Cmaj Podcasts

Send us a textArtificial intelligence (AI) and machine learning (ML) have transformed our lives. The adoption of AI in medicine has perhaps lagged its adoption in other areas, and machine learning in healthcare has had mixed results. In this episode, Drs. Muhammad Mamdani and Amol Verma discuss a series of three CMAJ articles on the development, use, misuse, and evaluation of machine-learned models in medicine. Dr. Muhammad Mamdani is vice-president of data science and advanced analytics at Unity Health Toronto, director of the Temerty Center for Artificial Intelligence Education and Research in Medicine, and professor at the University of Toronto. Dr. Amol Verma is a physician and scientist at St. Michael's Hospital and the University of Toronto, an AMS healthcare fellow in compassion and artificial intelligence and a provincial clinical lead in health quality improvement with Ontario Health. They are both two of the authors of the articles series published in CMAJ: Implementing machine learning in medi

Send us a textMany options exist nowadays for teenagers choosing to be on hormonal contraceptives. They are generally categorized into SARCs (short-acting reversible contraceptives) and LARCs (long-acting reversible contraceptives). LARC methods are recommended as first-line contraceptives. These include intrauterine devices and a new option that gets implanted into the arm and lasts up to three years.In this episode, Dr. Margot Rosenthal, a fifth-year obstetrics and gynaecology resident, explains the different contraception options, which choice is best, and what side effects to watch out for.She co-authored a practice article with Dr. Sarah McQuillan. The article is published in CMAJ: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.202413Podcast transcript: https://www.cmaj.ca/transcript-202413Calling all aspiring podcasters! Are you our next podcast host? CMAJ seeks a curious, astute and dynamic Canadian physician as the new voice of CMAJ Podcasts. For details and to apply:https://www.cmaj.ca/content/cmaj-podc

Send us a textIn this episode, Dr. Kirsten Patrick, interim editor-in-chief, chats with Francine Buchanan about her experience as a patient partner. Francine is in a unique position at the intersection of caregiver for her medically fragile son, PhD candidate in health services research, and a patient and family advisor at The Hospital for Sick Children. She wrote a Humanities article published in CMAJ called "How are we going to do this?" https://www.cmaj.ca/lookup/doi/10.1503/cmaj.210457Dr. Kirsten Patrick also chats with Victoria Saigle, Lead of Patient Involvement at CMAJ. Victoria shares the different ways patients have been contributing to the journal in recent months and plans for the future.CMAJ is launching a new article type called 360 Cases. CMAJ's first 360 Case explores the end of life of a woman who passed away suddenly after an unexpected serious diagnosis. The article is co-written by the woman's husband, her social worker, one of her nurses and the ICU physician who treat

Send us a textNew research shows that Indigenous People living in rural Canada are 16 times more likely to have to travel long distances to give birth compared to non-Indigenous people living in rural areas. In this podcast, Dr. Janet Smylie and Evelyn George explain these striking findings.Dr. Janet Smylie is Métis-Cree, a family practitioner and professor of public health at the University of Toronto. Evelyn George is a Nbissing registered midwife living in Syilx territory of British Columbia.They were two of the authors of a research article published in CMAJ:www.cmaj.ca/lookup/doi/10.1503/cmaj.201903Podcast transcript: www.cmaj.ca/transcript-201903-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------This podcast episode is brought to you by Dr. Bill. Dr. Bill makes billing on the go easy and pain free. Start your 45-day free trial today: www.drbill.app/cmaj-----------------------------------L

Send us a textDr. Malika Sharma and Dr. Rahel Zewude explain the tenets of critical race theory. They also share how it has helped them tackle racism in the practice of medicine and how they've applied it to their professional and personal lives as physicians in Canada.Dr. Malika Sharma is an HIV and infectious diseases specialist and assistant professor in the Department of Medicine at the University of Toronto. Dr. Rahel Zewude is an internal medicine resident at the University of British Columbia and president of Black Physicians of British Columbia.They co-authored a humanities article published in CMAJ. Podcast transcript -----------------------------------This podcast episode is brought to you by Shingrix. Learn more at shingrix.ca-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit http://www.cmaj.ca/page/multimedia/podcasts Join us as we explore medical solutions that

