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CMAJ Podcasts

397 episodes - English - Latest episode: 5 days ago -

CMAJ Podcasts: Exploring the latest in Canadian medicine from coast to coast to coast with your hosts, Drs. Mojola Omole and Blair Bigham. CMAJ Podcasts delves into the scientific and social health advances on the cutting edge of Canadian health care. Episodes include real stories of patients, clinicians, and others who are impacted by our health care system.

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Episodes

Encounters — A family doctor dreads telling her patient she can no longer drive

October 07, 2019 08:00 - 10 minutes - 7.43 MB

In this narrative, Dr. Iris Gorfinkel grapples with the emotions behind the difficult message she has to deliver to her patient — a message she knows will not be well received.Dr. Gorfinkel is a general practitioner, and a principal investigator and founder of Prime-Health Clinical Research in Toronto, Ont.She wrote a Humanities Encounters article published in CMAJ called "You're no longer safe to drive."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190705Podcast transcript: https:...

Injectable opioid agonist treatment for opioid use disorder: a national clinical guideline

September 23, 2019 08:00 - 32 minutes - 22.1 MB

In this interview, Dr. Nadia Fairbairn and Dr. Christy Sutherland discuss how to treat opioid use disorder with injectable opioid agonist treatments. They discuss which patients are good candidates for the treatment, how the treatment is administered, and they offer practical advice on overall strategies for treatment and support for patients with opioid use disorder. They also discuss the opioid epidemic on a systemic level.Dr. Nadia Fairbairn is an internist who specializes in addiction med...

Encounters — A medical resident confronts his misconceptions about the opioid crisis

September 23, 2019 08:00 - 8 minutes - 5.78 MB

In this narrative, Dr. Arjun Sharma finds his preconceived notions of opioid addiction get challenged as he spends some time in Vancouver.Dr. Sharma is a first-year resident in internal medicine at the University of Toronto.He wrote a Humanities Encounters article published in CMAJ called "Lessons from a naloxone kit."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190446Podcast transcript: https://www.cmaj.ca/transcript-190446-----------------------------------Music: Heartbreaking, ...

Med Life with Dr. Horton — Dr. Sharon Straus on mentorship

September 09, 2019 08:00 - 27 minutes - 18.9 MB

In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Sharon Straus about mentorship, from being a mentee to being a mentor.Dr. Horton and Dr. Straus talk about:- tips and tricks for students and trainees to find a good mentor- how to be a good mentor for others - how mentoring can help change culture in medicine- evidence and studies on mentorship- what it was like to have Dr. David Sackett as a mentor- and much moreDr. Sharon Straus is acting physician-in-chief at St...

Diagnosis and management of Parkinson disease

September 09, 2019 08:00 - 25 minutes - 17.7 MB

In this interview, Dr. David Grimes and Dr. Tiago Mestre discuss diagnosis and management of Parkinson disease, including: how to first recognize it, progression, treatment (medications, deep brain stimulation, exercise), nonmotor features such as depression, and palliative care. Dr. Grimes and Dr. Mestre are two of the authors of a new Canadian clinical practice guideline published in the Canadian Medical Association Journal.Dr. David Grimes is chief of the division of neurology and director...

Naloxone as a technology of solidarity: history of opioid overdose prevention

August 19, 2019 08:00 - 37 minutes - 25.7 MB

In this interview, Dr. Nancy Campbell talks about the history of naloxone. In today’s reality of opioid addiction epidemics in many areas of the world, naloxone is highly regarded as a life-saving drug that reverses opioid overdose — it's a technology of solidarity. But it was once considered a technology of suspicion. It had to pass through social cycles of innovation, adoption, and backlash. It was even used by law enforcement to test individuals suspected of using narcotics. Its history is...

