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Canadian Family Physician (CFP) is Canada's only peer reviewed family medicine journal. Join Dr. Nick Pimlott, Editor of CFP, and Dr. Sarah Fraser, Deputy Editor of CFP, as they interview contributing authors to the journal each month.
64 Episodes
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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.
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.
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
With polypharmacy common among older patients, proper administration of medications and avoidance of drug-food interactions are extremely important. Dr Nick Pimlott interviews pharmacists Alex Crawley and Erin Yakiwchuk about everyday pitfalls, practical tips, and the value of team-based care in addressing these issues. Alex Crawley is Associate Director and Erin Yakiwchuk is a member of the RxFiles Academic Detailing Program at the University of Saskatchewan in Saskatoon. Read their article, “Improper administration. Silent culprit of drug therapy problems,” in the February 2023 issue of Canadian Family Physician.
Lifestyle medicine is an innovative form of primary care that could help shift our system to focus on wellness and prevention rather than disease. Dr Sarah Fraser hosts a chat with Dr Sheila Lakhoo about the benefits of this approach as well as barriers that exist in accessing and practising lifestyle medicine. Dr Lakhoo is a family physician in Toronto, Ont, who received a diploma in lifestyle medicine from the American Board of Lifestyle Medicine in 2020.
Solutions to the health care crisis exist if political will can be found to change. Dr Rick Glazier shares inspiring insights on both the challenges and opportunities before us in this conversation with your host, Dr Nick Pimlott. Among his many roles, Dr Glazier is a family physician in Toronto, Ont, a renowned researcher, and a Professor in the Department of Family and Community Medicine at the University of Toronto. Read his related commentary in the January 2023 issue of Canadian Family Physician.
Concrete actions designed to ensure health care aligns with the needs of Indigenous people and communities are the focus of this conversation that Dr Nick Pimlott hosts with Drs Mandy Buss and Veronica McKinney. They discuss the CFPC’s Declaration of Commitment to cultural safety and humility, key resources that support related learning in family medicine, and new tools being developed. Drs Buss and McKinney are members of the CFPC’s Indigenous Health Committee. Resources: Declaration of Commitment English: https://www.cfpc.ca/CFPC/media/Resources/Indigenous-Health/Declaration-of-Commitment-signed.pdf French: https://www.cfpc.ca/CFPC/media/Resources/Indigenous-Health/HPGR-Declaration-Nov-9-2022-FRE-tabloid-final.pdf CanMEDS–Family Medicine Indigenous Health Supplement English: https://www.cfpc.ca/CFPC/media/PDF/CanMEDS-IndigenousHS-ENG-web.pdf French: https://www.cfpc.ca/CFPC/media/PDF/CanMEDS-IHS-FRE-web.pdf
Older people are using substances at a high rate, yet stigma and ageism often prevent them from obtaining appropriate and compassionate care. Dr Sarah Fraser chats with Dr Lara Nixon and Dr Cathy Scrimshaw about what physicians and the system at large can do to enhance access to services, reduce harm, and treat patients with dignity. Dr Nixon is an FP in Calgary and Dr Scrimshaw is Medical Director of the Collaborative Mentorship Network for Chronic Pain and Addiction with the Alberta College of Family Physicians.
Almost 1 year after the Russian invasion of his country, Ukrainian family physician Dr Oleksii Korzh shares his experiences with host Dr Sarah Fraser. Dr Korzh talks about how medical needs and care have changed during the conflict. Find out why family doctors have never been more important to Ukraine’s health care system in this special episode of the CFP Podcast. Dr Korzh is Head of the Department of General Practice and Family Medicine at the Kharkiv Medical Academy of Postgraduate Education. Read Dr Korzh’s related CFP blog post.
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