliative care physician, author, musician, researcher, and professor of medicine at the University of Rochester School of Medicine and Dentistry.Dr. Jillian Horton is a general internist and director of the Alan Klass health humanities program at the Max Rady college of medicine in Winnipeg, Manitoba.For more of her podcasts or for the Dear Dr. Horton column: www.cmaj.ca/medlifePodcast transcript: https://www.cmaj.ca/transcript-191277---------The opinions stated in this podcast are made in a personal capacity and do not necessarily reflect those of the Canadian Medical Association Journal.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this special episode, Dr. Diane Kelsall, previous interim editor-in-chief for CMAJ, interviews Dr. Andreas Laupacis, new editor-in-chief of the Canadian Medical Association Journal.They chat about:- first impressions after two days on the job- his vision for the journal- his life as the child of refugee parents- the state of health care today- his proudest accomplishments during his career up to this point- why he decided it was time to stop doing clinical workIf you want to get in touch with Dr. Laupacis, you can reach him at:andreas.laupacis@cmaj.ca or on Twitter: https://twitter.com/AndreasLaupacisPodcast transcript: https://www.cmaj.ca/transcript-14oct2019-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Iris Gorfinkel grapples with the emotions behind the difficult message she has to deliver to her patient — a message she knows will not be well received.Dr. Gorfinkel is a general practitioner, and a principal investigator and founder of Prime-Health Clinical Research in Toronto, Ont.She wrote a Humanities Encounters article published in CMAJ called "You're no longer safe to drive."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190705Podcast transcript: https://www.cmaj.ca/transcript-190705-----------------------------------Music: I Miss You, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Nadia Fairbairn and Dr. Christy Sutherland discuss how to treat opioid use disorder with injectable opioid agonist treatments. They discuss which patients are good candidates for the treatment, how the treatment is administered, and they offer practical advice on overall strategies for treatment and support for patients with opioid use disorder. They also discuss the opioid epidemic on a systemic level.Dr. Nadia Fairbairn is an internist who specializes in addiction medicine at St. Paul’s Hospital in Vancouver and is director of the International Collaborative Addiction Medicine Research Fellowship with the BC Centre on Substance Use.Dr. Christy Sutherland is a family physician in downtown Vancouver who specializes in addiction medicine. She has lead a number of initiatives to help downtown Vancouver’s most vulnerable residents.To read the clinical practice guideline: www.cmaj.ca/lookup/doi/10.1503/cmaj.190344Podcast transcript: https://www.cmaj.ca/transcript-190344-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Arjun Sharma finds his preconceived notions of opioid addiction get challenged as he spends some time in Vancouver.Dr. Sharma is a first-year resident in internal medicine at the University of Toronto.He wrote a Humanities Encounters article published in CMAJ called "Lessons from a naloxone kit."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190446Podcast transcript: https://www.cmaj.ca/transcript-190446-----------------------------------Music: Heartbreaking, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Sharon Straus about mentorship, from being a mentee to being a mentor.Dr. Horton and Dr. Straus talk about:- tips and tricks for students and trainees to find a good mentor- how to be a good mentor for others - how mentoring can help change culture in medicine- evidence and studies on mentorship- what it was like to have Dr. David Sackett as a mentor- and much moreDr. Sharon Straus is acting physician-in-chief at St. Michael’s Hospital in Toronto and Canada Research Chair at the University of Toronto. She has authored over 400 publications and 3 books that cover such topics as clinical epidemiology, academic mentorship, gender and diversity in academic medicine. Dr. Jillian Horton is a general internist and director of the Alan Klass health humanities program at the Max Rady college of medicine in Winnipeg, Manitoba.For more of her podcasts or for the Dear Dr. Horton column: www.cmaj.ca/medlifePodcast transcript: https://www.cmaj.ca/transcript-191119---------The opinions stated in this podcast are made in a personal capacity and do not necessarily reflect those of the Canadian Medical Association Journal.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. David Grimes and Dr. Tiago Mestre discuss diagnosis and management of Parkinson disease, including: how to first recognize it, progression, treatment (medications, deep brain stimulation, exercise), nonmotor features such as depression, and palliative care. Dr. Grimes and Dr. Mestre are two of the authors of a new Canadian clinical practice guideline published in the Canadian Medical Association Journal.Dr. David Grimes is chief of the division of neurology and director of the Parkinson Disease and Movement Disorder Clinic at The Ottawa Hospital. Dr. Tiago Mestre is a movement disorder neurologist and director of the Deep Brain Stimulation Program at The Ottawa Hospital.To read the clinical practice guideline: www.cmaj.ca/lookup/doi/10.1503/cmaj.181504-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Nancy Campbell talks about the history of naloxone. In today’s reality of opioid addiction epidemics in many areas of the world, naloxone is highly regarded as a life-saving drug that reverses opioid overdose — it's a technology of solidarity. But it was once considered a technology of suspicion. It had to pass through social cycles of innovation, adoption, and backlash. It was even used by law enforcement to test individuals suspected of using narcotics. Its history is a fascinating one.Dr. Nancy Campbell is professor and department head of Science and Technology Studies at Rensselaer Polytechnic Institute in Troy, New York.She has authored many books on the topic, including Discovering Addiction: The Science and Politics of Substance Abuse Research as well as a forthcoming book called OD: Naloxone and the Politics of Overdose Prevention.Her CMAJ Medicine and Society article is titled “Naloxone as a technology of solidarity: history of opioid overdose prevention.” The article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190257-----------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Tait Shanafelt about burnout and physician wellbeing.Dr. Horton and Dr. Shanafelt talk about:- link between physician wellbeing and quality of care- research on physician burnout- can an individual diagnose their own burnout- organizational-level intervention and prevention- loss of meaning in medicine- the role of Chief Wellness Officer at Stanford- and much moreDr. Tait Shanafelt is an oncologist and leading researcher on physician wellbeing and its impact on patient care. He is chief wellness officer of Stanford Medicine, associate dean for the Stanford school of Medicine and director of the Stanford WellMD center.Dr. Jillian Horton is a general internist and director of the Alan Klass health humanities program at the Max Rady college of medicine in Winnipeg, Manitoba.For more of her podcasts or for the Dear Dr. Horton column: http://www.cmaj.ca/medlifePodcast transcript: https://www.cmaj.ca/transcript-190852---------The opinions stated in this podcast are made in a personal capacity and do not necessarily reflect those of the Canadian Medical Association Journal.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Paul Moorehead reflects on a young patient’s wise words to him. The story is true.Dr. Moorehead is a pediatric hematologist oncologist at Janeway Children’s Health and Rehabilitation Centre in St. John’s, Newfoundland.He wrote a Humanities Encounters article published in CMAJ called "The truth about going home."To read the article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.190424Podcast transcript: https://www.cmaj.ca/transcript-190424-----------------------------------Music: Heartbreaking, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Melissa Walker discusses management of ovarian cancer risk in women with BRCA1/2 pathogenic variants. She talks about risk factors for ovarian cancer, who should get genetic testing and who should get preventive surgery. She also discusses what to do about contraception and how to manage menopause in women with BRCA1/2.Dr. Melissa Walker is a fifth-year resident in obstetrics and gynecology at the University of Toronto. She works at Women’s College Hospital at the Preventive Ovarian Cancer Clinic in Toronto, Ontario.She co-authored a practice article with Dr. Michelle Jacobson and Dr. Mara Sobel published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190281Podcast transcript: https://www.cmaj.ca/transcript-190281----------------------------------------------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Jonathan Fuller and Prof. Matthew Parrott discuss delusions, a concept that raises several questions from a philosophical perspective. They share their views on the nature of belief, and what is going on in a person’s mind during delusional thinking.Professor Matthew Parrott is from the Department of Philosophy at the University of Birmingham in the UK. Dr. Jonathan Fuller is assistant professor of history and philosophy of science at the University of Pittsburgh and a recent graduate of the University of Toronto medical school. For more philosophical discussions related to medicine, visit www.philosophersonmedicine.comFull humanities article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190048-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Harald Gjerde reads his poem called "Le fou Bonnet." The poem is written from the perspective of a man with Charles Bonnet Syndrome, which causes complex visual hallucinations. Dr. Gjerde is a fifth year ophthalmology resident at Dalhousie University in Halifax Nova Scotia.To read his article, published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190276-----------------------------------Music: I Miss You, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Steve Morgan and Dr. Kai Yeung discuss a possible framework for pharmacare. They argue and explain that setting copayments based on drugs’ clinical and economic value can promote patient choice and encourage cost-conscious selections.Dr. Kai Yeung is a pharmacist and pharmaceutical economist at Kaiser Permanente Washington Health Research Institute in Seattle, Washington, and Dr. Steve Morgan is a health economist and professor of health policy at University of British Columbia, in Vancouver.They co-authored an analysis article published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181721----------------------------------------------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. George du Toit and Dr. Amitha Kalaichandran discuss how to safely reduce an infant’s risk of peanut allergy with early introduction of peanut protein. They talk about the evidence behind why this works to reduce risk and they explain the recommended timing, frequency, and amount of peanut that should be given to infants.Dr. George du Toit is a pediatric allergy physician at Evelina London Children's Hospital in London, UK. He is also one of the lead researchers for the LEAP (Learning Early About Peanut Allergy) study. Dr. Amitha Kalaichandran is a pediatrics resident physician and epidemiologist based in Ottawa.They co-authored a practice article published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181613Additional resources:Canadian Paediatric Society Practice Point — Timing of introduction of allergenic solids for infants at high riskhttps://www.cps.ca/en/documents/position/allergenic-solidsNEJM LEAP Studyhttps://www.nejm.org/doi/full/10.1056/NEJMoa1414850NEJM EAT Studyhttps://www.nejm.org/doi/full/10.1056/NEJMoa1514210NEJM LEAP-ON Studyhttps://www.nejm.org/doi/full/10.1056/NEJMoa1514209Review — Early introduction of foods to prevent food allergyhttps://aacijournal.biomedcentral.com/articles/10.1186/s13223-018-0286-1 Canadian Society of Allergy and Clinical Immunologyhttps://csaci.ca Food Allergy Canada patient support grouphttps://foodallergycanada.ca/our-impact-advocacy-and-services/programs-and-services/support-groups/----------------------------------------------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Hans Rosenberg and Dr. Melise Keays discuss testicular torsion, a condition in which the spermatic vessels twist and cut off circulation to the testis. They explain the symptoms, how to diagnose it and how to treat it. They also explain how this condition can happen and why it's important to diagnose it in a timely manner.Dr. Hans Rosenberg is an emergency physician at The Ottawa Hospital and Dr. Melise Keays is a pediatric urologist at the Children’s Hospital of Eastern Ontario in Ottawa.They co-authored a practice article published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190158-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Kacper Niburski remembers when, for a short while, his father was unrecognizable to him.Mr. Niburski is a medical student at McGill University in Montréal, Québec, and editor of the CMAJ student humanities blog.He wrote a Humanities Encounters article published in CMAJ called "Cough."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190314-----------------------------------Music: Impromptu in Quarter, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Natasha Crowcroft comments on the measles outbreaks in Canada and globally, what many roots of the problem are, and what she thinks needs to happen to address the outbreaks.Dr. Natasha Crowcroft is chief science officer for Public Health Ontario in Toronto and an expert consultant for the World Health Organization.She co-authored a commentary article published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190559Podcast transcript: https://www.cmaj.ca/transcript-190559----------------------------------------------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Brian Deady reflects back on a time when a four-legged friend entered his life and instilled in him a sense of empathy he didn’t know he lacked. The story is read by Troy Acres.Dr. Deady is an emergency physician in Vancouver, British Columbia.He wrote a Humanities Encounters article published in CMAJ called "The unbearable rightness of two-ball fetch."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190213-----------------------------------Music: Evening Fall Harp by Kevin MacLeod, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Murray Krahn discusses cost-effectiveness and optimal use of resources in health care. He talks about how it has evolved over the last decade and he dispels some misconceptions and explains why it's important for policy makers to embrace the science of cost-effectiveness analysis. Dr. Murray Krahn is a general internist at the University Health Network in Toronto, and a Canada Research Chair in Health Technology Assessment. He leads THETA, a research group devoted to health economics and technology assessment.He co-authored an analysis article published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181606----------------------------------------------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Robin Scheffler talks about the history of childhood cancer vaccine research. He explores the turn from polio vaccine research to cancer vaccine research and the power of children in marketing campaigns, especially in the context of raising funds for children’s hospitals or finding cures for childhood diseases. CMAJ is partnering with New Books Network for this episode. NBN connects scholars to book authors and publishes modern book reviews in the form of a podcast. https://newbooksnetwork.com/category/science-technology/medicine/Dr. Robin Scheffler is a historian of biological and biomedical sciences and associate professor in the science, technology, and society program at the Massachusetts Institute of Technology (MIT) in Cambridge, Massachusetts.Dr. Scheffler just published a book called “A Contagious Cause: The American Hunt for Cancer Viruses and the Rise of Molecular Medicine.”His Medicine and Society article is titled “Protecting children: the American turn from polio to cancer vaccines.” The article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.181630-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Lori-Ann Linkins shares how her dear friend and fellow physician, Dr. Shelly Sarwal, chose Medical Assistance in Dying (MAiD). But before undergoing MAiD she forged a path to rewrite policies and ensure her organs would be donated.Dr. Linkins is a hematologist and associate professor at McMaster University in Hamilton, Ontario.She wrote a Humanities Encounters article published in CMAJ called "Shelly, MAiD and the purple parade."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190082To read Dr. Shelly Sarwal's obituary: https://www.dignitymemorial.com/en-ca/obituaries/halifax-ns/shailini-sarwal-7977443-----------------------------------Music: Heartbreaking, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Dorian Deshauer chats about the history of suicide risk assessment for insurance companies. In the past, the process included a group of physicians but over time physicians got replaced by a more cost-effective process called automated underwriting. He also explains how the first Diagnostic and Statistical Manual of Mental Disorders (DSM) influenced risk assessment.Dr. Dorian Deshauer is a psychiatrist and assistant professor at the University of Toronto. He is also an associate editor for CMAJ but was not involved in the decision-making process for this article.His Medicine and Society article is titled “Suicide risk: automated underwriting versus medical experts.” The article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.181058-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Sara Ilnitsky talks about the latest evidence around how smoking marijuana affects fertility. She discusses the pharmacology and physiology behind it, how edibles are different, how the effect is different in men versus women and more.Dr. Ilnitsky is a reproductive endocrinology and infertility fellow at Western University in London, Ontario. She will be starting her practice at the Pacific Centre for Reproductive Medicine in Edmonton, Alberta. She co-authored a practice article with Dr. Stan Van Uum published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181577----------------------------------------------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. James Downar and Dr. Jennifer Hancock take listeners through some of the ethical considerations of having a patient who requests medical assistance in dying (MAiD) or withdrawal of life-sustaining measures (WLSM) and who is also requesting to have his or her organs donated. Dr. James Downar is head of the division of palliative care at the University of Ottawa and is a critical care physician at The Ottawa Hospital. He is one of the authors of the guidance for policy.Dr. Jennifer Hancock is an intensive care physician in Halifax and is involved with Nova Scotia's organ donation organization, Legacy of Life. She was also the physician handling organ donation for a patient who underwent MAiD. A guidance for policy article was published in the Canadian Medical Association. Dr. James Downar is one of the authors. This guidance document was developed on behalf of Canadian Blood Services in collaboration with the Canadian Critical Care Society, the Canadian Society of Transplantation, and the Canadian Association of Critical Care Nurses.The guidance for policy is published in CMAJ. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181648-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Sumedha Arya reflects back on a time while she was in medical school when her body felt foreign. Dr. Arya is an internal medicine resident at the University of Toronto in Toronto, Ontario.She wrote a Humanities Encounters article published in CMAJ called "Ego and id."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181581-----------------------------------Music: Evening Fall Harp by Kevin MacLeod, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview from our archives, Dr. John Hoey has a fascinating discussion with Dr. James Orbinski. The interview was first published in February of the year 2000. At the time, Dr. John Hoey was editor-in-chief of CMAJ and Dr. James Orbinski was international president of Médecins Sans Frontières (Doctors Without Borders, or MSF). Dr. Orbinski had just accepted the Nobel Peace Prize in recognition of MSF’s pioneering humanitarian work in several countries around the world.Dr. Orbinski and Dr. Hoey talk about war, humanitarian medicine, refugees, genocide, and more. These themes are just as relevant today as they were 19 years ago.----------------------------------------------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, the Dr. Ellen Feld reflects back on a patient she encountered many years ago. Dr. Feld delivered what she thought was good news about her diagnosis, but the patient felt otherwise. Dr. Feld is a general internist, professor, and medical director of the physician assistant program at Drexel University in Philadelphia, Pennsylvania.She wrote a Humanities Encounters article published in CMAJ called "Good news."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190041-----------------------------------Music: Impromptu in Quarter, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Debra Hamer reflects back on brain surgery she had many years ago, before she became a physician and a mother. She tries to find closure and get to a place of gratitude. Dr. Hamer is an assistant professor and psychiatrist at Queen’s University in Kingston, Ontario.She wrote a Humanities Encounters article published in CMAJ called "A letter to my neurosurgeon."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181526-----------------------------------Music: A Nostalgic Place, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Calvin Santiago, who was a medical student at Queen’s University at the time, describes an encounter with a patient who was at peace with stopping his treatment. The essay won the 2017 Undergraduate Narrative Award for Palliative Medicine. Dr. Santiago is now a first-year neurology resident at the University of Toronto.He wrote a Humanities Encounters article published in CMAJ called "Three."