Med Life with Dr. Horton — Physician burnout with Dr. Tait Shanafelt, CWO

August 12, 2019 08:00 - 25 minutes - 17.7 MB

In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Tait Shanafelt about burnout and physician wellbeing.Dr. Horton and Dr. Shanafelt talk about:- link between physician wellbeing and quality of care- research on physician burnout- can an individual diagnose their own burnout- organizational-level intervention and prevention- loss of meaning in medicine- the role of Chief Wellness Officer at Stanford- and much moreDr. Tait Shanafelt is an oncologist and leading resea...

Encounters — A pediatric oncologist is moved by his patient's wise words

August 12, 2019 08:00 - 6 minutes - 4.41 MB

In this narrative, Dr. Paul Moorehead reflects on a young patient’s wise words to him. The story is true.Dr. Moorehead is a pediatric hematologist oncologist at Janeway Children’s Health and Rehabilitation Centre in St. John’s, Newfoundland.He wrote a Humanities Encounters article published in CMAJ called "The truth about going home."To read the article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.190424Podcast transcript: https://www.cmaj.ca/transcript-190424---------------------------------...

Ovarian cancer risk in women with BRCA1/2 genetic variants

August 12, 2019 08:00 - 15 minutes - 10.6 MB

In this interview, Dr. Melissa Walker discusses management of ovarian cancer risk in women with BRCA1/2 pathogenic variants. She talks about risk factors for ovarian cancer, who should get genetic testing and who should get preventive surgery. She also discusses what to do about contraception and how to manage menopause in women with BRCA1/2.Dr. Melissa Walker is a fifth-year resident in obstetrics and gynecology at the University of Toronto. She works at Women’s College Hospital at the Preve...

Philosophers on Medicine — What are delusions?

August 06, 2019 08:00 - 24 minutes - 16.6 MB

In this podcast, Dr. Jonathan Fuller and Prof. Matthew Parrott discuss delusions, a concept that raises several questions from a philosophical perspective. They share their views on the nature of belief, and what is going on in a person’s mind during delusional thinking.Professor Matthew Parrott is from the Department of Philosophy at the University of Birmingham in the UK. Dr. Jonathan Fuller is assistant professor of history and philosophy of science at the University of Pittsburgh and a re...

Encounters Poem — Le fou Bonnet

July 29, 2019 08:00 - 4 minutes - 2.89 MB

Dr. Harald Gjerde reads his poem called "Le fou Bonnet." The poem is written from the perspective of a man with Charles Bonnet Syndrome, which causes complex visual hallucinations. Dr. Gjerde is a fifth year ophthalmology resident at Dalhousie University in Halifax Nova Scotia.To read his article, published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190276-----------------------------------Music: I Miss You, YouTube audio library-----------------------------------For more stories like this ...

Peanut allergy in infants: early introduction to reduce risk

July 22, 2019 08:00 - 25 minutes - 17.3 MB

In this interview, Dr. George du Toit and Dr. Amitha Kalaichandran discuss how to safely reduce an infant’s risk of peanut allergy with early introduction of peanut protein. They talk about the evidence behind why this works to reduce risk and they explain the recommended timing, frequency, and amount of peanut that should be given to infants.Dr. George du Toit is a pediatric allergy physician at Evelina London Children's Hospital in London, UK. He is also one of the lead researchers for the ...

Value-based insurance design for pharmacare

July 22, 2019 08:00 - 25 minutes - 17.2 MB

In this interview, Dr. Steve Morgan and Dr. Kai Yeung discuss a possible framework for pharmacare. They argue and explain that setting copayments based on drugs’ clinical and economic value can promote patient choice and encourage cost-conscious selections.Dr. Kai Yeung is a pharmacist and pharmaceutical economist at Kaiser Permanente Washington Health Research Institute in Seattle, Washington, and Dr. Steve Morgan is a health economist and professor of health policy at University of British ...

Measles outbreaks: systems-level and global issue

July 15, 2019 08:00 - 22 minutes - 15.3 MB

In this interview, Dr. Natasha Crowcroft comments on the measles outbreaks in Canada and globally, what many roots of the problem are, and what she thinks needs to happen to address the outbreaks.Dr. Natasha Crowcroft is chief science officer for Public Health Ontario in Toronto and an expert consultant for the World Health Organization.She co-authored a commentary article published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190559Podcast tr...

