The popular narrative about newer cohorts of family physicians working less than their predecessors is disputed by data published in 2022. In this Third Rail edition of the CFP Podcast, Dr Sarah Fraser interviews Dr Ruth Lavergne, a researcher at Dalhousie University, about her findings and ideas for strengthening primary care—which include supporting longitudinal care, addressing administrative workloads, and moving away from the unhelpful focus on generational differences.

Read Dr Lavergne’s research article in the Canadian Medical Association Journal at https://www.cmaj.ca/content/194/48/E1639. 

 

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With polypharmacy common among older patients, proper administration of medications and avoidance of drug-food interactions are extremely important. Dr Nick Pimlott interviews pharmacists Alex Crawley and Erin Yakiwchuk about everyday pitfalls, practical tips, and the value of team-based care in addressing these issues.

Alex Crawley is Associate Director and Erin Yakiwchuk is a member of the RxFiles Academic Detailing Program at the University of Saskatchewan in Saskatoon. Read their article, “Improper administration. Silent culprit of drug therapy problems,” in the February 2023 issue of Canadian Family Physician.

 

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Lifestyle medicine is an innovative form of primary care that could help shift our system to focus on wellness and prevention rather than disease. Dr Sarah Fraser hosts a chat with Dr Sheila Lakhoo about the benefits of this approach as well as barriers that exist in accessing and practising lifestyle medicine.

Dr Lakhoo is a family physician in Toronto, Ont, who received a diploma in lifestyle medicine from the American Board of Lifestyle Medicine in 2020. 

 

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Solutions to the health care crisis exist if political will can be found to change. Dr Rick Glazier shares inspiring insights on both the challenges and opportunities before us in this conversation with your host, Dr Nick Pimlott.

Among his many roles, Dr Glazier is a family physician in Toronto, Ont, a renowned researcher, and a Professor in the Department of Family and Community Medicine at the University of Toronto. Read his related commentary in the January 2023 issue of Canadian Family Physician.

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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

 

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Older people are using substances at a high rate, yet stigma and ageism often prevent them from obtaining appropriate and compassionate care. Dr Sarah Fraser chats with Dr Lara Nixon and Dr Cathy Scrimshaw about what physicians and the system at large can do to enhance access to services, reduce harm, and treat patients with dignity. Dr Nixon is an FP in Calgary and Dr Scrimshaw is Medical Director of the Collaborative Mentorship Network for Chronic Pain and Addiction with the Alberta College of Family Physicians.

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Almost 1 year after the Russian invasion of his country, Ukrainian family physician Dr Oleksii Korzh shares his experiences with host Dr Sarah Fraser. Dr Korzh talks about how medical needs and care have changed during the conflict. Find out why family doctors have never been more important to Ukraine’s health care system in this special episode of the CFP Podcast. Dr Korzh is Head of the Department of General Practice and Family Medicine at the Kharkiv Medical Academy of Postgraduate Education.

Read Dr Korzh’s related CFP blog post.

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New research shows that family practices were open and seeing patients at the height of the second wave of the pandemic—despite media reports to the contrary. Dr Nick Pimlott interviews Dr Tara Kiran about her important findings and opportunities to rethink how primary care is organized in Canada. Read the article in the November 2022 issue of Canadian Family Physician and share your thoughts on this episode at [email protected].

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Flaws in the peer review process and opportunities for improvement are covered in part 2 of our interview with Dr Richard Smith, a well-known former editor of the BMJ. Hosts Dr Sarah Fraser and Dr Nick Pimlott ask Dr Smith about discrimination in peer review and the future of open access publishing.

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The Rourke Baby Record, used across Canada today, is an early example of a clinical resource developed by family physicians for family physicians. Your host Dr Nick Pimlott chats with Drs Leslie and James Rourke about the tool’s origins, challenging aspects of its evolution, and its next iteration coming in 2024. Read the related commentary, “Knowledge mobilization for primary care,” in the October 2022 issue of Canadian Family Physician.

 

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