最高の cmaj ポッドキャスト (2024)

1
Confronting the high stakes of incivility in health care 37:19

2d ago37:19

37:19

On this episode of the CMAJ Podcast, Dr. Eve Purdy makes it clear what’s at stake when it comes to incivility in medicine. "It's very simple. Incivility kills patients, and that needs to be the single line of every healthcare leader responsible for managing and leading teams.” Dr. Purdy joins Dr. Sarah Kim and hosts, Drs. Blair Bigham and Mojola Om…

1
Diagnosis and treatment of anorexia nervosa in adolescent males 38:10

16d ago38:10

38:10

On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole closely examine anorexia nervosa in male adolescents, a topic that frequently escapes notice. Their discussion highlights the disorder's prevalence, especially among high-risk groups like LGBTQ+ individuals and those from varied racial and ethnic backgrounds. It also undersc…

1
Diagnosing rare and common infections in returning travellers 30:33

1M ago30:33

30:33

On this episode, Dr. Blair Bigham and Dr. Mojola Omole explore a clinical case involving a rare infection in a returned traveler, highlighting the critical role of travel history in diagnosing unusual diseases. They discuss the case of a woman in her 60s who presented with fever and ankle pain after returning from India. Initial concerns for septic…

1
Building patient trust in health care 38:40

1M ago38:40

38:40

On this episode, Dr. Blair Bigham and Dr. Mojola Omole explore two articles in CMAJ focused on the critical importance of trust in the health care system. They speak with Louis Lochhead, who shares his experiences navigating the health care landscape as a caregiver after his wife's serious accident, which resulted in a coma lasting nearly two month…

1
Opioid poisonings: shortfalls in treatment and new threats 38:22

2M ago38:22

38:22

On this episode of the CMAJ Podcast, Dr. Catherine Varner, deputy editor of CMAJ, sits in for Dr. Blair Bigham and joins Dr. Mojola Omole to explore two articles published in the journal that highlight troubling findings concerning the treatment of opioid use disorder. They begin with a study that revealed significant gaps in treatment for opioid o…

1
Exclusion of people with disabilities in medicine 38:03

2M ago38:03

38:03

On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole examine an article published in CMAJ titled, 'Tackling barriers to Canadian medical school admissions for students with disabilities.' The analysis highlights how medical education has historically devalued or excluded trainees with disabilities and emphasizes the need for m…

1
More than just novel obesity treatments 37:31

3M ago37:31

37:31

On this episode of the CMAJ Podcast, Dr. Blair Bigham and Dr. Mojola Omole discuss the practice article in the journal entitled, “Five things to know about…Novel obesity treatments". They discuss the impact of new medications like semaglutide and tirzepatide in treating obesity with Dr. Shohinee Sarma, the lead author. Dr. Sarma explains the signif…

1
ASA: a simple, effective and underused treatment for preeclampsia 36:47

3M ago36:47

36:47

On this episode, Dr. Emmanuel Bujold addresses the gross underutilization of acetylsalicylic acid (ASA) in Canada during pregnancy, a treatment highly effective in preventing preterm preeclampsia among those at risk. Dr. Bujold is an OB-GYN in Quebec City and a professor of Obstetrics & Gynecology at Laval University's School of Medicine. He is a c…

1
ENCORE: Smartphones, social media and poor mental health 35:21

4M ago35:21

35:21

On this episode, we revisit and update one of the most-read articles on the CMAJ website. The article is titled, “Smartphones, social media use, and youth mental health.” It reviews the extensive literature linking poor mental health in adolescents with smartphone and social media use. The article details a variety of studies that implicate smartph…

1
Pharmacogenomic testing: billion-dollar savings in depression treatment 26:55

5M ago26:55

26:55

On this episode, Drs. Blair Bigham and Mojola Omole discuss the CMAJ paper "Cost-effectiveness of pharmacogenomic-guided treatment for major depression". The paper examines the potential of pharmacogenomic testing in the treatment of major depression and its implications for health care costs. The study suggests that implementing pharmacogenomic te…

