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Interview with Dr. Sheryl Spithoff, addiction medicine specialist and family physician at Women’s College Hospital in Toronto. In a CMAJ analysis article, Dr. Spithoff and colleagues look at policies in jurisdictions where cannabis has already been legalized. A Canadian government formed after October 2015 may move away from prohibitionist policies and create a legal framework for cannabis. If so, public health promotion and protection must be the primary goals. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150657To request a transcript of this podcast, contact [email protected] 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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Interview with Dr. Noni MacDonald, Professor of Pediatrics at Dalhousie University with a clinical appointment in Pediatric Infectious Diseases at the IWK Health Centre in Halifax, Nova Scotia. Recent evidence from Ontario suggests that vaccine hesitancy and refusal may be on the rise. In a commentary published in CMAJ, Dr. MacDonald and colleague Ève Dubé discuss the importance of immunization surveillance and tailored interventions to address vaccine hesitancy. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.150707To request a transcript of this podcast, contact [email protected] 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 older adults living in long-term care facilities, fractures cause pain, agitation, immobility and transfer to hospital. Based on systematic reviews of the evidence, this guideline provides recommendations to prevent fractures in this vulnerable group. These evidence-based strategies are presented by Dr. Alexandra Papaioannou, Professor of Medicine at McMaster University in the Division of Geriatric Medicine and a Geriatric Medicine Specialist at Hamilton Health Sciences. Full guideline: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141331To request a transcript of this podcast, contact [email protected]

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Highlights of the September 8th issue of CMAJ, presented by Dr. Diane Kelsall, deputy editor. In this issue: rethinking treatment in older patients with spinal cord injury, why the federal government must play an active role in health care, imaging for early stage breast cancer, regulating electronic cigarettes, the need for speed in acute ischemic stroke, and more. Full issue table of contents: www.cmaj.ca/content/187/12.toc

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Interview with Dr. Jocelyn Gravel, pediatric emergency physician and research director at Sainte-Justine hospital in Montreal. In a research article published in CMAJ, Dr. Gravel and colleagues derived and validated a clinical decision rule to identify skull fracture following minor head trauma in young children. The rule should make it possible to identify about 90% of skull fractures in young children with mild head trauma and reduce the use of radiologic investigations by about 60% compared with current practice. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150540To request a transcript of this podcast, contact [email protected]

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Interview with Dr. Matthew Johnson, Associate Professor of Psychiatry and Behavioral Sciences at Johns Hopkins University School of Medicine. Renewed interest in the use of psychedelic drugs as treatments for illnesses such as anxiety, addiction and post-traumatic stress disorder has led to small controlled studies. In association with psychotherapy some psychedelic drugs have shown good effects with adequate safety. In an analysis article published in CMAJ, Dr. Johnson and colleagues look at new emerging evidence. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141124To request a transcript of this podcast, contact [email protected] to CMAJ Podcasts on iTunes or your favourite podcast app. You can also follow us directly on our SoundCloud page. Our podcasts are also released on www.cmaj.ca.

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Interview with Anna Taddio, Professor in the Leslie Dan Faculty of Pharmacy at the University of Toronto. This guideline, co-authored by Dr. Taddio, provides practical recommendations for reducing pain during vaccine injections in all age groups. Pain from vaccine injections is common, and concerns about pain contribute to vaccine hesitancy across the lifespan. Full guideline: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150391To request a transcript of this podcast, contact [email protected]

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Interview with Dr. Kris Aubrey-Bassler, family physician and associate professor in the Primary Healthcare Research Unit at Memorial University. In their observational study, Dr. Aubrey-Bassler and colleagues analyzed administrative data for all hospital births in Canada (except Quebec) between April 2006 and March 2009, comprising nearly 800 000 babies and 800 000 mothers. Instrumental variable analysis was used to adjust for unmeasured potential confounders. Whether babies were delivered by a family physician or an obstetrician made no difference to perinatal mortality or to maternal mortality and morbidity. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141633To request a transcript of this podcast, contact [email protected]

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A research article by McAlister et. al., published in CMAJ, looks at level of physician experience and its effect on important patient outcomes that proxy for quality of care. Physician groups were stratified according to years since graduation. Dr. Matthew Stanbrook, deputy editor, provides an editor's summary of the article and its findings. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150316To request a transcript of this podcast, contact [email protected]

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CMAJ deputy editors Dr. Matthew Stanbrook and Dr. Kirsten Patrick discuss an editorial written by Dr. Stanbrook. Too often, at election time, Canadians ignore pressing health care concerns and let economic fears dominate how we vote. This needs to change. A plan for strong federal leadership in health should be front and centre in this year’s election. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150896To request a transcript of this podcast, contact [email protected]

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