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In this special episode of the YVR Screen Scene Podcast, Allegiance star Supinder Wraich and executive producer Nimisha Mukerji reflect on the crime procedural's emotionally searing second season. Season one introduced us to Sabrina Sohal (played by Supinder), a star rookie police officer in the CFPC who must grapple with the limits of the justice system as she fights to exonerate her politician father Ajeet Sohal, played by friend of the pod Stephen Lobo. Season two finds Sabrina earning a probationary spot as a detective in the Serious Crimes Unit, and with a new partner: Detective Corporal Zak Kalaini played by Samer Salem, from a CFPC branch in Alberta, who has a much different style of policing than Sabrina.Allegiance is set and produced in Surrey, British Columbia, and is very much a character in its own right. Season two brought us even deeper into the community, and also into issues that are at once specific to Surrey and also universal: issues like violence against women in the South Asian community; sexual predation of teen boys; violence against the unhoused; PTSD; and also grief: how we navigate it, and how we need to fold it into our lives somehow or risk losing ourselves altogether. In the first half of the episode, Supinder Wraich reflects on Sabrina's journey in season two, her own journey in Sabrina's detective shoes, and healing through representation. In the second half of the episode, executive producer and director Nimisha Mukerji reflects on the emotional resonance of Allegiance's second season, and what Sabrina Sohal represents for her. Episode sponsor: Directors Guild Of Canada, BC District Council
Set in Surrey, BC, Allegiance follows Sabrina Sohal (Supinder Wraich), a Canadian police officer who believes in the system but also sees its flaws. Newly promoted to the Serious Crimes Unit of the CFPC in British Columbia, Sabrina finds that she has only six months to prove that she has what it takes to be a detective. Determined to prove that she's worthy of the position, she finds herself paired with a new partner who has more experience and takes a different approach to the job. As she fights for the people on the streets of Surrey, Sabrina also fights desperately to take down the man responsible for framing her father for treason. In this 1on1, we speak to Wraich about celebrating diversity and police that want to 'do better'.
Welcome back to Hashtag Health! This is part 2 of our 2-part series on collaborative mental health care. In this episode, we sit down with Dr. Heather Sylvester, a Stratford based family physician with additional training (a “plus one”) in mental health. Dr. Sylvester works within a family health team to offer psychiatric services to patients, and she explains today the benefits of this novel approach to the provision of mental health care, notably its ability to combat the backlog of psychiatric patients. Music by Davide VentulieriSources used in podcast:https://www.camh.ca/en/driving-change/the-crisis-is-real/mental-health-statisticshttps://www.cfpc.ca/CFPC/media/Resources/Mental-Health/Collaborative-mental-health-care-2011-49-web-FIN-EN.pdfhttps://archive.org/details/mental_hospitalhttps://www.cfp.ca/content/69/2/81https://archive.org/details/DrugAddi1951 --- Send in a voice message: https://podcasters.spotify.com/pod/show/hashtag-health-podcast/message
Welcome back to Hashtag Health! This is part 1 of our 2-part series on collaborative mental health care. In this episode, we sit down with Dr. Heather Sylvester, a Stratford based family physician with additional training (a “plus one”) in mental health. Dr. Sylvester works within a family health team to offer psychiatric services to patients, and she explains today the benefits of this novel approach to the provision of mental health care, notably its ability to combat the backlog of psychiatric patients. Music by Davide Ventulieri Sources used in podcast: https://www.camh.ca/en/driving-change/the-crisis-is-real/mental-health-statistics https://www.cfpc.ca/CFPC/media/Resources/Mental-Health/Collaborative-mental-health-care-2011-49-web-FIN-EN.pdf https://archive.org/details/mental_hospital https://www.cfp.ca/content/69/2/81 https://archive.org/details/DrugAddi1951 https://archive.org/details/madnessandmedicinereel2 --- Send in a voice message: https://podcasters.spotify.com/pod/show/hashtag-health-podcast/message
In the second part of this interview, host Dr. Clayton Dyck continues his conversation with family medicine trainees - Dr Bigyan Lamichhane from Kathmandu, Nepal and Dr. Rohini Pasricha from Toronto, Canada. They explore ways to bridge the generational differences between educators and learners, share their favourite things about their programs and discuss the pros and cons of extending the length of training. Don't miss the Planet Family Doc potluck dinner at the end! If you're interested in learning more, check out the following resources: A more detailed description of the curriculum changes planned for Canadian FM training, including increased program length: https://www.cfpc.ca/en/education-professional-development/preparing-our-future-family-physicians A learner resource on virtual care produced by Dr. Pasricha and the CFPC Section of Medical Students: https://somsvcwg.wixsite.com/virtualcare
Our students do make our best teachers. As we look to the future of family medicine, we can gain valuable insights from those currently in their journey of family medicine training. In the first part of his conversation with family medicine trainees, host Dr. Clayton Dyck examines the effects of COVID-19 on training, the role of technology in FM education, and the new competencies required to prepare family physicians for practice. His guests, Dr. Bigyan Lamichhane from Kathmandu, Nepal, and Dr. Rohini Pasricha from Toronto, Canada, provide insight into these topics from their unique perspectives. Further resources and food recommendations in Part Two, available November 29!
**PLEASE CONSIDER DONATING TO THE MATTHEW PERRY FOUNDATION** https://matthewperryfoundation.org/ Today, we will be discussing the life and career of the late Matthew Perry (0:57). The guys start off by shouting out an interview with Perry from last year on CBC's Q with Tom Power. They then discuss his early life growing up in Ottawa and his “beating up” Prime Minister Justin Trudeau when they were both children. They then go-over his early roles and his breakout success with ‘Friends'. They discuss his hit movies as well as other shows he has been on such as ‘Scrubs' and ‘Studio 60 on the Sunset Strip'. Asif and Ali then segue into discussing Perry's medical issues over the years, many of which were related to his addiction. In the second part, the guys discuss an approach to addiction in medicine (28:40). They talk about how common addiction is worldwide, but yet how many physicians feel untrained to discuss substance use with their patients. Asif discusses practical questions that can be asked to screen for alcohol or drug use. He then discusses ‘motivational interviewing' for patients with addiction issues. Asif then discusses who patients with substance abuse and dependence can be referred to. The opinions expressed are those of the hosts, and do not reflect those of any other organizations. This podcast and website represents the opinions of the hosts. The content here should not be taken as medical advice. The content here is for entertainment and informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions. Music courtesy of Wataboi and 8er41 from Pixabay Contact us at doctorvcomedian@gmail.com Follow us on Social media: Twitter: @doctorvcomedian Instagram: doctorvcomedian Show notes: Matthew Perry shares his incredible story of survival and why fame wasn't the answer to his problems: https://www.youtube.com/watch?v=vrZsyBhmMro Matthew Perry's Canadian connections: Friends star said he beat up young Trudeau: https://nationalpost.com/entertainment/celebrity/rip-matthew-perry The 'Growing Pains' When Matthew Perry Drove Drunk And Hit A Tree: https://www.youtube.com/watch?v=o1nO-k1cw-w Matt Le Blanc - Heinz Ketchup Commercial: https://www.youtube.com/watch?v=N_vssdys8lk Alanis Morissette - Walk Away (with Matt LeBlanc): https://www.youtube.com/watch?v=G_LFnEoG62Q Salma Hayek Reflects On ‘Special Bond' With Late Former Co-Star Matthew Perry: https://www.huffpost.com/entry/salma-hayek-sadness-matthew-perry-death_n_6540cd92e4b0ae2dc0b513b0 Hank Azaria Says Matthew Perry ‘Helped Me Get Sober': https://www.rollingstone.com/tv-movies/tv-movie-news/matthew-perry-hank-azaria-sober-1234865759/ ‘An alcoholic from the age of 14': Matthew Perry's troubled life and foreshadowed death: https://www.theguardian.com/tv-and-radio/2023/oct/29/alcoholic-troubled-life-matthew-perry-addicted-substance Matthew Perry went to rehab 15 times before