1
The rapid evolution and enhanced capabilities of virtual urgent care 36:11

5M ago36:11

36:11

On this episode, Drs. Blair Bigham and Mojola Omole delve into the evolution and advancements in virtual urgent care since the COVID-19 pandemic. The discussion centers around the study published in CMAJ entitled "Healthcare utilization and outcomes of patients seen by virtual urgent care versus in-person emergency department care," which analyzed …

1
Recommendations on SARS-CoV-2, influenza and RSV vaccinations 32:04

5M ago32:04

32:04

On this episode, Drs. Mojola Omole and Blair Bigham speak with two vaccine experts about the necessity, timing and availability of vaccines as we move into the season when influenza, RSV and COVID-19 are on the rise. Dr. Scott Halperin, co-author of a CMAJ practice paper on SARS-CoV-2 vaccination in pregnancy, emphasizes the importance of vaccinati…

1
New guidelines for alcohol use disorder 30:24

6M ago30:24

30:24

In this episode, Drs. Blair Bigham and Mojola Omole delve into the pressing issue of alcohol use disorder (AUD) in Canada with Dr. Evan Wood, the lead author of the “Canadian guideline for the clinical management of high risk drinking and alcohol use disorder” published in CMAJ. They explore the concerning prevalence of AUD in Canada, contrasting i…

1
Promoting health equity in primary care 34:36

6M ago34:36

34:36

In this episode, Dr. Blair Bigham and Dr. Mojola Omole speak with two co-authors of a new guideline published in CMAJ entitled "Preventive care recommendations to promote health equity". Dr. Nav Persaud and Dr. Aisha Lofters explain the importance of embedding health equity into healthcare and discuss specific ways public policy and individual prim…

1
Tick-borne illnesses: an evolving health concern 32:58

7M ago32:58

32:58

In this episode, Drs. Blair Bigham and Mojola Omole speak with two leading experts: Dr. Samira Jeimy, an allergist, and Dr. Isaac Bogoch, a specialist in infectious diseases, about the increasing prevalence of allergies and infections in Canada attributed to insects. Dr. Jeimy authored the article in the CMAJ titled “Five things to know about… tick…

1
EDs in crisis: causes and solutions 34:28

7M ago34:28

34:28

Canada’s emergency departments are in crisis: hospital occupancy rates exceed 90% for many days in a row, and many Canadian hospitals have been exceeding 100% occupancy for months on end. As a result, quality of care has decreased, staff retention has become problematic and overcrowding of emergency departments, a symptom of the problem, is assured…

1
Smartphones, social media and poor mental health 36:33

8M ago36:33

36:33

On this encore episode, we revisit and update one of the most-read articles on the CMAJ website. The article is titled, “Smartphones, social media use, and youth mental health.” It reviews the extensive literature linking poor mental health in adolescents with smartphone and social media use. The article details a variety of studies that implicate …

1
Encore: Diagnosing, treating and living with migraine 36:38

8M ago36:38

36:38

== This is an encore presentation of an episode originally published on Jan 30, 2023 == Migraine is a common condition that affects around 12% of adults, with a higher prevalence in women (18%) than men (6%). Global burden of disease estimates in 2019 found migraine to be the leading cause of disability in women aged 15-49 years and the second lead…

1
The power of narrative medicine 32:37

9M ago32:37

32:37

The award-winning essay in the CMAJ, "Sometimes, often," beautifully showcases the power of narrative to forge a deep connection between physicians and patients. The article clearly resonated with our readers, as it was the most-read humanities piece this year. On this episode, the author, Dr. Simran Sandhu, delivers a powerful reading of her artic…

1
Radon and lung cancer: A call to action for physicians and policymakers 35:15

9M ago35:15

35:15

Radon gas exposure is the leading cause of lung cancer in non-smokers, accounting for approximately 3,000 cases annually in Canada. A “Five things to know about…” paper in CMAJ entitled “Radon and lung cancer risk" encourages physicians to ask patients to test their home and workplace for the invisible gas. Dr. Silvina Mema and Greg Baytalan are co…