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190091-----------------------------------Music: Earnest by Kevin MacLeod, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Davinder Singh and Dr. Marcia Anderson discuss the problem of racism in the justice system which is in in part responsible for the over-representation of Indigenous people among the those incarcerated in Canada. As a result, Indigenous people lose far more years of life to incarceration than to premature death from many common causes.Dr. Marcia Anderson is Cree-Anishinaabe, with roots going to the Norway House Cree Nation and Peguis First Nation in Manitoba. She practices both Internal Medicine and Public Health as a Medical Officer of Health with the Winnipeg Regional Health Authority.Dr. Davinder Singh is a recent graduate from the Public Health and Preventive Medicine residency program at the University of Manitoba and is currently midway through his law degree.They co-authored a commentary published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181437----------------------------------------------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Jonathan Fuller and Dr. Jeremy Simon discuss disease as a concept. Are diseases part of the natural world, like electrons and photons, or created by humans and their perceptions and interests, like constellations or countries?Dr. Fuller is a philosophy of medicine postdoctoral fellow and graduating medical student at the University of Toronto. Dr. Simon is an emergency physician and a bioethicist at Columbia University in New York city.For more philosophical discussions related to medicine, visit www.philosophersonmedicine.comFull humanities article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181629-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Joy Albuquerque and Dr. Sarah Tulk talk about physician suicide, the only cause of death more common in physicians than the general public. They discuss factors that can lead to suicide and suicidal ideation (such as regulatory complaints, mental illness, culture in medicine), and they talk about what can be done to prevent this occupational health hazard. They also discuss how suicidal physicians face unique barriers to care, including concerns regarding confidentiality and discrimination.Dr. Joy Albuquerque is a psychiatrist in Toronto and medical director of the Ontario Medical Association’s physician health program. Dr. Sarah Tulk is a family physician in Milton, Ontario. She has written multiple blogs for CMAJ Blogs, such as https://cmajblogs.com/physician-mental-health-why-we-need-to-share-our-stories-of-struggle-and-success/ They co-authored a practice article published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181687-----------------------------------Where to get help:Provincial physician health program: https://www.cma.ca/provincial-physician-health-program Canada Suicide Prevention Service: 1-833-456-4566 (Phone) | 45645 (Text) | crisisservicescanada.ca (Chat)In Quebec (French): Association québécoise de prévention du suicide: 1-866-APPELLE (1-866-277-3553)-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this next "Med Life with Dr. Horton" podcast, Dr. Jillian Horton talks with both Dr. Deepu Gawda and actor Alan Alda.In the first segment, Dr. Horton and guest Dr. Deepu Gawda, internist and associate professor of medicine at Columbia University, answer a listener question from a physician who is under so much work pressure that s/he is viewing patients only as units of time. This person wants to get back to connecting with patients in a meaningful way and is looking for advice.In the second segment, Dr. Horton speaks with award-winning actor Alan Alda, who leads workshops for physicians through the Alan Alda Center for Communicating Science. They discuss how doctors can focus less on pressure from the "system" to be more time efficient and instead be more present for patients. They also talk about ageism in medicine.Dr. Jillian Horton is a general internist in Winnipeg, Manitoba. She was the associate dean of undergraduate student affairs at the University of Manitoba from 2014–2018 and now directs programs in wellness and medical humanities at the Max Rady College of Medicine.She writes a column for CMAJ Blogs called Dear Dr. Horton: cmajblogs.com/category/dear-dr-horton/Send the anonymous questions that keep you up at night to a real former Associate Dean of Medical Student Affairs, Dr. Jillian Horton, and get the perspective you need with no fear of judgment. Submit your questions anonymously through this form, and mention "Dr. Horton Podcast." goo.gl/forms/QFQwqJQRCf4aWlzW2---------The opinions stated in this podcast are made in a personal capacity and do not necessarily reflect those of the Canadian Medical Association Journal.--------Music: Eternal Hope by Kevin MacLeod is licensed under a Creative Commons Attribution license (creativecommons.org/licenses/by/4.0/)-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Gregg Nelson and Dr. Alon Altman explain Enhanced Recovery After Surgery or ERAS, an evidence-based care pathway created to improve patient outcomes after surgery. ERAS reconsiders or eliminates long standing surgical practices such as prolonged fasting, mechanical bowel preparation, nasogastric tubes, delayed feeding after surgery, and long hospital stays. Dr. Gregg Nelson is chief of gynecologic oncology at the Tom Baker Cancer Centre in Calgary, Alberta and Dr. Alon Altman is a gynecologic oncologist with Cancercare Manitoba and associate professor at the University of Manitoba in Winnipeg. They co-authored a review article published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180635----------------------------------------------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Nathan Stall and Dr. Rachel Savage discuss loneliness in older adults. They talk about how to assess for loneliness, the detrimental effects it can have on health, and what to do about it.Dr. Nathan Stall is a geriatrician at Sinai Health System and a research fellow at Women's College Research Institute. He is completing a PhD in clinical epidemiology & health care research at the University of Toronto. Dr. Rachel Savage is a postdoctoral fellow at Women’s College Research Institute in Toronto.They co-authored a practice article published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181655----------------------------------------------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this fictional narrative, Dr. Carolyne Montgomery explores what happens when, as a doctor, your patients are also your friends...and your friends are patients, but not yours. Dr. Montgomery is a recently retired Pediatric Anesthesiologist and a graduate of The Writer’s Studio at Simon Fraser University in Vancouver, British Columbia.She wrote a Humanities Encounters article published in CMAJ called "Listening."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181479-----------------------------------Music: Earnest by Kevin MacLeod, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Judy Dercksen, a family physician in rural British Columbia, shares what it’s like to manage chronic pain in a busy rural office setting, in the face of an opioid crisis.She wrote a Humanities Encounters article published in CMAJ called "Pain warrior."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180957-----------------------------------Music: Friday Morning by Kevin MacLeod, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Varun Kapila explains why transient ischemic attacks or nondisabling stroke due to internal carotid artery stenosis require urgent diagnosis and intervention. Dr. Varun Kapila is division head of vascular surgery at William Osler Health System in Brampton, Ontario. He is also co-director for the hospital’s endovascular therapeutics program.He co-authored a review article published in the Canadian Medical Association Journal. It is titled "Management of transient ischemic attack or nondisabling stroke related to extracranial internal carotid artery stenosis."Full review article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180735----------------------------------------------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Jonathan Fuller and Dr. Maya Goldenberg discuss why vaccine hesitancy still persists, despite overwhelming evidence in support of vaccine safety and effectiveness.Dr. Fuller is a philosophy of medicine postdoctoral fellow and graduating medical student at the University of Toronto. Dr. Goldenberg is a professor of philosophy at the University of Guelph.For more philosophical discussions related to medicine, visit www.philosophersonmedicine.comDr. Maya Goldenberg published a related Medicine and Society article in the Canadian Medical Association Journal.Full humanities article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181635-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Iris Gorfinkel still thinks about a patient she treated 25 years ago whose quiet defiance was a cry to be helped on his own terms.Dr. Gorfinkel is a general practitioner, and a principal investigator and founder of Prime-Health Clinical Research in Toronto, Ont.She wrote a Humanities Encounters article published in CMAJ called "The quietly defiant patient."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181263-----------------------------------Music: Earnest by Kevin MacLeod, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Derek Chu and Dr. Zainab Abdurrahman discuss the difference between true vaccine allergy and other normal or abnormal reactions to vaccines. They also discuss whether or not people with egg or latex allergy can be safely vaccinated.Dr. Derek Chu is a fifth-year allergy and clinical immunology resident at McMaster University and Dr. Zainab Abdurrahman is an allergist and clinical immunologist and assistant clinical professor in pediatrics, also at McMaster University.They co-authored a peer-reviewed practice article published in the Canadian Medical Association Journal. It is titled "Five things to know about...vaccine allergy."Full practice article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190208-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this next "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Allan Peterkin about creative arts and playfulness as related to medicine and as tools to help balance out a stressful life.Dr. Horton and Dr. Peterkin talk about:- music, writing, theatre, improv groups, cooking and many other forms of artistic expression- the time Dr. Peterkin was on The Tonight Show with Jimmy Fallon because of his book about beards- how learning to interpret a painting is related to diagnostic skills- how a practice in creative arts can influence the way doctors approach patients and can help prevent burnout- finding balance between pleasure and purpose in life- the absence of play in medicine- practical tips for picking up that long forgotten creative practice again- and much more Dr. Allan Peterkin is a professor of psychiatry and family medicine at the University of Toronto. He is an accomplished author and is director of the Health Arts and Humanities program at the University of Toronto http://health-humanities.com Dr. Jillian Horton is a general internist in Winnipeg, Manitoba. She was the associate dean of undergraduate student affairs at the University of Manitoba from 2014–2018 and now directs programs in wellness and medical humanities at the Max Rady College of Medicine.She writes a column for CMAJ Blogs called Dear Dr. Horton: cmajblogs.com/category/dear-dr-horton/Send the anonymous questions that keep you up at night to a real former Associate Dean of Medical Student Affairs, Dr. Jillian Horton, and get the perspective you need with no fear of judgment. Submit your questions anonymously through this form, and mention "Med Life with Dr. Horton Podcast." https://goo.gl/forms/QFQwqJQRCf4aWlzW2---------The opinions stated in this podcast are made in a personal capacity and do not necessarily reflect those of the Canadian Medical Association Journal.--------Eternal Hope by Kevin MacLeod is licensed under a Creative Commons Attribution license (https://creativecommons.org/licenses/by/4.0/)Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1100322Artist: http://incompetech.com/-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Ryan McLarty and Dr. Darcie Kiddoo discuss how to care for boys’ foreskin when they are babies and how to ensure boys are taught proper foreskin care as they grow older. They also discuss what the foreskin should look like, what abnormalities look like, how to recognize and treat infections, and when surgeries, including circumcision, are warranted.Dr. Ryan McLarty is a fourth-year urology resident and Dr. Darcie Kiddoo is a pediatric urologist, both at the University of Alberta in Edmonton.They co-authored a peer-reviewed practice article published in the Canadian Medical Association Journal. It is titled "Five things to know about...foreskin care in childhood."Full practice article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180875----------------------------------------------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Ariel Lefkowitz shares the story of Betty, a patient whose faith helped her be at peace with her fate in life.Dr. Lefkowitz is a general internist at Sinai Health System and Sunnybrook Health Sciences Centre in Toronto. He wrote a Humanities Encounters article published in CMAJ called "Major Betty."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181033-----------------------------------Music: Friday Morning by Kevin MacLeod, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Jeff Kwong and Dr. Daniel Dalcin discuss high-dose influenza vaccines, which contain more antigen than standard-dose vaccines.Dr. Jeff Kwong is a scientist at ICES and at Public Health Ontario, and a family physician at Toronto Western Family Health Team. He conducts research on the epidemiology of influenza.Dr. Daniel Dalcin is a family medicine resident at Dalhousie University in Halifax, Nova Scotia.They co-authored a peer-reviewed practice article published in the Canadian Medical Association Journal. It is titled "Five things to know about...high-dose influenza vaccination."Full practice article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181477----------------------------------------------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Pauline Pariser has many emotions about retirement after 35 years in practice.Dr. Pariser worked as a family physician in Toronto and is currently still an associate professor at the University of Toronto. She wrote a Humanities Encounters article published in CMAJ called "Reflections on retirement: Is that the way to say goodbye?"To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181136-----------------------------------Music: Nostalgic Place by Myuu, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Sarah Stumbar is sad to say goodbye to her patient Ana who, despite trying her best, is unable to achieve the American dream.The is the second part of Ana's story. This first part can be found here: https://soundcloud.com/cmajpodcasts/170278-encDr. Sarah Stumbar is a family physician and assistant professor of family medicine at Florida International University in Miami. She wrote a Humanities Encounters article published in CMAJ called "Goodbye: an immigration story."To read the article (subscription required): www.cmaj.ca/lookup/doi/10.1503/cmaj.180933-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. David McCullagh and Dr. Derek Chu discuss penicillin allergy: its prevalence, how to diagnose it, and how to confirm patient-reported penicillin allergy.Dr. David McCullagh is an infectious disease fellow at McMaster University and Dr. Derek Chu, fifth-year allergy and immunology resident, also at McMaster University in Hamilton, Ontario.They co-authored a peer-reviewed practice article published in the Canadian Medical Association Journal. It is titled "Five things to know about...Penicillin allergy."Full practice article (subscription required): www.cmaj.ca/lookup/doi/10.1503/cmaj.181117----------------------------------------------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Jonathan Fuller has a conversation with Miriam Solomon about different ways of knowing in medicine: precision medicine, evidence-based medicine, and narrative medicine. They discuss how these terms were coined and what they mean in the context of the current medical landscape.Prof. Miriam Solomon is a professor of philosophy at Temple University in Philadelphia. She published an award-winning article in the Canadian Medical Association Journal called "On ways of knowing in medicine." Open-access article: www.cmaj.ca/lookup/doi/10.1503/cmaj.150673For more philosophical discussions related to medicine, visit www.philosophersonmedicine.com-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Zoe Lau, a graduating medical student at Queen’s University School of Medicine, remembers one patient who fell outside of any easy categorization. Her article was the 2018 winner of the Undergraduate Narrative Award for Palliative Medicine, hosted by the Canadian Society of Palliative Care Physicians. It is called "Dear Mrs. P."It was also published in CMAJ. To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181235-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Clive Kearon reflects on his cancer diagnosis, and how life expectancy can change in one instant, sometimes for the better. Dr. Kearon is a thromboembolism consultant, clinician-researcher, and professor of medicine at McMaster University.He wrote a Humanities Encounters article published in CMAJ called "Four weddings and...."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181404-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Peter Newman remembers with fondness a person who ignited his love for literature and influenced his choice of career. Dr. Peter Newman is a family physician, teacher, and writer. He has worked extensively overseas, and is with the Department of Family and Community Medicine at the University of Toronto.He wrote a Humanities Encounters article published in CMAJ called "Heart and head."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180907-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Jonathan Fuller, philosophy of medicine postdoctoral fellow and graduating medical student at the University of Toronto, has a chat with Alex Broadbent, professor of philosophy at the University of Johannesburg.They discuss how medicine is defined, how the definition has changed over time, and what the term means in various contexts.For more philosophical discussions related to medicine, visit www.philosophersonmedicine.comDr. Alex Broadbent published a related Medicine and Society article in the Canadian Medical Association Journal. Full humanities article (subscription required): www.cmaj.ca/lookup/doi/10.1503/cmaj.180508-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Professor Alex Abramovich and Dr. June Lam discuss considerations for transgender patients in primary care.Prof. Alex Abramovich is an Independent Scientist at the Institute for Mental Health Policy Research at the Centre for Addiction and Mental Health and an Assistant Professor at the Dalla Lana School of Public Health at the University of Toronto.Dr. June Lam is a fifth-year psychiatry resident physician and also pursuing his Master's degree in Clinical Epidemiology and Health Care Research at the University of Toronto.They co-authored a peer-reviewed practice article published in the Canadian Medical Association Journal. It is titled "Five things to know about...Transgender-inclusive care."Full practice article (subscription required): www.cmaj.ca/lookup/doi/10.1503/cmaj.180954----------------------------------------------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Susan MacDonald reflects on her involvement in the end-of-life choices of one of her patients.Dr. Susan MacDonald is a palliative care physician and associate professor of medicine and family medicine Memorial University in St. John’s, Newfoundland. She wrote a Humanities Encounters article published in CMAJ called "Leo died the other day."To read the article (subscription required): www.cmaj.ca/lookup/doi/10.1503/cmaj.180953-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Professor Andrew Hogan examines the history of the social and medical models of disability and mental illness. The social model characterizes disability as the product of an unaccommodating and oppressive society. In contrast, the medical model supposes that a disability is an individual and medical diagnosis.Prof. Hogan is assistant professor in the Department of History at Creighton University in Omaha, Nebraska. His research examines evolving clinical perspectives and narratives of disability.Full humanities article (subscription required): www.cmaj.ca/lookup/doi/10.1503/cmaj.181008----------------------------------------------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this first "Med Life with Dr. Horton" podcast, Dr. Jillian Horton answers questions about CaRMS, the Canadian Resident Matching Service. In this episode, she is joined by Dr. Moneeza Walji.They answer these questions:What are some strategies for choosing and ranking programs?Should I have a back-up program in my ranking?What should I do about conflicting interviews?What are interviewers looking for in a candidate?What should I do when I can't think of an answer to an interview question?Should I change my strategy when being interviewed by a resident versus a program director?How does the panel score the interview?Should I disclose a mental health diagnosis or personal struggles?Should I talk about my partner, kids, or family?How do I handle the stress related to CaRMS?And more.Dr. Jillian Horton is a general internist in Winnipeg, Manitoba. She was the associate dean of undergraduate student affairs at the University of Manitoba from 2014–2018 and now directs programs in wellness and medical humanities at the Max Rady College of Medicine. She writes a column for CMAJ Blogs called Dear Dr. Horton: https://cmajblogs.com/category/dear-dr-horton/Dr. Moneeza Walji, is a hematology resident at McGill University in Montreal, Quebec.---------The opinions stated in this podcast are made in a personal capacity and do not necessarily reflect those of the Canadian Medical Association Journal.
