CMAJ Podcasts

Injectable opioid agonist treatment for opioid use disorder: a national clinical guideline

In this interview, Dr. Nadia Fairbairn and Dr. Christy Sutherland discuss how to treat opioid use disorder with injectable opioid agonist treatments. They discuss which patients are good candidates for the treatment, how the treatment is administered, and they offer practical advice on overall strategies for treatment and support for patients with opioid use disorder. They also discuss the opioid epidemic on a systemic level.
Dr. Nadia Fairbairn is an internist who specializes in addiction medicine at St. Paul’s Hospital in Vancouver and is director of the International Collaborative Addiction Medicine Research Fellowship with the BC Centre on Substance Use.
Dr. Christy Sutherland is a family physician in downtown Vancouver who specializes in addiction medicine. She has lead a number of initiatives to help downtown Vancouver’s most vulnerable residents.
To read the clinical practice guideline: www.cmaj.ca/lookup/doi/10.1503/cmaj.190344
Podcast transcript: https://www.cmaj.ca/transcript-190344
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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.

Diagnosis and management of Parkinson disease

In this interview, Dr. David Grimes and Dr. Tiago Mestre discuss diagnosis and management of Parkinson disease, including: how to first recognize it, progression, treatment (medications, deep brain stimulation, exercise), nonmotor features such as depression, and palliative care. Dr. Grimes and Dr. Mestre are two of the authors of a new Canadian clinical practice guideline published in the Canadian Medical Association Journal.
Dr. David Grimes is chief of the division of neurology and director of the Parkinson Disease and Movement Disorder Clinic at The Ottawa Hospital. Dr. Tiago Mestre is a movement disorder neurologist and director of the Deep Brain Stimulation Program at The Ottawa Hospital.
To read the clinical practice guideline: www.cmaj.ca/lookup/doi/10.1503/cmaj.181504
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Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

Med Life with Dr. Horton — Dr. Sharon Straus on mentorship

In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Sharon Straus about mentorship, from being a mentee to being a mentor.
Dr. Horton and Dr. Straus talk about:
- tips and tricks for students and trainees to find a good mentor
- how to be a good mentor for others
- how mentoring can help change culture in medicine
- evidence and studies on mentorship
- what it was like to have Dr. David Sackett as a mentor
- and much more
Dr. Sharon Straus is acting physician-in-chief at St. Michael’s Hospital in Toronto and Canada Research Chair at the University of Toronto. She has authored over 400 publications and 3 books that cover such topics as clinical epidemiology, academic mentorship, gender and diversity in academic medicine.
Dr. Jillian Horton is a general internist and director of the Alan Klass health humanities program at the Max Rady college of medicine in Winnipeg, Manitoba.
For more of her podcasts or for the Dear Dr. Horton column: www.cmaj.ca/medlife
Podcast transcript: https://www.cmaj.ca/transcript-191119
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The opinions stated in this podcast are made in a personal capacity and do not necessarily reflect those of the Canadian Medical Association Journal.
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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.

Naloxone as a technology of solidarity: history of opioid overdose prevention

In this interview, Dr. Nancy Campbell talks about the history of naloxone. In today’s reality of opioid addiction epidemics in many areas of the world, naloxone is highly regarded as a life-saving drug that reverses opioid overdose — it's a technology of solidarity. But it was once considered a technology of suspicion. It had to pass through social cycles of innovation, adoption, and backlash. It was even used by law enforcement to test individuals suspected of using narcotics. Its history is a fascinating one.
Dr. Nancy Campbell is professor and department head of Science and Technology Studies at Rensselaer Polytechnic Institute in Troy, New York.
She has authored many books on the topic, including Discovering Addiction: The Science and Politics of Substance Abuse Research as well as a forthcoming book called OD: Naloxone and the Politics of Overdose Prevention.
Her CMAJ Medicine and Society article is titled “Naloxone as a technology of solidarity: history of opioid overdose prevention.” The article is published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190257
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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, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

Encounters — A pediatric oncologist is moved by his patient's wise words

In this narrative, Dr. Paul Moorehead reflects on a young patient’s wise words to him. The story is true.
Dr. Moorehead is a pediatric hematologist oncologist at Janeway Children’s Health and Rehabilitation Centre in St. John’s, Newfoundland.
He wrote a Humanities Encounters article published in CMAJ called "The truth about going home."
To read the article: https://www.cmaj.ca/lookup/doi/10.1503/cmaj.190424
Podcast transcript: https://www.cmaj.ca/transcript-190424
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Music: Heartbreaking, YouTube audio library
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For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters
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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.

