CRACKCast & Physicians as Humans on CanadiEM

Purpose:

1. Learn the importance of treatment studies (RCTs) in EBM
2. Understand and interpret methods and results of treatment based studies
3. Become familiar with critically appraising treatment based studies

Hosts:

1. Dylan Collins
2. Levi Johnston
3. Dakoda Herman
4. Jayneel Limbachia
5. Jake Domm

Paper:

1. Warren, Jaimee, et al. "Antacid Monotherapy Is More Effective in Relieving Epigastric Pain Than in Combination With Lidocaine: A Randomized Double‐blind Clinical Trial." Academic Emergency Medicine 27.9 (2020): 905-909. https://onlinelibrary.wiley.com/doi/epdf/10.1111/acem.14069

EBM Checklist for therapy studies (University of Oxford:

• https://www.cebm.net/wp-content/uploads/2018/11/RCT.pdf

Episode takeaway

• RCTs are considered gold standard in terms of evidence since the randomization process controls for both known and unknown confounding variables
• Understanding how to quickly and efficiently appraise studies by assessing its methods is an important skill that can help you assess its utility to your practice and whether the authors adequately answered the question
• Use a validated critical appraisal tool. We used the CEBM tool, but there are others. The GATE from by Rod Jackson is another great method to learn. Know that sometimes people use publishing guidelines as critical appraisal tools, like the CONSORT for RCTs, but these are just work arounds.
• Be skeptical and curious. If there is a published protocol, check it. Look at who funded the study. Read the COI and method to mitigate bias.

CAEP and CanadiEM are collaborating to help promote the Virtual CAEP Conference 2021!

Did you know Canadian Association of Emergency Physicians (CAEP) is hosting a virtual CAEP Conference in 2021?

CAEP at the Forks: Rising to the Challenge When is it? June 15-17, 2021 Where is it? It's virtual but its hosted by the organizers at University of Manitoba, Winnipeg in collaboration with educators from all over Canada. How can I register? caepconference.ca #CAEP2021

The CAEP Conference 2021 Social Media and Promotions team consists of many members of the CanadiEM Leadership as well as some of the most well-known educators in the country. Our goal is to help CAEP promote their amazing annual conference and bring awareness to some of the highlights from the upcoming event.

Some of the promotional items coming at you:

1. Pre and In-Conference Podcasts and Videocasts - highlighting our key plenaries, speakers, and providing quick summaries of each day's events.
2. Social Media updates will come regularly, highlighting some of the best from the conference.
3. Infographic summaries and reviews of the day's events and clinical, med-ed, research concepts/pearls.
4. Newsletter updates using our various channels (CAEP Connects, CanadiEM Newsletter, etc.)
5. More to come! If you have ideas, feel free to let us know!

Introducing the CAEP Conference Social Media / Promotions Committee Members:

Dr. Daniel Ting Dr. Kevin Junghwan Dong Dr. Ken Milne Dr. Hans Rosenberg Dr. Shahbaz Sayed Dr. Fareen Zaver Dr. Alkarim Velji Dr. Sonja Wakeling Dr. Patrick Boreskie Evan Formosa

Follow @caepconference on Twitter and stay tuned for more content!

Purpose:

1. Learn the importance of treatment studies (RCTs) in EBM 2. Understand and interpret methods and results of treatment based studies 3. Become familiar with critically appraising treatment based studies

Hosts: Dylan Collins Levi Johnston Dakoda Herman Jayneel Limbachia Jake Domm

Paper: Warren, Jaimee, et al. "Antacid Monotherapy Is More Effective in Relieving Epigastric Pain Than in Combination With Lidocaine: A Randomized Double‐blind Clinical Trial." Academic Emergency Medicine 27.9 (2020): 905-909. https://onlinelibrary.wiley.com/doi/epdf/10.1111/acem.14069EBM

Checklist for therapy studies (University of Oxford: https://www.cebm.net/wp-content/uploads/2018/11/RCT.pdf

Episode takeaway 1. RCTs are considered gold standard in terms of evidence since the randomization process controls for both known and unknown confounding variables 2. Understanding how to quickly and efficiently appraise studies by assessing its methods is an important skill that can help you assess its utility to your practice and whether the authors adequately answered the question 3. Use a validated critical appraisal tool. We used the CEBM tool, but there are others. The GATE from by Rod Jackson is another great method to learn. Know that sometimes people use publishing guidelines as critical appraisal tools, like the CONSORT for RCTs, but these are just work arounds. 4. Be skeptical and curious. If there is a published protocol, check it. Look at who funded the study. Read the COI and method to mitigate bias.

