CMAJ Podcasts

Dre Guylène Thériault et Dr Roland Grad expliquent les recommandations clé des nouvelles lignes directrices sur dépistage de la dysfonction thyroïdienne chez les adultes sans symptômes. Dre Guylène Thériault est médecin de famille et co-responsable des soins primaires pour « Choisir avec soin Canada ». Dre Thériault enseigne aussi la médecine fondée sur les données probantes et la prise de décisio...

In this interview, Dr. Richard Birtwhistle discusses the recommendations in the clinical practice guideline on screening asymptomatic adults for thyroid dysfunction. The guideline comes from the Canadian Task Force on Preventive Health Care and is published in CMAJ.Dr. Birtwhistle is a family physician, clinical epidemiologist, and emeritus professor of family medicine and public health sciences a...

In this interview, Leah Smith unpacks a research article that looked at cancer incidence trends by age in Canada from 1971 to 2015. Previous reports show cancer trends with all ages combined but this data analysis digs deeper into trends by age group and cancer type. Leah Smith is an epidemiologist and senior manager of surveillance at the Canadian Cancer Society. The research article she co-autho...

In this interview, Dr. Michael Sklar and Dr. Laveena Munshi discuss high-flow nasal oxygen therapy, a new and unique oxygen delivery method with rapid uptake into many fields of acute care medicine. Dr. Sklar is an anesthesiologist and adult critical care medicine fellow at the University of Toronto. Dr. Munshi is an adult critical care physician at Sinai Health System at the University of Toronto...

In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Christine Sinsky about joy, purpose, and meaning in work as a physician. Dr. Horton and Dr. Sinsky discuss the following:- how to find efficiencies and rethink daily tasks to make more time for what is most valuable and most enjoyable- psychological hurdles to implementing change- studies about joy in practice...

In this narrative, Dr. Brett Schrewe describes how a family tragedy put the doctor side of him at odds with the son side. Dr. Schrewe is a pediatrician in Vancouver and clinical assistant professor at the University of British Columbia. He wrote a Humanities Encounters article published in CMAJ called "The Line."To read the article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190570Podcast trans...

In this narrative, Dr. Carrie Bernard realises that, despite many obstacles including stigma, disclosing her mental illness was ultimately the best decision for her. Dr. Bernard is a family doctor in Brampton, Ontario, assistant clinical professor at McMaster University, and assistant professor at the University of Toronto. She wrote a Humanities Encounters article published in CMAJ called "D...

In this interview, Dr. Priya Koilpillai and Dr. Sudhir Nishtala discuss the latest evidence, risks and benefits of low-dosage acetylsalicylic acid in primary and secondary prevention of cardiovascular disease. Dr. Koilpillai is a second year internal medicine resident at the University of Calgary who has a keen interest in medical education and women’s cardiovascular health. Dr. Nishtala is a form...

In this narrative, Ms. Shannon Cushman shares the emotional journey of watching her daughter be diagnosed with Crohn disease, an illness she was all too familiar with. Shannon Cushman is a mom and finance professional who lives in Strathroy, Ontario. She wrote a Humanities Encounters article published in CMAJ called "From patient to parent: a dual-generation journey."To read the article:...

In this interview, Dr. Mehdi Aloosh discusses the latest evidence and information around e-cigarette use, smoking cessation, vaping of cannabis, and pulmonary illnesses linked to vaping. Dr. Mehdi Aloosh is a third year resident in Public Health and Preventive Medicine including Family Medicine at McMaster University. He is also doing a Master's in Epidemiology at McGill University. The Pract...

In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Ron Epstein about dealing with stress and toxic culture in medicine. Dr. Horton and Dr. Epstein answer the following listener questions:- In an under-resourced settings, how do we reconcile the quality of care we wish to provide with the quality we feel we're limited to provide?- Are circumstances in healt...

In this special episode, Dr. Diane Kelsall, previous interim editor-in-chief for CMAJ, interviews Dr. Andreas Laupacis, new editor-in-chief of the Canadian Medical Association Journal. They chat about:- first impressions after two days on the job- his vision for the journal- his life as the child of refugee parents- the state of health care today- his proudest accomplishments during his career up...

In this narrative, Dr. Iris Gorfinkel grapples with the emotions behind the difficult message she has to deliver to her patient — a message she knows will not be well received. Dr. Gorfinkel is a general practitioner, and a principal investigator and founder of Prime-Health Clinical Research in Toronto, Ont. She wrote a Humanities Encounters article published in CMAJ called "You're no lo...

In this interview, Dr. Nadia Fairbairn and Dr. Christy Sutherland discuss how to treat opioid use disorder with injectable opioid agonist treatments. They discuss which patients are good candidates for the treatment, how the treatment is administered, and they offer practical advice on overall strategies for treatment and support for patients with opioid use disorder. They also discuss the opioid...

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

In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Sharon Straus about mentorship, from being a mentee to being a mentor. Dr. Horton and Dr. Straus talk about:- tips and tricks for students and trainees to find a good mentor- how to be a good mentor for others - how mentoring can help change culture in medicine- evidence and studies on mentorship- what it was l...

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

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

In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Tait Shanafelt about burnout and physician wellbeing. Dr. Horton and Dr. Shanafelt talk about:- link between physician wellbeing and quality of care- research on physician burnout- can an individual diagnose their own burnout- organizational-level intervention and prevention- loss of meaning in medicine- the ro...

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

In this interview, Dr. Melissa Walker discusses management of ovarian cancer risk in women with BRCA1/2 pathogenic variants. She talks about risk factors for ovarian cancer, who should get genetic testing and who should get preventive surgery. She also discusses what to do about contraception and how to manage menopause in women with BRCA1/2.Dr. Melissa Walker is a fifth-year resident in obstetric...

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

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

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

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