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ENCORE: Confronting the high stakes of incivility in health care

lundi 26 août 2024 • Duration 37:55

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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

X (in English): @CMAJ
X (en français): @JAMC
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Instagram: @CMAJ.ca

The CMAJ Podcast is produced by PodCraft Productions

Managing the serious risks of vaping among youth

lundi 12 août 2024 • Duration 28:11

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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.

For more information from our sponsor, go to medicuspensionplan.com

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

X (in English): @CMAJ
X (en français): @JAMC
Facebook
Instagram: @CMAJ.ca

The CMAJ Podcast is produced by PodCraft Productions

Diagnosis and treatment of anorexia nervosa in adolescent males

lundi 8 avril 2024 • Duration 38:10

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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.

You can find Blair and Mojola on X @BlairBigham and @Drmojolaomole

X (in English): @CMAJ
X (en français): @JAMC
Facebook
Instagram: @CMAJ.ca

The CMAJ Podcast is produced by PodCraft Productions

Misdiagnosis during the COVID-19 pandemic

lundi 28 septembre 2020 • Duration 20:59

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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.

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

X (in English): @CMAJ
X (en français): @JAMC
Facebook
Instagram: @CMAJ.ca

The CMAJ Podcast is produced by PodCraft Productions

Preserving fertility in young women with breast cancer

lundi 31 août 2020 • Duration 45:36

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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.

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

X (in English): @CMAJ
X (en français): @JAMC
Facebook
Instagram: @CMAJ.ca

The CMAJ Podcast is produced by PodCraft Productions

The gender pay gap in medicine

lundi 31 août 2020 • Duration 30:14

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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.

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

X (in English): @CMAJ
X (en français): @JAMC
Facebook
Instagram: @CMAJ.ca

The CMAJ Podcast is produced by PodCraft Productions

L’obésité chez l’adulte : ligne directrice de pratique clinique

lundi 24 août 2020 • Duration 31:36

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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

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

X (in English): @CMAJ
X (en français): @JAMC
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Instagram: @CMAJ.ca

The CMAJ Podcast is produced by PodCraft Productions

Coagulopathy, thrombosis and COVID-19

lundi 17 août 2020 • Duration 19:24

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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.

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

X (in English): @CMAJ
X (en français): @JAMC
Facebook
Instagram: @CMAJ.ca

The CMAJ Podcast is produced by PodCraft Productions

Obesity: shifting to a patient-centred approach to management

mardi 4 août 2020 • Duration 48:03

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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.

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

X (in English): @CMAJ
X (en français): @JAMC
Facebook
Instagram: @CMAJ.ca

The CMAJ Podcast is produced by PodCraft Productions

For-profit long-term care homes and the risk of COVID-19

mercredi 22 juillet 2020 • Duration 44:49

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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.

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

X (in English): @CMAJ
X (en français): @JAMC
Facebook
Instagram: @CMAJ.ca

The CMAJ Podcast is produced by PodCraft Productions