In this podcast, Professor Catherine Carstairs tells listeners about one of the first sex education efforts in our country called the Health League of Canada. In light of Ontario Premier Doug Ford's controversial move to go back to using a sex education curriculum that was created in 1998, it is helpful to examine historical efforts, and past failures, to educate the public about sex and sexually transmitted infection. Professor Catherine Carstairs is department chair and professor of history at the University of Guelph. Her studies include the history of health and illness and the history of public health.Full humanities article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180773----------------------------------------------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In her narrative, Dr. Krishna Acharya reflects on importance of taking the time to learn what families worry about. Dr. Acharya is a neonatologist and assistant professor of pediatrics in Milwaukee, Wisconsin. Her Humanities Encounters article is published in the Canadian Medical Association Journal. It is called "The other side."This audio version of the article is read by Hiba Kukaswadia.To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180637-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dre Guylène Thériault nous explique les recommandations clé des nouvelles lignes directrices sur le dépistage du cancer du sein chez les femmes âgées de 40 à 74 ans qui ne sont pas à risque accru. Dans cette conversation, elle est interviewé par Dr Roland Grad.Dr Roland Grad est médecin de famille et professeur agrégé de médecine de famille à l’Université McGill à Montréal. Dre Guylène Thériault est médecin de famille, professeure, et de vice-doyenne adjointe à l'Université McGill. Ils sont tous deux membres du Groupe d’étude canadien sur les soins de santé préventifs.Lignes directrices : http://www.cmaj.ca/content/suppl/2018/12/04/190.49.E1441.DC1
In this podcast, Dr. Ainsley Moore discusses the latest evidence on screening for breast cancer in women aged 40–74 years who are not at increased risk for breast cancer. The guideline is published in the Canadian Medical Association Journal.Dr. Ainsley Moore is a family physician and Associate Clinical Professor at McMaster University in Hamilton, Ontario. She is vice chair of the Canadian Task Force on Preventive Health Care, the group that authored the guideline.Full guideline article (open access): www.cmaj.ca/lookup/doi/10.1503/cmaj.180463-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Martina Kelly reflects on the role of “touch” in medicine, a word that seems inappropriately intimate but also a routine part of clinical practice.Dr. Kelly is a family doctor, working in the Dept of Family Medicine of the University of Calgary Cumming School of Medicine in Calgary, Alberta. Her Humanities Encounters article is published in the Canadian Medical Association Journal. It is called "Learning to touch."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180284-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, we hear from two experts who are calling on the Canadian minister of health to recall high-strength opioid formulations from the Canadian market. They explain why it might be time to consider using Vanessa's Law, which empowers the minister of health to recall a drug when he or she “believes that a therapeutic product presents a serious or imminent risk of injury to health.”Prof. Matthew Herder is the Director of the Health Law Institute and Associate Professor in the Department of Pharmacology at Dalhousie University in Halifax, Nova Scotia. Dr. David Juurlink is staff internist and head of the division of Clinical Pharmacology and Toxicology at Sunnybrook Health Sciences Centre in Toronto.They co-wrote a commentary article published in the Canadian Medical Association Journal.Full commentary article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181289To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Peter Gill, general pediatrician and researcher at the Hospital for Sick Children in Toronto, discusses the latest clinical information about acute flaccid myelitis: how it is spread, symptoms, how to diagnose, how to manage, and more.He co-authored a peer-reviewed practice article published in the Canadian Medical Association Journal. It is titled "Five things to know about...Acute flaccid myelitis."Full practice article (subscription required): www.cmaj.ca/lookup/doi/10.1503/cmaj.181442-----------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Jonathan Gray remembers a former patient who has been labeled a pedophile. This true story reminds us that it’s often easy to condemn but far more difficult to understand. Dr. Gray is a forensic psychiatrist at the Royal Ottawa Mental Health Centre, in Ottawa, Ontario. His Humanities Encounters article is published in the Canadian Medical Association Journal. It is called "Just a pedophile."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180444-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Canada has long been the only high-income country with a universal health insurance system that excludes universal coverage of prescription drugs. In this podcast, Steve Morgan and Michael Wolfson, two prominent health policy and economics researchers, propose a detailed funding model for national pharmacare that would result in savings. Steve Morgan is a professor of health policy in the School of Population and Public Health at the University of British Columbia. He has studied prescription drug coverage and pricing policies for many years.Michael Wolfson is adjunct professor in the School of Epidemiology and Public Health at the University of Ottawa and was Assistant Chief Statistician a Statistics Canada up until his retirement in 2009.They co-wrote an analysis article published in the Canadian Medical Association Journal.Full analysis article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180897To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Tina Hu and Dr. Adam Pyle describe in detail how to treat opioid use disorder with buprenorphine-naloxone (Suboxone). They cover which patients are good candidates, how it compares to methadone, how it should be administered, what needs to happen in terms of follow-up. They discuss all of this in the context of the latest evidence.Dr. Tina Hu is a family medicine resident physician at St. Michael's Hospital in Toronto. Dr. Adam Pyle is a staff family physician at St. Michael's Hospital and also practises emergency medicine at Lakeridge Health Oshawa, in Oshawa, Ontario.They co-authored a peer-reviewed practice article published in the Canadian Medical Association Journal. It is titled "Five things to know about...Buprenorphine-naloxone."Full practice article (subscription required): www.cmaj.ca/lookup/doi/10.1503/cmaj.180776-----------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, we hear from Dr. Ronald Epstein, family physician, palliative care physician, author, musician, researcher. He is also an expert on integrating mindfulness in medicine. He is the subject of a Humanities Profile article published in the Canadian Medical Association Journal. The article is written by Dr. Miriam Shuchman, who is both psychiatrist and journalist.Full humanities article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180821More on Dr. Ronald Epstein:http://www.ronaldepstein.comTo request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Major prizes, such as the Gairdner or the Nobel, are one of the indicators of how well we’re doing in health and biomedical research in Canada. In this podcast, Dr. David Naylor analyzes why there has been a decline in the number of Canadians winning major health research prizes. Dr. David Naylor is professor of medicine and former president of the University of Toronto. He has a longstanding interest in science policy and Canada’s relative performance. He co-wrote an analysis article published in the Canadian Medical Association Journal with co-author Dr. Robert Redelmeier.Full analysis article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181056-----------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Two conversations about partnering with patients to improve health research. This podcast offers practical tips and lessons learned along the way.First, researcher Joanna Henderson and youth-partner Jacqueline Relihan chat about their project that seeks to improve youth access to mental health and addiction services. Jacqueline shares how youth like her helped shape the research study from the very start.Second, clinician-research Dr. Nav Persaud and patient-partner Diane Charter discuss their project, CleanMeds, which has the goal of improving access to essential medicines for underserved populations.This podcast adds to a comprehensive supplement on patient-oriented research published in the Canadian Medical Association Journal.The supplement is available here: http://www.cmaj.ca/content/190/supplementThe supplement is by the Ontario SPOR Support Unit (OSSU), which is funded by CIHR.To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Shaurya Taran, recounts the time he did an observership in northern India where he was born. The Kullu Valley, as he says, is a place where mysticism runs as deep as the tree’s roots and where the sacred deodars were protectors of the people.Dr. Taran is a third-year internal medicine resident at the University of Toronto. His Humanities Encounters article is published in the Canadian Medical Association Journal. It is called "Between a hermitage and a hospital."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180552-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Heather Orpana and Dr. Justin Lang discuss the Canadian data from the Global Burden of Disease Study, a large and systematic effort to describe the burden of diseases and injuries in 195 countries over the past 3 decades. Heather Orpana is a research scientist at the Public Health Agency of Canada, and an adjunct professor with the School of Epidemiology and Public Health at the University of Ottawa. Justin Lang is a research analyst with the Public Health Agency of Canada. The research article they co-authored, "Global Burden of Disease Study trends for Canada from 1990 to 2016" is published in the Canadian Medical Association Journal.Full research article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180698Global burden of disease data: http://www.healthdata.org -----------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Amit Garg discusses curcumin, its anti-inflammatory properties, and its usage as a natural health product. He describes a randomized-controlled trial he co-authored. In the study, oral curcumin was found to have no effect on biomarkers of organ injury and inflammatory response after abdominal aortic aneurysm repair.Dr. Amit Garg is a nephrologist and professor of medicine, epidemiology and biostatistics at Western University. The research article he co-authored is published in the Canadian Medical Association Journal.Full research article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180510To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Mara Sobel and Dr. Melissa Walker discuss screening, assessing, and diagnosing ovarian cancer, for the primary care physician.Dr. Melissa Walker is a fifth-year resident in obstetrics and gynecology at the University of Toronto. And Dr. Mara Sobel is an OBGYN and Assistant Professor at the University of Toronto. Both work at Women’s College Hospital at the Preventive Ovarian Cancer Clinic in Toronto, Ontario. They co-authored a practice article published in the Canadian Medical Association Journal.Full practice article (subscription required): www.cmaj.ca/lookup/doi/10.1503/cmaj.180499-----------------------------------This podcast episode is brought to you by Audi Canada.The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Sheldon Tobe and Dr. Rahul Jain discuss the 2018 update to the Canadian Cardiovascular Harmonized National Guideline Endeavour (C-CHANGE). This guideline is meant for primary care physicians to help manage patients with heart disease or patients at risk for heart disease.Dr. Sheldon Tobe is co-chair of the C-CHANGE process, nephrologist at Sunnybrook Health Sciences Centre and professor of medicine at both the University of Toronto and the Northern Ontario School of Medicine. Dr. Rahul Jain is a family physician and hospitalist at Sunnybrook Health Sciences Centre and assistant professor in the Department of Family and Community Medicine at the University of Toronto.They were part of the group that co-authored the guideline.Full guideline article (open access): www.cmaj.ca/lookup/doi/10.1503/cmaj.180194-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Prof. Anita Kozyrskyj explains the link between usage of household cleaning products, changes in the gut microbiota and increased risk of obesity in children. She also explains the opposite results they found with usage of eco-friendly cleaning products. The study she co-authored is published in CMAJ.Prof. Anita Kozyrskyj is a researcher and professor in the department of pediatrics at the University of Alberta in Edmonton. Her research focuses on factors that influence childhood disease and overweight, such as birth method, infant diet and use of antibiotics.The Canadian Institutes of Health Research (CIHR) and the Allergy, Genes and Environment (AllerGen) Network of Centres of Excellence provided core support for the CHILD study.Full research article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170809-----------------------------------This podcast episode is brought to you by Audi Canada. The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Bram Rochwerg and Dr. Shannon Fernando discuss Sepsis-3, the Third International Consensus Definitions for Sepsis and Septic Shock. They explain the role of the Sepsis-3 definitions and clinical criteria, and discuss the confusion surrounding their clinical use.Dr. Shannon Fernando is a fifth-year resident in emergency and critical care medicine at the University of Ottawa. Dr. Bram Rochwerg is an internal medicine and critical care specialist and assistant professor at McMaster University School of Medicine in Hamilton, Ontario.They co-authored a commentary, published in CMAJ.Full commentary article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170149To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Sepsis can have devastating consequences. But it is a disease that it sometimes difficult to identify in a timely manner. In this podcast, Dr. Mark Ansermino, discusses how data-driven automated tools could be the key to fast recognition and treatment of sepsis in children. Dr. Mark Ansermino, is a paediatric anesthesiologist and director of the centre for international child health at BC Children’s Hospital in Vancouver, British Columbia.He co-authored a commentary, published in CMAJ.Full commentary article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180434To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Sharon Straus and Prof. Monika Kastner share the results of their research on effectiveness of interventions for managing multiple high-burden chronic diseases affecting older adults. They discuss whether the single-disease approach to management is better than an integrated multi-disease approach to care.Prof. Monika Kastner is Research Chair in Knowledge Translation and Implementation at North York General Hospital in Toronto and Dr. Sharon Straus is interim physician-in-chief at St. Michael’s Hospital and vice chair and professor of medicine at the University of Toronto.Full research article: www.cmaj.ca/lookup/doi/10.1503/cmaj.171391To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
We bring you an interview from almost 20 years ago. Michael Bliss, medical historian and celebrated scholar, dug deep into the life of legendary physician Sir William Osler. He shares what he found.-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Donald Weaver takes his dad to the Alzheimer clinic for a check-up. He meets funny characters along the way.Dr. Weaver is a neurologist and director of the Krembil Research Institute in Toronto, Ontario. His Humanities Encounters article is published in the Canadian Medical Association Journal. It is called "In the Alzheimer waiting room."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180320-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Tony Bruno shares the story of a young patient he treated overseas during a humanitarian mission. Dr. Bruno is a family and emergency doctor in Calgary, Alberta, who works primarily as an international humanitarian physician. His Humanities Encounters article is published in the Canadian Medical Association Journal. It is called "Yousef's story."To view the photo mentioned in the article or to read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180131-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Mike Gross shares the story of the death of his father and reflects on medically assisted dying in this context. Dr. Gross is an orthopedic surgeon at the QEII Health Sciences Centre and a professor at Dalhousie University School of Medicine in Halifax, Nova Scotia. His Humanities Encounters article is published in the Canadian Medical Association Journal. It is titled "Not easy: a son reflects on assisted dying."Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180173-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Ainsley Moore discusses a clinical practice guideline on behalf of the Canadian Task Force on Preventive Health Care. This guideline, published in the Canadian Medical Association Journal, reexamines the evidence behind a routine part of prenatal care: screening for asymptomatic bacteriuria in pregnancy.Dr. Ainsley Moore is a family physician and Associate Clinical Professor at McMaster University in Hamilton, Ontario.Full guideline article: www.cmaj.ca/lookup/doi/10.1503/cmaj.171325Podcast transcript: https://www.cmaj.ca/transcript-171325-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this narrative, Dr. Damon Dagnone shares how helping others with grief can be healing. Dr. Dagnone is an emergency physician at Kingston General Hospital and Associate Professor at Queen’s University School of Medicine in Kingston, Ontario. His Humanities Encounters article is published in the Canadian Medical Association Journal. It is titled "Facing grief." Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180247-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Dallas Seitz explains community-based approaches to identifying and supporting older adults with dementia and their caregivers. He summarizes the latest evidence from the literature.Dr. Dallas Seitz is a psychiatrist and health services researcher. He is also associate professor and Chair of the Division of Geriatric Psychiatry in the Department of Psychiatry at Queen's University in Kingston, Ontario.He co-authored a CMAJ article titled "Care of community-dwelling older adults with dementia and their caregivers." Full review article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170920Podcast transcript: https://www.cmaj.ca/transcript-170920-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Susy Hota and Dr. Susan Poutanen explain fecal microbiota transplantation as an effective treatment for recurrent Clostridium difficile infection. They also explain risk management and proper administration of the treatment, and how the medical field is starting to explore this treatment option for other diseases.Dr. Susy Hota is medical director of Infection Prevention and Control at the University Health Network in Toronto and assistant professor in the Department of Medicine at the University of Toronto.Dr. Susan Poutanen is a Medical Microbiologist and Infectious Diseases Physician at Sinai Health System and University Health Network and an associate professor at the University of Toronto.They co-authored a CMAJ article titled "Five Things to Know About...Fecal microbiota transplantation for recurrent Clostridium difficile infection." Full practice article: www.cmaj.ca/lookup/doi/10.1503/cmaj.171454Podcast transcript: https://www.cmaj.ca/transcript-171454-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Hemant Shah and Dr. Jordan Feld discuss a clinical practice guideline from the Canadian Association for the Study of the Liver on the management of chronic hepatitis C. The guideline is published in the Canadian Medical Association Journal.Dr. Hemant Shah is Assistant Professor of Medicine at the University of Toronto and Clinical Director at the Toronto Centre for Liver Disease.Dr. Jordan Feld is Associate Professor of Medicine at the University of Toronto and Clinician-Scientist and Research Director at the Toronto Centre for Liver Disease.Full guideline article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170453Podcast transcript: https://www.cmaj.ca/transcript-170453-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Beverly Goodwin, a community-based psychiatrist and former family physician in Smiths Falls and Carleton Place, Ontario, reads her article called "Stanley and me." In this narrative, Dr. Goodwin shares an encounter with a particular patient in her psychiatry clinic. This patient helped remind her of the power physicians can hold over their most vulnerable patients. Her Humanities Encounters article is published in the Canadian Medical Association Journal.