Dr. Jared Bullard (medical microbiologist, Manitoba) and Dr. Naheed Dosani (palliative care physician, Ontario), along with Dr. Mike Allan of the CFPC, talk about the signs and symptoms of infection, the course of illness and testing considerations.
Protecting Patients and Physicians during the Pandemic Dr Allan Grill and two panelists - Dr Allison McGeer (Microbi and Epi) and Dr Jennifer Young (Rural Family Doctor with ER time and president of OCFP).
The COVID-19 is uppermost on all our minds and our lives are changing. Many of us are adapting to some form of virtual care. For many, that may mean telephone visits but for others, it could include email, video chats, and electronic access to reports. Our host, Dr Jeff Sisler, Executive Director of Professional Development and Practice Support, will discuss with two of Canada's leaders in virtual care Dr. Mark Dermer and Dr. John Pawlovich. They will be addressing general tech issues and options, as well as specific aspects of family physician care in a virtual setting. Whether it is phone visits or more, this session should have something for everyone adapting to virtual care provision.
An Office-Based Induction of Buprenorphine/Naloxone using PEER Guideline Dr. Jessica Kirkwood Boyle McCauley Health Centre in Edmonton
This talk focuses on a practical approach to the simplified guidelines for opioid use disorder (OUD) that PEER is developing. By the end of this webinar, participants will be able to: Understand the best available evidence on OUD management in primary care Describe methods used to identify patients with OUD Compare and contrast available treatments for OUD Initiate opioid agonist treatment in a primary care setting Provide ongoing treatment in a primary care setting for patients prescribed opioid agonists Dr. Tina Korownyk is a family physician, an associate professor in the Department of Family Medicine at the University of Alberta, and leads PEER. Dr. Jessica Kirkwood is a family physician at the Boyle McCauley Health Centre in Edmonton and focuses her efforts on marginalized patients who struggle with addictions, mental illness, and homelessness.
CFPC’s Webinar Series will bring you up-to-date on best practices in Antenatal Care. Providing comprehensive care in the first 20 weeks of pregnancy is a standard for many family doctors but small volumes may limit our comfort with this important area. Dr Bill Ehman will highlight topics of aneuploidy screening, estimating due date, and the role of ASA and vaginal progesterone in pregnancy.
MAID and Palliative Care: Questions and answers for family physicians. By the end of this Podcast, participants will be able to: - Demonstrate importance of access to palliative care. - Define Medical Assistance in Dying (MAID) and recognize clinical scenarios where MAID fits within the current Canadian legislation. - Integrate an approach to End-of-Life Care conversations that can be initiated in multiple family practice clinical settings.
Depression is one of the most common conditions managed in primary care. Dr. Mike Allan will cover the 10 evidence-based issues highly relevant to management of depression including a discussion about available medications and how long they take to work, severity of depression and how it could impact patient outcomes, length of treatment, use of non-medication treatment methods, and much more. This webinar will be in English only.
Wondering how best to initiate advance care planning (ACP) discussions with your patients? In this one-hour webinar Dr. Allan Grill—Physician Advisor for the College of Family Physicians of Canada’s Programs and Practice Support Department—will provide helpful advice on this important issue. Those who watch the video after the live event may complete a Linking Learning exercise to earn CPD credits.
Join Dr. Michael Allan, Director of the CFPC’s Programs and Practice Support Department for a one-hour webinar while he highlights some of the top research studies from 2018. Examples of topics we’ll cover include ASA trials, the ketogenic diet, a new Omega-3-derived drug and the new shingles vaccine. It will be a rapid-fire presentation with a focus on bottom-line clinical application.
Dr. Alleyne is a family physician with a focused practice in sport and exercise medicine, an educator, and a clinical lead on the development of the OA tool. The episode will: • Describe the need for the OA Tool in clinical practice • Walk participants through the tool using cases to diagnose, stage, and treat OA • Help family physicians learn how to educate patients about OA • Help family physicians learn how to apply criteria for investigations and referrals “Dr. Julia Alleyne is a sport medicine physician and physiotherapist and is currently the MSK Lead for Outpatients at Toronto Rehab. She holds academic appointments with the University of Toronto, Department of Family and Community Medicine. She was Chief Medical Officer for the Canadian Olympic team in London 2012, the 2015 PanAm Games, and the 2017 Invictus Games in Toronto.”
In episode 611, Tina and James talk with Samantha Moe about the use of betablockers and other medications for essential tremor. There is some evidence – much of it from the 1970s, but also some more recent publications. We do our best to tease out all the numbers you need to help you with your recommendations. Show Notes Tools For Practice Meds for Essential Tremor: Steady solution or shaky science?
In episode 610, Jamie and James chat with Jennifer Young about yet another Vitamin D Tools for Practice. We look at what happens to mortality, CVD and cancer when Vitamin D supplements are compared to placebo. The results may surprise you – or maybe not if you have listened to previous BS Medicine Podcasts on this seemingly never-ending topic. Show Notes Tools For Practice Vitamin D and Mortality – Don't bet your life on it! Vitamin D and Respiratory Tract Infections: Does the sun's vitamin chase the cold?