getting sober. Here's why it's so hard: https://www.cnn.com/2023/11/02/health/staying-sober-matthew-perry-wellness/index.html A Primary Care Approach to Substance Misuse: https://www.aafp.org/pubs/afp/issues/2013/0715/p113.html Practical Approach to Substance Use Disorders for the Family Physician: https://www.cfpc.ca/CFPC/media/PDF/MIGS-2021-Addiction-Medicine-ENG-Final.pdf
Are you prepared for the artificial intelligence revolution? In this episode of “The Class of 2024” host Dr. Clayton Dyck explores the emerging use of technology and AI in family medicine training with South African family docs and educators Dr. Klaus Von Pressentin and Dr. Ramprakash Kaswa. Also, stick around for some tasty recommendations on South African cuisine! Read more about the use of AI and technology in FM education in South Africa at: https://www.wsu.ac.za/index.php/media-center/latest-news/286-wsu-newsletter/221-wiseup-to-improving-your-teaching and https://cilt.uct.ac.za/teaching-resources/artificial-intelligence-teaching-learning An interesting exploration of digital neocolonialism in this article by Prof. Michalinos Zembylas: A decolonial approach to AI in higher education teaching and learning: strategies for undoing the ethics of digital neocolonialism, Learning, Media and Technology, 48:1, 25-37, DOI: 10.1080/17439884.2021.2010094 https://doi.org/10.1080/17439884.2021.2010094. The College of Family Physicians of Canada has an excellent overview course on the use of AI in family medicine on its CFPC Learn platform (Free registration required): https://cfpclearn.ca/ecourse/artificial-intelligence-in-family-medicine/
In the second part of this interview, host Dr. Clayton Dyck continues his conversation with family physicians Dr. Samantha Green from Toronto, Canada and Dr. Mayara Floss from Brazil. They discuss innovative ways of teaching planetary health, including the value of tree planting. They will also share available resources that lifelong learners can access to develop their planetary health expertise. Lastly, don't miss out on their food choices for the Planet Family Doc potluck dinner! If you'd like to learn more: The Massive Open Online Course (MOOC) and Case Studies discussed by Dr. Floss: https://www.ufrgs.br/telessauders/saude-planetaria/ https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(22)00307-2/fulltext https://www.frontiersin.org/articles/10.3389/fpubh.2021.663783/full Planetary health resources discussed by Dr. Green: https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(21)00110-8/fulltext https://www.cfpc.ca/CFPC/media/Resources/Education/GIFT-Planetary-Health-one-pager-ENG.pdf https://www.afmc.ca/initiatives/planetaryhealthdeclaration/ https://journalhosting.ucalgary.ca/index.php/cmej/article/view/75438/56619 A free course on air pollution for health workers developed by the World Health Organization: https://openwho.org/courses/air-pollution-health-workers A "bonus feature" not mentioned in the podcast! Here is a guide on planetary health in FM education from the CFPC's Section of Residents: https://www.cfpc.ca/CFPC/media/Resources/Education/GIFT-Planetary-Health-one-pager-ENG.pdf
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Hello and welcome to another episode of The GenerEhlist's CFPC 105 topics podcast. ● Today's topic is renal failure ● This episode was written by Vaishvi Patel, a third-year medical student from the University of Alberta, and Ronan Noble an MD/PhD student from the UofA as well, and it was reviewed by Dr. Whitney Hung, an internal medicine senior resident in Edmonton, AB.
Symptoms drive patients to seek primary care, but the fact that up to half never lead to a diagnosis is a challenge; it's also an opportunity to refresh how symptoms are viewed in family medicine. Dr Nick Pimlott hosts a discussion with Dr Thomas Freeman and Dr Moira Stewart about the implications of paying greater attention to symptoms for patient care, research, and teaching. Check out their research on abdominal pain symptoms in the May 2023 issue of Canadian Family Physician: https://www.cfp.ca/content/69/5/341. Their informative essay on studying symptoms in family practice appeared in the March 2020 issue: https://www.cfp.ca/content/66/3/218.
Dr. Laura is joined by the brilliant Dr. Shawna Pandya - a Canadian physician, aquanaut, scientist-astronaut candidate with the International Institute for Astronautical Sciences, VP of Immersive Medicine with Luxsonic Technologies, and Director of IIAS' Space Medicine Group. Dr. Pandya talks about the many facets of her career and what drives her to success and continued exploration.It is tempting to simply call Dr. Shawna Pandya superhuman and assume she is on a level of her own, but Dr. Laura delves into the very human side of what inspired Dr. Pandya to pursue space medicine, and what continues to keep her growing. Dr. Pandya talks about resilience and the ability to see failure as growth. She has wrestled with her own perceived failures and learned how perspective shifts things for the better. Dr. Pandya explains what being an aquanaut is, her record for days living under the sea, the importance of mentorship and role models in life, and who her own mentors are. From studying to be a neurosurgeon to testing the first commercial spacesuit in zero gravity, Dr. Pandya shares with Dr. Laura how she navigates her extraordinary life.“...so realizing the end is not guaranteed, but the journey is so incredible. Like if you told me as a kid I would get to be part of Mars simulations and get to command these missions and get to live under the sea and do really cool science as part of this and do really cool technology development, and even work with some of these companies like I do with Sonic or advise some of these companies, you know, that's a pretty cool dream to realize as an adult! And so the journey is just as important as that end goal.” Dr. Shawna PandyaAbout Dr. Shawna Pandya, BSc (Hons), MSc, MD, CFPC, DMT, FAWM (candidate), FEWM (honorary):Dr. Shawna Pandya is a physician, aquanaut, scientist-astronaut candidate with the International Institute for Astronautical Sciences (IIAS), skydiver, pilot-in-training, VP Immersive Medicine with Luxsonic Technologies, Associate Fellow of the Aerospace Medicine Association, and Fellow of the Explorers Club. She is Director of IIAS' Space Medicine Group, Chief Instructor for IIAS' Operational Space Medicine course, a host with the World Extreme Medicine's podcast series, Primary Investigator for the Shad Canada-Blue Origin student microgravity competition, member of the AIAA ASCEND Guiding Coalition, medical advisor at Astreas and Above: Space Development Corporation, and sessional lecturer for “Technology and the Future of Medicine,” at the University of Alberta. Dr. Pandya was on the first crew to test a commercial spacesuit in zero-gravity in 2015. She earned her aquanaut designation on the 2019 NEPTUNE (Nautical Experiments in Physiology, Technology and Underwater Exploration) mission. Her expeditions have been previously captured in the 2019 Land Rover short, 'Another World,' released with the Apollo 11: First Steps film, and in the 2022 FIGS Space Navy and Mauve space medicine themed campaign. She interned at ESA's European Astronaut Center and NASA's Johnson Space Center. Her publications include a paper on medical guidelines for commercial suborbital spaceflight, and book chapters on space technologies that have benefitted terrestrial medicine, psychological resilience in long-duration spaceflight, and reproduction and sexuality in long-duration spaceflight. In 2021, she was granted an Honorary Fellowship in Extreme and Wilderness Medicine and named to the Canadian Women's Executive Network's Top 100 Most Powerful Women. Her work is permanently exhibited at the Ontario Science Center alongside Dr. Roberta Bondar, the first Canadian woman in space. In 2022, Dr. Pandya was named to the Explorers' Club's “50 Explorers Changing the World."Resources:Shawna Pandya, MD on LinkedInDr. Shawna Pandya at the IIAS (International Institute for Astronautical Sciences)WEMcast (World Extreme Medicine Podcast)Dr. Roberta Bondar“No Ego” by Cy Wakeman“An Astronaut's Guide to Life on Earth” by Chris HadfieldHouston, We Have a Podcast (NASA podcast) “Another World: A Film by Land Rover” short film on YouTube“FIGS Scrubs: Space Navy and Mauve” ad on YouTubeLearn more about Dr. Laura on her website: https://drlaura.liveFor more resources, look into Dr. Laura's organizations: Canada Career CounsellingCalgary Career CounsellingSynthesis Psychology
El 14 de febrer tindrà lloc una sessió de formació en català prevenció i socors cívics PSC1. Es tracta d'una formació proposada pel CFPC, el Centre de formació català, que promou la llengua catalana en l'àmbit professional, a Catalunya Nord amb formació contínua, formació professional i formació especialitzada en llengua.