Send us a textAnticraving medications are a lesser-known therapy for patients with moderate to severe alcohol use disorder. In this podcast, Dr. Jon Mong and Dr. Paxton Bach explain how to recognize and diagnose moderate to severe alcohol use disorder and how to talk to patients about treatment options.Dr. Jon Mong is a general internist working at The Ottawa Hospital, with a clinical focus in addiction medicine. He is currently completing his Masters in Quality Improvement and Patient Safety through the University of Toronto's IHPME.Dr. Paxton Bach is a clinical assistant professor in the department of medicine at the University of British Columbia, and a general internist and addiction physician at St. Paul’s Hospital in Vancouver, BC. He additionally serves as the program director for the British Columbia Centre on Substance Use Clinical Addiction Medicine Fellowship Program.They co-authored, along with Dr. Keith Ahamad, a practice article published in CMAJ:www.cmaj.ca/lookup/doi/10.1503/cmaj.200895Po

Send us a textDr. Olga Kciuk and Dr. Sari Kives talk about painful periods (dysmenorrhea) in teens – what causes it, how to diagnose it, how to rule out secondary causes, and how best to treat. Dr. Olga Kciuk is a fourth year resident in obstetrics and gynecology at the University of Toronto. Dr. Sari Kives is a gynecologist in Toronto, both at the Hospital for Sick Children and St. Michael's Hospital.They co-authored a practice article published in CMAJ:www.cmaj.ca/lookup/doi/10.1503/cmaj.201972Podcast transcript: https://www.cmaj.ca/transcript-201972-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------This podcast episode is brought to you by Audi Canada. The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase typ

Send us a textDr. Ainsley Moore discusses a new guideline by the Canadian Task Force on Preventive Health Care. The guideline recommends opportunistic screening for chlamydia and gonorrhea in primary care for individuals not known to be at high risk. Ainsley unpacks the recommendation and talks about what it means for clinical practice.Dr. Ainsley Moore is a family physician and an associate clinical professor in medicine at McMaster University.She is one of the authors of the CTFPHC guideline published in CMAJ:www.cmaj.ca/lookup/doi/10.1503/cmaj.201967Podcast transcript: https://www.cmaj.ca/transcript-201967-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to

Send us a textDre Guylène Thériault explique les recommandations clé des nouvelles lignes directrices sur dépistage de la chlamydia et de la gonorrhée en médecine de soins primaires chez les personnes non connues comme appartenant à un groupe à risque.Dre Guylène Thériault est médecin de famille et membre du Groupe d’étude canadien sur les soins de santé préventifs. Dre Thériault enseigne aussi la médecine fondée sur les données probantes et la prise de décision partagée.Le Groupe d’étude canadien sur les soins de santé préventifs vient de publier les nouvelles lignes directrices dans le Journal de l’association médicale canadienne.Lignes directrices : https://www.cmaj.ca/lookup/doi/10.1503/cmaj.201967-fTranscription de la conversation: https://www.cmaj.ca/transcript-201967-fJoin us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.You

Send us a textProf. Jonathan Berman discusses what drives antivaccine and anti-mask protests, such as the Montréal vaccine protest of 1885 which turned violent. He talks about vaccine hesitancy in history and how it relates to our current COVID-19 pandemic.Jonathan Berman is a physiologist at the New York Institute of Technology medical school and a science educator.He wrote an humanities article published in CMAJ:www.cmaj.ca/lookup/doi/10.1503/cmaj.202820Podcast transcript: https://www.cmaj.ca/transcript-202820-----------------------------------This episode is brought to you by the MD Platinum Global Private Credit Pool. With bond yields sitting near record lows, investors are looking for ways to boost returns. The challenge? Most options offering higher returns often require taking on more equity risk. Enter private credit. Get access to potentially higher returns, historically tested stability and added diversification typically reserved for institutional investors. MD Platinum Global Private Credit Pool:

