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As a family medicine teacher or Program Director, have you ever had a highly capable resident learner fail the Simulated Office Oral (SOO) portion of the CCFP examination? Have you ever wondered why that might happen? In the September CFP Podcast, Editor Dr Nick Pimlott interviews Dr Kendall Noel from the University of Ottawa about his article in the September issue of the journal entitled Perennial post-examination surprises. Together they take a deep dive into Dr Noel’s work on clinical reasoning, dual process theory and his hypothesis that “the intermediate effect” might account for the perennial exam surprise.
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Have you ever heard of graphic medicine? Have you wondered what is the difference between a comic and a cartoon? And how is this related to your work in the clinic? In this episode of the CFP podcast, Drs Nick Pimlott and Sarah Fraser interview author Susan MacLeod about all things graphic medicine. We dive into Susan’s professional experiences in government health communications and her transition into becoming an internationally acclaimed author. She then defines graphic medicine, gives us an overview of why it’s important, and how it relates to compassion and burnout in the health care system. Finally, Susan walks Nick and Sarah through a brief graphic medicine exercise-do try this at home!
https://www.graphicmedicine.org/book-series/graphic-medicine-manifesto/
https://conundrumpress.com/product/dying-for-attention/
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Saknas det avsnitt?
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In this episode of the CFP Podcast, join Deputy Editor Dr Sarah Fraser and Editor Dr Nick Pimlott in a wide-ranging discussion about health data, health informatics and digital health with Dr Rashaad Bhyat, a family physician and Senior Clinical Leader at the Centre for Clinical Innovation in Digital Health, a branch of Canada Health Infoway.
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When are sleep aids indicated? What is the evidence behind melatonin? Why do sedatives put patients at risk for pneumonia?
Learn all this and more in this week’s episode of the CFP Podcast. Drs Sarah Fraser and Nick Pimlott interview two pharmacists about the topic of insomnia and deprescribing sedatives. Dr David Gardner is a pharmacist and the Director of Research in Community Psychiatry at Dalhousie University and Dr. Stephanie Lynch is a pharmacist with a Family Health Team in the Department of Family Medicine at Queen’s University in Belleville, Ontario.
In this podcast, the guests share their expertise on the topic of insomnia. Topics covered range from the evidence on the effectiveness of sedatives, important side effects of these drugs, and approaches to deprescribing them for your patients.
Below you can find links to two of the resources mentioned by the guests:
https://mysleepwell.ca/
https://healthsci.queensu.ca/opdes/cpd/educational-programs-opportunities/insomnia
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Join CFP Editor, Dr. Nick Pimlott, and Deputy Editor, Dr. Sarah Fraser, as they interview Dr. Allan Peterkin on the release of the 25th anniversary edition of the book “Staying Human During Residency Training: How to Survive and Thrive after Medical School”, which he co-authored with Dr. Derek Puddester. They discuss topics ranging from the pervasiveness of burnout in medicine, the value of the medical humanities and narrative medicine, continuing to find meaning in medicine, and why the book, now in its seventh edition, remains a valuable resource on being and staying well, not just for residents, but for all physicians.
Dr. Peterkin is a Professor of psychiatry and family medicine at the University of Toronto, where he founded the Program in Health, Arts and Humanities. He is also a Distinguished Fellow of the Canadian Psychiatric Association and Senior Fellow at Massey College, co-founder of Creating Space-Canada’s annual medical humanities meeting, a co-founder of the award-winning Canadian literary journal Ars Medica, and has been a humanities editorial consultant to CMAJ and Medical Humanities (BMJ). Links to Drs. Peterkin and Puddester’s book can be found at https://utorontopress.com/9781487555474/staying-human-during-residency-training/. More information about Dr. Peterkin’s work in narrative medicine can be found at https://narrativebasedmedicine.ca/.
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Join CFP Deputy Editor, Dr. Sarah Fraser, and Editor, Dr. Nick Pimlott, as they interview Dr. Samantha Green and Dr. Ilona Hale about the concept of planetary health and the role that family doctors can and must play in ensuring it. Dr. Green is an academic family doctor in Toronto and the President-Elect of the Canadian Association of Physicians for the Environment (CAPE). Dr. Hale is a rural family physician in Kimberley, BC with a longstanding interest in and commitment to planetary health. The interview is based on a Commentary that Drs. Green and Hale co-authored with Dr. Meghan Davis and Dr. Jessica Nowlan entitled “Planetary health lens for primary care: considering environmental stability offers benefits to patients and providers” in the April issue of Canadian Family Physician.