In this episode host Dr. Tiffany Proffitt talks with Dr. Mark Ramzy about finishing residency and starting his Critical Care fellowship in the hotspots of the COVID pandemic. They also discuss the unique challenges Dr. Ramzy faced when he became a father at the start of the pandemic. Dr. Ramzy shares how he rediscovered artistic talents and reinforced old friendships and family bonds to help overcome the sense of isolation during quarantine. Take a listen, we will get through this together.

Core Questions

1. List key historical red flags in a patient presenting with back pain. (Box 32.1)
2. List red flags on physical examination of a patient with back pain. (Box 32.1)
3. List key critical differential diagnoses for a patient presenting with acute back pain (Box 32.2)
4. Describe an approach to the rapid assessment of a patient with acute lower back pain (Fig 32.1)
5. Describe an approach to ancillary testing and imaging for critical causes of acute back pain (table 32.1)
6. List the sensory, motor, and screening tests for the lumbar nerve roots L3-S1 (table 32.2)
7. Describe an overview of the management of acute low back pain (Fig 32.2)

Wisecracks

1. What are 4 variables associated with serious outcomes in patients with back pain (p. 276)
2. Differentiate between conus medullaris syndrome and cauda equina syndrome.
3. What physical exam/ancillary findings are most predictive of cauda equina? (CJEM 2020;22(5):652–654)
4. How does Rosen's differentiate between disc herniation and radiculopathy?

Journal Club by CanadiEM is a podcast designed to help medical learners at all stages of training develop the skills necessary to properly appraise, interpret, and apply medical research to the practice of Emergency Medicine, all in the spirit of evidence based medicine.

In this week's episode, we are covering how to best prepare for your all-important interviews! From what questions to expect to how to leave a positive impression, we cover it all! Helping break this all down for us is a panel of resident guests from diverse programs across Canada: Dr. Larissa Hattin, Dr. Dillan Radomske, and Dr. Ben Forestell.

Dr. Larissa Hattin is a 4th-year emergency medicine resident at UBC and co-chief resident of the Victoria site. She completed medical school at McMaster and quickly moved out to the island to escape the snow. This year she is completing her fellowship in Medical Education through Oxford University.

Dr. Dillan Radomske went to medical school in Calgary at the Cumming School of Medicine and is now in his third year of emergency medicine resident at the University of Saskatchewan. He is interested in medical education, and some of our listeners may recognize his voice from the CanadiEM CrackCast series.

Dr. Ben Forestell is a graduate of McMaster medical school and he is now in his first year of emergency medicine residency, also at McMaster. He is passionate about medical education and has been lucky to be involved with projects like ClerkCast at CanadiEM.

Click Here for more information about today's episode.

This is the first episode of the KelownaKast podcast, hosted by Hasan Abdullah and Eric DeHaas, UBC Kelowna Family Medicine residents. We are residents who are interested in medical teaching, mentorship and minority issues in healthcare. We hope to share these interests with you, with a focus on tips/tools for clinical practice. In this first episode we are joined by Ashley Mikasko, a Master's of Social Work student, to share cases on challenging patient encounters due to cross-cultural communication as well as some tips to help in such situations.

Core Questions

1. Define the following terms:
2. 1. Menorrhagia
   2. Metrorrhagia
   3. Menometrorrhagia
   4. Oligomenorrhea
3. What points on history are important to elucidate in the patient with PV bleeding?
4. Outline an approach to the physical examination in the patient with PV bleeding.
5. Describe an approach to ancillary testing in the patient with PV bleeding.
6. Outline the DDx of PV bleeding in the non-pregnant patient.
7. Outline the DDx of PV bleeding in the pregnant patient.
8. Detail an approach to the management of PV bleeding in nonpregnant patients in the ED.

Wisecracks

1. What is the average volume of blood lost during typical menstruation?
2. What is the risk of spontaneous abortion in the patient who presents with vaginal bleeding in the first trimester?
3. List five risk factors for placental abruption.
4. List five risk factors for PPH.
5. List five risk factors for ectopic pregnancy.
6. List five absolute contraindications to the use of oral contraceptive pills.

This new CanadiEM series features Emergency Medicine figures from around Canada while they participate in some sort of ice-breaking activity. First up, how can Dr. Brent Thoma from the University of Saskatchewan manage increasingly spicy chicken wings while talking about his academic interests?

This podcast is the audio-only version of a video that you can watch on www.canadiem.org.