Send us a textProf. Andrea Tricco and Dr. Ainsley Moore discuss gender inequity in medicine at the senior leadership level and how it's intertwined with race. They also outline practical ways of advancing gender equity in medicine.Dr. Ainsley Moore is a family physician and an associate clinical professor in medicine at McMaster University. Prof. Andrea Tricco is a scientist at St. Michael's Hospital at Unity Health Toronto and an associate professor at the Dalla Lana School of Public Health in Toronto.They co-authored an analysis article published in CMAJ:www.cmaj.ca/lookup/doi/10.1503/cmaj.200951Podcast transcript: https://www.cmaj.ca/transcript-200951-----------------------------------This podcast episode is brought to you by Audi Canada. The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incent

Send us a textDrs Shirin Dason and Mara Sobel discuss how to diagnose and treat adenomyosis, a common cause of heavy and painful menstrual periods. Dr. Shirin Dason is a resident and soon-to-be infertility fellow at Mount Sinai Fertility in Toronto. Dr. Mara Sobel is a gynaecologist at Mount Sinai Hospital and Women's College Hospital in Toronto.To read the practice article published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201607Podcast transcript: https://www.cmaj.ca/transcript-201607-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something y

Send us a textA prescribing cascade happens when the side effects of a prescribed drug are misinterpreted as a new medical condition for which an additional drug is prescribed. Some prescribing cascades can become complicated to untangle and hard to catch. In this podcast, Dr. Paula Rochon outlines some of the common prescribing cascades that occur in older adults.Dr. Paula Rochon is a geriatrician at Women’s College Hospital in Toronto and the RTO chair in geriatric medicine at the University of Toronto.The practice article she co-authored is published in CMAJ. It's titled "Five things to know about prescribing cascades in older adults."www.cmaj.ca/lookup/doi/10.1503/cmaj.201564Podcast transcript: https://www.cmaj.ca/transcript-201564-----------------------------------This podcast episode is brought to you by Audi Canada. The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model an

Send us a textIn this podcast, Dr. Andreas Laupacis, editor-in-chief of CMAJ, interviews two authors of a research article published in CMAJ. The research looked at SARS-CoV-2 infection among patients undergoing long-term dialysis in Ontario during the first wave of the pandemic.Rebecca Cooper is the director of clinical programs at the Ontario Renal Network, and Peter Blake is a nephrologist and the provincial medical director of the Ontario Renal Network, which is part of Ontario Health.To read the research published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.202601Podcast transcript: https://www.cmaj.ca/transcript-202601-----------------------------------This podcast episode is brought to you by Shingrix. Learn more at:www.shingrix.ca/en-ca/index.html-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts or your favourite podcast app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.Join us as we explore medical solution

Send us a textProf. Colleen Flood discusses the legalities around requiring health care workers to be vaccinated against the virus that causes COVID-19, both at the employer or hospital level and at the provincial government level.Colleen Flood is a professor in the faculty of law and the inaugural director of the Centre for Health Law Policy & Ethics, both at the University of Ottawa.She co-authored, with Prof. Bryan Thomas and Dr. Kumanan Wilson, an analysis article published in CMAJ. It's titled "Mandatory vaccination for health care workers: an analysis of law and policy."To read the analysis article published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.202755Podcast transcript: https://www.cmaj.ca/transcript-202755-----------------------------------This podcast episode is brought to you by Audi Canada. The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive a