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Join CFP Editor Dr. Nick Pimlott as he interviews Dr. Alan Katz and Dr. Alex Singer, family physicians and family medicine researchers at the Max Rady College of Medicine, University of Manitoba in Winnipeg. Dr. Katz is a Professor in the Departments of Community Health Sciences and Family Medicine. Dr. Singer is an Associate Professor and the Director for the Office of Research & Quality Improvement, and the Director of the Manitoba Primary Care Research Network. The interview is based on a Commentary article in the March issue of the journal entitled “The Future of Family Medicine in Canada”. Together they discuss four key ways to address the current crisis in Canadian family medicine to strengthen primary care.
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In this episode of the podcast, Dr Sarah Fraser interviews Dr Shayna Watson about CBT for insomnia. They delve into the ins and outs of a non-pharmacologic approach to insomnia management, including the things you can do to help patients in your busy family medicine clinic.
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Join Dr. Nick Pimlott and Dr. Sarah Fraser as they interview Dr. Iona Heath, the 2023 Dr. Ian McWhinney Lecturer at the Schulich School of Medicine and Dentistry, Western University.
Dr. Heath’s McWhinney Lecture was published in the December 2023 issue of the journal. They discuss Dr. Heath’s discovery of Ian McWhinney’s “Quality of Mind” – the title of her lecture – when she first read his Textbook of Family Medicine as a young general practitioner, his lifelong influence on her thinking and practice, and how his ideas about the essential values of family medicine can help guide the profession through one of most challenging periods in its recent history.
Dr. Heath’s September 20th, 2023 Dr. Ian McWhinney Lecture can accessed here:
https://www.schulich.uwo.ca/familymedicine/about_us/dr_ian_mcwhinney_lecture_series/2023.html
The published lecture can be accessed here:
https://www.cfp.ca/content/cfp/69/12/821.full.pdf
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Join Dr Nick Pimlott for this episode of the CFP Podcast as he interviews Alex Crawley and Amy Soubolsky from the Rx Files Academic Detailing Program in Saskatchewan about the management of difficult-to-treat depression in primary care. The interview is based on an article published in the November issue of the journal entitled “Thoughtful prescribing for difficult to treat depression”. Mr. Crawley and Ms. Soubolsky are co-authors of the article with their colleague Jessica Visentin. Together they discuss a case-based careful step wise approach to this challenging area of clinical practice.
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Join Drs Nick Pimlott and Sarah Fraser as they co-host this CFP podcast on the new PEER Simplified Lipid Guideline: 2023 Update. They interview Dr Mike Kolber, lead author on the paper, which is published in October’s issue of the journal. They discuss the process of how he and his team developed these guidelines, and they take a deep dive into the evidence behind dyslipidemia screening, prevention, and treatment.
Read the guidelines in English: https://www.cfp.ca/content/69/10/675.
Access the guidelines in French: https://www.cfp.ca/content/69/10/e189.
Check out the systematic review that informed the guidelines: https://www.cfp.ca/content/69/10/701.
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Join Dr Sarah Fraser in this podcast with 4th year medical student Nusha Ramsoondar and Dr Alex Anawati. They discuss their recent publications in September’s issue of CFP, on the themes of social accountability and anti-racism in medicine.
You can find the original publications here:
https://www.cfp.ca/content/69/9/594
https://www.cfp.ca/content/69/9/630
Nusha Ramsoondar is a 4th year medical student at the Northern Ontario School of Medicine’s Thunder Bay campus. She hopes to practice in Northern Ontario.
Alex Anawati is a primary care and emergency room physician advancing social accountability as an equity-oriented health policy strategy. He is co-lead for the SAFE for Health Institutions Project at the Dr Gilles Arcand Centre for Health Equity.
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Providing preventive care can be time consuming, and potential benefits have to be weighed against risks and costs. Dr Nick Pimlott interviews Drs Roland Grad, Donna Reynolds, and Guylène Thériault about their work on a new guideline on screening for fragility fractures and how the concept of “time needed to treat” is gaining importance in guideline development.