1
Optimizing nonsurgical management of major hemorrhage 29:16

10M ago29:16

29:16

Major hemorrhage is life-threatening and can occur in a variety of clinical settings. A review paper in CMAJ, entitled "Nonsurgical management of major hemorrhage," advocates for the implementation of massive hemorrhage protocols across all types of hospitals to optimize patient care. Dr. Jeannie Callum, the article's lead author and the Director o…

1
Time for a reset: menopause and hormone replacement therapy 32:26

10M ago32:26

32:26

Many women complain that physicians are reluctant to treat menopause with the full range of available therapies, often dismissing symptoms as 'natural' and something to be endured. A review article in CMAJ finds that physician fears around menopausal hormone therapy and lack of knowledge regarding treatment options often impede patients from receiv…

1
Expanding screening of hypertension patients for primary aldosteronism 21:45

11M ago21:45

21:45

On this episode, Dr. Greg Hundemar, co-author of the practice paper in CMAJ “Screening for primary aldosteronism in primary care” discusses primary aldosteronism, its implications and the need to expand screening guidelines. Primary aldosteronism, also known as primary hyperaldosteronism or Conn's syndrome, is an endocrine disorder where the adrena…

1
Genetic Perils: Allopurinol Hypersensitivity Syndrome and Personalized Medicine 33:22

11M ago33:22

33:22

Allopurinol hypersensitivity syndrome (AHS) affects approximately 1 in 1,000 patients prescribed allopurinol, with reported mortality rates between 20% and 25%. The risk of AHS is nearly 100 times higher in carriers of the HLA-B*58:01 allele than in noncarriers. Populations with a high allele frequency include Han Chinese (6%-8%), Korean (12%), and…

1
How to Prevent Fragility Fractures: A Guideline for Family Doctors 23:12

12M ago23:12

23:12

Fragility fractures are a major health concern for older adults and can result in disability, admission to hospital and long-term care, and reduced quality of life. The Canadian Task Force on Preventive Health Care guideline published in CMAJ provides evidence-based recommendations on screening for primary prevention of fragility fractures. In this…

1
Rethinking preoperative anemia: Challenging WHO guidelines and targeting hemoglobin levels in major elective surgery 35:29

1y ago35:29

35:29

An estimated 23%-45% of patients undergoing major surgery have anemia, with the most common causes being iron deficiency anemia and anemia of inflammation or chronic disease. In this episode, Drs. Mojola Omole and Blair Bigham speak with Dr. Clarissa Skorupski and Dr. Yulia Lin, two authors of the practice paper in CMAJ, "Five things to know about …

1
Diagnosing, treating and living with endometriosis 38:02

1y ago38:02

38:02

Many patients report their symptoms of endometriosis are often dismissed by healthcare providers as “normal” dysmenorrhea. This worldwide trend results in delays to diagnosis that are estimated to range from 6 to 11 years from symptom onset. On this episode, Drs. Bigham and Omole speak with Dr. Catharine Allaire, a clinical professor at UBC's Depar…

1
How to diagnose and manage polyneuropathy 25:50

1y ago25:50

25:50

Clinicians may find diagnosing polyneuropathy challenging due to the vague and insidious onset of symptoms. Identifying signs consistent with polyneuropathy and determining which investigations to conduct and when to be concerned can be daunting. Polyneuropathy involves simultaneous dysfunction of multiple peripheral nerves, with the most common fo…

1
Redesigning streets to make them safe for bikes, e-scooters, and pedestrians 34:47

1y ago34:47

34:47

The use of electric scooters (e-scooters) has witnessed a substantial surge globally. However, the presence of these motorized vehicles on sidewalks poses a significant risk to pedestrians. A recent practice paper published in CMAJ describes the case of a 68-year-old woman who suffered serious injuries while walking on a city sidewalk after being h…

1
Understanding parents’ concerns about vaccinating their children against SARS-CoV-2 32:39

1y ago32:39

32:39

Uptake of the SARS-CoV-2 vaccine for children aged 5–11 years has been lower than anticipated in Canada. Although research has explored parental intentions toward SARS-CoV-2 vaccination for children, the drivers of parents’ decisions to seek vaccination for their children - or not - have not been studied in-depth. A research paper published in CMAJ…