Ovarian cancer risk in women with BRCA1/2 genetic variants

In this interview, Dr. Melissa Walker discusses management of ovarian cancer risk in women with BRCA1/2 pathogenic variants. She talks about risk factors for ovarian cancer, who should get genetic testing and who should get preventive surgery. She also discusses what to do about contraception and how to manage menopause in women with BRCA1/2.
Dr. Melissa Walker is a fifth-year resident in obstetrics and gynecology at the University of Toronto. She works at Women’s College Hospital at the Preventive Ovarian Cancer Clinic in Toronto, Ontario.
She co-authored a practice article with Dr. Michelle Jacobson and Dr. Mara Sobel published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190281
Podcast transcript: https://www.cmaj.ca/transcript-190281
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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.

Med Life with Dr. Horton — Physician burnout with Dr. Tait Shanafelt, CWO

In this "Med Life with Dr. Horton" podcast, Dr. Jillian Horton chats with Dr. Tait Shanafelt about burnout and physician wellbeing.
Dr. Horton and Dr. Shanafelt talk about:
- link between physician wellbeing and quality of care
- research on physician burnout
- can an individual diagnose their own burnout
- organizational-level intervention and prevention
- loss of meaning in medicine
- the role of Chief Wellness Officer at Stanford
- and much more
Dr. Tait Shanafelt is an oncologist and leading researcher on physician wellbeing and its impact on patient care. He is chief wellness officer of Stanford Medicine, associate dean for the Stanford school of Medicine and director of the Stanford WellMD center.
Dr. Jillian Horton is a general internist and director of the Alan Klass health humanities program at the Max Rady college of medicine in Winnipeg, Manitoba.
For more of her podcasts or for the Dear Dr. Horton column: http://www.cmaj.ca/medlife
Podcast transcript: https://www.cmaj.ca/transcript-190852
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The opinions stated in this podcast are made in a personal capacity and do not necessarily reflect those of the Canadian Medical Association Journal.
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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.

Philosophers on Medicine — What are delusions?

In this podcast, Dr. Jonathan Fuller and Prof. Matthew Parrott discuss delusions, a concept that raises several questions from a philosophical perspective. They share their views on the nature of belief, and what is going on in a person’s mind during delusional thinking.
Professor Matthew Parrott is from the Department of Philosophy at the University of Birmingham in the UK. Dr. Jonathan Fuller is assistant professor of history and philosophy of science at the University of Pittsburgh and a recent graduate of the University of Toronto medical school.
For more philosophical discussions related to medicine, visit www.philosophersonmedicine.com
Full humanities article: www.cmaj.ca/lookup/doi/10.1503/cmaj.190048
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Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, 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.

Encounters Poem — Le fou Bonnet

Dr. Harald Gjerde reads his poem called "Le fou Bonnet." The poem is written from the perspective of a man with Charles Bonnet Syndrome, which causes complex visual hallucinations.
Dr. Gjerde is a fifth year ophthalmology resident at Dalhousie University in Halifax Nova Scotia.
To read his article, published in CMAJ: www.cmaj.ca/lookup/doi/10.1503/cmaj.190276
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Music: I Miss You, YouTube audio library
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For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters
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Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.

Value-based insurance design for pharmacare

In this interview, Dr. Steve Morgan and Dr. Kai Yeung discuss a possible framework for pharmacare. They argue and explain that setting copayments based on drugs’ clinical and economic value can promote patient choice and encourage cost-conscious selections.
Dr. Kai Yeung is a pharmacist and pharmaceutical economist at Kaiser Permanente Washington Health Research Institute in Seattle, Washington, and Dr. Steve Morgan is a health economist and professor of health policy at University of British Columbia, in Vancouver.
They co-authored an analysis article published in the Canadian Medical Association Journal. Full article: www.cmaj.ca/lookup/doi/10.1503/cmaj.181721
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Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite aggregator. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.