Testicular torsion

July 15, 2019 08:00 - 25 minutes - 17.8 MB

In this interview, Dr. Hans Rosenberg and Dr. Melise Keays discuss testicular torsion, a condition in which the spermatic vessels twist and cut off circulation to the testis. They explain the symptoms, how to diagnose it and how to treat it. They also explain how this condition can happen and why it's important to diagnose it in a timely manner.Dr. Hans Rosenberg is an emergency physician at The Ottawa Hospital and Dr. Melise Keays is a pediatric urologist at the Children’s Hospital of Easter...

Encounters — A medical student reflects on his father's illness

July 15, 2019 08:00 - 5 minutes - 3.75 MB

In this narrative, Kacper Niburski remembers when, for a short while, his father was unrecognizable to him.Mr. Niburski is a medical student at McGill University in Montréal, Québec, and editor of the CMAJ student humanities blog.He wrote a Humanities Encounters article published in CMAJ called "Cough."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190314-----------------------------------Music: Impromptu in Quarter, YouTube audio library-----------------------------------For more s...

Encounters — An emergency doc learns a life lesson from his loyal companion

July 08, 2019 07:59 - 7 minutes - 5.11 MB

In this narrative, Dr. Brian Deady reflects back on a time when a four-legged friend entered his life and instilled in him a sense of empathy he didn’t know he lacked. The story is read by Troy Acres.Dr. Deady is an emergency physician in Vancouver, British Columbia.He wrote a Humanities Encounters article published in CMAJ called "The unbearable rightness of two-ball fetch."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190213-----------------------------------Music: Evening Fall H...

From polio to cancer vaccines

July 02, 2019 08:00 - 37 minutes - 25.6 MB

In this interview, Dr. Robin Scheffler talks about the history of childhood cancer vaccine research. He explores the turn from polio vaccine research to cancer vaccine research and the power of children in marketing campaigns, especially in the context of raising funds for children’s hospitals or finding cures for childhood diseases. CMAJ is partnering with New Books Network for this episode. NBN connects scholars to book authors and publishes modern book reviews in the form of a podcast. ht...

Cost-effectiveness analysis and the science of value

July 02, 2019 08:00 - 33 minutes - 23 MB

In this interview, Dr. Murray Krahn discusses cost-effectiveness and optimal use of resources in health care. He talks about how it has evolved over the last decade and he dispels some misconceptions and explains why it's important for policy makers to embrace the science of cost-effectiveness analysis. Dr. Murray Krahn is a general internist at the University Health Network in Toronto, and a Canada Research Chair in Health Technology Assessment. He leads THETA, a research group devoted to he...

Encounters — A physician undergoes MAiD

June 17, 2019 07:59 - 7 minutes - 5.1 MB

In this narrative, Dr. Lori-Ann Linkins shares how her dear friend and fellow physician, Dr. Shelly Sarwal, chose Medical Assistance in Dying (MAiD). But before undergoing MAiD she forged a path to rewrite policies and ensure her organs would be donated.Dr. Linkins is a hematologist and associate professor at McMaster University in Hamilton, Ontario.She wrote a Humanities Encounters article published in CMAJ called "Shelly, MAiD and the purple parade."To read the article: www.cmaj.ca/lookup/d...

Marijuana and fertility

June 10, 2019 08:00 - 14 minutes - 10.2 MB

In this interview, Dr. Sara Ilnitsky talks about the latest evidence around how smoking marijuana affects fertility. She discusses the pharmacology and physiology behind it, how edibles are different, how the effect is different in men versus women and more.Dr. Ilnitsky is a reproductive endocrinology and infertility fellow at Western University in London, Ontario. She will be starting her practice at the Pacific Centre for Reproductive Medicine in Edmonton, Alberta. She co-authored a practic...