Read their Prevention in Practice review article in the August 2023 issue of Canadian Family Physician in English (https://www.cfp.ca/content/69/8/537) or French (https://www.cfp.ca/content/69/8/e165).
Access the Canadian Task Force on Preventive Health Care’s Fragility Fracture Decision Aid at: https://frax.canadiantaskforce.ca/. -
In this Third Rail edition of the podcast Dr. Sarah Fraser has a conversation with Dr. Shane Neilson about mental illness in physicians as well as Dr. Neilson's new book Saving: A Doctor's Struggle to Help His Children.
Shane Neilson is a physician, poet, and critic from New Brunswick, now practising in Guelph, Ontario. He published Saving: A Doctor's Struggle to Help His Children, a memoir about intergenerational disability in conversation with professional medical practice, with Great Plains Publishing in 2023. Shane completed his Ph.D at McMaster where his dissertation on the representations of chronic pain in Canadian literature received the Governor-General's Gold Medal. An adjunct professor of family medicine at the Waterloo Regional Campus of McMaster University, Shane's academic interest concerns disability, non-neurotypicality, and chronic illness in the profession of medicine.
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The importance of language to the care of 2SLGBTQ+ patients, the discrimination that 2SLGBTQ+ health care professionals face, and the current political climate shape part 2 of this conversation that Dr Sarah Fraser hosts with Drs Robyn Moxley, Andrew Organek, and Thea Weisdorf.
These podcast guests and Toronto-based family doctors contributed the following articles to the June 2023 issue of Canadian Family Physician:
“Supporting 2SLGBTQ+ patients in your practice”: https://www.cfp.ca/content/69/6/377 « Soutenir les patients 2SLGBTQ+ dans votre pratique »: https://www.cfp.ca/content/69/6/379 “Affirming pregnancy care for transgender and gender-diverse patients”: https://www.cfp.ca/content/69/6/407 “Should all family physicians provide gender-affirming primary care?”: https://www.cfp.ca/content/69/6/415 -
The care of 2SLGBTQ+ patients is a natural fit for family practices, yet many family doctors fear they lack relevant skills and instead refer patients to other providers. Dr Sarah Fraser discusses such barriers to care and how family physicians can create safe spaces for 2SLGBTQ+ patients with Drs Robyn Moxley, Andrew Organek, and Thea Weisdorf.
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Symptoms drive patients to seek primary care, but the fact that up to half never lead to a diagnosis is a challenge; it’s also an opportunity to refresh how symptoms are viewed in family medicine. Dr Nick Pimlott hosts a discussion with Dr Thomas Freeman and Dr Moira Stewart about the implications of paying greater attention to symptoms for patient care, research, and teaching.
Check out their research on abdominal pain symptoms in the May 2023 issue of Canadian Family Physician: https://www.cfp.ca/content/69/5/341. Their informative essay on studying symptoms in family practice appeared in the March 2020 issue: https://www.cfp.ca/content/66/3/218.
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Continuous, longitudinal care results in better patient outcomes and health care savings, so how can this evidence be leveraged to address the crisis in family medicine? Dr Nick Pimlott Interviews Drs Michael Kolber, Tina Korownyk, and Jennifer Young about the case for investing in primary care.
Read their article in the April 2023 issue of Canadian Family Physician: https://www.cfp.ca/content/69/4/269.
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The success of an innovative nurse-led program points to a way to rethink how family practices help patients manage chronic noncancer pain. Dr Nick Pimlott interviews Dr Hillel Finestone about the initiative and how other clinics could adopt this approach.
Dr Finestone is a Professor in the Division of Physical Medicine and Rehabilitation at the University of Ottawa and a physiatrist at Élisabeth Bruyère Hospital. Read his article in the March issue of Canadian Family Physician and go to the CFPlus tab to access the tools highlighted in this episode: https://www.cfp.ca/content/69/3/e52.
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The popular narrative about newer cohorts of family physicians working less than their predecessors is disputed by data published in 2022. In this Third Rail edition of the CFP Podcast, Dr Sarah Fraser interviews Dr Ruth Lavergne, a researcher at Dalhousie University, about her findings and ideas for strengthening primary care—which include supporting longitudinal care, addressing administrative workloads, and moving away from the unhelpful focus on generational differences.
Read Dr Lavergne’s research article in the Canadian Medical Association Journal at https://www.cmaj.ca/content/194/48/E1639.
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