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Tracy Wasylak and Dr. Braden Manns discuss the activities of Alberta Health Service’s Strategic Clinical Networks (SCNs). These multistakeholder networks have improved and optimized Alberta's health system. Ms. Wasylak and Dr. Manns share how these networks function, what the ingredients to success are, and they also share lessons learned.Dr. Braden Manns is a professor in health economics, a kidney specialist at the University of Calgary and the associate chief medical officer for the Alberta Health Services’ Strategic Clinical Networks. Tracy Wasylak is the chief program officer for the Strategic Clinical Networks. She is also an adjunct assistant professor with the Faculty of Nursing at the University of Calgary.To read the supplement published in CMAJ: https://www.cmaj.ca/content/191/supplementPodcast transcript: https://www.cmaj.ca/transcript-191232-----------------------------------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.

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In this interview, Prof. Emilia Nielsen discusses the problem of the usual breast cancer narrative. She says that the happy stories of breast cancer survivors are so common that any other types of narrative almost require an apology.Emilia Nielsen is an assistant professor of arts, medicine and healing at York University’s Health & Society Program, Department of Social Science. She is the author of the scholarly text Disrupting Breast Cancer Narratives: Stories of Rage and Repair as well as two collections of poetry, Body Work and Surge Narrows.Her CMAJ Medicine and Society article is titled “The problem of standardized breast cancer narratives.” The article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190549Podcast transcript: https://www.cmaj.ca/transcript-190549-----------------------------------This episode is brought to you by Replens. Replens helps replenish internal vaginal moisture and relieves external vaginal dryness. Visit http://bit.ly/Replens-Products for more information.-----------------------------------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.

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Dr. Matthew Stanbrook and Dr. Andreas Laupacis discuss the case of a 17-year old who contracted bronchiolitis obliterans, or popcorn lung, from vaping of e-cigarettes. This novel pattern of pulmonary disease associated with vaping appears distinct from the type of alveolar injury predominantly reported in the recent outbreak of cases of vaping associated pulmonary illness in the United States. The case is published in CMAJ. They also discuss lack of regulation by Canadian government related to electronic cigarettes. A linked editorial authored by Dr. Stanbrook is published in CMAJ.Dr. Matthew Stanbrook is deputy editor at CMAJ and respirologist at Toronto Western Hospital. Dr. Andreas Laupacis is editor-in-chief of the Canadian Medical Association Journal.NB: this conversation reflects the latest evidence available at the time of the recording (Monday November 11, 2019).To read the research case report published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191402To read the editorial published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191503Podcast transcript: https://www.cmaj.ca/transcript-191503-----------------------------------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.

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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-authored is titled “Age-standardized cancer-incidence trends in Canada, 1971–2015.” The article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190355Podcast transcript: https://www.cmaj.ca/transcript-190355-----------------------------------This episode is brought you by First Response, a trusted leader in pregnancy for every step in the journey from conception planning to post-natal nutrition.Visit http://bit.ly/FirstResponse-Pregnancy for more information about First Response products to support your patients on their conception journey. -----------------------------------This podcast episode is brought to you by Dr. Bill.Dr. Bill is an easy-to-use mobile and web solution that truly simplifies the way you do medical billing. Join over 1500 physicians already using our billing software to save time, boost productivity and earn more. Visit www.dr-bill.ca for more information.-----------------------------------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.

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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 at Queen’s University. He is also chair of the working group for screening for thyroid dysfunction and previous vice chair of the Canadian Task Force or Preventive Health Care. To read the clinical practice guideline published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190395Podcast transcript: https://www.cmaj.ca/transcript-190395-----------------------------------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.

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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 décision partagée. Dr Roland Grad est médecin de famille et professeur agrégé de médecine de famille à l’Université McGill. Il est aussi membres du Groupe d’étude canadien sur les soins de santé préventifs.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 :

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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 - how an individual can reconnect with what brings them joy- the concept of practice redesign- macro- or system-level changes to help with efficiencies- and much moreDr. Christine Sinsky is an internist and is vice president of professional satisfaction at the American Medical Association. Dr. Jillian Horton is a general internist and director of the Alan Klass health humanities program at the Max Rady college of medicine in Winnipeg, Manitoba.For more of her podcasts or for the Dear Dr. Horton column: www.cmaj.ca/medlifePodcast transcript: https://www.cmaj.ca/transcript-191400---------The opinions stated in this podcast are made in a personal capacity and do not necessarily reflect those of the Canadian Medical Association Journal.-----------------------------------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.

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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.The Practice article they co-authored is titled “Five things to know about...high-flow nasal oxygen therapy in adults with hypoxemia.” The article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191021Podcast transcript: https://www.cmaj.ca/transcript-191021-----------------------------------This podcast episode is brought to you by Dr. Bill.Dr. Bill is an easy-to-use mobile and web solution that truly simplifies the way you do medical billing. Join over 1500 physicians already using our billing software to save time, boost productivity and earn more. Visit www.dr-bill.ca for more information.-----------------------------------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.

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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 transcript: https://www.cmaj.ca/transcript-190570-----------------------------------Music: Impromtu in Quarter, YouTube audio library-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------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.

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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 former cardiac intensive care pharmacist and now is a cardiology fellow at the University of Calgary Libin Cardiovascular Institute.The Practice article they co-authored is titled “Five things to know about...the cardiovascular benefits of low-dosage acetylsalicylic acid.” The article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191037Podcast transcript: https://www.cmaj.ca/transcript-191037-----------------------------------This podcast episode is brought to you by Dr. Bill.Dr. Bill is an easy-to-use mobile and web solution that truly simplifies the way you do medical billing. Join over 1500 physicians already using our billing software to save time, boost productivity and earn more. Visit www.dr-bill.ca for more information.-----------------------------------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 hear on the leading Canadian medical podcast.

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