Assessing suicide risk for insurance

June 10, 2019 08:00 - 35 minutes - 24.2 MB

In this interview, Dr. Dorian Deshauer chats about the history of suicide risk assessment for insurance companies. In the past, the process included a group of physicians but over time physicians got replaced by a more cost-effective process called automated underwriting. He also explains how the first Diagnostic and Statistical Manual of Mental Disorders (DSM) influenced risk assessment.Dr. Dorian Deshauer is a psychiatrist and assistant professor at the University of Toronto. He is also an ...

Encounters — A medical student doesn't recognize her own body

June 03, 2019 08:00 - 10 minutes - 7.11 MB

In this narrative, Dr. Sumedha Arya reflects back on a time while she was in medical school when her body felt foreign. Dr. Arya is an internal medicine resident at the University of Toronto in Toronto, Ontario.She wrote a Humanities Encounters article published in CMAJ called "Ego and id."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181581-----------------------------------Music: Evening Fall Harp by Kevin MacLeod, YouTube audio library-----------------------------------For more ...

Organ donation after MAiD

June 03, 2019 08:00 - 27 minutes - 19 MB

In this interview, Dr. James Downar and Dr. Jennifer Hancock take listeners through some of the ethical considerations of having a patient who requests medical assistance in dying (MAiD) or withdrawal of life-sustaining measures (WLSM) and who is also requesting to have his or her organs donated. Dr. James Downar is head of the division of palliative care at the University of Ottawa and is a critical care physician at The Ottawa Hospital. He is one of the authors of the guidance for policy.Dr...

Doctors Without Borders on winning the Nobel Peace Prize — An interview from our archives

May 29, 2019 13:21 - 30 minutes - 21.1 MB

In this interview from our archives, Dr. John Hoey has a fascinating discussion with Dr. James Orbinski. The interview was first published in February of the year 2000. At the time, Dr. John Hoey was editor-in-chief of CMAJ and Dr. James Orbinski was international president of Médecins Sans Frontières (Doctors Without Borders, or MSF). Dr. Orbinski had just accepted the Nobel Peace Prize in recognition of MSF’s pioneering humanitarian work in several countries around the world.Dr. Orbinski an...

Encounters — An internist thinks she is delivering good news

May 27, 2019 08:00 - 9 minutes - 6.41 MB

In this narrative, the Dr. Ellen Feld reflects back on a patient she encountered many years ago. Dr. Feld delivered what she thought was good news about her diagnosis, but the patient felt otherwise. Dr. Feld is a general internist, professor, and medical director of the physician assistant program at Drexel University in Philadelphia, Pennsylvania.She wrote a Humanities Encounters article published in CMAJ called "Good news."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190041----...

Encounters — A physician struggles to thank her neurosurgeon

May 21, 2019 08:00 - 6 minutes - 4.43 MB

In this narrative, Dr. Debra Hamer reflects back on brain surgery she had many years ago, before she became a physician and a mother. She tries to find closure and get to a place of gratitude. Dr. Hamer is an assistant professor and psychiatrist at Queen’s University in Kingston, Ontario.She wrote a Humanities Encounters article published in CMAJ called "A letter to my neurosurgeon."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181526-----------------------------------Music: A Nost...

Encounters — A medical student and a patient help each other hold on just a bit longer

May 13, 2019 08:00 - 5 minutes - 3.78 MB

In this narrative, Dr. Calvin Santiago, who was a medical student at Queen’s University at the time, describes an encounter with a patient who was at peace with stopping his treatment. The essay won the 2017 Undergraduate Narrative Award for Palliative Medicine. Dr. Santiago is now a first-year neurology resident at the University of Toronto.He wrote a Humanities Encounters article published in CMAJ called "Three."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190091----------------...

Physician suicide

May 06, 2019 08:00 - 38 minutes - 26.6 MB

In this interview, Dr. Joy Albuquerque and Dr. Sarah Tulk talk about physician suicide, the only cause of death more common in physicians than the general public. They discuss factors that can lead to suicide and suicidal ideation (such as regulatory complaints, mental illness, culture in medicine), and they talk about what can be done to prevent this occupational health hazard. They also discuss how suicidal physicians face unique barriers to care, including concerns regarding confidentialit...

