Cmaj Podcasts

Send us a textProf. Colleen Flood discusses the legalities around requiring health care workers to be vaccinated against the virus that causes COVID-19, both at the employer or hospital level and at the provincial government level.Colleen Flood is a professor in the faculty of law and the inaugural director of the Centre for Health Law Policy & Ethics, both at the University of Ottawa.She co-authored, with Prof. Bryan Thomas and Dr. Kumanan Wilson, an analysis article published in CMAJ. It's titled "Mandatory vaccination for health care workers: an analysis of law and policy."To read the analysis article published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.202755Podcast transcript: https://www.cmaj.ca/transcript-202755-----------------------------------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 a

Send us a textAt the start of the COVID-19 pandemic, most hospitals in Canada adopted no-visitor policies because of concern that visitors would spread the virus. It was also a way of preserving personal protective equipment, which was in short supply at the time. Now, almost one year later, the authors of a commentary published in the Canadian Medical Association Journal argue that it’s time to reconsider such a strict policy. In this podcast, Dr. Andreas Laupacis, editor-in-chief of CMAJ, interviews one of the authors of the commentary, Dr. Fahad Razak, a general internist at St. Michael's Hospital in Toronto. Also joining the conversation are Lee Fairclough, president of St. Mary’s General Hospital in Kitchener, Ontario, and Corinna Riquelme who is a care partner and a member of the Patient and Family Advisory Council at St. Mary’s. To read the commentary published in CMAJ: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.202636Read the podcast transcript: https://www.cmaj.ca/transcript-202636------------

Send us a textDr. Carl Boodman discusses four cases of trench fever from Bartonella quintana which is transmitted by body lice. Trench fever was common during the First World War and killed millions of people. In modern times, it is rare, but outbreaks tend to be associated with homelessness, poor living conditions or a history of severe alcohol use disorder or IV drug use. Dr. Boodman first talks about a patient who presented to the emergency department with endocarditis from B. quintana. He then discusses the three other linked cases that were diagnosed over the following weeks. Dr. Carl Boodman is a fifth year medical resident in a combined infection disease and medical microbiology program at the University of Manitoba in Winnipeg, Manitoba.The practice article he co-authored is published in CMAJ: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.201170Podcast transcript: https://www.cmaj.ca/transcript-201170-----------------------------------This episode is brought to you by MD Financial Management and Scotiab

Send us a textDr. Christen Shoesmith and Dr. Colleen O’Connell discuss the first Canadian guideline on the care and management of patients with amyotrophic lateral sclerosis (ALS). Dr. Shoesmith and Dr. O'Connell are two of the authors of the guideline, which is intended for ALS clinicians, allied health professionals and primary care providers and includes a patient-focused approach to care, with attention to holistic and emotional aspects of well-being.Dr. Christen Shoesmith is a neurologist and medical director of the Motor Neuron Disease Clinic at London Health Sciences Centre in London, Ontario. She is also chair of the ALS guidelines working group. Dr. Colleen O’Connell is a physical medicine and rehabilitation physician at the Stan Cassidy Rehabilitation Centre in Fredericton, New Brunswick.The clinical practice guideline is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191721Podcast transcript: https://www.cmaj.ca/transcript-191721Subscribe to CMAJ Podcasts on Apple Podcasts or your favo

Send us a textProne positioning has been widely adopted and is considered standard of care for patients with acute respiratory distress syndrome (ARDS). But how beneficial is prone positioning for patients with COVID-19 who are awake and not intubated? In this podcast, Dr. Kevin Venus talks about evidence, lung physiology and observational studies regarding prone positioning.Dr. Kevin Venus is general internist at University Health Network in Toronto. He co-authored a review article published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201201Podcast transcript: https://www.cmaj.ca/transcript-201201-----------------------------------This episode is brought to you by MD Financial Management and Scotiabank. Together, we’re able to provide physician-focused advice and unique financial solutions tailored to your needs at every stage of your medical career. Find out more about how we can help you, visit bit.ly/2Grtd5H-----------------------------------This podcast episode is brought to you by Shingrix. Learn more

Send us a textDr. Caroline Quach and Dr. Shainoor Ismail discuss guidance on identifying priority populations for COVID-19 immunization. It's likely that when Canada does get a vaccine, it will not be possible to immunize all Canadians at once. We therefore need to have a plan in place for prioritization within our population.Dr. Quach and Dr. Ismail are two of the authors of an evidence-based guideline publishing in CMAJ outlining which key populations need to be prioritized for early COVID-19 immunization. They wrote this guidance as part of Canada’s National Advisory Committee on Immunization (NACI). This work was supported by the Public Health Agency of Canada (PHAC). Dr. Caroline Quach is a pediatric infectious diseases specialist and microbiologist at CHU Sainte-Justine and is also a professor at the University of Montreal. Dr. Shainoor Ismail is a senior medical specialist at PHAC.The summary guideline is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.202353The full guideline is availabl