1
Virtual versus in-person consultation: getting the mix right 34:50

1y ago34:50

34:50

Early in the COVID-19 pandemic, Ontario saw a 5600% increase in virtual visits to health care practitioners, while in-office visits decreased by 79% from the previous year. In 2018, only 4% of family physicians in Canada were offering video visits while, at the peak of the pandemic, about 80% of primary care visits were being delivered virtually in…

1
Diagnosing, treating and living with migraine 36:33

1y ago36:33

36:33

Migraine is a common condition that affects around 12% of adults, with a higher prevalence in women (18%) than men (6%). Global burden of disease estimates in 2019 found migraine to be the leading cause of disability in women aged 15-49 years and the second leading cause of disability overall. On this episode, Drs. Mojole and Bigham interview three…

1
Diagnosing, assessing and treating long COVID 33:27

1+ y ago33:27

33:27

Diagnosing long COVID, or post-acute sequelae of SARS-CoV-2 infection (PASC), is challenging for clinicians. With up to 200 possible symptoms, heterogeneous presentations and no definitive diagnostic test, the diagnosis is a clinical one. In this episode, Dr. Kieran Quinn, a general internist and palliative care physician at Mount Sinai and Bridgep…

1
Looking back, looking forward with CMAJ editors 29:23

1+ y ago29:23

29:23

On this special episode, Drs. Blair Bigham and Mojola Omole interview CMAJ editor-in-chief, Dr. Kirsten Patrick, and executive editor, Dr. James Maskalyk. They talk about the journal's accomplishments over the past year and some of the challenges related to its increased focus on social determinants of health and equity. In the year ahead, Drs. Pat…

1
Canada’s primary care crisis: addressing the causes and finding solutions 37:01

1+ y ago37:01

37:01

A popular theory to explain the crisis in primary care in Canada is that newly graduating physicians simply do not see as many patients as previous generations. But recently published research has thoroughly debunked that myth. David Rudoler is the lead author of research published in CMAJ entitled Changes over time in patient visits and continuity…

1
Managing epistaxis and identifying who may have a bleeding disorder 40:39

1+ y ago40:39

40:39

An “old wives’ tale” has persisted in the treatment of anterior epistaxis. A practice article in CMAJ entitled, "Five things to know about anterior epistaxis" discusses what many are doing wrong and the proper way to treat anterior epistaxis. On this episode, co-author and rhinologist Dr. Leigh Sowerby elaborates on the causes and the full suite of…

1
Recognizing and addressing human monkeypox in Canada 28:09

1+ y ago28:09

28:09

A practice article in CMAJ presents 8 images of monkeypox mucocutaneous lesions presenting in Canadian patients from May to July 2022. The images show a spectrum of common lesions seen in patients with human monkeypox during the 2022 outbreak in non-endemic countries. On this episode, Dr. Sharon Sukhdeo and Dr. Darrell Tan, two co-authors of the ar…

1
Exploring the promise of AI in medicine 30:34

1+ y ago30:34

30:34

Artificial intelligence, such as computer-aided detection and computer-aided diagnosis or differentiation uses complex algorithms to identify and characterize polyps in situ during screening for colorectal cancer. Emergent evidence suggests that the performance of AI models is superior to current standards of practice. On this episode, Drs Bigham a…

1
Special Episode: Tackling anti-Black racism in medicine 58:26

1+ y ago58:26

58:26

Efforts to combat anti-Black racism in Canadian healthcare are underway but much remains to be done to dismantle the ideas, systems and implicit biases that underpin this specific form of discrimination. On this special one-hour episode, Drs Omole and Bigham explore the history of anti-Black racism in Canada’s medical schools, in particular at Quee…

1
Ensuring equitable access to cancer care for Black populations 39:51

1+ y ago39:51

39:51

Black and immigrant populations are disproportionately underrepresented in regular screening for cancer. Race-based data from Canada are minimally-available, but research from the United States and Europe has shown that the lifetime risk of developing prostate cancer is much higher among Black people compared to white people and Black people who do…

