CMAJ Podcasts

Working in a bubble during the pandemic

Many workplaces are essential for our health care, our supply chains, or the economy and are under immense pressure to stay open. The work bubble is one strategy that can be used to open businesses while limiting the risk of COVID-19 outbreaks.
In this podcast, Dr. Jeffrey Shaw and Ms. Hayley Wickenheiser explain the work bubble concept. They also describe how a large Canadian company, Bombardier, applied the principles with much success.
Dr. Jeffrey Shaw is a cardiologist and ICU physician in Calgary and is also currently a fellow at the University of Calgary Cumming School of Medicine. Ms. Hayley Wickenheiser is a fourth year medical student at the University of Calgary and was formerly an Olympic hockey athlete. They co-wrote an analysis article published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201582
Podcast transcript: https://www.cmaj.ca/transcript-201582
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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.

Misdiagnosis during the COVID-19 pandemic

With so much talk about COVID-19 and frequent updates to protocols and guidelines, is COVID-19 affecting the way physicians diagnose? In this podcast, two physicians describe how they misdiagnosed a patient back in April of this year. The patient presented with classic COVID-19 symptoms, but her diagnosis turned out to be something entirely different. And it took the physicians quite a lot of time to get to the correct diagnosis.
Dr. Alex Kobza and Dr. Brandon Budhram are both second year internal medicine residents at McMaster University in Hamilton, Ontario and they co-wrote a practice article about the case with Dr. Naufal Mohammed. The article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201426
You'll also hear from Dr. Justin Morgenstern, an emergency doctor who has spent a lot of time analyzing physician decision-making. He digs into the many factors that influence the way doctors diagnose, including cognitive bias. He discusses how the COVID-19 pandemic might be influencing physicians decision-making and diagnosis. His website is First10EM https://first10em.com/who-am-i/
Podcast transcript: https://www.cmaj.ca/transcript-201426
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This podcast episode is brought to you by Shingrix. Learn more at:
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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.

COVID-19 and pediatric inflammatory multisystem syndrome (PIMS)

In this podcast, Dr. Rae Yeung talks about a 10-year-old boy who was diagnosed with pediatric inflammatory multisystem syndrome (PIMS) temporally associated with COVID-19. This syndrome, which goes by many names, has a wide spectrum that can include prolonged fever, classic features of Kawasaki disease, cardiac dysfunction, and gastrointestinal, neurologic, and/or renal involvement. Dr. Yeung discusses how she and her team treated the boy, what the ongoing management strategies are and what is currently known about PIMS associated with COVID-19.
Dr. Yeung is a pediatrician, professor of paediatrics, immunology and medical science at the University of Toronto, and a senior scientist in cell biology research at The Hospital For Sick Children in Toronto.
She co-authored a Practice Case article published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201600
Podcast transcript: https://www.cmaj.ca/transcript-201600
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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.

The gender pay gap in medicine

Dr. Tara Kiran and Dr. Michelle Cohen share their analysis of the gender pay gap as it relates specifically to physicians. They discuss their personal experiences as well as current data showing that, in many medical specialties, men are still getting paid more than women for roughly equivalent work.
Dr. Michelle Cohen is a family doctor in Brighton, Ontario and is assistant professor in the department of family medicine at Queen's University in Kingston, Ontario. Dr. Tara Kiran is a family doctor and researcher at St. Michael's Hospital in Toronto and is vice-chair of quality and innovation at the department of family and community medicine at the University of Toronto.
Their analysis article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200375
Podcast transcript: https://www.cmaj.ca/transcript-200375
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The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.
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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.

Preserving fertility in young women with breast cancer

Dr. Ellen Warner and Dr. Karen Glass discuss different options for fertility preservation for young women who must undergo breast cancer treatment. They also discuss the importance of early referral to fertility preservation counselling, an option that is often not presented to women until it's too late.
Dr. Ellen Warner is a medical oncologist and director of PYNK: Breast Cancer Program for Young Women at the Sunnybrook Odette Cancer Centre in Toronto. Dr. Karen Glass is the director of fertility preservation at CReATe Fertility Centre in Toronto and also works at Sunnybrook Hospital.
Their review article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200245
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This podcast episode is brought to you by Audi Canada.
The Canadian Medical Association has partnered with Audi Canada to offer CMA members a preferred incentive on select vehicle models. Purchase any new qualifying Audi model and receive an additional cash incentive based on the purchase type. Details of the incentive program can be found at www.audiprofessional.ca.
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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.