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180219-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Kirsten Patrick, deputy editor for the Canadian Medical Association Journal, discusses an editorial she co-authored on the topic of patient-oriented research. She is joined by her co-authors, Diane Aubin and Maryam Kebbe. Diane Aubin is an Associate Director with the Alberta Strategy for Patient-Oriented Research support unit and works at the University of Alberta in Edmonton.Maryam Kebbe is completing her PhD in the Department of Pediatrics at the University of Alberta. Her research focuses on health behaviours of teens with obesity.They discuss a formal commitment by the CMAJ Group to publish a collection of research articles on patient-oriented research in the journal CMAJ Open www.cmajopen.caPatient-oriented research collection author guidelines: http://cmajopen.ca/site/authors/patient-oriented-research-collection-author-guidelines.xhtmlThey co-authored an editorial article published in the Canadian Medical Association Journal.Full editorial article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180587To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Mary Koziol and Dr. Andrea Tone discuss the modern history of psychiatric treatments for women. This historical lens provides a unique viewpoint to analyze gender bias in medicine. Mary Koziol is a fourth-year medical student at McGill University. She will be starting her residency in family medicine at the University of British Columbia in July.Andrea Tone is a Professor of History in the Department of Social Studies of Medicine at McGill University and holds a Canada Research Chair in the Social History of Medicine.They co-authored a medical humanities article published in the Canadian Medical Association Journal.Full humanities article: www.cmaj.ca/lookup/doi/10.1503/cmaj.171277To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Stacey Marjerrison and Dr. Chelsea Gabel discuss health research involving Indigenous Peoples. They explore opportunities for collaboration that move away from the traditionally Western-centric approach.Dr. Stacey Marjerrison is a pediatric hematologist/oncologist at the McMaster Children’s Hospital, as well as Assistant Clinical Professor, and non-Indigenous researcher in the Department of Pediatrics at McMaster University. Dr. Chelsea Gabel is Métis from Rivers, Manitoba. She is an Assistant Professor at McMaster University in the Department of Health, Aging and Society and the Indigenous Studies program. She holds a Canada Research Chair in Indigenous Well-Being, Community-Engagement and Innovation.Along with their colleague Sarah Hyett, they authored an analysis article published in the Canadian Medical Association Journal.Full analysis article: www.cmaj.ca/lookup/doi/10.1503/cmaj.171538Podcast transcript: www.cmaj.ca/transcript-171538Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Dr. Brenda Wilson discusses the new guideline on screening for impaired vision in community-dwelling adults aged 65 years and older in primary care settings. The guideline is authored by the Canadian Task Force on Preventive Health Care and is published in the Canadian Medical Association Journal.Dr. Brenda Wilson is a professor of Community Health and Humanities at Memorial University of Newfoundland and a member of the Canadian Task Force on Preventive Health Care.Full guideline article: www.cmaj.ca/lookup/doi/10.1503/cmaj.171430Podcast transcript: https://www.cmaj.ca/transcript-171430-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, professor Sharrona Pearl explores the history of face transplants through an ethical and societal lens. She discusses the intrinsic link between the face and one's sense of identity and wholeness as a person.Prof. Pearl is an Assistant Professor of Communication at the University of Pennsylvania. She received her PhD. in the History of Science from Harvard University. Her article, titled “Saving faces” was published in the Canadian Medical Association Journal.Full medical humanities article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180039To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this audio reading, we hear the perspectives of a patient, the spouse of another patient, and the oncologist who cared for both patients. They share their thoughts on terminal cancer, doctor-patient communication, and what changes when you know the end is near. The article, titled "What really matters at the end: perspectives from a patient, a family member and an oncologist," was written by Penny Nelson, Rachel Koven and Dr. Christopher Booth (Department of Oncology, Queen’s University, Kingston, Ont.). Their Humanities Encounters article is published in the Canadian Medical Association Journal.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.171285-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.-----------------------------------Transition music: Friday Morning by Kevin MacLeod, licensed under a Creative Commons Attribution license (https://creativecommons.org/licenses/by/4.0/)Source: http://incompetech.com/music/royalty-free/index.html?isrc=USUAN1100224Artist: http://incompetech.com/
In this podcast, Dr. Alexandra Legge discusses a review article she co-authored on managing premature atherosclerosis in patients with chronic rheumatic inflammatory diseases. Cardiovascular disease is underrecognized and undertreated in patients with chronic inflammatory diseases.Dr. Alex Legge is an Internal Medicine resident at Dalhousie University in Halifax, Nova Scotia. She is enrolled in the Clinician-Investigator Program and co-wrote the review article with Dr. John Hanly, rheumatologist and professor in the Department of Medicine at Dalhousie University. The article is published in the Canadian Medical Association Journal.Full review article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170776Podcast transcript: https://www.cmaj.ca/transcript-170776-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, professors Heather MacDougall and Laurence Monnais discuss perceptions, apathy and opposition around vaccination. Specifically, they take a look at the factors underpinning low uptake of measles vaccine in the 1960s, 70s, 80s and 90s, decades before the infamous Wakefield autism article.Heather MacDougall is an associate professor at the University of Waterloo where she specializes in the history of public health and health policy. Laurence Monnais is a professor of history and director of the Center for East Asian Studies at the Université de Montréal. She is also a fellow of the Royal Society of Canada. They co-authored a Humanities article published in the Canadian Medical Association Journal.Full medical humanities article: www.cmaj.ca/lookup/doi/10.1503/cmaj.171238To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Sylvia Nickerson, an artist in Hamilton, Ontario, reads her article called "Seeking graphic medicine narratives." In the article, Dr. Nickerson explains how graphic medicine can probe the emotional, moral and human aspects of medicine. Her Humanities Encounters article is published in the Canadian Medical Association Journal.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.171318-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this podcast, Prof. Natalie Riediger and Prof. Andrea Bombak discuss their analysis article published in the CMAJ that looks at a proposed tax on sugar-sweetened beverages through a social justice lens. A sugar tax could have unintended detrimental effects for certain vulnerable populations if not implemented properly.Dr. Riediger is an assistant professor in the Department of Community Health Sciences and Ongomiizwin Research at the Indigenous Institute of Health and Healing at the University of Manitoba in Winnipeg, Manitoba. Dr. Bombak is an assistant professor in the School of Health Sciences at Central Michigan University in Mount Pleasant, Michigan.Full analysis article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170379To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Ryan Giroux, a resident in pediatrics at the Hospital for Sick Children in Toronto, reads his article called "Bannock as medicine." In the article, Dr. Giroux shares how an encounter with a First Nations patient allowed him to ponder his own identity as a Métis physician. His Humanities Encounters article is published in the Canadian Medical Association Journal.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170875-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Samina Ali, a pediatric emergency physician in Edmonton, Alberta, reads her article called "A note to Aaron." In the article, Dr. Ali shares the story of one particular child, Aaron Fortier. The story is true. Her Humanities Encounters article is published in the Canadian Medical Association Journal.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.171182-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dre Julie Bruneau et Dre Marie-Ève Goyer nous expliquent les recommandations clé de nouvelles lignes directrices sur la prise en charge clinique du trouble lié à l'usage d'opioïdes. Elles sont deux des auteures des lignes directrices publiées dans le Journal de l'Association médicale canadienne. Dre Bruneau est médecin-chercheur au CHUM en médecine des toxicomanies et Dre Goyer est médecin de famille. Les deux sont professeur au département de médecine familiale de l'Université de Montréal.Lignes directrices (en anglais): www.cmaj.ca/lookup/doi/10.1503/cmaj.170206
In this podcast, Dr. Evan Wood and Dr. Keith Ahamad discuss the new guideline on management of opioid use disorder published in the Canadian Medical Association Journal. Dr. Wood and Dr. Ahamad are two specialists who work in the thick of the opioid crisis. They are also two of the authors of the guideline. They discuss the recommendations on how to treat opioid addiction and they offer insight into systemic issues at play.Here is the timing of the questions they discuss:2:43 What is the current landscape in Canada in terms of the opioid crisis?5:20 What does this guideline cover? What is the scope and who is it for?9:41 How was the guideline developed? How did the group ensure there were no conflicts of interest?12:23 What are the recommendations?17:55 More on the recommendation of slow release oral morphine27:16 What is the number one intervention that needs to be rolled out?30:36 What are the next steps?33:49 More on prescription heroin39:32 What should happen at the federal level to help the opioid crisis and addictions as a whole?Dr. Evan Wood is an addiction medicine specialist and director of the British Columbia Centre on Substance Use. Dr. Keith Ahamad is an addiction medicine physician at St-Paul's Hospital in Vancouver and is a clinician-researcher at the BC Centre on Substance Use.Full guideline article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170958Podcast transcript: https://www.cmaj.ca/transcript-170958-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Koray Demir reads his article called "In the closet, again." In the article, Mr. Demir shares his struggles with internalized homophobia which surface while working with a patient dying of AIDS.Mr. Demir is part of the McGill Medical School graduating class of 2018. His Humanities Encounters article is published in the Canadian Medical Association Journal.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.171016-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Repeat concussion, traumatic encephalopathy, head injury, brain damage. These are hot topics, especially in the world of contact sports. While there has been a recent increased awareness of the long-term effects of repeat head injury, our modern understanding may not be that different from what was already known by the 1950sIn this interview, Prof. Stephen Casper, discusses fascinating points in history that helped shape modern understanding of traumatic encephalopathy. He also discusses his take on the problem of brain injury in contact sports and whether kids should even enrol.Prof. Casper is an associate professor of history, humanities and social sciences at Clarkson University in Potsdam, New York. He published a medical humanities article in the Canadian Medical Association Journal.Full medical humanities article: www.cmaj.ca/lookup/doi/10.1503/cmaj.171204To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Genetic testing technology has advanced rapidly and it is becoming more affordable to perform whole genome sequencing. Whole genome sequencing can reveal heritable conditions and predispositions to disease. In this interview, Professor Steve Scherer discusses the findings from the initial cohort of 56 Canadian volunteers who had their whole genome sequenced for the Personal Genome Project Canada. The results, published in the Canadian Medical Association Journal, represent the culmination of 10 years of work by researchers. The project is ongoing.Prof. Scherer is the lead genome scientist at The Centre for Applied Genomics at the Hospital for Sick Children and the McLaughlin Centre at the University of Toronto. He is the lead author of the study.Full research article: www.cmaj.ca/lookup/doi/10.1503/cmaj.171151To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Neonatal care has improved greatly in recent years. As an unintended consequence of these advances, more babies born with malformations such as congenital diaphragmatic hernia (CDH) survive and with more severe malformations than in the past.Dr. Pramod Puligandla discusses a new clinical practice guideline on diagnosis and management of CDH. Dr. Puligandla is a Professor of Paediatric Surgery, Paediatrics and Surgery at McGill University, Faculty of Medicine in Montreal, Quebec. He was also the project lead for the guideline working group. The guideline was developed by the Canadian Congenital Diaphragmatic Hernia Collaborative.Full guideline article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170206Podcast transcript: https://www.cmaj.ca/transcript-170206-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Phillip Gregoire reads his article called "Late night decisions." In the article, Dr. Gregoire reflects on the term "code status" and how best to talk to patients about its meaning.Dr. Gregoire is a first year internal medicine resident at the University of Toronto. His article is published in the Canadian Medical Association Journal.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170981-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Shannon Ruzycki discusses the problem of physician burnout. She offers practical advice to help physicians recognize it in themselves and in their colleagues. She also discusses strategies to cope and to prevent the problem in the first place.Dr. Ruzycki is a general internal medicine fellow at the University of Calgary. She co-authored a Practice article published in CMAJ called “Five things to know about physician burnout.”Full practice article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170827Podcast transcript: https://www.cmaj.ca/transcript-170827Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, we hear from three of the authors of a prospective cohort study on childhood peer victimization and its effect on mental health during adolescence. They discuss the findings and offer practical advice on how to address and prevent bullying and victimization at home, in schools and from a physician's perspective.Dr. Marie-Claude Geoffroy is a clinical psychologist at the Douglas Institute in Montreal specializing in children and adolescents with severe mood disorders and suicidal thoughts. She is also an assistant professor of psychiatry at McGill University.Dr. Johanne Renaud is a child and adolescent psychiatrist and associate professor of psychiatry at McGill University. She leads the Depressive and Suicidal Disorders Clinic for youth at the Douglas Institute.Dr. Louise Arseneault is a professor of developmental psychology at King’s College London and was recently appointed Economic and Social Research Council Mental Health Leadership Fellow.Along with their co-authors, they authored a research article published in CMAJ.Full research article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170219To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Sachin Pendharkar describes for listeners the signs and symptoms of chronic obstructive sleep apnea, treatment options, and the dangers of going undiagnosed.Dr. Sachin Pendharkar is a sleep and respiratory physician at the Foothill Medical Centre Sleep Centre and Associate Professor of Medicine and Community Health Sciences at the University of Calgary. He co-authored a review article on diagnosis and treatment of obstructive sleep apnea in adults.Full review article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170296Podcast transcript: https://www.cmaj.ca/transcript-170296Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Darrell Tan takes listeners through the new Canadian guideline on HIV pre-exposure prophylaxis and nonoccupational postexposure prophylaxis. He offers practical clinical guidance for front-line health workers.Dr. Darrell Tan is an infectious diseases physician and clinician–scientist at St. Michael’s Hospital in Toronto. He is also co-leader of the Biomedical HIV Prevention Working Group of the CIHR Canadian HIV Trials Network. He co-authored the HIV guideline published in CMAJ.Full guideline article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170494Podcast transcript: https://www.cmaj.ca/transcript-170494Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Sarah Stumbar reads her article called "For the world to see Ana." Ana is a refugee living in the United States who represents countless others who are sick and must navigate life with no health insurance. The story is true.Dr. Stumbar is a family physician and assistant professor of family medicine in the Department of Humanities, Health, and Society at Florida International University in Miami, Florida. Her article was published in the CMAJ.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170278-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In his article, Dr. Peter Clement Duffy, relives a very busy night in the emergency department that challenged the “Two-Solitudes” mentality in Montréal. The story is true, but pertinent details have been changed to protect the patients’ and health care workers’ identities.Dr. Duffy's article, titled "Saturday night at St. Mary's", was published in CMAJ. The story is read by Dr. Ken Flegel, senior editor for CMAJ.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170134Dr. Peter Clement Duffy has practiced family and emergency medicine for the past 30 years in Montréal. If you want to read more of his writing, he has published eight medical thrillers and many short stories under his middle name Peter Clement.-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. John D. McLennan reads his article called "Johnny, how did you end up on five psychotropic medications?", which was published in CMAJ.In the article, Dr. McLennan shares the story of Johnny, who is not a real patient, but rather a composite of many autistic patients he has encountered over the years.Dr. McLennan is a child psychiatry consultant at the Children’s Hospital of Eastern Ontario and research chair in child and adolescent psychiatry at the University of Ottawa.