Concrete actions designed to ensure health care aligns with the needs of Indigenous people and communities are the focus of this conversation that Dr Nick Pimlott hosts with Drs Mandy Buss and Veronica McKinney. They discuss the CFPC's Declaration of Commitment to cultural safety and humility, key resources that support related learning in family medicine, and new tools being developed. Drs Buss and McKinney are members of the CFPC's Indigenous Health Committee. Resources: Declaration of Commitment English: https://www.cfpc.ca/CFPC/media/Resources/Indigenous-Health/Declaration-of-Commitment-signed.pdf French: https://www.cfpc.ca/CFPC/media/Resources/Indigenous-Health/HPGR-Declaration-Nov-9-2022-FRE-tabloid-final.pdf CanMEDS–Family Medicine Indigenous Health Supplement English: https://www.cfpc.ca/CFPC/media/PDF/CanMEDS-IndigenousHS-ENG-web.pdf French: https://www.cfpc.ca/CFPC/media/PDF/CanMEDS-IHS-FRE-web.pdf
Welcome to Proximal Edge Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! In this episode, I have our second interview with my friend Sarah Ragan COC, CPC, CPMA, CRC, CFPC, AAPC Approved Instructor. She is a dedicated medical coder with more than 8 years of experience analyzing patient charts for clean billing. Implementing her passion as a coder to segue into educating as a virtual speaker and instructor. She values education, training, proficiency, and compliance. In the first part of our interview, some of the things we discuss are: How she got started in Healthcare, from clinical to coding Common myths about the profession Resources that have helped her along the way The three people who have been the most influential to her both personally and professionally Please make sure to find and follow Sarah below is her LinkedIn Profile: LinkedIn: https://www.linkedin.com/in/sarah-ragan-coc-cpc-cpma-crc-cfpc-aapc-approved-instructor-65987a91/ Our Webpage: https://www.proximaledge.com/ Todo Incluido Podcast: https://anchor.fm/todo-incluido Email: IncludesPodcast@gmail.com Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/includes/message
Join us as we speak with AAPC Documentation Advisory Committee members, Melissa Kirshner, CPC, CDEO, CRC, CPC-I, CFPC and Kelly Shew, Kelly Shew, RHIA, CPC, CDEO, CPB, CPCO, CPMA, CRC, CPPM, CPC-I. In this broadcast we talk about the committee's upcoming webinar, Ask & Learn: The ICD-10-CM Guidelines. We also tackle your questions about earning CEUs, finding your first job, and more.
In this Episode I'm joined by Sarah Ragan. A seasoned coder and auditor. She's a great educator and mentor. Today we talk about the benefits of Virtual Education and why it is a valuable way to get our education. Value of Education Virtual Education before and after the pandemic Benefits of Virtual Education on the community Networking Value Learn more about our Virtual events HERE Connect with Sarah Ragan, COC, CPC, CPMA, CRC, CFPC if you need a speaker for your next event! You can learn more about the opportunities to become a Certified Instructor HERE Does your Organization need help streamlining your Prior Authorizations and increasing revenue while decreasing unnecessary denials? Visit authparency.com for your FREE Demo --- Send in a voice message: https://anchor.fm/lifeasacoder/message Support this podcast: https://anchor.fm/lifeasacoder/support
This episode of BPR was inspired by a recent Gymnastics Clinic that we conducted at https://www.instagram.com/crossfitpinecreek/ (CrossFit Pine Creek) in Pittsburgh, PA. The clinic was a huge success, and we are so thankful for the generosity and hospitality of the CFPC. ⠀ After the clinic, D took some time to reflect on the weekend: what went well, what didn't go so well, what could be improved before the next clinic, etc. During that reflection, D realized that nearly every question from both the coaches and participants traced back to the same issue, and that's EXACTLY what triggered today's discussion. ⠀ If you're ready to rebuild your body, move out of pain, and finally have the work you do in the gym be reflected in the mirror, this is your opportunity. For a limited time, we're offering a https://trainballistic.com/fitness-tracks (FREE 7-day trial) for our fitness tracks. Click the link to learn more and secure your free week of workouts.
Sarah Ragan started her healthcare career as a medical assistant, but quickly worked her way into the administrative side of the business. It took 14 years for her to make the jump into medical coding after her first administrative job. She has now been a certified medical coder for seven years. Watch Sarah tell her story on this episode of #iamaapc.
Sarah Ragan started her healthcare career as a medical assistant, but quickly worked her way into the administrative side of the business. It took 14 years for her to make the jump into medical coding after her first administrative job. She has now been a certified medical coder for seven years. Watch Sarah tell her story on this episode of #iamaapc.
Dr. Nick Pimlott interviews Dr. Neil Bell and Dr. Philip Jacobs. Dr. Bell is a professor in the Department of Family Medicine at the University of Alberta and Dr. Jacobs is Emeritus Professor in the Department of Medicine at the University of Alberta. In this episode, Drs Bell and Jacobs discuss their article from the November issue of Canadian Family Physician (CFP): "Can you afford to keep practising? Family medicine finances transformed by COVID-19 in Alberta"
Dr. Nick Pimlott interviews Dr. Samantha Green, a family physician at St. Michael's Hospital in Toronto and Faculty Lead in Climate Change and Health in the Department of Family and Community Medicine at the University of Toronto. Dr. Green discusses the health benefits of cycling as well as its impact on reducing greenhouse gas emissions. Read Dr. Green's article in the October issue of Canadian Family Physician (CFP): "Cycling for health: Improving health and mitigating the climate crisis"
In this Third Rail Edition of the CFP Podcast, Editorial Fellow Dr. Sarah Fraser interviews Dr. Adam Sandell on the use of the term family physician. Dr. Sandell is a physician who worked in the UK's national health service for 20 years before moving to B.C. at the start of the pandemic. Alongside his work as a physician in the UK, Dr. Sandell worked as a barrister, specializing in health-related human rights law. Read Dr. Sandell's Third Rail article in the September 2021 issue of CFP, "I'm a GP" The Third Rail is the rail on a train track with a live current running through it, dangerous to the touch. This section in Canadian Family Physician and the CFP Podcast deals with topics that are "Third Rail": controversial and taboo in family medicine.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Written By: Dr. Samantha Pomroy Expert Review By: Dr Karin Winston - Paediatric Endocrinologist Chris Cochrane and Caleb Dusdal review the first two objective of the CCFP Key Topic of Diabetes. Lots of definitions, screening guidelines, numbers, and a review of the lifestyle and pharmacologic options available to you to help your patient.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
written by: Chris Cochrane peer review: Caleb Dusdal Caleb and Chris discuss the key topic of Dementia including the first three CCFP Board Exam topics.
