Interview with Dr. Sacha Bhatia, cardiologist at Women’s College Hospital and UHN in Toronto and Director of the Women’s College Hospital Institute for Health System Solutions and Virtual Care. In a CMAJ research article, Dr. Bhatia and colleagues found that preoperative ECG and chest radiography were performed more frequently than suggested in guidelines. Using routine health records for 1.5 million people, the authors found considerable variation in rates across institutions, which was not explained by patient- or institution-level factors. Article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150174To request a transcript of this podcast, contact [email protected]

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Interview with Dr. Chryssa McAlister, eye physician and surgeon in Toronto and Kitchener, Ontario, with academic appointments at McMaster University and the University of Toronto. In an analysis article published in CMAJ, Dr. McAlister and colleagues say it is important to discuss with patients any noninsured services (such as specialized diagnostics, procedures and special-feature intraocular lenses) in an ethical and open way, declaring all conflicts of interest. Cataract surgery is insured in Canada; however, there are many add-on services which patients must pay for. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141601To request a transcript of this podcast, contact [email protected]

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Dr. Ken Flegel, senior editor for CMAJ, interviews Dr. Finlay McAlister, Professor of Internal Medicine at the University of Alberta and Assistant Director of the Epicore Centre. In a CMAJ research article, Dr. McAlister and colleagues followed 495 patients and found that frail patients are twice as likely to be readmitted or die within 30 days after discharge. The authors suggest that the Clinical Frailty Scale could be useful in identifying high-risk patients being discharged from medical wards. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150100To request a transcript of this podcast, contact [email protected]

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Vancouver surgeon Dr. Neil Pollock reflects on changing demand for male circumcision both in Canada and the developing world. CMAJ Article: https://www.cmaj.ca/content/187/10/E295To request a transcript of this podcast, contact [email protected]

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Highlights from the May 19th issue of CMAJ, presented by Dr. John Fletcher, editor-in-chief. In this issue: ultrasound or near-infrared to guide peripheral IV catheterization in children, validation of a 1-hour rule-out rule-in algorithm for myocardial infarction, social media in medical education, global tobacco control, elder abuse, and more. Full issue table of contents: http://www.cmaj.ca/content/187/8.toc

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Dr. Matthew Stanbrook, deputy editor for CMAJ, interviews Maria Bennell, epidemiologist in Evaluative Clinical Sciences at Sunnybrook Health Sciences Centre in Toronto. Mrs. Bennell and colleagues have published a study involving more than 39 000 patients receiving angiography in 18 cardiac centres between 2008 and 2011. They found that there is a twofold variation in the ratio of revascularization to medical therapy for the initial treatment of stable ischemic heart disease across hospitals in Ontario and that two-thirds of this variation was explained by patient characteristics. Nonetheless, the variation was associated with potentially important differences in clinical outcomes, say the authors.Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141372To request a transcript of this podcast, contact [email protected]

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Dr. Moneeza Walji, editorial fellow, interviews Dr. Jason Nickerson, Clinical Investigator at the Bruyère Research Institute in Ottawa. Hospitals, medical personnel and patients are increasingly being attacked in conflict zones. International bodies have resolved to foster better reporting of such incidents. However, more must be done on a global level to bring perpetrators to account, argues Dr. Nickerson in his commentary. Published May 19, 2015, doi: 10.1503/cmaj.140410. Article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.140410To request a transcript of this podcast, contact [email protected]

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Dr. Kirsten Patrick, deputy editor, interviews both Dr. Ronald Labonté, Canada Research Chair in Globalization and Health Equity at the Institute of Population Health and Professor at the University of Ottawa, and Dr. Raphael Lencucha, Assistant Professor in the School of Physical and Occupational Therapy at McGill University. In their commentary, published in CMAJ, Labonté and Lencucha propose a pragmatic approach to regulating electronic nicotine delivery systems in Canada: cautious measures similar to tobacco control, while using price incentives to shift tobacco users to electronic devices as a harm reduction mechanism until useful data accumulate on relative health outcomes. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150347To request a transcript of this podcast, contact [email protected]

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Dr. Kirsten Patrick, deputy editor for CMAJ, interviews Dr. Kelly Anderson, epidemiologist and Assistant Professor of Epidemiology and Biostatistics at Western University, co-author of a research article published in CMAJ. The authors of this cohort study that examines linked health and registry data from Ontario find that, among first-generation immigrants, some groups may be more at risk whereas other groups of migrants appear to be protected. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.141420 To request a transcript of this podcast, contact [email protected]

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Dr. Kirsten Patrick, deputy editor for CMAJ, interviews Dr. Corinne Hohl, Associate Professor of Emergency Medicine at the University of British Columbia and scientist at the Centre for Clinical Epidemiology and Evaluation in Vancouver. Currently, Bill C-17 (Vanessa's Law) does not require health care providers to document serious adverse drug reactions, but mandates that health care institutions report all documented serious reactions. Documentation rates are currently very low and, unless documentation of adverse events improves, the potential of the law to do good will be small, say Hohl and colleagues in a commentary published in CMAJ. Published May 4, 2015, doi: 10.1503/cmaj.150057. Full article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.150057To request a transcript of this podcast, contact [email protected]

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