1
Optimizing care for patients experiencing sickle cell crises. 41:37

1+ y ago41:37

41:37

Several hospitals are known for providing particularly excellent care to people experiencing a sickle cell crisis. For example, the ER at UHN meets a key recommendation from the 2017 Ontario Clinical Handbook that patients receive analgesia within 30 minutes of triage. The handbook also recommends that centres support patients’ individual coping st…

1
How to be better at diagnosing rare conditions. 33:32

1+ y ago33:32

33:32

Hereditary angioedema (HAE) is a rare autosomal dominant disorder characterized by recurrent episodes of painful swelling without urticaria that leads to substantial morbidity and even mortality if left untreated. On this episode, Dr. Victoria Cook, an immunologist working in Victoria, BC, describes the case of a woman who had 6 emergency departmen…

1
Urgent need to improve organ donation experience for donor families 38:11

1+ y ago38:11

38:11

Many families of organ donors describe feeling alone and abandoned at the moment when their loved one is taken to the operating room for donation. Heather Talbot says she and her family were left on their own as her son was wheeled into the OR. The experience left her thinking, “Well, they got what they wanted and they’ve moved on.” A qualitative s…

1
Clearing Misconceptions about Functional Neurological Disorders 35:14

1+ y ago35:14

35:14

Functional Neurological Disorders (FND) make up a significant portion of referrals to neurology, maybe as high as 30%. However, misconceptions regarding these disorders remain across medicine, and patients are frequently dismissed as “faking it.” FND are neuropsychiatric conditions in which patients experience neurologic symptoms due to a “function…

1
Hot Flash: Experiencing menopause in medicine 32:08

1+ y ago32:08

32:08

When contemplating issues of diversity and inclusion, medicine needs to consider menopause. A commentary in CMAJ argues that discussion about and, where needed, accommodation of menopause is a necessary step toward providing women physicians with a supportive and comfortable work environment. On this episode, Drs. Bigham and Omole speak with the le…

1
Encore Presentation: Recognizing and Treating POTS 26:40

1+ y ago26:40

26:40

This is an encore presentation of our most popular episode of the past year. Postural orthostatic tachycardia syndrome (POTS) is a disorder that can profoundly affect patients' quality of life. Its main characteristic is tachycardia on standing without a drop in blood pressure. Patients complain of lightheadedness and palpitations when upright, whi…

1
Special Episode - Depression in pregnancy and the postpartum period: should we screen everyone? 25:18

1+ y ago25:18

25:18

The short answer to this question, according to a new guideline published in CMAJ, is “No.” In this special episode, CMAJ editor in chief, Dr. Kirsten Patrick, talks to Dr. Eddy Lang, lead author of the guideline entitled Recommendation on instrument-based screening for depression during pregnancy and the postpartum period produced by the Canadian …

1
Does bodychecking experience really reduce concussions? 21:17

2y ago21:17

21:17

In an effort to reduce the high burden of injury in Canadian youth ice hockey, most associations have restricted bodychecking nationally among leagues for younger players (age 11–12 yr), as well as in certain nonelite divisions of play in older age categories (age 13–17 yr.) This has been shown to be associated with reduced rates of injury, includi…

1
Fixing the problem of drug shortages in Canada 29:25

2y ago29:25

29:25

Drug shortages are a persistent problem in Canada and around the world. They interfere with patients’ ability to consistently take medication to manage chronic diseases. And they disrupt urgent care as critical drugs like epinephrine and propofol face shortages. The COVID-19 pandemic led to concerns that the pandemic would exacerbate existing issue…

1
Suicidality crisis among transgender adolescents 31:45

2y ago31:45

31:45

The author of a new study in CMAJ says the risk of suicidality among transgender youth, “is really a crisis.” Mila Kingsbury and her co-authors found that trans and non-binary teens were as much as 7 times more likely than cishet peers to have thought about or tried suicide. More than half of the trans 15-17 year olds in a nationally-representative…

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