LifeBlood: We talked about the importance of talking openly about money, the need for couples to have dialogue about fiscal equality, the progression of ESG investing, and how to get started thinking about values with Hallie Kraus, CFP, CFPC and Financial Advisor with the Humphreys Group. Listen to learn how the mutual fund industry is helping to further the mission of ESG! For the Difference Making Tip, scan ahead to 18:44! You can learn more about Hallie at HumphreysGroup.com, Facebook, Twitter, Instagram and LinkedIn. We're honored to have been named one of the top podcasts for investing! We're on YouTube, check us out! George is honored to be included on Investopedia's list of the Top 100 Financial Advisors for 2020! Have George speak to your organization. You can learn more about the show at GeorgeGrombacher.com, Twitter, LinkedIn, Instagram and Facebook or contact George at Contact@GeorgeGrombacher.com.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Braedon Paul and Caleb Dusdal tackle the CCFP Key Topic Diarrhea Written by Braedon Paul, the topics are covered in the form of three cases.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Written By: Caleb Dusdal Peer Review By: Sarah Donnelly https://thegenerehlist.ca/ccfp-exam-105-topics-podcast/ Objective One: In patients complaining of leg pain and/or swelling, evaluate the likelihood of deep venous thrombosis (DVT) as investigation and treatment should differ according to the risk. Objective Two: In patients with high probability for thrombotic disease (e.g., extensive leg clot, suspected pulmonary embolism) start anticoagulant therapy if tests will be delayed. Objective Three: Identify patients likely to benefit from DVT prophylaxis. Objective Four: Utilize investigations for DVT allowing for their limitations (e.g., Ultrasound and D-dimer). Objective Five: In patients with established DVT, use oral anticoagulation appropriately, (e.g., start promptly, watch for drug interactions, monitor lab values and adjust dose when appropriate, stop warfarin when appropriate, provide patient teaching). Objective Six: Consider the possibility of an underlying coagulopathy in patients with DVT, especially when unexpected. Objective Seven: Use compression stockings in appropriate patients, to prevent and treat post-phlebetic syndrome.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Written By: Chris Cochrane Expert Review By: Dr. Nabeela Waja (Paediatrician) https://thegenerehlist.ca/2021/06/06/ccfp-key-topic-croup/ Objective 1: In patients with croup, Identify the need for respiratory assistance (e.g., assess ABCs, fatigue, somnolence, paradoxical breathing, in drawing) and provide that assistance when indicated. Objective 2: Before attributing stridor to croup, consider other possible causes (e.g., anaphylaxis, foreign body (airway or esophagus), retropharyngeal abscess, epiglottitis). Objective 3: In any patient presenting with respiratory symptoms, look specifically for the signs and symptoms that differentiate upper from lower respiratory disease (e.g., stridor vs. wheeze vs. whoop). Objective 4: In a child presenting with a clear history and physical examination compatible with mild to moderate croup, make the clinical diagnosis without further testing (e.g., do not routinely X-ray). Objective 5: In patients with a diagnosis of croup, use steroids (do not under treat mild-to-moderate cases of croup). Objective 6: In a patient presenting with croup, address parental concerns (e.g., not minimizing the symptoms and their impact on the parents), acknowledging fluctuating course of the disease, providing a plan anticipating recurrence of the symptoms.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Written/Researched By: Braedon Paul Peer Review By: Caleb Dusdal STEP 1. [Objectives 1a/b/c, 8a] Provide reassurance and develop rapport through validation of the problem and use of active listening skills. STEP 2. [Objective 3a] Evaluate the severity of the crisis and assess the patient's mental, psychiatric, suicidal or homicidal, and medical statuses. STEP 3. [Objective 3a/b/c, 6] Ensure the safety of the patient and others through voluntary hospitalization, involuntary commitment, securing close monitoring by family and friends, or helping to remove the patient from a dangerous situation. STEP 4. [Objective 2a/b/ , 4, 5] Stabilize the patient's emotional status, explore options for dealing with the crisis, develop a specific action plan, and obtain commitment from the patient to follow through. STEP 5. [Objectives 2c/d] Follow up with the patient to provide ongoing support and to reinforce appropriate action.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Objective One: In a patient with a diagnosed chronic disease who presents with acute symptoms, diagnose: acute complications of the chronic disease acute exacerbations of the disease Objective Two: Regularly reassess adherence (compliance) to the treatment plan (including medications) Objective Three: In patients with chronic disease a) Actively inquire about pain. b) Treat appropriately by: titrating medication to the patient's pain, taking into account other treatments and conditions, considering non-pharmacologic treatment and adjuvant therapies Objective Four: Patients with chronic disease, actively inquire about: the psychological impact of diagnosis and treatment, functional impairment, underlying depression or risk of suicide or underlying substance abuse. Objective Five: Given a non-compliant patient, explore the reasons why, with a view to improving future adherence to the treatment plan.
Dr. Nick Pimlott interviews Dr. Melissa Nutik, a family physician and Undergraduate Education Lead in the Office of Education Scholarship and Assistant Professor in the Department of Family and Community Medicine at the University of Toronto. Dr. Nutik discusses the undergraduate curriculum in medical school, student interest in family medicine and the hidden curriculum . Read Dr. Nutik's articles in the May 2021 issue of Canadian Family Physician (CFP): "Defining the specialist generalist" "Assessing undergraduate medical education through a generalist lens" This topic is also discussed by Dr. Pimlott in his May CFP editorial, "Valuing our past, sustaining our future"
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Written & Researched By: Caleb Dusdal and Thomsen D'hont The first of the new 105 CCFP Topics https://thegenerehlist.ca/2021/05/16/ccfp-key-topic-chronic-pain/ Objective One: In a patient with chronic pain: Establish the etiology, Reassess and periodically review the etiology and Periodically look for potential comorbidities or complications, particularly mental illness and addictions. Objective Two: In a patient with chronic pain who complains of significantly increased pain, search for an alternative etiology as you cannot assume that the original cause of the pain is the reason for the exacerbation. Objective Three: In a patient in whom you did not make the initial diagnosis of chronic pain: Establish an effective relationship, Verify the diagnosis, and clarify goals of treatment and plans for management Objective Four: In managing a patient with chronic pain: Use shared decision-making, and engage other professionals in this care when appropriate Objective Five: In a patient with chronic pain: Comprehensively document the assessment, plan, goals, and prescription details and Make the treatment plan appropriately accessible Objective Six: When prescribing medications with abuse potential in a patient with chronic pain where you have no established relationship or insufficient records, be prudent in your prescribing. Do not simply provide or refuse to prescribe. Objective Seven: Use a written treatment contract with realistic consequences when prescribing medications with abuse potential to a patient with chronic pain. Objective Eight: When a patient with chronic pain has breached a contract: Manage your own emotions, Address the possible impact on your staff and team, and Apply or judiciously amend the contract
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Written By: Chris Cochrane, FM Resident in Medicine Hat Peer Review By: Kevin Duncan, EM Resident in Kelowna Objective One: a) In a patient having a seizure: Ensure proper airway control (e.g., oropharyngeal airway or nasal trumpet, lateral decubitus to prevent aspiration). b) Use drugs (e.g., benzodiazepines, phenytoin) promptly to stop the seizure, even before the etiology is confirmed. c) Rule out reversible metabolic causes in a timely fashion (e.g., hypoglycemia, hypoxia, heat stroke, electrolytes abnormalities). Objective Two: In a patient presenting with an ill-defined episode (e.g., fits, spells, turns), take a history to distinguish a seizure from other events. Objective Three: In a patient presenting with a seizure, take an appropriate history to direct the investigation (e.g., do not over investigate; a stable known disorder may require only a drug-level measurement, while new or changing seizures may require an extensive work-up). Objective Four: In all patients presenting with a seizure, examine carefully for focal neurologic findings. Objective Five: In a patient with a previously known seizure disorder, who presents with a seizure or a change in the pattern of seizures: a) Assess by history the factors that may affect the primary seizure disorder (e.g., medication compliance, alcohol use, lifestyle, recent changes in medications [not just antiepileptic medications], other illnesses). b) Include other causes of seizure in the differential diagnosis. (Not all seizures are caused by epilepsy.) Objective Six: In the ongoing care of a patient with a stable seizure disorder: a) Regularly inquire about compliance (with medication and lifestyle measures). side effects of anticonvulsant medication, and the impact of the disorder and its treatment on the patient's life (e.g., on driving, when seizures occur at work or with friends). b) Monitor for complications of the anticonvulsant medication (e.g., hematologic complications, osteoporosis). c) Modify management of other health issues taking into account the anticonvulsant medication (e.g., in prescribing antibiotics, pregnancy).
