1 Comment

Austin Lam is a medical student at the University of Toronto

 

 

We often hear and use the term “patient-centred care” without having a precise definition in mind. In order to elucidate the meaning of this term, it is important to analyze the concept lying at its centre: the patient. What does it mean to be a patient? What is the core, essential definition of patient?

Some have argued for patient to be replaced with a different term. As someone who has undergone surgeries myself, I have reflected on the meaning of this word and its associated implications. My hope is that this preliminary analysis can help provide directions for future questions, emphasizing an open exploration rather than closing off areas of discussion. ...continue reading

Abhishek Gupta is a research and medical sub-intern at CAMH who graduated from the Windsor University School of Medicine

 

The controversial debate over cannabis legalization has concluded on an official level, legally placing the drug in the hands of the Canadian public. Very soon, anyone over the age of 19 will be able to walk into a store and obtain it for personal consumption.

For mental health professionals, some aspects of this decriminalization effort are appealing. Conventional marijuana is often laced with far more dangerous substances leading to highly dangerous health outcomes. Furthermore, individuals with substance abuse issues are more likely to seek professional help when the consequences of drug possession are milder. Much like needle exchange sites, this move towards legalization provides consumers with a safer alternative for addressing their cravings for cannabis. ...continue reading

Sarina Lalla is a medical student in the Class of 2020 at McMaster University

 

When McMaster medical students learn about medical conditions in a problem-based setting, we frequently use the mnemonic “DEEPICT” (Definition, Epidemiology, Etiology, Prognosis, Investigations, Clinical presentations, Treatment) to approach them. Medical schools focus on teaching students about these important aspects of diseases; with time and practice, this information can be retained and applied by students to make them better clinicians.

However, there is also value in understanding a disease through the eyes of patients. More specifically, it is critical to recognize how facing an illness and navigating the healthcare system impacts their lives. Patients are the experts on their own experiences, and the knowledge they can present in the form of stories can teach us a lot. While we learn how to interpret information in the form of bloodwork and imaging, patients present first and foremost with a story. ...continue reading

4 Comments

Bader Alamri is an Internal Medicine Resident (R3) at Dalhousie University

 

Since 1978, more than 4,500 Saudi physicians and surgeons have been trained and have provided healthcare in Canada. These individuals have trained and practiced at many university hospitals across Canada over the past forty years, working within a very wide range of specialties—from general residency training to subspecialty fellowships, as well as very specific areas of research and clinical interest [1].

The Royal College of Physicians and Surgeons in Canada (RC) recently signed a Master Executive Agreement with the Saudi Commission for Health Specialties (SCFHS) to increase and improve the quality of training in Saudi Arabia, which reflects the long-standing relationship between the two parties [2]. In fact, the current SCFHS CEO is himself a Canadian-trained gastroenterologist at the University of British Columbia, and the current CEO of RC is a hematologist who established the first bone marrow transplant program in the Kingdom of Saudi Arabia. ...continue reading

1 Comment

Katherine Atkinson is a PhD student at the Karolinska Institutet in the Department of Public Health Science.

Cameron Bell has a B. Eng from McGill and is the lead technical architect for the CANImmunize project.

Kumanan Wilson is a physician and senior scientist at the Ottawa Hospital, Professor of Medicine at the University of Ottawa, and lead at the Ottawa Hospital mHealth Lab

 

As they accumulate their “10,000 hours” of caring for patients or examining the health system, health care providers and researchers often come up with great ideas on how the system could be improved.  The advent of digital technologies and mobile apps has helped to tear down the barriers to introducing these newly devised solutions and created opportunities for a new breed of medical entrepreneurs.  You may want to build an app that will help you get critical information to your patients because you know this is why they are having trouble staying healthy.  Or perhaps you want to empower them to manage their own health care by tracking aspects of their health.  Or maybe you have an idea that could allow physicians to do simple diagnostic tests at the bedside using smartphones.

At the beginning of 2018, there were almost 100,000 health apps on the Apple iOS App Store and Google Play. Health and fitness apps are cited to have the highest user retention rates, engagement, and frequency of use ...continue reading

At its core, humanism is a concept which weaves together the science and the art of medicine. The American Arnold P. Gold Foundation, established by the Gold family in an effort to “nurture and preserve the tradition of the caring physician,” has been striving to accomplish this since its inception through the development of various programs — including the Humanism in Medicine Award at the Association of American Medical Colleges (AAMC) to honour caring and compassionate mentors in medical school education.