L’obésité chez l’adulte : ligne directrice de pratique clinique

La gestion du poids doit valider le vécu des patients, aller au-delà des approches simplistes qui consistent à leur conseiller de « manger moins et de bouger plus » et s’attaquer aux racines profondes de l’obésité.
Les Dres Marie-France Langlois et Angela Alberga expliquent les recommandations clé des nouvelles lignes directrices sur l'obésité chez l'adulte. Elles sont interviewées par Dre Jo-Anne Gilbert, spécialiste en gestion du poids.
Dre Marie-France Langlois est professeure titulaire à la faculté de médecine de l'Université de Sherbrooke, endocrinologue et directrice médicale de la clinique médico-chirurgicale du traitement de l'obésité au CIUSSS de l'Estrie-CHUS.
Dre Angela Alberga est professeure adjointe au département de santé, physiologie appliquée et kinesiologie à l'Université Concordia et est aussi professeure agrégée au département de pédiatrie à l'Université McGill.
Elles sont deux des auteurs du guide de pratique clinique sur l'obésité chez les adultes publié dans le Journal de l'Association médicale canadienne.
Lignes directrices : www.cmaj.ca/lookup/doi/10.1503/cmaj.191707

Coagulopathy, thrombosis and COVID-19

In this podcast, Dr. Patrick Lawler and Dr. Lucas Godoy discuss the evidence around endothelial injury related to SARS-CoV-2 cellular invasion. In some cases, thrombosis is a prominent clinical feature of COVID-19 that may lead to organ failure, multi system injury or death.
Dr. Lawler is a cardiologist at the Peter Munk Cardiac Centre in Toronto and a clinician-scientist at the Toronto General Hospital Research Institute.
Dr. Godoy is a cardiologist and research fellow at the Peter Munk Cardiac Centre in Toronto.
The review article they authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201240
Podcast transcript: https://www.cmaj.ca/transcript-201240
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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.

Obesity: shifting to a patient-centred approach to management

Dr. Sean Wharton and Dr. David Lau discuss a newly published clinical practice guideline on obesity management. They are joined by Lisa Schaffer, who talks about her experience as a Canadian living with obesity. They discuss the complex interplay of factors that can lead to obesity, such as genetics, metabolic, behavioural, psychological and environmental factors. They also talk about stigma and its negative impact on health independent of other factors.
Dr. Sean Wharton is an internist, associate professor and clinical researcher at McMaster University in Hamilton and York University in Toronto, Ontario. Dr. David Lau is an endocrinologist, researcher and professor of medicine, biochemistry and molecular biology at the University of Calgary Cumming School of Medicine. Lisa Schaffer is a patient-partner and chair of the public engagement committee with Obesity Canada.
The clinical practice guideline is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.191707
Podcast transcript: https://www.cmaj.ca/transcript-191707
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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.

For-profit long-term care homes and the risk of COVID-19

In this podcast, Dr. Nathan Stall and Dr. Andrew Costa discuss the results of their research on the risk of outbreaks and deaths from COVID-19 in long-term care homes in Ontario by for-profit or not-for-profit status.
Dr. Nathan Stall is a geriatrician at Sinai Health System and a research fellow at Women's College Research Institute. He is also completing a PhD in clinical epidemiology and health care research at the University of Toronto.
Dr. Andrew Costa is an associate professor and holds a research chair in clinical epidemiology and aging at McMaster University in Hamilton, Ontario. He is also research director in the St. Joseph's health system.
The research article they authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.201197
Podcast transcript: https://www.cmaj.ca/transcript-201197
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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.

Diagnosing acute aortic syndrome: clinical practice guideline

Acute aortic syndrome is a life-threatening emergency. It is difficult to diagnose and is often missed in the emergency department, but it’s a syndrome that must be on a physician’s radar. Dr. Robert Ohle discusses how to identify acute aortic syndrome and how to diagnose it.
Dr. Ohle is one of the authors of a clinical practice guideline on the topic. He is an emergency medicine physician and research director for emergency medicine at Health Science North in Sudbury, Ontario.
The guideline article he co-authored is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.200021
Podcast transcript: https://www.cmaj.ca/transcript-200021
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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.