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Researched By: Caleb Dusdal Expert Review By: Dr Todd Hill Objective One: When counselling a patient: - Set clear therapeutic goals with the patient, - Allow adequate time, - Evaluate your own skills, - Recognize when you are approaching or exceeding boundaries, - Recognize when your beliefs or biases may interfere with counselling. - Remain aware of the risks of offering advice versus providing options and - Pay close attention to the quality of the therapeutic relationship and alliance. Objective Two: For a patient who is considering or requesting referral for counselling/psychotherapy, clarify concerns and provide realistic information about the process and available resources (e.g., expectations, timing, frequency, costs, duration, homework, starting/ending the relationship if ineffective). Plus some bonus counseling tools, resources and a review of motivational interviewing!
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
CCFP 105 Key Topic: Cough Written & Researched By: Kajsa Heyes Peer Review By: Hermeen Dhillon Objective One: In patients presenting with an acute cough: a) Include serious causes in the differential diagnosis. b) Diagnose a viral infection clinically, principally by taking an appropriate history. c) Do not treat viral infections with ant Objective Two: In pediatric patients with a persistent (or recurrent) cough, generate a broad differential diagnosis Objective Three: In patients with a persistent (e.g., for weeks) cough: a) Consider non-pulmonary causes, as well as other serious causes in the differential diagnosis. b) Investigate appropriately. Objective Four: Do not ascribe a persistent cough to an adverse drug effect without first considering other causes. Objective Five: In smokers with persistent cough, assess for chronic bronchitis and make a positive diagnosis when it is present.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Written/Researched By: Khash Farzam Peer Review By: Caleb Dusdal Objective One: In all patients presenting with symptoms of prolonged or recurrent cough, dyspnea, or decreased exercise tolerance, especially those who also have a significant smoking history, suspect the diagnosis of chronic obstructive pulmonary disease (COPD). Objective Two: When the diagnosis of COPD is suspected, seek confirmation with pulmonary function studies (e.g., FEV1). Objective Three: In patients with COPD, use pulmonary function tests periodically to document disease progression. Objective Four: Encourage smoking cessation in all patients diagnosed with COPD. Objective Five: Offer appropriate vaccinations to patients diagnosed with COPD (e.g., influenza/pneumococcal vaccination). Objective Six: In an apparently stable patient with COPD, offer appropriate inhaled medication for treatment (e.g., anticholinergics/bronchodilators if condition is reversible, steroid trial). Objective Seven: Refer appropriate patients with COPD to other health professionals (e.g., a respiratory technician or pulmonary rehabilitation personnel) to enhance quality of life. Objective Eight: When treating patients with acute exacerbations of COPD, rule out co-morbidities (e.g., myocardial infarction, congestive heart failure, systemic infections, anemia). Objective Nine: In patients with end-stage COPD, especially those who are currently stable, discuss, document, and periodically re-evaluate wishes about aggressive treatment interventions.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Written By: Kyla Freeman Peer Review By: Thomsen D'hont Expert Review By: Dr. Vanessa Rogers Objective One: With all patients, especially adolescents, young men, postpartum women, and perimenopausal women, advise about adequate contraception when opportunities arise. Objective Two: In patients using specific contraceptives, advise of specific factors that may reduce efficacy (e.g. delayed initiation of method, illness, medications, specific lubricants) Objective Three: In aiding decision-making to ensure adequate contraception: - Look for and identify risks (relative and absolute contraindications) - Assess (look for) STI exposure - Identify barriers to specific methods (e.g. cost, cultural concerns) - Advise of efficacy and side effects, especially short-term side effects that may result in discontinuation Objective Four: In patients using hormonal contraceptives, manage side effects appropriately (i.e. recommend an appropriate length of trial, discuss estrogens in medroxyprogesterone acetate [Depo-Provera]. Objective Five: In all patients, especially those using barrier methods or when efficacy of hormonal methods is decreased, advise about post-coital contraception Objective Six: In a patient who has had unprotected sex or failure of the chosen contraceptive method, inform about time limits in post-coital contraception (emergency contraceptive pil, intrauterine device)
This episode visits Colin Sage of the Cork Food Policy Council (CFPC) and the University College Cork (UCC), School of Human Environment in Department of Geography, in City Cork, Ireland. He describes the history, mission, activities and accomplishments of the CFPC and his role as its founding Chair to engage Cork community stakeholders in food policy development and implementation for promoting sustainability issues in their food systems.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Written and Researched By: Caleb Dusdal Peer Review By: Chris Cochrane https://thegenerehlist.ca/ccfp-exam-105-topics-podcast/ Objective One Given a patient with undefined chest pain, take an adequate history to make a specific diagnosis (e.g., determine risk factors, whether the pain is pleuritic or sharp, pressure, etc.). Objective Two Given a clinical scenario suggestive of life-threatening conditions (e.g., pulmonary embolism, tamponade, dissection, pneumothorax), begin timely treatment (before the diagnosis is confirmed, while doing an appropriate work-up). Objective Three In a patient with unexplained chest pain, rule out ischemic heart disease
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
CCFP Key Topic "Cancer" https://thegenerehlist.ca/ccfp-exam-105-topics-podcast/ Written & Researched By: Sarah Donnelly IM PGY-1 University of Alberta Objective One In all patients, be opportunistic in giving cancer prevention advice even when it is not the primary reason for the encounter. Objective Two In all patients, provide the indicated evidence-based screening (according to age group, risk factors, etc.) to detect cancer at an early stage (e.g., with Pap tests, mammography, colonoscopy, digital rectal examinations, prostate-specific antigen testing). Objective Three In patients diagnosed with cancer, offer ongoing follow-up and support and remain involved in the treatment plan, in collaboration with the specialist cancer treatment system. (Don't lose track of your patient during cancer care.) Objective Four In a patient diagnosed with cancer, actively inquire, with compassion and empathy, about the personal and social consequences of the illness (e.g., family issues, loss of job), and the patient's ability to cope with these consequences. Objective Five In a patient treated for cancer, actively inquire about side effects or expected complications of treatment (e.g., diarrhea, feet paresthesias), as the patient may not volunteer this information. Objective Six In patients with a distant history of cancer who present with new symptoms include recurrence or metastatic disease in the differential diagnosis. Objective Seven In a patient diagnosed with cancer, be realistic and honest when discussing prognosis. (Say when you don't know.)