Dr. Sarita Verma, Vice President of Education at the Association of Faculties of Medicine of Canada (AFMC), notes that this ideal — providing compassionate care that is sensitive to patients’ values, as well as the integrity and nature of the physician-patient relationship — resonates quite strongly with Canadian medical students as well. ...continue reading

Arnav Agarwal is an Internal Medicine Resident (R1) at the University of Toronto. Check back the last Thursday of each month for a new featured piece as part of his series (Doc Talks: Reflections to Reality)!

 

Arnav Agarwal, CC3. I starkly recall etching those three words as I signed off on my first clinical note on a warm September morning. I wish this could be in pencil, I remember thinking. The idea of permanently associating my identity with a patient’s story and offering a proposed impression and plan felt outlandish — I barely had my own impression and plan figured out. How was I going to help patients and make a difference when I could hardly find my way to the right area of the hospital for my first day? And, a more weighted question: could I really practice medicine?

Indeed, the two years that followed were defined by gruelling academic intensity unparalleled by the prior two years of pre-clerkship. A rigorous clinical schedule was now paired with the expectation to prove theoretical capabilities every six to eight weeks. Uncountable sleepless overnight shifts on-call were matched by long days and weekend shifts. The unwavering anticipation of new learning experiences was paralleled by the uncomfortable sense of needing to constantly impress those around us and hold our own in a seemingly foreign environment. ...continue reading

1 Comment

Kevin Lam is a third-year medical student at McMaster University

Lawrence Loh is Associate Medical Officer of Health at Peel Region, Ontario, and Adjunct Professor at the University of Toronto Dalla Lana School of Public Health

 

Suburbs, and later exurbs, became central to the Canadian lifestyle during the automobile boom in the 1960s and 1970s. Cars were sold as the future and urban planners created suburban neighbourhoods that quickly became the primary venue where people lived and learned. Suburbs were touted to be cleaner and safer spaces, far away from “derelict” urban cores, where people went only to go to work. From this idyllic image, suburban built environments have since developed various distinct characteristics, typically defined by "commercial strips, low density, separated land uses, automobile dominance, and a minimum of public open space."

Having reshaped many cities in North America, the suburban model has gone global. Around the world, the suburban forms of major cities such as Mississauga (Toronto), Surrey (Vancouver), Limert Park (Los Angeles), Footscray (Melbourne), and Prospect Park South (New York) share these similar characteristics. But it’s becoming clear that suburban living doesn’t necessarily promote wellbeing. In fact, urban sprawl is not healthy. ...continue reading

2 Comments

Sabrina Slade is a medical student in the Class of 2019 at Queen's University

 

Let me preface this by saying I am the kind of person who uses sarcasm and humour as a form of coping, and these opinions are my own.

You I have cancer.

A phrase I never could have dreamt would come out of my mouth, yet something I see or speak about almost every day in my so far short-lived medical career.

It’s the last week of June; I’ve just started my internal medicine rotation in Toronto and am rushing to get ready as I have slept through all seven of my alarms. I glance at my phone, noticing three missed calls and a voicemail with a little urgent symbol beside it. It’s my family doctor’s office; I listen to the voicemail half-heartedly as I struggle to pull on my nylons. She says something about biopsy results, and the words “neoplasia” and “urgent referral” stop me cold. I shimmy over to my phone, my nylons awkwardly half on, and hit replay. ...continue reading

Denis Daneman is Professor and Chair Emeritus in the Department of Paediatrics at the University of Toronto, and Paediatrician-in-Chief Emeritus at the Hospital for Sick Children in Toronto

 

Here’s a strong recommendation for all paediatricians and paediatricians-in-training: if you are going to read only one book in 2018, seriously consider Ghost Boy: The miraculous escape of a misdiagnosed boy trapped inside his own body, the autobiography of Martin Pistorius, co-written with Megan Lloyd Davies. The book was given to me by a colleague aware of my bibliophilia, my South African roots and my advocacy for child health: “Read this!” she said, simply and forcefully. I obeyed, picking it up a couple of days later. I could not put it down until I’d read it cover to cover.

The story is pretty simple: a 12 year old, previously well boy in South Africa, develops an undiagnosed neurological illness, which leaves him mute and quadriplegic ...continue reading