Philosophers on Medicine — What are diseases, really?

May 06, 2019 08:00 - 25 minutes - 17.4 MB

In this podcast, Dr. Jonathan Fuller and Dr. Jeremy Simon discuss disease as a concept. Are diseases part of the natural world, like electrons and photons, or created by humans and their perceptions and interests, like constellations or countries?Dr. Fuller is a philosophy of medicine postdoctoral fellow and graduating medical student at the University of Toronto. Dr. Simon is an emergency physician and a bioethicist at Columbia University in New York city.For more philosophical discussions r...

Overincarceration of Indigenous people

May 06, 2019 08:00 - 27 minutes - 19 MB

In this interview, Dr. Davinder Singh and Dr. Marcia Anderson discuss the problem of racism in the justice system which is in in part responsible for the over-representation of Indigenous people among the those incarcerated in Canada. As a result, Indigenous people lose far more years of life to incarceration than to premature death from many common causes.Dr. Marcia Anderson is Cree-Anishinaabe, with roots going to the Norway House Cree Nation and Peguis First Nation in Manitoba. She practi...

Med Life with Dr. Horton — Alan Alda and Dr. Deepu Gawda on feeling disconnected from patients

May 03, 2019 09:00 - 23 minutes - 16.3 MB

In this next "Med Life with Dr. Horton" podcast, Dr. Jillian Horton talks with both Dr. Deepu Gawda and actor Alan Alda.In the first segment, Dr. Horton and guest Dr. Deepu Gawda, internist and associate professor of medicine at Columbia University, answer a listener question from a physician who is under so much work pressure that s/he is viewing patients only as units of time. This person wants to get back to connecting with patients in a meaningful way and is looking for advice.In the seco...

Loneliness in older adults

April 29, 2019 08:00 - 25 minutes - 17.5 MB

In this interview, Dr. Nathan Stall and Dr. Rachel Savage discuss loneliness in older adults. They talk about how to assess for loneliness, the detrimental effects it can have on health, and what to do about it.Dr. Nathan Stall is a geriatrician at Sinai Health System and a research fellow at Women's College Research Institute. He is completing a PhD in clinical epidemiology & health care research at the University of Toronto. Dr. Rachel Savage is a postdoctoral fellow at Women’s College Rese...

Enhanced recovery after surgery

April 29, 2019 08:00 - 30 minutes - 21.3 MB

In this interview, Dr. Gregg Nelson and Dr. Alon Altman explain Enhanced Recovery After Surgery or ERAS, an evidence-based care pathway created to improve patient outcomes after surgery. ERAS reconsiders or eliminates long standing surgical practices such as prolonged fasting, mechanical bowel preparation, nasogastric tubes, delayed feeding after surgery, and long hospital stays. Dr. Gregg Nelson is chief of gynecologic oncology at the Tom Baker Cancer Centre in Calgary, Alberta and Dr. Alon...

Encounters — A physician opts to listen to a friend rather than offer medical advice

April 23, 2019 08:00 - 9 minutes - 6.9 MB

In this fictional narrative, Dr. Carolyne Montgomery explores what happens when, as a doctor, your patients are also your friends...and your friends are patients, but not yours. Dr. Montgomery is a recently retired Pediatric Anesthesiologist and a graduate of The Writer’s Studio at Simon Fraser University in Vancouver, British Columbia.She wrote a Humanities Encounters article published in CMAJ called "Listening."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181479-----------------...

Encounters — A rural physician has been overprescribing opioids, much to her surprise

April 15, 2019 08:00 - 10 minutes - 6.9 MB

In this narrative, Dr. Judy Dercksen, a family physician in rural British Columbia, shares what it’s like to manage chronic pain in a busy rural office setting, in the face of an opioid crisis.She wrote a Humanities Encounters article published in CMAJ called "Pain warrior."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.180957-----------------------------------Music: Friday Morning by Kevin MacLeod, YouTube audio library-----------------------------------For more stories like this o...