Dr. Andrea Sereda is a family physician who practices street outreach medicine, focused on street-level, at-risk programs related to substance use and mental health. Dr. Sereda works in London Ontario, Canada at the London InterCommunity Health Centre and also plays a large role with the Safer Opioid Supply (SOS) and Street Level Women at Risk (SLWAR) programs. In this episode, we discuss the history of fentanyl and the reason it's use has become so prevalent in Canada today. Additionally, Dr. Sereda differentiates addiction versus problematic substance use. Finally, Dr. Sereda shares unique insight into working with individuals living on the street and advocates for their human rights.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
https://thegenerehlist.ca/ccfp-exam-105-topics-podcast/ 1 Given a well woman with concerns about breast disease, during a clinical encounter (annual or not): a) Identify high-risk patients by assessing modifiable and non- modifiable risk factors b) Advise regarding screening (mammography, breast self- examination) and its limitations. c) Advise concerning the woman's role in preventing or detecting breast disease (breast self-examination, lifestyle changes). 2 Given a woman presenting with a breast lump: a) Use the history, features of the lump, and the patient's age to determine if aggressive work-up or watchful waiting is indicated. b) Ensure adequate support throughout investigation of the breast lump by availability of a contact resource. c) Use diagnostic tools (e.g., needle aspiration, imaging, core biopsy , referral) in an appropriate manner (i.e., avoid over- or under-investigation, misuse) for managing the breast lump. 3 In a woman who presents with a malignant breast lump and knows the diagnosis: a) Recognize and manage immediate and long-term complications of breast cancer. b) Consider and diagnose metastatic disease in the follow-up care of a breast cancer patient by appropriate history and investigation.c) Appropriately direct (provide a link to) the patient to community resources able to provide adequate support (psychosocial support).
Dr. Alison Stein is a family physician with a special interest in psychotherapy. In this episode, we discuss the role Dr. Stein plays in helping her patients overcome and deal with depression and anxiety on a regular basis. Additionally, Dr. Stein explains what Cognitive Behavioural Therapy (CBT) is and why she chooses to use it to help her patients. Finally, Dr. Stein shares her professional advice on the different ways that friends and family can offer support to those struggling with their mental health.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
CCFP Key Topic 11 - Behavioural Problems https://thegenerehlist.ca/2021/01/17/ccfp-exam-key-topic-eleven-behavioural-problems/(opens in a new tab) Written By: Chris Cochrane Reviewed By: Kajsa Heyes Objective One:In all patients, when working up a behavioural problem: a) Ensure a thorough assessment of medical and mental health conditions and psychosocial factors before offering a diagnosis or definitive adviceb) Use a validated assessment tool if availablec) Use multiple sources of information (e.g., workplace, family, school) with consentd) Explore the patient's own perspective, not just that of the caregiver Objective Two:In assessing behavioural problems in adolescents specifically look for substance use, peer issues, abuse, and other stressors. Objective Three:While assessing behavioural problems in a patient, a) Evaluate the impact of the behaviour b) Explore any underlying emotional distress with the patient c) Destigmatize embarrassing behaviours Objective Four:When making a diagnosis of a behavioural problem in a patient, a) Avoid premature labelling of a behaviour as a disorder b) Follow up with support and regular visits until the situation is clearer and any therapeutic requirements are more evident Objective Five:When managing behavioural problems: a) Assess and address immediate risk for the patient and others b) Do not limit treatment to medication; address other dimensions (e.g., do not just use amphetamines to treat ADD, but add social skills teaching, time management, etc.) and match to available community resources Objective Six:When there is a challenging relationship with a patient with behavioural problems maintain a continuous, therapeutic, and non-judgmental relationship with the patient and family.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Written and Researched: Kajsa Heyes Reviewed by: Chris Cochrane https://thegenerehlist.ca/ccfp-topics-page/ Step 1: “S” for Setting up the interview Step 2: “P” is for Perception of patient Step 3: “I” is for Invitation from the patient Step 4: “K” is for Knowledge and information for the patient Step 5: “E” is for Empathy and responding to patient emotions Step 6:”S” is for Strategy and Summary
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Written/Researched: Caleb Dusdal Peer Review: Sophia Park https://thegenerehlist.ca/ccfp-topics-page/episode-nine-anxiety Objective One For a patient with multiple unexplained symptoms or behaviours, look for anxiety as a primary or contributing cause. Objective Two When a patient presents with symptoms of anxiety, clearly distinguish between distress (e.g. fear, nervousness, worry) and an anxiety disorder. Objective Three In a patient presenting with acute symptoms of panic (e.g., shortness of breath, palpitations, hyperventilation), do not attribute the symptoms to anxiety without first excluding serious medical pathology (e.g., pulmonary embolism, myocardial infarction) from the differential diagnosis, especially in patients with established anxiety disorder. Objective Four When working up a patient with symptoms of anxiety, and before making the diagnosis of an anxiety disorder, a) Exclude serious medical pathology b) Identify - other co-morbid psychiatric conditions - abuse - substance use c) Assess the risk of suicide d) Discuss functional impact with the patient Objective Five When an anxiety disorder is suspected, assess and classify according to established diagnostic criteria, as treatment will vary according to the classification. Objective Six In patients with known anxiety disorders, do not assume all new symptoms are attributable to the anxiety disorder. Objective Seven When planning management of anxiety, offer appropriate treatment, which may include one or a combination of the following: • Self-management techniques • Regular office follow-up • Community resources • Structured therapies (Cognitive Behavioral Therapy, psychotherapy) • Judicious use of pharmacotherapy Objective Eight When managing anxiety or an anxiety disorder do not use medication as a sole treatment. Objective Nine: When assessing and managing anxiety, discuss the use of alcohol and substances as harmful self-medication.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Written By: Hermeen Dhillon Reviewed By: Dr. Brandie Walker Objective 1: In patients of all ages with respiratory symptoms (acute, chronic, recurrent): - Include asthma in the differential diagnosis. - Confirm the diagnosis of asthma by appropriate use of: - History - Physical examination - Spirometry Objective 2: In a child with acute respiratory distress, distinguish asthma or bronchiolitis from croup and foreign body aspiration by taking an appropriate history and doing a physical examination. Objective 3: In a known asthmatic, presenting either because of an acute exacerbation or for ongoing care, objectively determine the severity of the condition physical examination, spirometry. Do not underestimate severity. Objective Four: In a known asthmatic with an acute exacerbation: - Treat the acute episode - Rule out co-morbid disease - Determine the need for hospitalization or discharge Objective Five: For the ongoing (chronic) treatment of an asthmatic, propose a stepwise management plan including: - Self-monitoring. - Self-adjustment of medication - When to consult back Objective Six: For a known asthmatic patient, who has ongoing or recurrent symptoms: - Assess severity and compliance with medication regimens. - Recommend lifestyle adjustments (e.g., avoiding irritants, triggers) that may result in less recurrence and better control.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Written By: Caleb Dusdal, FM PGY1 Calgary Reviewed By: Kirstin Dawson, IM PGY1 - Ottawa https://thegenerehlist.ca/2020/12/13/episode-seven-atrial-fibrillation/ Objective One: In a patient who presents with new onset atrial fibrillation, look for an underlying cause Objective Two: In a patient presenting with atrial fibrillation, look for haemodynamic instability, and intervene rapidly and appropriately to stabilize the patient. Objective Three: In an individual presenting with chronic or paroxysmal atrial fibrillation, a. Explore the need for anticoagulation based on the risk of stroke with the patient and b. Periodically reassess the need for anticoagulation. Objective Four: In patients with atrial fibrillation, when the decision has been made to use anticoagulation, institute the appropriate therapy and patient education, with a comprehensive follow-up plan. Objective Five: In a stable patient with atrial fibrillation, identify the need for rate control. Objective Six: In a stable patient with atrial fibrillation, arrange for rhythm correction when appropriate.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Written and Researched by: Chris Cochrane Reviewed by: Sarah Donnelly Objective 1a. In patients requiring antibiotic therapy, make rational choices first-line therapies for common bacterial infections: - Simple Cystitis - Complicated Cystitis/Pyelonephritis - STI: Gonorrhea/Chlamydia - Cellulitis and Erysipelas (non-purulent skin infections) - Abscess (purulent skin infection) - Impetigo - Bacterial Community Acquired - Pneumonia - Sinusitis - Acute Otitis Media - Acute Conjunctivitis - Hyper-Acute Conjunctivitis Objective 1b. Make rational choices regarding knowledge of local resistance patterns: Objective 1c. Make rational choices with respect to patient's medical and drug history: Objective 1d. Make rational choices regarding patient's context: Objective 2. In patients with a clinical presentation suggestive of a viral infection, avoid prescribing antibiotics. Objective 3. In a patient with a purported antibiotic allergy, rule out other causes (e.g., intolerance to side effects, non-allergic rash) before accepting the diagnosis. Objective 4. Use a selective approach in ordering cultures before initiating antibiotic therapy (usually not in uncomplicated cellulitis, pneumonia, urinary tract infections, and abscesses; usually for assessing community resistance patterns, in patients with systemic symptoms, and in immunocompromised patients). Objective 5: In urgent situations (e.g., cases of meningitis, septic shock, febrile neutropenia), do not delay administration of antibiotic therapy (i.e., do not wait for confirmation of the diagnosis).