Send us a textAt the start of the COVID-19 pandemic, most hospitals in Canada adopted no-visitor policies because of concern that visitors would spread the virus. It was also a way of preserving personal protective equipment, which was in short supply at the time. Now, almost one year later, the authors of a commentary published in the Canadian Medical Association Journal argue that it’s time to reconsider such a strict policy. In this podcast, Dr. Andreas Laupacis, editor-in-chief of CMAJ, interviews one of the authors of the commentary, Dr. Fahad Razak, a general internist at St. Michael's Hospital in Toronto. Also joining the conversation are Lee Fairclough, president of St. Mary’s General Hospital in Kitchener, Ontario, and Corinna Riquelme who is a care partner and a member of the Patient and Family Advisory Council at St. Mary’s. To read the commentary published in CMAJ: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.202636Read the podcast transcript: https://www.cmaj.ca/transcript-202636------------

Send us a textDr. Carl Boodman discusses four cases of trench fever from Bartonella quintana which is transmitted by body lice. Trench fever was common during the First World War and killed millions of people. In modern times, it is rare, but outbreaks tend to be associated with homelessness, poor living conditions or a history of severe alcohol use disorder or IV drug use. Dr. Boodman first talks about a patient who presented to the emergency department with endocarditis from B. quintana. He then discusses the three other linked cases that were diagnosed over the following weeks. Dr. Carl Boodman is a fifth year medical resident in a combined infection disease and medical microbiology program at the University of Manitoba in Winnipeg, Manitoba.The practice article he co-authored is published in CMAJ: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.201170Podcast transcript: https://www.cmaj.ca/transcript-201170-----------------------------------This episode is brought to you by MD Financial Management and Scotiab

Send us a textDr. Christen Shoesmith and Dr. Colleen O’Connell discuss the first Canadian guideline on the care and management of patients with amyotrophic lateral sclerosis (ALS). Dr. Shoesmith and Dr. O'Connell are two of the authors of the guideline, which is intended for ALS clinicians, allied health professionals and primary care providers and includes a patient-focused approach to care, with attention to holistic and emotional aspects of well-being.Dr. Christen Shoesmith is a neurologist and medical director of the Motor Neuron Disease Clinic at London Health Sciences Centre in London, Ontario. She is also chair of the ALS guidelines working group. Dr. Colleen O’Connell is a physical medicine and rehabilitation physician at the Stan Cassidy Rehabilitation Centre in Fredericton, New Brunswick.The clinical practice guideline is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191721Podcast transcript: https://www.cmaj.ca/transcript-191721Subscribe to CMAJ Podcasts on Apple Podcasts or your favo

Send us a textProne positioning has been widely adopted and is considered standard of care for patients with acute respiratory distress syndrome (ARDS). But how beneficial is prone positioning for patients with COVID-19 who are awake and not intubated? In this podcast, Dr. Kevin Venus talks about evidence, lung physiology and observational studies regarding prone positioning.Dr. Kevin Venus is general internist at University Health Network in Toronto. He co-authored a review article published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201201Podcast transcript: https://www.cmaj.ca/transcript-201201-----------------------------------This episode is brought to you by MD Financial Management and Scotiabank. Together, we’re able to provide physician-focused advice and unique financial solutions tailored to your needs at every stage of your medical career. Find out more about how we can help you, visit bit.ly/2Grtd5H-----------------------------------This podcast episode is brought to you by Shingrix. Learn more

Send us a textDr. Caroline Quach and Dr. Shainoor Ismail discuss guidance on identifying priority populations for COVID-19 immunization. It's likely that when Canada does get a vaccine, it will not be possible to immunize all Canadians at once. We therefore need to have a plan in place for prioritization within our population.Dr. Quach and Dr. Ismail are two of the authors of an evidence-based guideline publishing in CMAJ outlining which key populations need to be prioritized for early COVID-19 immunization. They wrote this guidance as part of Canada’s National Advisory Committee on Immunization (NACI). This work was supported by the Public Health Agency of Canada (PHAC). Dr. Caroline Quach is a pediatric infectious diseases specialist and microbiologist at CHU Sainte-Justine and is also a professor at the University of Montreal. Dr. Shainoor Ismail is a senior medical specialist at PHAC.The summary guideline is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.202353The full guideline is availabl