Nondisabling stroke or TIA from internal carotid artery stenosis: a medical emergency

April 15, 2019 08:00 - 28 minutes - 19.3 MB

In this interview, Dr. Varun Kapila explains why transient ischemic attacks or nondisabling stroke due to internal carotid artery stenosis require urgent diagnosis and intervention. Dr. Varun Kapila is division head of vascular surgery at William Osler Health System in Brampton, Ontario. He is also co-director for the hospital’s endovascular therapeutics program.He co-authored a review article published in the Canadian Medical Association Journal. It is titled "Management of transient ischemi...

Philosophers on Medicine — Vaccine hesitancy

April 08, 2019 08:00 - 20 minutes - 14 MB

In this podcast, Dr. Jonathan Fuller and Dr. Maya Goldenberg discuss why vaccine hesitancy still persists, despite overwhelming evidence in support of vaccine safety and effectiveness.Dr. Fuller is a philosophy of medicine postdoctoral fellow and graduating medical student at the University of Toronto. Dr. Goldenberg is a professor of philosophy at the University of Guelph.For more philosophical discussions related to medicine, visit www.philosophersonmedicine.comDr. Maya Goldenberg published...

Encounters — A GP remembers a cancer patient who struggled to be heard

April 08, 2019 08:00 - 9 minutes - 6.54 MB

In this narrative, Dr. Iris Gorfinkel still thinks about a patient she treated 25 years ago whose quiet defiance was a cry to be helped on his own terms.Dr. Gorfinkel is a general practitioner, and a principal investigator and founder of Prime-Health Clinical Research in Toronto, Ont.She wrote a Humanities Encounters article published in CMAJ called "The quietly defiant patient."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181263-----------------------------------Music: Earnest by...

Vaccine allergy

April 08, 2019 08:00 - 19 minutes - 13.4 MB

In this podcast, Dr. Derek Chu and Dr. Zainab Abdurrahman discuss the difference between true vaccine allergy and other normal or abnormal reactions to vaccines. They also discuss whether or not people with egg or latex allergy can be safely vaccinated.Dr. Derek Chu is a fifth-year allergy and clinical immunology resident at McMaster University and Dr. Zainab Abdurrahman is an allergist and clinical immunologist and assistant clinical professor in pediatrics, also at McMaster University.They...

Med Life with Dr. Horton — Creative arts in the life of a doctor with Dr. Allan Peterkin

April 05, 2019 14:37 - 33 minutes - 23 MB

In this next "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Allan Peterkin about creative arts and playfulness as related to medicine and as tools to help balance out a stressful life.Dr. Horton and Dr. Peterkin talk about:- music, writing, theatre, improv groups, cooking and many other forms of artistic expression- the time Dr. Peterkin was on The Tonight Show with Jimmy Fallon because of his book about beards- how learning to interpret a painting is related to diagnos...

Foreskin care in childhood

April 01, 2019 08:00 - 29 minutes - 20.4 MB

In this podcast, Dr. Ryan McLarty and Dr. Darcie Kiddoo discuss how to care for boys’ foreskin when they are babies and how to ensure boys are taught proper foreskin care as they grow older. They also discuss what the foreskin should look like, what abnormalities look like, how to recognize and treat infections, and when surgeries, including circumcision, are warranted.Dr. Ryan McLarty is a fourth-year urology resident and Dr. Darcie Kiddoo is a pediatric urologist, both at the University of ...

Encounters — An internist is inspired by his dying patient, at a pivotal time in his own life

March 25, 2019 08:00 - 10 minutes - 7.05 MB

In this narrative, Dr. Ariel Lefkowitz shares the story of Betty, a patient whose faith helped her be at peace with her fate in life.Dr. Lefkowitz is a general internist at Sinai Health System and Sunnybrook Health Sciences Centre in Toronto. He wrote a Humanities Encounters article published in CMAJ called "Major Betty."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181033-----------------------------------Music: Friday Morning by Kevin MacLeod, YouTube audio library---------------...