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170165-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. David Juurlink discusses the ongoing opioid crisis. He explains why physicians must pay attention to one particular group of patients: those on long-term opioid therapy for chronic pain.Dr. David Juurlink is staff internist and head of the division of Clinical Pharmacology and Toxicology at Sunnybrook Health Sciences Centre, and a scientist at the Institute for Clinical Evaluative Sciences. He authored a commentary published in CMAJ.Full commentary: www.cmaj.ca/lookup/doi/10.1503/cmaj.170628To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In his article, Dr. Sterling Haynes, a retired GP who lives in Kelowna, British Columbia, recounts the time when he came to the rescue of a friend in a retirement home. The story is true and consent has been obtained. All names have been changed.His article, titled "Always on call", was published in CMAJ. The story is read by Dr. Ken Flegel, senior editor for CMAJ.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161058-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Thara Kumar and Dr. Hans Rosenberg tell us about take-home naloxone kits used for opioid overdose. They discuss how to use them, where to get them, how they work, and more. They offer practical guidance to physicians in Canada and also include tips for the general public.Dr. Thara Kumar is an emergency medicine resident in her fifth and final year of training at the University of Ottawa, with a Global Health Certificate from Johns Hopkins University. Dr. Hans Rosenberg an emergency physician at the Ottawa Hospital and an assistant professor in the Faculty of Medicine at the University of Ottawa. Together, they co-authored a practice article published in CMAJ called "Five things to know about...Take-home naloxone."Full practice article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170600Podcast transcript: https://www.cmaj.ca/transcript-170600Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Paul Kurdyak explains the results of research on mortality trends in individuals with schizophrenia over a period of 20 years. Dr. Kurdyak and his co-authors published a study in CMAJ and found that in Ontario, people with schizophrenia still live shorter lives than those without psychiatric illness. He discusses what might be at the root of this shorter life expectancy.Dr. Paul Kurdyak is a psychiatrist and scientist at the Centre for Addiction and Mental Health in Toronto and the lead of the mental health and addictions program at the Institute for Clinical Evaluative Sciences.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161351To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Harminder Singh takes listeners through the new Canadian Task Force on Preventive Health Care (CTFPHC) guideline on screening for abdominal aortic aneurysm, or AAA. He explains each of the recommendations and the evidence behind them.Dr. Harminder Singh is associate professor of medicine in the departments of Internal Medicine and Community Health Sciences at the University of Manitoba. Dr. Singh is also a member of the CTFPHC and has co-authored the AAA guideline published in CMAJ. Full guideline article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170118Podcast transcript: https://www.cmaj.ca/transcript-170118Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Jennie Johnstone tells us about a strain of gram-negative bacteria called carbapenemase-producing Enterobacteriaceae (CPE) that is resistant to most antibiotics. She also discusses what the public and the health care system can do to help prevent the spread of drug-resistant organisms.Dr. Johnstone is infection prevention and control physician-scientist at Public Health Ontario and infectious disease specialist for St. Joseph’s Health Centre in Toronto. She co-authored a practice article in the CMAJ titled "Five things to know about...Emerging multidrug-resistant bacteria." Full practice article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170110Podcast transcript: https://www.cmaj.ca/transcript-170110Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Death by suicide during the perinatal period has been understudied in Canada. Little is known about the true extent of the problem or the steps that can be taken to prevent it.In this interview, Dr. Sophie Grigoriadis explains the results of research on the characteristics and patterns of perinatal suicide. Dr. Grigoriadis and her co-authors published a study in CMAJ that examined maternal suicide during pregnancy and the first postpartum year in Ontario over a period of 15 years.Dr. Grigoriadis is a psychiatrist and head of the Women’s Mood and Anxiety Clinic Reproductive Transitions at Sunnybrook Health Sciences Centre in Toronto.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170088To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Olga Theou and Dr. Kenneth Rockwood discuss their research looking at the association between sedentary time and mortality across levels of frailty.Olga Theou is an assistant professor in the Department of Medicine at Dalhousie University and geriatric medicine scientist for the Nova Scotia Health Authority. Dr. Kenneth Rockwood is a professor of geriatric medicine and neurology at Dalhousie University, a CIHR researcher, and a staff physician. Along with their co-authors, they published a research article in CMAJ.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161034To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Shannon Chun, 2017 graduate from Queen's University medical school, shares a memorable encounter with a patient that made him question who the expert really is. The story is true but some details have been changed to protect the identity of the family. His article, titled "The Expert", was published in the CMAJ. The story received an honourable mention for the 2016 Annual Undergraduate Narrative Award for Palliative Care from the Canadian Society of Palliative Care Physicians.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161369-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Paul Atkison, pediatrician and transplant specialist at the London Health Sciences Centre Children's Hospital, shares why one particular patient remains close to his heart. The story is true.His article, titled "Lessons from a child", was published in the CMAJ. The story is read by Dr. Ken Flegel, senior editor for CMAJ.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161309-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Stephen Mawdsley takes a look back at the early 1950s when gamma globulin was being tested for the prevention of polio. He explains how successful publicity ultimately compromised the integrity of the clinical trial.Dr. Stephen Mawdsley is Wellcome Trust Lecturer at the University of Strathclyde in Glasgow, Scotland and specializes in the history of American race, medicine, and health.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170232To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Ms. Donna Thomson, the parent of two adult children, one with severe disabilities, shares some of the insights she has gained after 28 years of caregiving and parenting. She reads her Humanities article, published in CMAJ, called "On becoming a full partner in care." The article is an abbreviated version of a lecture she presented at the American Academy of Cerebral Palsy and Developmental Medicine annual meeting in September 2016.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161284-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. May ElSherif discusses the randomized control trial of a Canadian Ebola vaccine that was developed at the National Microbiology Laboratory in Winnipeg, Canada. Dr. ElSherif is an international medical graduate specialized in medical microbiology and research associate at the Dalhousie University Canadian Center for Vaccinology in Halifax, Nova Scotia. Dr. ElSherif and her co-authors recently published the results of their trial in the CMAJ.Full research article: www.cmaj.ca/lookup/doi/10.1503/cmaj.170074To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Dominika Jegen, a rural and remote family doctor and assistant professor at Queen’s University in Kingston, Ontario, offers a glimpse of life as a fly-in physician in the Northwest Territories. She tells us about her encounter with one memorable patient. The story is true.Her article, titled "A reflection on practising medicine 'up North', was published in the CMAJ.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161100-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with Giulia Muraca, a PhD candidate at the University of British Columbia School of Population and Public Health and a Vanier Canada Graduate Scholar.Ms. Muraca published a research article in the CMAJ in which she and her co-authors looked at the rates of severe outcomes in mom and baby after use of forceps and/or vacuum at midpelvic station. They then compared these rates with cesarean delivery. Ms. Muraca explains their findings in this podcast.Full research article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161156To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Benjamin Hull Chin-Yee, a medical student at the University of Toronto, shares his feelings after finding a photograph of his great grand-mother and a copy of her case history.Mr. Chin-Yee authored an article published in the CMAJ called "Two documents." He reads it for listeners in this podcast. The story is true.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161287-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this interview, Dr. Sharra Vostral, associate professor of history in the College of Liberal Arts at Purdue University in West Lafayette, Indiana, explains how toxic shock and tampons motivated women to speak out in the 1980s. She takes listeners through the fascinating history of tampons and laboratory testing.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161479To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Listen to this audio reading of a CMAJ Humanities Encounters article titled Calling. It is written and read by Dr. Janice Mulder, Palliative Care Consultant and a retired physician who lives in Winnipeg, Manitoba.In the article, Dr. Mulder tells listeners about a particularly memorable encounter with a patient. The story is true.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161264-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
The new Canadian guideline presents evidence-based recommendations for prescribing of opioids for chronic non-cancer pain, including maximum dose recommendations, avoiding opioids in high risk populations, and guidance for tapering patients receiving high doses.Dr. Jason Busse, Associate Professor in the Department of Anesthesia at McMaster University and researcher with the Michael G. DeGroote National Pain Centre in Hamilton, Ontario, co-authored the guideline. In this podcast, he speaks with Dr. Diane Kelsall, interim editor-in-chief, CMAJ, and explains the recommendations.Full guideline (open access): www.cmaj.ca/lookup/doi/10.1503/cmaj.170363Podcast transcript: https://www.cmaj.ca/transcript-170363Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
The Canadian Task Force on Preventive Health Care has reviewed the latest literature evidence and published a guideline in the CMAJ on screening for hepatitis C virus (HCV) in adults. Dr. Roland Grad, task force member, practicing family physician and associate professor in the Faculty of Medicine at McGill University, explains the task force’s recommendations on screening for HCV.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161521Podcast transcript: https://www.cmaj.ca/transcript-161521Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with Dr. Natasha Saunders, general paediatrician and associate scientist at the Hospital for Sick Children and health services researcher at the Institute for Clinical Evaluative Sciences (ICES), in Toronto.In their research article, Dr. Saunders and her co-authors wanted to verify the immigrant paradox, which states that even though immigrants may be more socially disadvantaged, they tend to have better health outcomes than nonimmigrants.Dr. Saunders and her co-authors discovered very high rates of firearm injuries among children and youth in Ontario. She explains their research findings in this podcast.Full research article: www.cmaj.ca/lookup/doi/10.1503/cmaj.160850To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Barbara Sibbald, news and humanities editor for CMAJ, reads the Humanities Encounters article "Rendez-vous." The article is written by Diana Kim, a medical student at the University of British Columbia in Vancouver, BC.In the article, Diana tells the story of her father’s death. She finds that a final goodbye takes years and several patients.The story won an honourable mention from the 2016 Canadian Society of Palliative Care Physicians for their Annual Undergraduate Narrative Award for Pallative Medicine.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161238-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with Dr. Jacob Udell, cardiologist at Women’s College Hospital and the Peter Munk Cardiac Centre at Toronto General Hospital, clinician-scientist at the Women’s College Research Institute and assistant professor of medicine at the University of Toronto.Dr. Udell and his co-authors published a research study in CMAJ in which they investigated whether unsuccessful fertility therapy in women is associated with subsequent adverse cardiovascular events. He explains their findings in this podcast.Full research article: www.cmaj.ca/lookup/doi/10.1503/cmaj.160744To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Jay Rankin, news intern for CMAJ, reads the Humanities Encounters article "Time and space." The article is written by Michael Lang, doctoral student at the University of Calgary and consultant in engagement and patient experience with Alberta Health Services in Calgary, Alberta.In the article, Mr. Lang recounts the time he encouraged his friend Julie, a medical resident, to share her experience as a cancer survivor with a group of colleagues. The story is true.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161099-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with Dr. Andrea Boggild, clinical director in the Tropical Disease Unit at the Toronto General Hospital, and assistant professor in the Department of Medicine at the University of Toronto. In this podcast Dr. Boggild gives practical advice about preventing and diagnosing Zika virus in Canada. She also shares the findings of the research article she co-authored that analyzed data coming from Canadian Travel Medicine Network sites, or CanTravNet, in Canada.Full research article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161241Websites mentioned in the podcast:Public Health Agency of Canada CATMAT recommendations: http://www.phac-aspc.gc.ca/tmp-pmv/catmat-ccmtmv/index-eng.phpGovernment of Canada travel information: https://travel.gc.ca To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with Dr. Brett Thombs, professor in the Faculty of Medicine at McGill University and senior investigator of the Lady Davis Institute, Jewish General Hospital in Montreal. He is also chair-elect of the Canadian Task Force on Preventive Health Care and chair of the tobacco guideline working group. In their guideline published in the CMAJ, Dr. Thombs and the Task Force reviewed the evidence supporting behavioural interventions for prevention and treatment of smoking in children and youth. He explains their findings in this podcast.Full guideline article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161242Podcast transcript: https://www.cmaj.ca/transcript-161242Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with Dr. Steve Morgan, professor of health policy at the University of British Columbia School of Population and Public Health and Dr. Nav Persaud, physician at St. Michael’s Hospital in Toronto and assistant professor in the Department of Family and Community Medicine at the University of Toronto.Dr. Morgan, Dr. Persaud and their co-authors published a research article in CMAJ in which they estimated the likely savings from public coverage of a list of essential medicines across Canada. They explain their findings in this podcast.Full research article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161082To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
How do lifestyle factors influence breast cancer prognosis? In a review article published in the CMAJ, Dr. Ellen Warner and Ms. Julia Hamer identify which lifestyle changes can be recommended to patients as an adjunct to standard breast cancer treatments, to reduce their risk of distant recurrence and death.Dr. Warner is a medical oncologist at the Odette Cancer Centre at Sunnybrook Health Sciences Centre and professor of medicine at the University of Toronto. Ms. Hamer is a Master of Medical Science student and lecturer at the University of Toronto. Full review article: www.cmaj.ca/lookup/doi/10.1503/cmaj.160464Podcast transcript: https://www.cmaj.ca/transcript-160464Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Jay Rankin, news intern for CMAJ, reads the Humanities Encounters article "TB or not TB". The article is written by Adam Komorowski, a second-year medical student at the University of Limerick in Ireland.In the article, Mr. Komorowski describes the time he tested positive for tuberculosis. The story is true.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.160828-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encountersTo request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with Dr. Nathalie Auger, principal scientist at the University of Montreal Hospital Research Centre (CHUM) and associate clinical professor in the School of Public Health at the University of Montreal and with Dr. Brian Potter, clinical investigator and interventional cardiologist at the University of Montreal Hospital Research Centre, and assistant clinical professor with the department of medicine at the University of Montreal.Dr. Auger, Dr. Potter and their co-authors investigated the association of quantity and duration of snowfall with hospital admission or death due to myocardial infarction.Full research article: www.cmaj.ca/lookup/doi/10.1503/cmaj.161064To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with Dr. Ian Kitai, tuberculosis specialist with the Hospital for Sick Children and associate professor in the Department of Pediatrics at the University of Toronto School of Medicine. Dr. Kitai co-authored a review article on the diagnosis and management of tuberculosis in children. Tuberculosis is generally uncommon in children and adolescents in Canada, but among some populations we still find high rates of the disease. A high index of suspicion is required to ensure timely diagnosis.Full review article: www.cmaj.ca/lookup/doi/10.1503/cmaj.151212Podcast transcript: https://www.cmaj.ca/transcript-151212-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Barbara Sibbald, News and Humanities editor for the Canadian Medical Association Journal, reads the CMAJ Humanities Encounters article "Lives uncovered: reflections on encounters with newly arrived Syrians". The article is written by Dr. Janet Warren, a family physician at Hamilton Urban Core Community Health Centre in Hamilton, Ontario.In the article, Dr. Warren describes what it’s like to be a Canadian physician caring for newly arrived Syrian refugees. The encounters are true but patient details have been changed to protect confidentiality.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.160827-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Barbara Sibbald, News and Humanities editor for the Canadian Medical Association Journal, reads the CMAJ Humanities Encounters article "Cathartic narratives for chaotic thinking". The article is written by Dr. Richard Hovey, associate professor in the Division of Oral Health and Society with the Faculty of Dentistry at McGill University.In the article, Dr. Hovey speaks from personal experience about life with severe chronic pain.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.160831-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Diagnostic delay of central nervous system tumours in children has serious implications for the children and their families. Dr. Ran Goldman, Pediatrician at BC Children's Hospital, Professor of Pediatrics at the University of British Columbia and Chief Medical Officer for the website medschoolforparents.com, discusses how practitioners can maintain a high index of suspicion for these rare tumours, yet not overinvestigate benign conditions. Dr. Goldman co-authored a review article on pediatric central nervous system tumours published in CMAJ.Full review article: www.cmaj.ca/lookup/doi/10.1503/cmaj.160074To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Barbara Sibbald, News and Humanities editor for the Canadian Medical Association Journal, reads the CMAJ Humanities Encounters article "First, do no harm". The article is written by Dr. Sarah Tulk, a family medicine resident at McMaster University.In the article, Dr. Tulk reflects on the time she treated a terminally ill patient in the emergency department.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.160585-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Dr. Jennifer Hutcheon, researcher at BC Children's Hospital and assistant professor in the Faculty of Medicine at the University of British Columbia, discusses a CMAJ research article she co-authored. Dr. Hutcheon and her colleagues examined whether the closure of obstetric services in smaller communities in BC affected rates of adverse events for mothers or newborns.Full research article: www.cmaj.ca/lookup/doi/10.1503/cmaj.160461To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Barbara Sibbald, News and Humanities editor for the Canadian Medical Association Journal, reads the CMAJ Humanities Encounters article "Words, deeds and interpretations". The article is written by Dr. Mary Seeman, professor emerita, in the Department of Psychiatry at the University of Toronto.In the article, Dr. Seeman, an older psychiatrist, recounts how acting instead of talking can net rather dire results. The events are true but happened decades ago.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.160498-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Stuart Kinmond reads the CMAJ Humanities Encounters article "He was a boy with a name". The article is written by Dr. Nicholas Batley, associate professor in the Department of Family Medicine at the American University of Beirut Medical Centre in Lebanon.The article tells the true story of Dr. Batley’s encounter with a young Syrian refugee on the streets of Beirut. The patient’s name and personal details have been changed to protect his identity.Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.160530-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Supraventricular tachycardias represent a range of tachyarrhythmias originating from a circuit or focus involving the atria or the atrioventricular node. Prompt recognition of the specific type of arrhythmia is essential to determine therapeutic management. Dr. Lior Bibas, cardiology fellow at McGill University in Montréal, Québec, discusses various approaches to treatment. He co-authored a review article published in the CMAJ.Full review article: www.cmaj.ca/lookup/doi/10.1503/cmaj.160079To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