Un nouvel épisode du Pharmascope est maintenant disponible! Dans de ce 115ème épisode, Sébastien, Nicolas et Isabelle terminent leur série d'épisodes sur l'ostéoporose. Dans cette troisième et dernière partie, on aborde la prise en charge suite à une fracture, les marqueurs du remodelage osseux, l'ostéoporose induite par les corticostéroïdes et la prise concomitante de suppléments de calcium et de vitamine D lors de l'utilisation d'un traitement pharmacologique. Les objectifs pour cet épisode sont les suivants: Discuter de la prise en charge des patients qui ont subi une fracture de fragilisation Discuter de l'utilité des marqueurs biochimiques du remodelage osseux Résumer la prise en charge de l'ostéoporose induite par les corticostéroïdes Conseiller adéquatement la prise d'un supplément de calcium et de vitamine D aux patients prenant un traitement pharmacologique contre l'ostéoporose Ressources pertinentes en lien avec l'épisode Qaseem A et coll; Clinical Guidelines Committee of the American College of Physicians. Pharmacologic Treatment of Primary Osteoporosis or Low Bone Mass to Prevent Fractures in Adults: A Living Clinical Guideline From the American College of Physicians. Ann Intern Med. 2023;176:224-38. National Osteoporosis Guideline Group – UK. Clinical Guideline for the Prevention and Treatment of Osteoporosis 2021. Septembre 2021. Moe S, Paige A, Allan GM. Osteoporosis in postmenopausal women. Can Fam Physician. 2021;67:346. Nayak S, Greenspan SL. Osteoporosis Treatment Efficacy for Men: A Systematic Review and Meta-Analysis. J Am Geriatr Soc. 2017;65:490-95. National Institute for Health and Care Excellence (NICE). Osteoporosis: assessing the risk of fragility fracture. London; 2017. Papaioannou A et coll. 2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary. CMAJ. 2010;182:1864-73. Management of Osteoporosis in Postmenopausal Women: The 2021 Position Statement of The North American Menopause Society'' Editorial Panel. Management of osteoporosis in postmenopausal women: the 2021 position statement of The North American Menopause Society. Menopause. 2021;28:973-97. Bessette L et coll. The care gap in diagnosis and treatment of women with a fragility fracture. Osteoporos Int. 2008;19:79-86. Deng J et coll. Pharmacological prevention of fractures in patients undergoing glucocorticoid therapies: a systematic review and network meta-analysis. Rheumatology. 2021;60:649-57. Calculateur FRAX Centre for Metabolic Bone Diseases. FRAX: Fracture Risk Assessment Tool. University of Sheffield, UK. Outil d'aide à la décision Mayo Foundation for Medical Education and Research. Bone Health Choice Decision Aid. Mayo Clinic, USA.
Holala! Un premier épisode du Pharmascope enregistré devant public est maintenant disponible! En direct de Jonquière, Sébastien, Nicolas et Isabelle continuent leur série d'épisodes sur l'ostéoporose. Dans cette deuxième partie, on aborde le calcium, la vitamine D ainsi que les différentes options pharmacologiques dans le traitement de l'ostéoporose. Les objectifs pour cet épisode sont les suivants: Discuter des avantages et des inconvénients à la prise de calcium et de vitamine D Expliquer les avantages et les inconvénients des traitements pharmacologiques de l'ostéoporose Ressources pertinentes en lien avec l'épisode Qaseem A et coll; Clinical Guidelines Committee of the American College of Physicians. Pharmacologic Treatment of Primary Osteoporosis or Low Bone Mass to Prevent Fractures in Adults: A Living Clinical Guideline From the American College of Physicians. Ann Intern Med. 2023;176:224-38. Bolland MJ et coll. Calcium intake and risk of fracture: systematic review. BMJ. 2015;351:h4580. Avenell A, Mak JC, O'Connell D. Vitamin D and vitamin D analogues for preventing fractures in post-menopausal women and older men. Cochrane Database Syst Rev. 2014;2014:CD000227. Moe S, Paige A, Allan GM. Osteoporosis in postmenopausal women. Can Fam Physician. 2021;67:346. Nayak S, Greenspan SL. Osteoporosis Treatment Efficacy for Men: A Systematic Review and Meta-Analysis. J Am Geriatr Soc. 2017;65:490-95. National Institute for Health and Care Excellence (NICE). Osteoporosis: assessing the risk of fragility fracture. London; 2017. Papaioannou A et coll. 2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary. CMAJ. 2010;182:1864-73. Management of Osteoporosis in Postmenopausal Women: The 2021 Position Statement of The North American Menopause Society'' Editorial Panel. Management of osteoporosis in postmenopausal women: the 2021 position statement of The North American Menopause Society. Menopause. 2021;28:973-97. Calculateur FRAX Centre for Metabolic Bone Diseases. FRAX: Fracture Risk Assessment Tool. University of Sheffield, UK. Outil d'aide à la décision Mayo Foundation for Medical Education and Research. Bone Health Choice Decision Aid. Mayo Clinic, USA.