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
The GenerEhlist CCFP Exam 105 Topics Podcast Episode Written By: Sarah Donnelly - IM UofA, and Hermeen Dhillon FM UBC Episode Reviewed by: Chris Cochrane - FM UofC Medicine Hat Objective One: Assess the risk of decompensation of anemic patients to decide if prompt transfusion or volume replacement is necessary. Objective Two: In a patient with anemia, classify the anemia as microcytic, normocytic, or macrocytic by using the MCV or smear test result, to direct further assessment and treatment. Objective Three In all patients with anemia, determine the iron status before initiating treatment. Objective Four In a patient with iron deficiency, investigate further to find the cause. Objective Five Consider and look for anemia in appropriate patients. Such as those at risk for blood loss or in patients with hemolysis whether they are symptomatic or not, and in those with new or worsening symptoms of angina or CHF. Objective Six Look for other manifestations of the deficiency in order to make the diagnosis of pernicious anemia when it is present. Objective Seven As part of well-baby care, consider anemia in high-risk populations or in high-risk patients Objective Eight When a patient is discovered to have a slightly low hemoglobin level, look carefully for a cause as one cannot assume that this is normal for them. Objective Nine In anemic patients with menorrhagia, determine the need to look for other causes of the anemia.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Script By: Thomsen D'hont Peer-Review By: Hermeen Dhillon Hosts: Caleb Dusdal, Thomsen D'hont, AND Christ Cochrane! https://thegenerehlist.ca/2020/11/15/episode-four-allergy-anaphylaxis/https://thegenerehlist.ca/ccfp-topics-page/ Objective One: In all patients, always inquire about any allergy and clearly document it in the chart. Re-evaluate this periodically. Objective Two: Clarify the manifestations of a reaction in order to try to diagnose a true allergic reaction Objective Three: In a patient reporting allergy, ensure that the patient has the appropriate medication to control symptoms Objective Four: Prescribe an EpiPen to every patient who has a history of, or is at risk for, anaphylaxis. Objective Five: Educate appropriate patients with allergy and their families about the symptoms of anaphylaxis and the self-administration of the EpiPen, and advise them to return for immediate reassessment and treatment if those symptoms develop or if the EpiPen has been used. Objective Six: Advise patients with any known drug allergy or previous major allergic reaction to get a MedicAlert bracelet. Objective Seven: In a patient presenting with an anaphylactic reaction: a) Recognize the symptoms and signs. b) treat immediately and aggressively c) Prevent a delayed hypersensitivity reaction through observation and adequate treatment Objective Eight: In patients with anaphylaxis of unclear etiology refer to an allergist for clarification of the cause. Objective Nine: In the particular case of a child with an anaphylactic reaction to food a) Prescribe an EpiPen for the house, car, school, and daycare. b) Advise the family to educate the child, teachers, and caretakers about signs and symptoms of anaphylaxis, and about when and how to use the EpiPen. Objective Ten: In a patient with unexplained recurrent respiratory symptoms, include allergy in the differential diagnosis.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Script By: Caleb Dusdal Peer Review By: Thomsen D'hont https://thegenerehlist.ca/2020/11/08/episode-three-acls-part-ii/ Objective Four: Suspect and promptly treat some specific reversible causes of arrhythmias even before confirmation of the diagnosis. Objective Five: Ensure adequate ventilation and secure the airway in a timely manner. Know how and when to ensure adequate ventilation, and secure the airway in a timely manner Objective Six: In patients requiring resuscitation, assess their circumstances to help you decide when to stop Objective Seven: In patients with serious medical problems or end-stage disease, discuss code status and end-of-life decisions and readdress these issues periodically. Objective Eight: Attend to family members during and after resuscitating a patient. Objective Nine: In paediatric resuscitation, use appropriate resources to determine the correct drug doses and tube sizes. In paediatric resuscitation, know what resources you can use to determine the correct drug dosing and tube sizes. As well as how to use these.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Written By: Caleb Dusdal Peer Review: Thomsen D'hont https://thegenerehlist.ca/2020/11/01/episode-two-acls-part-i/www.thegenerehlist.ca 1. Keep up to date with ACLS recommendations 2. Know how to recognize and defibrillate a patient with Ventricular Fibrillation, or ventricular tachycardia that is either pulseless or symptomatic. 3. Be able to diagnose worrysome arrhythmias such as: a. Ventricular tachycardia b. Ventricular fibrillation c. Supraventricular tachycardia d. Atrial fibrillation e. Second and third-degree heart block 4. Know when to suspect a few specific causes of arrhythmias, even before confirmatory testing. a. Hyperkalemia b. Digoxin toxicity c. Cocaine intoxication 5. Know how and when to ensure adequate ventilation and secure the airway in a timely manner 6. In patients who do require resuscitation, you want to be able to assess the context to help decide when stopping resuscitation is the most appropriate decision. 7. Patients who arrest or are at risk of arresting, with serious medical problems or end stage disease, you need to know how and when to discuss code status and making end-of-life decisions 8. Ensure you attend to the family members as well, both during and after resuscitation the patient. Eg. Counselling availability, whether or not they are present in the code, etc. 9. In paediatric resuscitation, know what resources you can use to determine the correct drug dosing and tube sizes. As well as how to use these.
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
Written by: Kajsa Heyes, PGY-1 Yellowknife https://thegenerehlist.ca/2020/10/11/abdo-pain/ There are eight objectives for the exam, via which we are going to cover: localization and the massive differential for abdominal pain, investigations depending on suspicions, management of a few specific conditions, abdo pain in young women, what is a surgical abdomen, how your differential should shift based on age of the patient, immediate management of life-threatening causes, and extraintestinal signs of IBD. Reach out to us at hello@thegenerehlist.ca
Entrevista completa desta sexta-feira (23/10).
The GenerEhlist - CCFP Exam & Canadian Primary Care Medicine
https://thegenerehlist.ca/2020/07/13/episode-zero-meet-the-team/ A quick introduction to what this project is all about, and a chance for the incredible team members to introduce themselves.
Bienvenida y presentación... Pónganse cómodos.