People who smoke tobacco may be interested in quitting, reducing their smoking or neither. Physicians can offer interventions for all of these groups. In this podcast interview, Dr. Robert Reid and Dr. Andrew Pipe – experts on smoking cessation from the University of Ottawa Heart Institute’s Division of Prevention and Rehabilitation – offer practical advice to guide physicians in helping their patients. They, and co-authors, have reviewed evidence on smoking cessation initiatives in an article published in CMAJ.Full review article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.151510To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Stuart Kinmond reads the CMAJ Humanities Encounters article "Cutting through the shame". The article is written by Stephen P. Lewis, associate professor in psychology at the University of Guelph in Guelph, Ontario. In the article, the author reflects on a period of self-injury and what he learned from it.Article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.160119-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. https://shop.cma.ca/products/encounters-----------------------------------To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Physicians from many specialties may care for inpatients with opioid use disorder. An acute hospital admission is an opportunity to engage with patients who have this common, chronic disorder, discuss addiction treatment and possibly affect the course of their illness. In this podcast, Dr. Joseph Donroe, assistant professor of medicine at the Yale School of Medicine, discusses the best approach to specific problems that may arise when a patient with chronic opioid use disorder is hospitalized for another reason. Potential problems include withdrawal symptoms and managing acute pain.Dr. Donroe co-authored a review article published in the CMAJ. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.160290To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Although physicians generally recognize that social determinants influence the health of their patients, many are unsure how they can intervene. Dr. Anne Andermann, Associate Professor in the Department of Family Medicine at McGill University in Montreal and founding director of the CLEAR Collaboration, discusses how physicians and allied health care workers can address social determinants in their day-to-day practice.Full review article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.160177To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In this cross-sectional study of grade 9 students in the Niagara region of Ontario, reported use of e-cigarettes was common and associated with potential risk factors, including exposure to use of tobacco by family members and friends, and personal tobacco use. Most teens reported trying e-cigarettes because it was cool/fun/new rather than for smoking reduction or cessation.Dr. Michael Khoury, paediatric cardiology resident at the Hospital for Sick Children in Toronto, discusses the CMAJ research article he co-authored.Full research article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.151169To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with Dr. Mandar Jog, Director of the National Parkinson Foundation Centre of Excellence at London Health Sciences Centre, Director of the Movement Disorders Program in London, Ontario and Professor of Neurology at Western University. Parkinson disease remains a clinical diagnosis, based on motor symptoms and signs. Dr. Jog discusses what’s new in our understanding and treatment of this common neurodegenerative disorder. He co-authored a review article published in the CMAJ.Full review article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.151179To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with Dr. Celia Rodd, Associate Professor of Pediatric Endocrinology at the University of Manitoba. She is also clinician-scientist and epidemiologist at the Children’s Hospital Research Institute of Manitoba. In their cross-sectional study, Dr. Rodd and her co-author Dr. Atul Sharma found that the prevalence of overweight and obesity among Canadian children decreased from 30.7% to 27.0% between 2004 and 2013, following a period of dramatic growth during 1978–2004.Full research article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150854To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with Dr. Brandace Winquist, research consultant with the Saskatchewan Health Quality Council, a maternal-perinatal health researcher, and a collaborator with the Canadian Network for Observational Drug Effect Studies. In a research article she co-authored, Dr. Winquist and her colleagues found that the isotretinoin/accutane pregnancy prevention program in Canada was relatively ineffective over a 15-year period in which nearly 60 000 women in 4 provinces received prescriptions for the drug. Risks of maternal isotretinoin therapy to the developing fetus are well recognized.Full research article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.151243To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with Dr. Camilla Zimmermann, head of the palliative care program at UHN in Toronto, associate professor and Rose family Chair in the Department of Medicine at the University of Toronto, as well as senior scientist at Princess Margaret Cancer Centre. In a research article she co-authored, Dr. Zimmermann conducted interviews with patients and their caregivers in an effort to understand attitude and perceptions about palliative care. Early palliative care improves quality of life, symptom management and satisfaction with care in patients with advanced cancer. However, stigma associated with the term palliative care may be a barrier to timely referral. Full research article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.151171To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Michael Bliss' award-winning books introduced readers around the world to Canada’s greatest medical achievements and heroes, from the discovery of insulin to the "secular saint" Dr. William Osler, a founding father of modern medicine.For these and other contributions to the canon of medical history, Bliss will be inducted into the Canadian Medical Hall of Fame on April 14. In this podcast, he shares lessons from Canada's medical past. To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Madness is inextricably part of civilization and central to the human experience. Interview with Andrew Scull, professor of Sociology and Science Studies at the University of California, San Diego.Read Andrew Scull’s Medicine and Society essay article published in the CMAJ: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.151418To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
This guideline by the Canadian Task Force on Preventive Health Care presents evidence-based recommendations for primary care providers on screening for developmental delay in children aged one to four years with no apparent signs of such delay in primary care settings. The guideline does not offer recommendations for surveillance, case finding or diagnosis of developmental delay. Dr. Patricia Parkin is a pediatrician at the Hospital for Sick Children, and professor in the Department of Pediatrics at the University of Toronto. She co-authored the guideline, published in the CMAJ.Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.151437To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with Donna Dickenson, emeritus professor of medical ethics and humanities at the University of London. Consumer genetic testing, and subsequent personalized medicine are, by some accounts, the harbingers of a revolution in medicine. In the sphere of pharmacology, this conceit has ethical and practical implications, says international ethics expert Donna Dickenson.Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.151320To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
International guidelines recommend limiting the daily intake of added sugars to less than 5% to 10% of calories. Unlike the 2015 US proposal for changes to the nutrition label, Canada’s proposed changes exclude the declaration of added sugars. The authors of a CMAJ commentary call on the new federal government to rethink this in the interests of public health. Mandating transparency about added sugars on nutrition labels in Canada would be a public health win.Jodi Bernstein is a registered dietitian and a PhD candidate in the Department of Nutritional Sciences at the University of Toronto. Dr. Mary L’Abbé is the Earle W. McHenry chair and professor in the Department of Nutritional Sciences at the University of Toronto.In this interview podcast, they speak with Dr. Diane Kelsall, interim editor-in-chief of the CMAJ.Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.151081To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
The Canadian Task Force on Preventive Health Care (CTFPHC) has updated its recommendations on screening for lung cancer. In contrast to its previous guidance, the task force now recommends using low-dose CT to screen adults between 55 and 74 years of age who are at high risk for lung cancer on an annual basis for three consecutive years. The change in recommendation is based on a systematic review incorporating new evidence.In this interview podcast, Dr. Gabriela Lewin explains the new recommendations. Dr. Lewin is a member of the CTFPHC and chair of the Lung Cancer Working Group. She is also a family physician in Kemptville, Ontario, and assistant professor in the Department of Family Medicine at University of Ottawa. Full guideline: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.151421To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Women’s health pioneer Dr. May Cohen will soon join other luminaries in the Canadian Medical Hall of Fame. Cohen entered medicine at a time when less than 10% of graduating physicians were female and textbook medical research was based on a 70kg male body. She later went on to shatter that paradigm, co-founding Canada’s first Women’s Health Office at McMaster University, as well as the Women’s Health InterSchool Curriculum Committee for Ontario medical schools. Cohen joins CMAJ reporter Lauren Vogel to reflect on the changing status of women in medicine.To request a transcript of this podcast, contact cmajgroup@cmaj.ca
An examination of clinical data from one Canadian diagnostic centre shows that active surveillance has become an increasingly common management strategy for men with low-grade prostate cancer, instead of immediate treatment.Dr. Rodney Breau, co-author of the research article, explains in this interview podcast. Dr. Breau is a surgical oncologist at The Ottawa Hospital, assistant professor of urology at The University of Ottawa, and associate scientist at the Ottawa Hospital Research Institute.Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150832To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Who should be screened for colorectal cancer? How often? What screening method should be used? Dr. Maria Bacchus, internist at Foothills Hospital in Calgary and Associate Professor in the Department of Medicine at the University of Calgary, explains in this podcast. Dr. Bacchus is one of the authors of this 2016 Canadian Task Force colorectal cancer screening guideline published in the CMAJ.Full guideline: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.151125To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with two authors of a large population-based study from Ontario. The authors looked at risk of suicide following a concussion. They also compared weekend versus weekend concussion. Dr. Donald Redelmeier is a general internist at Sunnybrook Health Sciences Centre, professor in the department of medicine at the University of Toronto, and senior scientist at the Institute for Clinical Evaluative Sciences in Toronto. Dr. Michael Fralick is a chief resident in internal medicine at the University of Toronto as well as a trainee at the Institute for Clinical Evaluative Sciences in Toronto.Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150790To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with Dr. Derek MacFadden, infectious diseases physician practising at the University Health Network in Toronto as well as doctoral student in infectious disease epidemiology at the Harvard Chan School of Public Health in Boston.Dr. MacFadden is the co-author of a practice article published in the CMAJ. He tells us what we need to know about the Zika virus, which is spreading rapidly throughout South and Central America, the Caribbean and Mexico via bites from infected Aedes aegypti mosquitoes. The virus has been linked with neurologic illnesses and congenital microcephaly.Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.151486To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
For out-of-hospital cardiac arrest occurring in high-rise residential buildings, the survival rate is lower for patients on higher floors, according to findings of a large retrospective database study from Ontario. The logistics of delivering emergency care in high-rise buildings may contribute to lower survival. In this podcast, Dr. Matthew Stanbrook, deputy editor for CMAJ, interviews Ian Drennan, Advanced Care paramedic and instructor in Toronto and a Phd Candidate with Rescu, Li Ka Shing Knowledge Institute at St. Michael's Hospital and the Institute of Medical Science at the University of Toronto.In their research article, Ian and his colleagues compare the rate of survival after out-of-hospital cardiac arrest at different floors of high-rise buildings. They also looked at delay to reaching patients in high rises.Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150544To request a transcript of this podcast, contact cmajgroup@cmaj.caSubscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
RCTs of treatment as prevention have shown significant prevention of onward HIV transmission among serodiscordant couples, but observational studies of clinical practice have not consistently replicated these findings. There are particular concerns among men who have sex with men (MSM). In this podcast, Dr. Paul MacPherson explores some of the issues. Dr. MacPherson is a specialist in the Division of Infectious Diseases at the Ottawa Hospital, an associate professor in the Department of Medicine, and the Department of Biochemistry, Microbiology and Immunology at the University of Ottawa, and a clinician scientist at the Ottawa Hospital Research Institute.In their analysis article, Dr. MacPherson and his co-author Patrick O’Byrne examine HIV treatment as prevention in MSM.Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150605To request a transcript of this podcast, contact cmajgroup@cmaj.ca-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Diagnosis of fetal alcohol spectrum disorder is essential to improve outcomes for affected individuals and families, and to inform pre-pregnancy counselling to prevent future cases. This guideline from the Canada Fetal Alcohol Spectrum Disorder Research Network provides evidence-based recommendations for best practices in the diagnosis of this condition.In this podcast, two of the authors of the guideline explain what to look for in clinical practice. Dr. Valerie Temple is a clinical psychologist at Surrey Place Centre in Toronto, and Dr. Christine Loock is a developmental pediatrician at Children's and Women's Health Centre of British Columbia, with an academic appointment at UBC.Full guideline: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141593To request a transcript of this podcast, contact cmajgroup@cmaj.ca-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
If physician-assisted death becomes legal in Canada, physicians need to know whether and, if so, how to record it on medical certificates of death. In this podcast, Jocelyn Downie, Professor in the Faculties of Law and Medicine, and Associate Dean of Graduate Studies in the Faculty of Law, at Dalhousie University, in Halifax, Nova Scotia, discusses the best approach by examining current practice and best principles.Professor Downie and her co-author Kacie Oliver have published an analysis article in the CMAJ. Full analysis article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.151130To request a transcript of this podcast, contact cmajgroup@cmaj.ca-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
There is mounting evidence now suggesting that prematurity may lead to a variety of adult diseases, such as hypertension, obstructive lung disease, or osteopenia. However, there is little guidance for physicians on how to provide proper long-term follow-up for their patients who were born preterm. In this podcast, two of the co-authors of a review article published in CMAJ, Dr. Tuy Mai Luu, clinician-scientist at Sainte-Justine Hospital and teaching assistant in the Department of Pediatrics at the University of Montreal, and Dr. Anne-Monique Nuyt, Professor in the Department of Pediatrics at the University of Montreal and Chief of neonatology at Sainte-Justine Hospital explain the evidence linking pre-term birth and adult chronic diseases.Full review article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150450To request a transcript of this podcast, contact cmajgroup@cmaj.ca-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
