Hard truths about medical journals are examined with unflinching honesty in part 1 of this discussion with Dr Richard Smith, a well-known former editor of the BMJ. Hosts Dr Sarah Fraser and Dr Nick Pimlott get Dr Smith’s take on how physicians consume journal articles, research quality, and what publications should strive to do.

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As the North American Primary Care Research Group (NAPCRG) celebrates its 50th anniversary, Dr Nick Pimlott hosts Dr Vivian Ramsden in a chat about the organization’s success and plans for the future. Dr Ramsden, NAPCRG’s incoming president and the first nurse to serve in the role, shares insights about the evolution of patient-led research and the value of relationships in this work.

Read Dr Ramsden’s commentary, “Fiftieth anniversary of NAPCRG,” in the September 2022 issue of Canadian Family Physician.

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How to use cognitive behavioural therapy (CBT) to address medically unexplained symptoms is explored in part 2 of this discussion between Dr Sarah Fraser and Dr Peter MacKean. They examine the 5 areas of CBT that family doctors should be attuned to and how applying CBT principles can also benefit physicians—including prevention of burnout.

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The untapped benefits of using psychotherapy techniques in everyday practice drive this conversation between Dr Sarah Fraser and Dr Peter MacKean in Part 1 of this podcast. A semi-retired family physician in PEI, Dr MacKean aims to raise awareness and uptake of these methods in family medicine training and practice.

This podcast builds on his article “Potential of a cognitive-behavioural approach to improve patient symptoms in a primary care setting,” published in the February 2022 issue of CFP.

The book mentioned in this episode is Using CBT in general practice: the 10 minute CBT handbook, by Lee David.

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Dr Sarah Fraser hosts a discussion on this challenging area of care with Dr Maureen Allen, a family physician in Antigonish, NS. Dr Allen shares insights that research in noninvasive neuroimaging has revealed about how the brain adapts to chronic pain and how we can reframe our thinking about chronic pain to enhance patient care.

This conversation was sparked by the “PEER simplified chronic pain guideline” published in CFP in March 2022. The other key article Dr Allen mentions was published in Brain: “Shape shifting pain: chronification of back pain shifts brain representation from nociceptive to emotional circuits.”

 

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Do you struggle with knowing when and how to apply screening guidelines as part of providing preventive care? Dr Nick Pimlott digs into the challenges associated with teaching and learning these skills with 3 authors of “Going against the status quo in screening: call to action to improve teaching in preventive health care” from the May 2022 issue of Canadian Family Physician.

This topic is particularly timely given discussions about perceived backlogs in screening tied to the COVID-19 pandemic. Hear intriguing insights from Dr Viola Antao, Associate Professor in the Department of Family and Community Medicine at the University of Toronto in Ontario; Dr Roland Grad, Associate Professor in the Department of Family Medicine at McGill University in Montréal, Que; and Raphael Rezkallah, a medical student at McGill University.

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In this Third Rail edition of the podcast, Dr. Sarah Fraser interviews Dr. Ewan Affleck. Dr. Affleck is a family physician and health informatician who has worked in Canada’s north for the last 30 years. He has received the Order of Canada for his work in health informatics in the Northwest Territories and is also a writer and filmmaker.

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Dr. Nick Pimlott interviews Dr. Stuart Iglesias, a retired rural family physician with anesthesia and surgical skills and tireless champion for high quality rural and remote medical care in Canada. Dr. Iglesias is a co-author of “Consensus statement on networks for high-quality rural anesthesia, surgery, and obstetric care in Canada” from the April 2022 issue of Canadian Family Physician.

The consensus statement has been endorsed by the Canadian Association of General Surgeons (CAGS), the College of Family Physicians of Canada (CFPC), the Society of Obstetricians and Gynaecologists of Canada, the Society of Rural Physicians of Canada (SRPC), the Association of Canadian University Departments of Anesthesia, the Canadian Association of Midwives, the Canadian Medical Association, the Royal College of Physicians and Surgeons of Canada, and the Canadian Association of Surgical Chairs.

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In this Third Rail edition of the podcast, Dr. Sarah Fraser interviews Dr. Sheri Klassen a family physician from Edmonton Alberta. Dr. Klassen is currently pursuing a masters in rehabilitation medicine at the University of Alberta and has written a Third Rail article called: “Doctor and parent: Thinking differently about difference”, in the May issue of Canadian Family Physician. In the episode, Dr. Fraser and Dr. Klassen discuss how doctors think about and treat patients with disability.

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In this Third Rail edition of the podcast, Dr. Sarah Fraser interviews Chris Cull a two-time cross Canada cyclist, filmmaker, motivational speaker and founder of Inspire By Example, on his recovery from an eight year addiction to opioids. Using his personal experience with opioid addiction, Chris has advised numerous institutions and organizations in the prevention and treatment of substance abuse.

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