Encounters — A family physician says farewell to her practice

March 18, 2019 08:00 - 8 minutes - 6.06 MB

In this narrative, Dr. Pauline Pariser has many emotions about retirement after 35 years in practice.Dr. Pariser worked as a family physician in Toronto and is currently still an associate professor at the University of Toronto. She wrote a Humanities Encounters article published in CMAJ called "Reflections on retirement: Is that the way to say goodbye?"To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181136-----------------------------------Music: Nostalgic Place by Myuu, YouTube aud...

High-dose flu vaccines

March 18, 2019 08:00 - 10 minutes - 7.29 MB

In this podcast, Dr. Jeff Kwong and Dr. Daniel Dalcin discuss high-dose influenza vaccines, which contain more antigen than standard-dose vaccines.Dr. Jeff Kwong is a scientist at ICES and at Public Health Ontario, and a family physician at Toronto Western Family Health Team. He conducts research on the epidemiology of influenza.Dr. Daniel Dalcin is a family medicine resident at Dalhousie University in Halifax, Nova Scotia.They co-authored a peer-reviewed practice article published in the Can...

Encounters — A family doc feels unable to help her immigrant patient

March 04, 2019 09:00 - 6 minutes - 4.72 MB

In this narrative, Dr. Sarah Stumbar is sad to say goodbye to her patient Ana who, despite trying her best, is unable to achieve the American dream.The is the second part of Ana's story. This first part can be found here: https://soundcloud.com/cmajpodcasts/170278-encDr. Sarah Stumbar is a family physician and assistant professor of family medicine at Florida International University in Miami. She wrote a Humanities Encounters article published in CMAJ called "Goodbye: an immigration story."T...

Penicillin allergy: commonly reported but rarely true

February 25, 2019 09:00 - 18 minutes - 13 MB

In this podcast, Dr. David McCullagh and Dr. Derek Chu discuss penicillin allergy: its prevalence, how to diagnose it, and how to confirm patient-reported penicillin allergy.Dr. David McCullagh is an infectious disease fellow at McMaster University and Dr. Derek Chu, fifth-year allergy and immunology resident, also at McMaster University in Hamilton, Ontario.They co-authored a peer-reviewed practice article published in the Canadian Medical Association Journal. It is titled "Five things to kn...

Philosophers on Medicine — Precision medicine, narrative medicine, evidence-based medicine

February 25, 2019 09:00 - 23 minutes - 16.3 MB

In this podcast, Dr. Jonathan Fuller has a conversation with Miriam Solomon about different ways of knowing in medicine: precision medicine, evidence-based medicine, and narrative medicine. They discuss how these terms were coined and what they mean in the context of the current medical landscape.Prof. Miriam Solomon is a professor of philosophy at Temple University in Philadelphia. She published an award-winning article in the Canadian Medical Association Journal called "On ways of knowing i...

Encounters — A medical student's patient is not easily categorized

February 11, 2019 09:00 - 5 minutes - 4.05 MB

In this narrative, Zoe Lau, a graduating medical student at Queen’s University School of Medicine, remembers one patient who fell outside of any easy categorization. Her article was the 2018 winner of the Undergraduate Narrative Award for Palliative Medicine, hosted by the Canadian Society of Palliative Care Physicians. It is called "Dear Mrs. P."It was also published in CMAJ. To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181235-----------------------------------For more stories l...

Encounters — A respirologist is diagnosed with cancer

February 11, 2019 09:00 - 7 minutes - 4.91 MB

In this narrative, Dr. Clive Kearon reflects on his cancer diagnosis, and how life expectancy can change in one instant, sometimes for the better. Dr. Kearon is a thromboembolism consultant, clinician-researcher, and professor of medicine at McMaster University.He wrote a Humanities Encounters article published in CMAJ called "Four weddings and...."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181404-----------------------------------For more stories like this one, get your copy of...

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