We're witnessing an unprecedented moment in American history: the Census coinciding with a global pandemic. The enormous task of counting every person in the country is off to a rocky start, with the U.S. Census Bureau having to postpone or cancel much of its outreach efforts due to Covid. What's more, we know the Census is prone to missing folks, especially babies and young children, leading to an undercount. The implications are severe: when we don't count kids, they miss out on federal funding for vital programs like children's health insurance, education and child care — for an entire decade. Deborah Stein with the Partnership for America's Children joins Anne to discuss how advocates and communities are working together to ensure all kids are counted in the 2020 Census. Then, Anne and Stephen take a quick dive into Iowa-specific Census data, including self-response rates, compared to where we were as a state 10 years ago. SHOW NOTES “Count All Kids” campaign: https://countallkids.org/ “Count All Kids” outreach materials: https://thesocialpresskit.com/countallkids U.S. Census Bureau self-response data: https://2020census.gov/en/response-rates.html Census Hard to Count maps: https://www.censushardtocountmaps2020.us/ CFPC infographic on Iowa self-response rates: https://www.cfpciowa.org/en/advocacy/census_2020/
S’obren les candidatures a la formació de Formador Professional per a Adults en Llengua i Cultura Catalana El Centre de Formació Professional Català convoca una primera reunió de presentació de la Formació de Formadors aquest dimecres per videoconferència. Actualment el CFPC està començant una selecció de candidats. La reunió d'aquest dimecres també servirà de primer contacte entre les persones interessades per la formació i el CFPC.
Dr. Nick Pimlott interviews Dr. Robert (Bob) Woollard, family physician, former Chair of the Department of Family Practice at UBC and winner of the 2019 W. Victor Johnston Award from the College of Family Physicians of Canada. Dr. Woollard discusses growing up in a small, rural community and how that has influenced his career in family medicine and his long-term commitment to social accountability, distributed medical education and rural and remote practice.
During her Condition of the State address, Iowa Governor Kim Reynolds charged lawmakers to "be bold and visionary" in 2020. With kids and families in mind, CFPC's Anne Discher, Sheila Hansen and Mary Nelle Trefz take a look at the governor's proposals — some bold, some visionary and others...not so much. SHOW NOTES Together with our friends at Iowa Policy Project, we published our thoughts on many of the governor's policy proposals, some of which aren't covered in this episode. Check out the full report: http://www.iowafiscal.org/ifp-news-not-2020-vision/
We kick off our second season of 'A Deeper Dive' by looking ahead to the 2020 legislative session in Iowa. With lawmakers returning to the state capitol on Monday, CFPC's Anne Discher, Mary Nelle Trefz and Sheila Hansen make a case for both optimism and caution as the legislature is poised to improve — and potentially harm — the lives of kids and families in Iowa. SHOW NOTES Sign up for our weekly newsletter: bit.ly/2MKsPCd
Dr. Nick Pimlott interviews Dr. David Ponka, family physician and Director of The Besrour Centre at the College of Family Physicians of Canada. Dr. Ponka discusses global health and the role of the Besrour Centre at the CFPC and its role in primary care in low and middle income countries. Dr. Ponka also talks about his experiences practicing family medicine with Doctors Without Borders. Dr. Ponka is the lead author of a paper that appears in the December 2019 CFP, entitled ‘Contrasting current challenges from the Brazilian and Canadian national health systems” https://www.cfp.ca/content/65/12/890 As mentioned in this episode, If you have any feedback for Dr. Ponka, you can email him at dponka@cfpc.ca
Dr. Nick Pimlott interviews Dr. Roland Grad, a family physician and an Associate Professor in the Department of Family Medicine at McGill University in Montreal. He is also a member of the Canadian Task Force on Preventive Health Care. Dr. Grad is the lead author of an article in the August issue of CFP from the Prevention in Practice series entitled, “Age to Stop - Appropriate Screening in Older Patients”. Read the full article here: https://www.cfp.ca/content/65/8/543 Read Dr. Grad’s blog that was mentioned in the interview, “Family Medicine and The Canadian Task Force on Preventive Health Care: Are we up for the challenge?” https://www.cfp.ca/news/2019/09/10/09-10
Dr. Nick Pimlott interviews Dr. Ross Upshur, author of a paper for Associated Medical Services Healthcare entitled, “Artificial Intelligence, Machine Learning and the Potential Impacts of the Practice of Family Medicine: A Briefing Document”. Ross presented his paper at the CFPC’s 2019 Leaders’ Forum and the topic was part of the July 2019 editorial in CFP, “Family physicians of the future redux. The robot will see you now?”. Read the July 2019 CFP editorial: https://www.cfp.ca/content/65/7/454 Read Dr. Upshur’s discussion paper: https://www.cfpc.ca/uploadedFiles/About_Us/Discussion-Paper-AI-Impacts-on-FM-AMS-CFPC-May2019.pdf
On today’s show I had the chance to sit down with Dr. Carlos Yu and what an eye opening interview. One of his many missions are to help his clients get off of modern-day medicine, stop the suffering from addictions and to have them take back control of their lives. What you will learn on this call; What is addiction and what causes it? Is addiction only drug related or can you be an addict in other areas? The cycles of addiction and how to stop it before it begins. How do you know if you’re an addict and the symptoms? Is addiction a disease or a mental health issue that can be reversed? The importance of getting to the root cause of addiction and how to do it. What are flavonoids and how they can help your cravens and overall health. Why 30% of Ontarian's are Diabetic or Pre-Diabetic and how you can stay healthy. What types of food should you have in your daily intake? How to improve the performance of your mind through one simple task. What is B.A.M. and how it can change the way you process information. Is social media a problem and should we continue to use it? Bio: Carlos Yu BMath, MD, CCFP(EM), FCFP Assistant Professor Queen’s University and McMaster University; Lecturer at University of Toronto (Adjunct); Peer Leader, OntarioMD. Dr. Carlos Yu runs self-management education and support groups to prevent and manage chronic physical and mental conditions. He provides experiential learning opportunities for other healthcare providers and medical learners interested in learning how to organize such groups. Due to their innovative patient engagement strategies, the Ajax Harwood Clinic received Merck’s Patient First Award and selected by CFPC as a “Success Story of Patient Medical Home”. Dr. Yu also works as an emergency physician and enjoys farming. Website: www.whatisharewithpatients.com
WAY more goes into opening a gym than most of us think. This is a business after all and even though we are passionate about it there are some things we should be considering before just ditching our current day job. Doug and I talk through how CFPC got started and how things are much […] The post IA35 Considerations on Opening a CrossFit Affiliate appeared first on Icon Athlete.
A number of people have either made the leap or are thinking of it when it comes to the “real world job” to an affiliate owner or full time work in the fitness industry. Doug made the transition 5 years ago from working at a school as essentially a vice principle to coaching at CFPC, […] The post IA23 Doug Zakaras: The Transition appeared first on Icon Athlete.
Join us for our May podcast. Lots of excitement as Dr. Wahid comes back and has lots of trouble pronouncing onychocryptosis (ingrown toenail). While Dr. Dimitre feels nauseous while thinking about onychectomy (nail resection). Here is a link to our CFPC exam study guide: http://amzn.to/1UrQfIr. Please go to our member’s area to access the podcast! […] The post Episode 22: Ingrown Toenail with Dr. Pabani appeared first on Primary Medicine Podcast.
Co-host: Dr. Mike Kirlew This week we talk about fever, which is a super common presenting complaint both in Primary Care and in the Emergency Department. Most of the CCFP exam's focus seems to be on children with fever, but we talk about a few other related conditions as well that can occur in adults. Links from this week's talk: CFPC's Fever in Infants and Children [pdf] UpToDate's Patient Information: Fever in Children (Beyond the Basics)