Primary Care Spiel

Mount Sinai Hospital Family Medicine OB Provider Dr. Milena Forte's 10 "Spiels": 1) starting OCP; 2) choosing an OCP; 3) spotting on the pill; 4) missed pills; 5) extended pills; 6) the patch/ring; 7) pre-IUD counselling (copper IUD vs hormone IUD); 8) explaining IUD procedure; 9) post IUD counselling; 10) contraception while breastfeeding (mini-pill)

Academic Family Physician Dr. Mayura Loganathan's 10 "Spiels": 1) antibiotics for URTIs, 2) imaging for acute mechanical low back pain, 3) extensive annual blood tests, 4) PSA testing, 5) routine mammograms ages 40-49, 6) deprescribing PPIs, 7) chronic NSAID use, 8) benzodiazepines in the elderly, 9) ASA for Primary Prevention, 10) opioids for chronic non-cancer pain

CAMH Psychiatrist Dr. Roisin Byrne's 10 "Spiels": 1) starting SSRIs; 2) aborting panic attacks; 3) risks/benefits of benzos; 4) explaining CBT; 5) SSRIs in pregnancy; 6) starting atypical antipsychotics; 7) starting Lithium; 8) starting ADHD meds; 9) sleep hygiene; 10) sleep meds

Registered Dietitian Lauren Rose's 10 "Spiels": 1) Mediterranean diet; 2) Paleo diet; 3) Weight watchers; 4) FODMAPs; 5) Intermittent Starvation; 6) Ketogenic diet; 7) Gluten free; 8) DASH diet; 9) Low fat diet ; 10) Vegan

Dr. Anita Greig's (of The Greig Record) 10 "Spiels": 1) breastfeeding; 2) tongue ties; 3) circumcisions; 4) infantile colic; 5) vaccine hesitant parents; 6) introducing solids; 7) sleep training; 8) delayed antibiotics; 9) toilet training; 10) bedwetting 

Dentist Dr. Brian Kaplansky's 10 "Spiels": 1) 6 mo baby teeth; 2) 6 year old oral hygiene; 3) 18 year old wisdom teeth; 4) 22 year old TMJ dysfunction; 5) 30 year old bleeding gums; 6) 35 year old straight teeth; 7) 45 year old bad breath; 8) 55 year old dental implants; 9) 65 year old dry mouth; 10) 75 year old denture care

Emergency Physician Dr. Erin Bearss' 10 "Spiels": 1) miscarriages; 2) post-suture care; 3) concussions; 4) mechanical low back pain; 5) asthma; 6) dog bites; 7) viral gastro; 8) asymptomatic hypertension; 9) chest pain NYD; 10) vasovagal episodes

Primary Care Spiel is a podcast teaching medical trainees how to counsel their patients. Expert guests deliver their 'spiel' on various medical topics as if they were actually counseling their patients. Listeners receive a mock script that they can implement with their patients when these common topics inevitably arise. The podcast is hosted by Dr. Bradley Kaplansky, co-chief resident at the Mount Sinai Academic Family Health Team in Toronto, Canada. Here are spiels from the first 4 episodes of the podcast.

Family Medicine OB provider Dr. Natalie Morson's 10 "Spiels:" 1) nausea/vomiting in pregnancy; 2) foods to avoid in pregnancy; 3) exercise in pregnancy; 4) sex in pregnancy; 5) zika; 6) prenatal genetic testing; 7) flu shots in pregnancy; 8) GBS+ve; 9) epidurals; 10) blood banking