The Canadian Medical Hall of Fame will soon honour Dr. Mark Wainberg for his achievements in HIV research and AIDS advocacy. From the initial identification of 3TC, one of the most widely used HIV treatments, to drawing unprecedented attention to global disparities in access to antiretrovirals as president of the International AIDS Society, Dr. Wainberg's work has helped save millions of lives worldwide. In this podcast, he joins CMAJ reporter Lauren Vogel to reflect on his legacy and new work towards a cure.To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Interview with Dr. Kevin Pottie, Associate Professor of Family Medicine, and Epidemiology & Community Medicine at the University of Ottawa. Dr. Pottie is also Principal Scientist at the C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute at the University of Ottawa. As people age, changes to the structure and the function of the brain may result in cognitive decline. These changes, however, do not equally affect all cognitive domains or all people. Should we screen our asymptomatic patients for cognitive impairment? In this evidence-based guideline, the Canadian Task Force on Preventive Health Care recommends that we don’t. Dr. Pottie explains in this podcast.Full guideline: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141165To request a transcript of this podcast, contact cmajgroup@cmaj.ca-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Some 800,000 migrants from Africa and the Middle East have made the perilous journey across the Mediterranean Sea to Europe this year. Many suffer from untreated injuries and medical conditions, and more than 3,000 have died or gone missing at sea. In this podcast, CMAJ News reporter Lauren Vogel interviews Dr. Simon Bryant, an Alberta physician who experienced the crisis first-hand volunteering on a Médecins Sans Frontières search-and-rescue ship. To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Interview with Matthew Smith, senior lecturer at the Centre for the Social History of Health and Healthcare, University of Strathclyde, Glasgow, Scotland.Dr. Smith discusses his humanities article called: "Witchcraft, fad or a racket?" Food allergy in historical perspective.Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150575To request a transcript of this podcast, contact cmajgroup@cmaj.ca-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with Dr. Shannon Humphrey, medical and cosmetic dermatologist in Vancouver, and assistant professor and director of CME in the Department of Dermatology and Skin Science at the University of British Columbia. Acne can adversely affect quality of life and may lead to emotional distress and permanent scarring. This evidence-based guideline was developed to facilitate efficient diagnosis and effective treatment of acne vulgaris in the Canadian population. With early diagnosis, treatment of active lesions and prevention of adverse sequelae, the health of many Canadians with acne may be improved.Full guideline: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.140665To request a transcript of this podcast, contact cmajgroup@cmaj.ca-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Canada’s new Liberal government must soon decide whether to follow through on plans to replace Correctional Investigator Howard Sapers. Earlier this year, the former Conservative government gave Sapers a temporary contract pending his replacement. Since 2004, Sapers has challenged the government’s treatment of Aboriginal offenders and inmates with mental illness. In this podcast, he joins CMAJ reporter Lauren Vogel to reflect on his term as prison watchdog, solutions to the justice system’s health worker shortage, and next steps for better inmate health.To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Interview with Dr. Alvaro Morales, urologist and Professor Emeritus at Queen’s University School of Medicine in Kingston, Ontario. Dr. Morales and a team of experts have published evidence-based guidelines in the CMAJ for the diagnosis and management of testosterone deficiency syndrome in men. This guideline addresses clinical questions surrounding the diagnosis of testosterone deficiency and the appropriate use of testosterone replacement therapy in men. In this podcast, Dr. Alvaro also addresses the controversy that surrounds the diagnosis and management of testosterone deficiency syndrome. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150033To request a transcript of this podcast, contact cmajgroup@cmaj.ca-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with Dr. Elissa Abrams, Pediatric Allergist Immunologist with the Faculty of Health Sciences at the University of Manitoba. Guidelines used to recommend that parents avoid feeding their infants common allergenic foods in their first year, but expert advice has recently changed. Emerging evidence from randomized controlled trials suggests that early introduction of allergenic foods, particularly peanut, is protective against the development of food allergy. Dr. Abrams and her co-author Dr. Allan Becker discuss the updated recommendations in their analysis article in the CMAJ that examines food introduction and allergy prevention in infants. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150364To request a transcript of this podcast, contact cmajgroup@cmaj.ca-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
NEW FORMAT. Dr. Diane Kelsall, deputy editor, presents highlights of the October 20th issue of CMAJ. As well, listen to in-depth author interviews on selected articles. In this issue: - Outcomes of delivery by family physicians or obstetricians; interview with author Dr. Kris Aubrey-Bassler (0:56–19:06)- Resting heart rate and variability in old age (19:06–20:05)- CMAJ Open highlights: medical and non-medical exemptions to vaccination in Ontario; opioid therapy for cancer pain (20:05–21:07)- Clinical guideline on preventing fracture in long-term care; interview with author Dr. Anna Papaioannou (21:07–32:24) - Five things to know about hepatitis C virus infection; commentary on re-shifting focus to HCV prevention; interview with author Dr. Mark Tyndall (32:24–44:16)- Practice section highlights (44:16–44:32)- Health research among hard-to-reach populations; interview with author Ann Jolly (44:32–53:21)- Scientific integrity for scientists without political interference (53:21–53:55)- News highlights (53:55–54:40)- Humanities profile of JL Moreno, pioneer of group psychotherapy(54:40–55:08)Full issue table of contents: www.cmaj.ca/content/187/15.toc
Highlights of the October 6th issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief. In this issue: austerity and fiscal prudence are health issues, food insecurity and annual health care costs, physician experience and patient outcomes, psychedelic medicine as a re-emerging therapy, cardiac Lyme borreliosis, voriconazole-induced periostitis, multifocal strokes with HIV infection, and more. Full issue table of contents: www.cmaj.ca/content/187/14.toc
Hospitals today can look like shopping malls or, depending on your level of cynicism, Toys R Us. Some scholars of history argue these design changes reflect advances in medical knowledge and technology. But Annmarie Adams, a scholar of medical architecture and director of the McGill University School of Architecture, has a different take. Full article (subscription required): www.cmaj.ca/lookup/doi/10.1503/cmaj.150735
Interview with Dr. David Liu, Clinical Associate Professor in the Department of Radiology at the University of British Columbia in Vancouver. In their clinical practice guideline, Dr. Liu and colleagues provide recommendations on the diagnosis and management of deep vein thrombosis (DVT), including anticoagulation, thrombus removal strategies and inferior vena cava filters. The poor outcomes seen in patients with iliofemoral DVT treated with standard anticoagulant therapy have led to exploration of other treatment options. The prevention and treatment of post-thrombotic syndrome are also addressed. Full guideline: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141614To request a transcript of this podcast, contact cmajgroup@cmaj.ca-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Highlights of the September 22nd issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief. In this issue: funding for Cochrane Canada must continue, nasal balloon autoinflation as an effective and simple intervention for glue ear, recovery from severe mental illness is more than just symptom management, guidelines for reducing pain during vaccine injections, and more. Full issue table of contents: www.cmaj.ca/content/187/13.toc
Interview with Dr. Sheryl Spithoff, addiction medicine specialist and family physician at Women’s College Hospital in Toronto. In a CMAJ analysis article, Dr. Spithoff and colleagues look at policies in jurisdictions where cannabis has already been legalized. A Canadian government formed after October 2015 may move away from prohibitionist policies and create a legal framework for cannabis. If so, public health promotion and protection must be the primary goals. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150657To request a transcript of this podcast, contact cmajgroup@cmaj.ca-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
Interview with Dr. Noni MacDonald, Professor of Pediatrics at Dalhousie University with a clinical appointment in Pediatric Infectious Diseases at the IWK Health Centre in Halifax, Nova Scotia. Recent evidence from Ontario suggests that vaccine hesitancy and refusal may be on the rise. In a commentary published in CMAJ, Dr. MacDonald and colleague Ève Dubé discuss the importance of immunization surveillance and tailored interventions to address vaccine hesitancy. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.150707To request a transcript of this podcast, contact cmajgroup@cmaj.ca-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.
In older adults living in long-term care facilities, fractures cause pain, agitation, immobility and transfer to hospital. Based on systematic reviews of the evidence, this guideline provides recommendations to prevent fractures in this vulnerable group. These evidence-based strategies are presented by Dr. Alexandra Papaioannou, Professor of Medicine at McMaster University in the Division of Geriatric Medicine and a Geriatric Medicine Specialist at Hamilton Health Sciences. Full guideline: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141331To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Highlights of the September 8th issue of CMAJ, presented by Dr. Diane Kelsall, deputy editor. In this issue: rethinking treatment in older patients with spinal cord injury, why the federal government must play an active role in health care, imaging for early stage breast cancer, regulating electronic cigarettes, the need for speed in acute ischemic stroke, and more. Full issue table of contents: www.cmaj.ca/content/187/12.toc
Interview with Dr. Jocelyn Gravel, pediatric emergency physician and research director at Sainte-Justine hospital in Montreal. In a research article published in CMAJ, Dr. Gravel and colleagues derived and validated a clinical decision rule to identify skull fracture following minor head trauma in young children. The rule should make it possible to identify about 90% of skull fractures in young children with mild head trauma and reduce the use of radiologic investigations by about 60% compared with current practice. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150540To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Interview with Dr. Matthew Johnson, Associate Professor of Psychiatry and Behavioral Sciences at Johns Hopkins University School of Medicine. Renewed interest in the use of psychedelic drugs as treatments for illnesses such as anxiety, addiction and post-traumatic stress disorder has led to small controlled studies. In association with psychotherapy some psychedelic drugs have shown good effects with adequate safety. In an analysis article published in CMAJ, Dr. Johnson and colleagues look at new emerging evidence. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141124To request a transcript of this podcast, contact cmajgroup@cmaj.ca-----------------------------------Subscribe to CMAJ Podcasts on iTunes or your favourite podcast app. You can also follow us directly on our SoundCloud page. Our podcasts are also released on www.cmaj.ca.
Interview with Anna Taddio, Professor in the Leslie Dan Faculty of Pharmacy at the University of Toronto. This guideline, co-authored by Dr. Taddio, provides practical recommendations for reducing pain during vaccine injections in all age groups. Pain from vaccine injections is common, and concerns about pain contribute to vaccine hesitancy across the lifespan. Full guideline: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150391To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Interview with Dr. Kris Aubrey-Bassler, family physician and associate professor in the Primary Healthcare Research Unit at Memorial University. In their observational study, Dr. Aubrey-Bassler and colleagues analyzed administrative data for all hospital births in Canada (except Quebec) between April 2006 and March 2009, comprising nearly 800 000 babies and 800 000 mothers. Instrumental variable analysis was used to adjust for unmeasured potential confounders. Whether babies were delivered by a family physician or an obstetrician made no difference to perinatal mortality or to maternal mortality and morbidity. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141633To request a transcript of this podcast, contact cmajgroup@cmaj.ca
A research article by McAlister et. al., published in CMAJ, looks at level of physician experience and its effect on important patient outcomes that proxy for quality of care. Physician groups were stratified according to years since graduation. Dr. Matthew Stanbrook, deputy editor, provides an editor's summary of the article and its findings. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150316To request a transcript of this podcast, contact cmajgroup@cmaj.ca
CMAJ deputy editors Dr. Matthew Stanbrook and Dr. Kirsten Patrick discuss an editorial written by Dr. Stanbrook. Too often, at election time, Canadians ignore pressing health care concerns and let economic fears dominate how we vote. This needs to change. A plan for strong federal leadership in health should be front and centre in this year’s election. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150896To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Highlights of the August 11th issue of CMAJ, presented by Dr. Diane Kelsall, deputy editor. In this issue: association between frailty and risk of early readmission or death, too much preoperative testing before low-risk surgical procedures, prevention of urinary tract infections in patients with spinal cord injury, noninsured services provided with insured cataract surgery, improving the reporting of adverse drug reactions, fulminant hepatic failure following ingestion of wild mushrooms, and more. Full issue table of contents: www.cmaj.ca/content/187/11.toc
Interview with Valerie Tarasuk, Professor in the Department of Nutritional Sciences and cross-appointed to the Dalla Lana School of Public Health at the University of Toronto. In a research article published in CMAJ, Tarasuk and colleagues found that income-related problems with access to food were associated with increased use of health care services and health care costs. Policy interventions that successfully address food insecurity would likely also reduce health care costs, say the authors. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150234To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Interview with Dr. Michael Hill, neurologist and Director of the Stroke Unit at the Foothills Hospital in Calgary, and Associate Professor of Clinical Neurosciences at the University of Calgary. In a review article published in CMAJ, Dr. Hill and colleagues compare ischemic stroke with acute coronary syndrome. Both are caused by sudden arterial occlusion and time to treatment is a critical factor affecting outcome. Stroke care should be designed around efficient, coordinated systems and dedicated care units to ensure the best possible outcomes. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.140355To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Interview with Dr. Mark Tyndall, infection disease specialist, Professor of Population and Public Health at the University of British Columbia, and Executive Director of the BC CDC. In a commentary published in CMAJ, Dr. Tyndall draws attention to the fact that although new treatments for hepatitis C virus are much more effective, we must not forget to address the social drivers of the disease, especially amongst people who inject drugs. IV drug users, both current and past, make up the majority in the second wave of HCV infection. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150612To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Interview with Dr. Ian Williamson, Associate Professor of Primary Care with the Faculty of Medicine at the University of Southampton in the UK. In a pragmatic randomized control trial published in CMAJ, Dr. Williamson and colleagues found that nasal balloon autoinflation is a feasible, safe and effective treatment that should be used more often. Having children with chronic otitis media with effusion inflate a balloon device through their nose 3 times a day was more likely than usual care to resolve the effusion and improve ear-related quality of life over 3 months. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141608To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Highlights of the July 14th issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief. In this issue: benefits and risks of owning a pet, model for predicting death one year after hospital admission, variations in treatment strategies for stable ischemic heart disease, CMAJ Humanities launches a redesigned section, phototoxic reaction after making sangria, resurgence of pertussis, and more. Full issue table of contents: www.cmaj.ca/content/187/10.toc
Health research involving people in marginalized populations can be challenging, and recruitment is often difficult. One approach, respondent-driven sampling, takes advantage of connections between people in these groups, who recruit each other in a chain-referral (friend of a friend) manner. In this interview, Dr. Ann Jolly, Associate Professor in the School of Epidemiology, Public Health and Preventive Medicine at the University of Ottawa, discusses the importance of reaching these marginalized populations. Dr. Jolly and colleagues published an analysis article in CMAJ. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141076To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Practice guidelines recommend that imaging to detect metastases not be performed in the majority of patients with early-stage breast cancer who are asymptomatic. In a research article published in CMAJ, Dr. Demetrios Simos and colleagues found that, despite these recommendations, most Ontario women with early-stage breast cancer underwent imaging to detect distant metastases. Dr. Matthew Stanbrook, deputy editor for CMAJ, provides an audio summary. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150003To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Dr. Peter Piot, director of the London School of Hygiene & Tropical Medicine, joins CMAJ News to reflect on his career fighting two of the most feared viruses of our time. In 1976, he codiscovered Ebola. And as founding director of UNAIDS, Dr. Piot has been a champion in the global response to HIV. For these efforts, he recently received the Canada Gairdner Global Health Award. In this podcast, Dr. Piot shares insights into the West Africa Ebola outbreak, changing perceptions of the AIDS pandemic, and the importance of physician advocacy. To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Highlights of the June 16th issue of CMAJ, presented by Dr. Diane Kelsall, deputy editor. In this issue: Canadian policies on radon, developmental coordination disorder in school-age children, social egg freezing, nitrofurantoin for UTIs in older women, psychotic disorders among immigrant populations, and more. Full issue table of contents: http://www.cmaj.ca/content/187/9.toc
