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S1 E4: Alcohol Use Disorder Part 1: Practical Tools for a Complex Condition w/Dr. Randal Mason
Guest: Dr. Elizabeth Baerg Hall
Host: Dr. Randal Mason
Producer: Craig Ferguson
Music: "Stand With Me" by Adrian Walther licensed via SoundStripe
Episode Timestamps
[00:00] – Introduction and episode overview
[01:09] – The scale of alcohol-related harms in BC and Canada
[02:21] – Why screening remains inconsistent in clinical practice
[04:10] – Screening at every point of care
[04:32] – Clinician discomfort and workflow barriers
[05:42] – New guidance on alcohol-related risk
[07:36] – Understanding risk thresholds: cancer and cardiovascular disease
[08:16] – Patient reactions and clarifying misconceptions
[09:03] – BC guidelines compared with Canadian guidelines
[10:28] – Screening tools: SASQ, AUDIT, AUDIT-C, DSM-5 criteria
[12:30] – Treatment approaches for high-risk drinking vs. diagnosed AUD
[13:21] – Challenges for rural and remote patients and providers
[15:13] – Considerations for Indigenous patients and culturally safe care
[20:34] – Using frameworks like the Five A's in clinical conversations
[21:20] – Closing remarks and preview of Part 2
[21:31] – Knowledge nugget: the history of alcohol and the origin of "toasting"
[22:10] – Credits and CME information
Studies & Research Mentioned
• Province of British Columbia. High‑Risk Drinking and Alcohol Use Disorder. BC Guidelines; 2024. Accessed January 29, 2026. https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/high-risk-drinking-and-alcohol-use-disorder
• Wood E, Bright J, Hsu K, et al; Canadian Alcohol Use Disorder Guideline Committee. Canadian guideline for the clinical management of high‑risk drinking and alcohol use disorder. CMAJ. 2023;195(40):E1364‑E1379. doi:10.1503/cmaj.230715. https://www.cmaj.ca/content/195/40/E1364
• Canadian Centre on Substance Use and Addiction (CCSA). Canada’s Guidance on Alcohol and Health. 2023. Accessed January 29, 2026. https://www.ccsa.ca/en/guidance-tools-resources/substance-use-and-addiction/alcohol/canadas-guidance-alcohol-and-health [
• World Health Organization. AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Care. 2nd ed. WHO; 2001. https://www.who.int/publications/i/item/WHO-MSD-MSB-01.6a
• U.S. Department of Veterans Affairs. Alcohol Use Disorders Identification Test – Consumption (AUDIT‑C). Updated March 2021. Accessed January 29, 2026. https://www.hepatitis.va.gov/alcohol/treatment/audit-c.asp
• American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed, Text Revision (DSM‑5‑TR). American Psychiatric Association; 2022. Information and updates available at: https://www.psychiatry.org/psychiatrists/practice/dsm
• UBC Continuing Professional Development. Alcohol Use: Screening, Determining Risk, and Evidence‑Based Treatment. Accessed January 29, 2026.
https://ubccpd.ca/learn/learning-activities/course?eventtemplate=724-alcohol-use-screening-determining-risk-and-evidencebased-treatment
© UBC Faculty of Medicine All Rights Reserved
Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
View all episodes
By UBC CPDGuest: Dr. Elizabeth Baerg Hall
Host: Dr. Randal Mason
Producer: Craig Ferguson
Music: "Stand With Me" by Adrian Walther licensed via SoundStripe
Episode Timestamps
[00:00] – Introduction and episode overview
[01:09] – The scale of alcohol-related harms in BC and Canada
[02:21] – Why screening remains inconsistent in clinical practice
[04:10] – Screening at every point of care
[04:32] – Clinician discomfort and workflow barriers
[05:42] – New guidance on alcohol-related risk
[07:36] – Understanding risk thresholds: cancer and cardiovascular disease
[08:16] – Patient reactions and clarifying misconceptions
[09:03] – BC guidelines compared with Canadian guidelines
[10:28] – Screening tools: SASQ, AUDIT, AUDIT-C, DSM-5 criteria
[12:30] – Treatment approaches for high-risk drinking vs. diagnosed AUD
[13:21] – Challenges for rural and remote patients and providers
[15:13] – Considerations for Indigenous patients and culturally safe care
[20:34] – Using frameworks like the Five A's in clinical conversations
[21:20] – Closing remarks and preview of Part 2
[21:31] – Knowledge nugget: the history of alcohol and the origin of "toasting"
[22:10] – Credits and CME information
Studies & Research Mentioned
• Province of British Columbia. High‑Risk Drinking and Alcohol Use Disorder. BC Guidelines; 2024. Accessed January 29, 2026. https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/high-risk-drinking-and-alcohol-use-disorder
• Wood E, Bright J, Hsu K, et al; Canadian Alcohol Use Disorder Guideline Committee. Canadian guideline for the clinical management of high‑risk drinking and alcohol use disorder. CMAJ. 2023;195(40):E1364‑E1379. doi:10.1503/cmaj.230715. https://www.cmaj.ca/content/195/40/E1364
• Canadian Centre on Substance Use and Addiction (CCSA). Canada’s Guidance on Alcohol and Health. 2023. Accessed January 29, 2026. https://www.ccsa.ca/en/guidance-tools-resources/substance-use-and-addiction/alcohol/canadas-guidance-alcohol-and-health [
• World Health Organization. AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Care. 2nd ed. WHO; 2001. https://www.who.int/publications/i/item/WHO-MSD-MSB-01.6a
• U.S. Department of Veterans Affairs. Alcohol Use Disorders Identification Test – Consumption (AUDIT‑C). Updated March 2021. Accessed January 29, 2026. https://www.hepatitis.va.gov/alcohol/treatment/audit-c.asp
• American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed, Text Revision (DSM‑5‑TR). American Psychiatric Association; 2022. Information and updates available at: https://www.psychiatry.org/psychiatrists/practice/dsm
• UBC Continuing Professional Development. Alcohol Use: Screening, Determining Risk, and Evidence‑Based Treatment. Accessed January 29, 2026.
https://ubccpd.ca/learn/learning-activities/course?eventtemplate=724-alcohol-use-screening-determining-risk-and-evidencebased-treatment
© UBC Faculty of Medicine All Rights Reserved
Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.