Un nouvel épisode du Pharmascope est maintenant disponible! Dans de ce 113ème épisode, Sébastien, Nicolas et Isabelle débutent une série d'épisodes sur l'ostéoporose. Dans ce premier épisode, on aborde le dépistage, l'évaluation et le diagnostic de l'ostéoporose, une maladie qui n'en est peut-être pas vraiment une… Les objectifs pour cet épisode sont les suivants: Définir l'ostéoporose Identifier les patients nécessitant un dépistage de l'ostéoporose Expliquer les avantages et les limites d'une ostéodensitométrie Évaluer le risque de fracture d'un patient Ressources pertinentes en lien avec l'épisode National Institute for Health and Care Excellence (NICE). Osteoporosis: assessing the risk of fragility fracture. London; 2017. US Preventive Services Task Force. Screening for Osteoporosis to Prevent Fractures: US Preventive Services Task Force Recommendation Statement. JAMA. 2018;319:2521-31. Viswanathan M et coll. Screening to Prevent Osteoporotic Fractures: An Evidence Review for the U.S. Preventive Services Task Force. Rockville (MD): Agency for Healthcare Research and Quality (US); 2018. (Evidence Synthesis, No. 162. Papaioannou A et coll. 2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary. CMAJ. 2010;182:1864-73. Korownyk C, McCormack J, Allan GM. Who should receive bone mineral density testing? Can Fam Physician. 2015;61:612. Choisir avec soin. L'ostéodensitométrie. Canada. Management of Osteoporosis in Postmenopausal Women: The 2021 Position Statement of The North American Menopause Society'' Editorial Panel. Management of osteoporosis in postmenopausal women: the 2021 position statement of The North American Menopause Society. Menopause. 2021;28:973-97. Calculateur FRAX Centre for Metabolic Bone Diseases. FRAX: Fracture Risk Assessment Tool. University of Sheffield, UK.
Un nouvel épisode du Pharmascope est maintenant disponible! Dans de ce 111ème épisode, Sébastien, Nicolas et Isabelle terminent leur série sur le processus de décision partagée, cette fois en discutant des avantages, des obstacles et des moyens de l'appliquer au quotidien à l'aide d'outils. Les objectifs pour les épisodes 110 et 111 sont les suivants: Définir le processus de prise de décision partagée Identifier les bénéfices et les inconvénients du processus de décision partagée Appliquer un processus de décision partagée Ressources pertinentes en lien avec l'épisode Stacey D et coll. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev. 2017;4:CD001431. Coronado-Vázquez V et coll. Interventions to facilitate shared decision-making using decision aids with patients in Primary Health Care: A systematic review. Medicine (Baltimore). 2020;99:e21389. Outils d'aide à la décision partagée McCormack J, Pfiffner P. The absolute CVD Risk / Benefit Calculator. 2017. PEER. Comparing Treatment Options for Pain: The C-TOP Tool. Mayo Foundation for Medical Education and Research. Bone Health Choice Decision Aid. 2023. BMJ Publishing Group. BMJ Rapid Recommendations. 2023. The Ottawa Hospital Research Institute. Patient Decision Aids. 2022. Primary Health Tasmania. Medication Management – deprescribing. 2023.
Un nouvel épisode du Pharmascope est maintenant disponible! Dans de ce 110ème épisode, Sébastien, Nicolas et Isabelle discutent d'un concept souvent mentionné mais pas toujours appliqué: le processus de décision partagée. Les objectifs pour les épisodes 110 et 111 sont les suivants: Définir le processus de prise de décision partagée Identifier les bénéfices et les inconvénients du processus de décision partagée Appliquer un processus de décision partagée Ressources pertinentes en lien avec l'épisode The SHARE Approach—Essential Steps of Shared Decisionmaking: Expanded Reference Guide with Sample Conversation Starters. Septembre 2020. Agency for Healthcare Research and Quality, Rockville, MD. Institut national d'excellence en santé et en services sociaux. La prise de décision partagée: une approche gagnante. Octobre 2019. Hoffmann TC, Del Mar C. Clinicians' Expectations of the Benefits and Harms of Treatments, Screening, and Tests: A Systematic Review. JAMA Intern Med. 2017;177:407-19. Trewby PN et coll. Are preventive drugs preventive enough? A study of patients' expectation of benefit from preventive drugs. Clin Med (Lond). 2002;2:527-33. Douglas F et coll. Differing perceptions of intervention thresholds for fracture risk: a survey of patients and doctors. Osteoporos Int. 2012;23:2135-40. Zipkin DA et coll. Evidence-based risk communication: a systematic review. Ann Intern Med. 2014;161:270-80. Stacey D et coll. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev. 2017;4:CD001431. Coronado-Vázquez V et coll. Interventions to facilitate shared decision-making using decision aids with patients in Primary Health Care: A systematic review. Medicine (Baltimore). 2020;99:e21389.