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Canadian Medical Association Journal

Canadian Medical Association Journal
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Ottawa, ON


Canadian Medical Association Journal






Encounters — A family doc works out of a converted bus in Florida

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 (subscription required):...

Duration: 00:06:33

Encounters — An emergency physician relives a memorable night in Montreal in 1976

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 (subscription required):...

Duration: 00:13:20

Encounters — A psychiatrist grapples with the medicating of his patient with autism

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...

Duration: 00:07:58

Chronic opioid therapy: rethinking "doing well"

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 (subscription...

Duration: 00:33:17

Encounters — A physician helps a friend in a retirement home dining room

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 (subscription required): -----------------------------------...

Duration: 00:07:29

Take-home naloxone kits for opioid overdose

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...

Duration: 00:20:20

Schizophrenia: trends in mortality

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...

Duration: 00:16:52

Screening for abdominal aortic aneurysm: clinical practice guideline

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...

Duration: 00:18:22

Maternal suicide during pregnancy or the first postpartum year

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....

Duration: 00:14:35

Frailty, activity level and mortality

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...

Duration: 00:26:48

Encounters — A medical student questions who the expert really is in patient care

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...

Duration: 00:07:55

Encounters — A pediatrician shares the story of a memorable patient

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 (subscription required): ----------------------------------- Subscribe to CMAJ Podcasts on iTunes, Stitcher,...

Duration: 00:10:01

Polio gamma globulin clinical trials in the 1950s: victims of marketing success

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 (open access):

Duration: 00:20:32

Encounters — Parenting a child with severe medical complexities

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 (subscription required):...

Duration: 00:13:48

Canadian Ebola vaccine: safety and immunogenicity of the VSV-ZEBOV vaccine

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 (open access):...

Duration: 00:12:13

Encounters — A fly-in physician reflects on practising medicine up North

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 (subscription required): -----------------------------------...

Duration: 00:09:55

Birth with forceps or vacuum: rates of severe outcomes compared with c-section

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 (open...

Duration: 00:18:48

Encounters — A medical student uncovers his family's history of mental illness

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 (subscription required): ----------------------------------- Subscribe to CMAJ Podcasts on iTunes, Stitcher, Overcast,...

Duration: 00:09:23

Toxic shock syndrome, tampons, and the Syngyna Lab Apparatus

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 (subscription required):

Duration: 00:19:56

Opioid guideline for management of chronic non-cancer pain

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...

Duration: 00:36:56

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