Interview with Dr. Sacha Bhatia, cardiologist at Women’s College Hospital and UHN in Toronto and Director of the Women’s College Hospital Institute for Health System Solutions and Virtual Care. In a CMAJ research article, Dr. Bhatia and colleagues found that preoperative ECG and chest radiography were performed more frequently than suggested in guidelines. Using routine health records for 1.5 million people, the authors found considerable variation in rates across institutions, which was not explained by patient- or institution-level factors. Article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150174To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Interview with Dr. Chryssa McAlister, eye physician and surgeon in Toronto and Kitchener, Ontario, with academic appointments at McMaster University and the University of Toronto. In an analysis article published in CMAJ, Dr. McAlister and colleagues say it is important to discuss with patients any noninsured services (such as specialized diagnostics, procedures and special-feature intraocular lenses) in an ethical and open way, declaring all conflicts of interest. Cataract surgery is insured in Canada; however, there are many add-on services which patients must pay for. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141601To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Dr. Ken Flegel, senior editor for CMAJ, interviews Dr. Finlay McAlister, Professor of Internal Medicine at the University of Alberta and Assistant Director of the Epicore Centre. In a CMAJ research article, Dr. McAlister and colleagues followed 495 patients and found that frail patients are twice as likely to be readmitted or die within 30 days after discharge. The authors suggest that the Clinical Frailty Scale could be useful in identifying high-risk patients being discharged from medical wards. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150100To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Vancouver surgeon Dr. Neil Pollock reflects on changing demand for male circumcision both in Canada and the developing world. CMAJ Article: https://www.cmaj.ca/content/187/10/E295To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Highlights from the May 19th issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief. In this issue: ultrasound or near-infrared to guide peripheral IV catheterization in children, validation of a 1-hour rule-out rule-in algorithm for myocardial infarction, social media in medical education, global tobacco control, elder abuse, and more. Full issue table of contents: http://www.cmaj.ca/content/187/8.toc
Dr. Matthew Stanbrook, deputy editor for CMAJ, interviews Maria Bennell, epidemiologist in Evaluative Clinical Sciences at Sunnybrook Health Sciences Centre in Toronto. Mrs. Bennell and colleagues have published a study involving more than 39 000 patients receiving angiography in 18 cardiac centres between 2008 and 2011. They found that there is a twofold variation in the ratio of revascularization to medical therapy for the initial treatment of stable ischemic heart disease across hospitals in Ontario and that two-thirds of this variation was explained by patient characteristics. Nonetheless, the variation was associated with potentially important differences in clinical outcomes, say the authors.Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141372To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Dr. Moneeza Walji, editorial fellow, interviews Dr. Jason Nickerson, Clinical Investigator at the Bruyère Research Institute in Ottawa. Hospitals, medical personnel and patients are increasingly being attacked in conflict zones. International bodies have resolved to foster better reporting of such incidents. However, more must be done on a global level to bring perpetrators to account, argues Dr. Nickerson in his commentary. Published May 19, 2015, doi: 10.1503/cmaj.140410. Article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.140410To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Dr. Kirsten Patrick, deputy editor, interviews both Dr. Ronald Labonté, Canada Research Chair in Globalization and Health Equity at the Institute of Population Health and Professor at the University of Ottawa, and Dr. Raphael Lencucha, Assistant Professor in the School of Physical and Occupational Therapy at McGill University. In their commentary, published in CMAJ, Labonté and Lencucha propose a pragmatic approach to regulating electronic nicotine delivery systems in Canada: cautious measures similar to tobacco control, while using price incentives to shift tobacco users to electronic devices as a harm reduction mechanism until useful data accumulate on relative health outcomes. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150347To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Dr. Kirsten Patrick, deputy editor for CMAJ, interviews Dr. Kelly Anderson, epidemiologist and Assistant Professor of Epidemiology and Biostatistics at Western University, co-author of a research article published in CMAJ. The authors of this cohort study that examines linked health and registry data from Ontario find that, among first-generation immigrants, some groups may be more at risk whereas other groups of migrants appear to be protected. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141420 To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Dr. Kirsten Patrick, deputy editor for CMAJ, interviews Dr. Corinne Hohl, Associate Professor of Emergency Medicine at the University of British Columbia and scientist at the Centre for Clinical Epidemiology and Evaluation in Vancouver. Currently, Bill C-17 (Vanessa's Law) does not require health care providers to document serious adverse drug reactions, but mandates that health care institutions report all documented serious reactions. Documentation rates are currently very low and, unless documentation of adverse events improves, the potential of the law to do good will be small, say Hohl and colleagues in a commentary published in CMAJ. Published May 4, 2015, doi: 10.1503/cmaj.150057. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150057To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Dr. Diane Kelsall, deputy editor, interviews Dr. Rob Whitley, Principal Investigator with the Douglas Institute in Montreal and Assistant Professor of psychiatry at McGill. In a commentary published in CMAJ, Whitley and colleagues discuss the steps needed to foster mental health “recovery”, which refers to the process whereby people with severe mental illness progress to live an autonomous, contributing and satisfying life in the community, even with persisting symptoms. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141558To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Dr. Moneeza Walji, editorial fellow, interviews Dr. Amit Garg, nephrologist at London Health Sciences Centre and Professor of Epidemiology and Biostatistics at Western University. Dr. Garg and colleagues found that nitrofurantoin was less effective than other antibiotics for treatment of UTI in a large cohort of older women, regardless of the women’s estimated kidney function. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150067To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Dr. Diane Kelsall, deputy editor, interviews Dr. Jason Stull, veterinarian and Assistant Professor at Ohio State University. Dr. Stull has co-authored a review article published in CMAJ. The authors say that health care providers should counsel patients regarding safe pet ownership, particularly those who are pregnant or who have altered immunity, and families with exotic pets and very young children. Stull and colleagues’ review of pet-associated infections provides practitioners with the tools to do this. Published April 20, 2015, doi: 10.1503/cmaj.141020. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141020To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Dr. Moneeza Walji, editorial fellow, interviews Dr. Prabhat Jha, founding and current director of the Centre for Global Health Research in Toronto. In their commentary published in CMAJ, Dr. Jha and colleagues say that slowing tobacco sales in the next decade will depend on strengthening its implementation by increasing excise tax and improving anti-tobacco legislation. Published April 20, 2015, doi: 10.1503/cmaj.150261. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150261To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Highlights from the April 21st issue of CMAJ, presented by Dr. Diane Kelsall, deputy editor. In this issue: Canada can afford universal pharmacare, failure to address at-risk drinking, drinking water advisories, persistence of meningococcal immunity, heart failure and ejection fraction, pitted keratolysis. Full issue table of contents: http://www.cmaj.ca/content/187/7.tocTo request a transcript of this podcast, contact cmajgroup@cmaj.ca
Dr. Moneeza Walji, editorial fellow, interviews Dr. Angel Petropanagos, postdoctoral fellow at Dalhousie University in Halifax. Some women who anticipate fertility decline due to the natural aging process may now choose to freeze their eggs to preserve their future fertility. Dr. Petropanagos discusses the benefits, risks, ethical concerns and societal implications of this practice to provide family physicians with the tools to offer balanced information to clients who seek it. Dr. Petropanagos has co-authored an analysis article with Alana Cattapan MA, Françoise Baylis PhD, Arthur Leader MD, published in CMAJ on April 13, 2015. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141605To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Highlights from the April 7th issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief. In this issue: reducing imaging for low-back pain, incidental findings of genetic mutations and whether or not Canadians want to know about them, fair pricing for old orphan drugs, childhood obesity guidelines, and more. Full issue table of contents: http://www.cmaj.ca/content/187/6.toc
Dr. Diane Kelsall, deputy editor, interviews Dr. Xuyi Mimi Wang, fellow in geriatrics at McMaster University. In a review published in CMAJ, Dr. Wang and colleagues discuss the complex and common issue of elder abuse. Although evidence to support screening and any particular intervention is weak, physicians must be skilled in handling this important problem. Wang and colleagues discuss an advocacy approach that physicians can adopt to handle suspected cases of elder abuse. Published April 7, 2015, doi: 10.1503/cmaj.141329. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141329To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Dr. Matthew Stanbrook, deputy editor for CMAJ, interviews Dr. Danielle Martin, family physician and VP of Medical Affairs and Health System Solutions at Women's College Hospital in Toronto. Dr. Martin and colleagues say that implementing universal public coverage of prescription drugs in Canada would be estimated to reduce total spending by $7.2 billion while increasing government costs by only $1.0 billion. This economic modeling study shows that universal public drug coverage could be implemented without substantially increasing government spending. Full article: http://www.cmaj.ca/content/early/2015/03/16/cmaj.141564.full.pdf+htmlTo request a transcript of this podcast, contact cmajgroup@cmaj.ca
Dr. Diane Kelsall, deputy editor, interviews Dr. Patricia Parkin, pediatrician at the Hospital for Sick Children, professor with the University of Toronto Faculty of Medicine. CMAJ recently published new recommendations from the Canadian Task Force on Preventive Health Care, where Dr. Parkin is chair of the child obesity working group. The Task Force recommends structured behavioural interventions for obese and overweight children, but not medications or surgery. There is little evidence showing long-term effectiveness of interventions for obesity prevention. Full guidelines: http://www.cmaj.ca/content/early/2015/03/30/cmaj.141285To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Highlights from the March 17th issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief, and Dr. Domhnall MacAuley, associate editor. In this issue: how different duty schedules affect day-time sleepiness of residents, using the Rowland Universal Dementia Assessment Scale (RUDAS) cognitive assessment tool for multicultural populations, who gets appropriate follow-up after visiting an emergency department for chest pain, how to manage neonatal jaundice, frequent night-time urination, cannabinoid hyperemesis syndrome and more. Full table of contents: http://www.cmaj.ca/content/187/5.tocTo request a transcript of this podcast, contact cmajgroup@cmaj.ca
Interview with Paula Brauer, head of the adult obesity working group at the Canadian Task Force on Preventive Health Care. This latest guideline from the Task Force, published in CMAJ, focuses on the growing epidemic of obesity in adults, recommendations for prevention of weight gain and use of behavioural and pharmacologic interventions to manage overweight and obesity in adults in primary care. Full guideline: http://www.cmaj.ca/content/187/3/184 To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Highlights from the March 3rd issue of CMAJ, presented by Dr. Kirsten Patrick, deputy editor, and Dr. Domhnall MacAuley, associate editor. In this issue: seasonal variation of nocturnal leg cramps, concerns over the use of quinine to treat leg cramps, quality indicators of pharmacotherapy, dangers of trimethoprim-sulfamethoxazole co-prescribed with spironolactone, IV immunoglobulin as therapy, human myiasis in Canada, use of primary care EMR data for research, and more. Full issue table of contents: http://www.cmaj.ca/content/187/4.tocTo request a transcript of this podcast, contact cmajgroup@cmaj.ca
Interview with Dr. Sheryl Spithoff, addiction medicine specialist and family physician at Women's College Hospital in Toronto who co-authored a commentary published in CMAJ. Spithoff and Dr. Suzanne Turner say the Canadian health care system provides inadequate access to effective treatment for at-risk drinking and alcohol use disorders. However, improved physician training, combined with strategies to ensure better access to appropriate treatment, would improve health outcomes and generate cost savings for the health system. Full article: http://www.cmaj.ca/content/early/2015/03/02/cmaj.140849To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Interview with Dr. Dennis Ko, interventional cardiologist at Sunnybrook Health Sciences Centre in Toronto and senior scientist with the Institute of Clinical Evaluative Sciences. Dr. Ko and colleagues found that patients discharged after an emergency department visit for chest pain were less likely to be seen within 30 days by a primary care physician or cardiologist if they had known cardiac or cerebrovascular conditions, as well as other comorbidities. The paradoxical finding that patients at higher risk for adverse events were less likely to receive follow-up suggests the need for a better strategy to improve transition of care in this context. Article: http://www.cmaj.ca/content/early/2015/02/17/cmaj.141294To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Highlights from the February 17th issue of CMAJ, presented by Dr. Kirsten Patrick, deputy editor, and Dr. Matthew Stanbrook, deputy editor. In this issue: adverse outcomes among patients co-prescribed clarithromycin and statins, cost-effectiveness of screening for hepatitis C, sofosbuvir to treat hepatitis C, unsanctioned travel restrictions related to Ebola, caring for Aboriginal patients, lung-protective ventilation, living with ALS, and more. Full issue table of contents: http://www.cmaj.ca/content/187/3.tocTo request a transcript of this podcast, contact cmajgroup@cmaj.ca
Interview with Dr. Raza Naqvi, assistant professor of geriatrics at Western University. In their systematic review and meta-analysis published in CMAJ, Dr. Naqvi and colleagues found that the RUDAS, a brief and freely available tool, compares well with standard tools assessing cognitive deficits. It was developed for particular use among patients whose first language is not English, which makes it useful in settings where patient groups are diverse. Full article: http://www.cmaj.ca/content/early/2015/02/17/cmaj.140802To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Interview with Dr. Christopher Parshuram, critical care specialist with the Hospital for Sick Children in Toronto. He is the lead author of a randomized trial published in CMAJ looking at patient safety, resident well-being and continuity of care for three resident duty schedules in the ICU. Work schedules incorporating shorter periods of continuous duty affected neither doctors' daytime sleepiness nor adverse outcomes in patients. Full article: http://www.cmaj.ca/content/early/2015/02/09/cmaj.140752 First published: February 9, 2015, doi: 10.1503/cmaj.140752To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Interview with Dr. Thomas Maniatis, internal medicine training program director and clinical ethicist at McGill. Dr. Maniatis is the author of a commentary published in CMAJ. He argues that resident duty-hour reform must be further evaluated in order to design systems that provide maximal benefit and minimal harms for all involved. Full article: http://www.cmaj.ca/content/early/2015/02/09/cmaj.150010. First published February 9, 2015, doi: 10.1503/cmaj.150010.To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Highlights from the February 3rd issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief, and Dr. Ken Flegel, senior editor. In this issue: HPV vaccination and its effects on sexual behaviour in adolescent girls, and discovery of a founder mutation for congenital sucrase-isolmaltase deficiency in an Inuit community, CHEP recommendations on sodium intake, cancer and pre-cancer of the anus, the dangers of floppy eyelid syndrome, grief's extraordinary power, ethical approval for studies involving human participants, and more. Full issue table of contents: http://www.cmaj.ca/content/187/2.tocTo request a transcript of this podcast, contact cmajgroup@cmaj.ca
Interview with Dr. Scott Garrison, associate professor in the Department of Family Medicine at the University of Alberta, and lead author of the prospective cohort study. This time-series analysis used data from BC for new quinine prescriptions, as well as search data from Google Trends. The authors found that nocturnal leg cramps display striking seasonal variability, with incidence highest in summer and lowest in winter. Full article: http://www.cmaj.ca/content/early/2015/01/26/cmaj.140497. First published January 26, 2015, doi: 10.1503/cmaj.140497.To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Audio interview with Dr. David Hogan, geriatric medicine specialist at the University of Calgary. Quinine sulfate is widely used off label to treat nocturnal leg cramps in Canada. Although modestly effective for this indication, the drug has many potential moderate and severe adverse effects. Full article: http://www.cmaj.ca/content/early/2015/01/26/cmaj.150044. First published January 26, 2015, doi: 10.1503/cmaj.150044To request a transcript of this podcast, contact cmajgroup@cmaj.ca
Highlights from the January 6th issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief, and Dr. Moneeza Walji, editorial fellow. In this issue: diversity of ethnic groups and socioeconomic barriers in medical education, testing for group A streptococcal infection in children, harms from amoxicillin, world region-specific birth-weight curves, drug interactions in HIV-infected patients, syncope, case of recurrent rheumatic fever, venous thromboembolism in IBD, and more. Full issue table of contents: http://www.cmaj.ca/content/187/1.tocTo request a transcript of this podcast, contact cmajgroup@cmaj.ca
Highlights from the December 9th issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief, and Dr. Diane Kelsall, deputy editor. In this issue: what matters to patients and their families in end-of-life discussions, ibuprofen versus morphine for post-fracture pain in children, how to engage in deprescribing meds, adverse health effects of solitary confinement, head-tilt chin-lift in CPR, pap smears, diagnosis in progressive headache, Holiday Reading highlights, and more. Full issue table of contents: http://www.cmaj.ca/content/186/18.tocTo request a transcript of this podcast, contact cmajgroup@cmaj.ca
Highlights from the November 18th issue, presented by Dr. John Fletcher, editor-in-chief, and Dr. Kirsten Patrick, deputy editor for CMAJ. In this issue: vitamin D levels in non-dairy milk alternatives, research on Mediterranean diet and metabolic syndrome in the PREDIMED trial, C-CHANGE cardiovascular guidelines, nutrition in dementia, hallucinations case, physician-assisted dying viewpoints, and more. Full issue table of contents: http://www.cmaj.ca/content/186/17.tocTo request a transcript of this podcast, contact cmajgroup@cmaj.ca
Highlights from the November 4th issue, presented by Dr. John Fletcher, editor-in-chief, and Dr. Ken Flegel, senior editor for CMAJ. In this issue: families of children who have complex chronic medical conditions, prostate guidelines, longevity of guidelines, patients in clinical trials, periodic health exam, end-of-life care, and more. Full issue table of contents: http://www.cmaj.ca/content/186/16.tocTo request a transcript of this podcast, contact cmajgroup@cmaj.ca