Send us a textIn this narrative, a musician, a nurse and a doctor come together to provide a virtual bedside music concert for some of their sickest patients with COVID-19.The article is read by its authors. First, Melanie Ambler, the musician and aspiring physician, then Laura Wodecki, nurse manager at Rhode Island Hospital, and ending with Dr. Timothy Amass, intensive care physician in Denver, Colorado.They wrote a Humanities Encounters article published in CMAJ called "Virtual bedside concerts for patients with COVID-19: a trio of perspectives."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.201662Podcast transcript: https://www.cmaj.ca/transcript-201662Melanie Ambler developed musICforU and received the Rosalind Swenson Enrichment Award from the French American Fulbright Commission to begin a live virtual concert program for hospitals and nursing homes in France, called Petite Pause Musicale. Any hospitals interested in live virtual concerts are welcome to contact her, at petitepausemus

Send us a textThe spread of misinformation during epidemics is not a new phenomenon. But the COVID-19 pandemic is certainly the largest epidemic in recent times and its intersection with the internet and social media have amplified a modern infodemic of misinformation. In this podcast, history professor Nancy Tomes unpacks this modern infodemic and shares her thoughts on the role of health care providers in managing misinformation.Dr. Nancy Tomes is a professor of history at Stony Brook University in Stony Brook, New York. She wrote a medical humanities article published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201905Podcast transcript: https://www.cmaj.ca/transcript-201905-----------------------------------This episode is brought to you by MD Financial Management and Scotiabank. Together, we’re able to provide physician-focused advice and unique financial solutions tailored to your needs at every stage of your medical career. Find out more about how we can help you, visit bit.ly/2Grtd5H-----------------

Send us a textDr. Maxim Ben-Yakov and Dr. Maala Bhatt discuss emergency procedural sedation in children. They cover safety, protocol, sedative agents, recommendations around fasting for this emergency procedure and more.Dr. Maala Bhatt is an emergency physician and the director of emergency research at the Children’s Hospital of Eastern Ontario in Ottawa and also associate professor at the University of Ottawa. Dr. Maxim Ben-Yakov is assistant professor of pediatrics and medicine at the University of Toronto and an emergency physician in Toronto.Their practice article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200332Podcast transcript: https://www.cmaj.ca/transcript-200332-----------------------------------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.healthm

Send us a textMany workplaces are essential for our health care, our supply chains, or the economy and are under immense pressure to stay open. The work bubble is one strategy that can be used to open businesses while limiting the risk of COVID-19 outbreaks.In this podcast, Dr. Jeffrey Shaw and Ms. Hayley Wickenheiser explain the work bubble concept. They also describe how a large Canadian company, Bombardier, applied the principles with much success.Dr. Jeffrey Shaw is a cardiologist and ICU physician in Calgary and is also currently a fellow at the University of Calgary Cumming School of Medicine. Ms. Hayley Wickenheiser is a fourth year medical student at the University of Calgary and was formerly an Olympic hockey athlete. They co-wrote an analysis article published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201582Podcast transcript: https://www.cmaj.ca/transcript-201582-----------------------------------This episode is brought to you by MD Financial Management and Scotiabank. Together, we’re able to pr

Send us a textWith 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 influencin

Send us a textDr. 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 pr

Send us a textDr. 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.

Send us a textLa 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 l

Send us a textIn 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

Send us a textDr. 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.

Send us a textIn 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 br

Send us a textAcute aortic syndrome is a life-threatening emergency. It is difficult to diagnose and is often missed in the emergency department, but it’s a syndrome that must be on a physician’s radar. Dr. Robert Ohle discusses how to identify acute aortic syndrome and how to diagnose it.Dr. Ohle is one of the authors of a clinical practice guideline on the topic. He is an emergency medicine physician and research director for emergency medicine at Health Science North in Sudbury, Ontario.The guideline article he co-authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200021Podcast transcript: https://www.cmaj.ca/transcript-200021-----------------------------------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

Send us a textIn this podcast, Dr. Clare Pain and Dr. Ruth Lanius draw from their expertise in the fields of trauma and conflict to discuss how this pandemic can affect mental health and those who suffered from childhood traumas. They also talk about how this pandemic compares to other public health disasters, conflict, war or unrest.Dr. Clare Pain is a psychiatrist and associate professor at the University of Toronto. She has done extensive work in the field of trauma, including with refugees. Dr. Ruth Lanius is a psychiatrist clinician-scientist at Western University in London, Ontario, who works in the field of trauma-related disorders. She has a particular interest in how trauma affects the brain and body physiology.The practice article they co-authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200736Podcast transcript: https://www.cmaj.ca/transcript-200736-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html--

Send us a textDr Stéphane Groulx explique les recommandations des lignes directrices sur le dépistage de l'adénocarcinome oesophagien chez les patients atteints de reflux gastro-œsophagien chronique.Dr Groulx est médecin de famille, a été membre du Groupe d’étude canadien sur les soins de santé préventifs pendant 4 ans et a contribué à de nombreuse lignes directrices. Il était le président du groupe de travail de la ligne de conduite.Le Groupe d’étude canadien sur les soins de santé préventifs vient de publier les nouvelles lignes directrices dans le Journal de l’association médicale canadienne.Lignes directrices : www.cmaj.ca/lookup/doi/10.1503/cmaj.190814-fTranscription de la conversation: https://www.cmaj.ca/transcript-190814-fJoin 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 @BlairBigh