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The Importance of Words in Clinical Teaching

By Dr. Kiran Veerapen on December 18, 2012

Before this incident in the emergency room, I had no established teaching practice that focused consciously on checking the veracity of a trainees’ use and understanding of medical terminology. This challenged my assumption that the medical student comprehended such composite terms accurately.

Letter from the editor

By Dr. Steve Wong on December 18, 2012

As 2012 draws to a close, I’d like to take an opportunity to thank all of our readers for their support, suggestions, and encouragement. It’s been a very gratifying experience for all of us involved at This Changed My Practice.

Direct-to-Consumer genetic testing: What it means for the general practitioner

By Dr. William T. Gibson on December 3, 2012

From a medical perspective, I advise people who are thinking about DTC genetic testing to think of it like the over-the-counter (OTC) medical tests available in many pharmacies.

Contributed Works

By Dr. Neda Amiri on November 20, 2012

Rivaroxaban for treatment of symptomatic pulmonary embolism: exploring new territories, Nov 20, 2012 Thyroid Nodules: Get more information from your ultrasound, Feb 4, 2013 Aldosterone antagonists for the treatment of systolic heart failure, Apr 15, 2013 Effects of glucocorticoids on cardiovascular risks in patients with rheumatoid arthritis, Sep 23, 2013 Five clinical points on Rheumatoid […]

Rivaroxaban for treatment of symptomatic pulmonary embolism: exploring new territories

By Dr. Jason Hart on November 20, 2012

In April 2012, NEJM published The EINSTEIN-PE study, which looked at the use of oral Rivaroxaban for the treatment of symptomatic pulmonary embolism in 4833 patients.

Rotavirus vaccine

By Dr. Laura Sauvé on November 5, 2012

Rotavirus vaccines can prevent important morbidity for young infants, and the associated physician visits, emergency department visits, hospitalizations and related parental stress and missed work days due to rotavirus infection.

"Bleach baths" and atopic dermatitis – help from under the kitchen sink

By Dr. Joseph Lam on October 23, 2012

In 2009, Huang et al published a study looking at whether or not suppression of S aureus growth with bleach baths and intranasal mupirocin improves AD severity.

Undergoing the College’s practice review assessment

By Dr. Dan Ezekiel on October 10, 2012

I underwent the assessment in the spring of 2011 and, like most practices, I discovered that there were some things I was doing well and some other things that could do with some improvement.

This app changed my practice: DizzyFix

By Dr. David Topps on September 24, 2012

DizzyFix’s diagrams walk you through the steps needed for the Dix-Hallpike and Epley’s maneuvers, including a real-time display of exactly what path and angle to move the patient’s head through, and a timer to introduce appropriate pauses.

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Depression in the elderly

By Dr. Maria Chung on September 10, 2012

Depression can have devastating effects on the elderly and their families. Moreover, it is often under recognized, as it can present atypically, with agitation/ anxiety, somatic symptoms, or cognitive and functional decline rather than sadness and withdrawal.

What’s new in dyslipidemia

By Dr. Jiri Frohlich on August 20, 2012

Several studies established that apo B is a better predictor of risk both at baseline and on treatment than LDL-C due to the fact that small dense LDL particles are much more atherogenic as they easily penetrate the endothelial space.

May I add an HIV test to your bloodwork today?

By Dr. Marisa Collins on July 31, 2012

Routine HIV testing for all adults is now recommended by Vancouver Coastal Health, Providence Health and the BC Centre for Excellence in HIV/AIDS.

The whole cell cholera and travellers’ diarrhea vaccine – Looking for evidence in the prevention of travellers’ diarrhea

By Dr. Susan Hollenberg on July 10, 2012

The approval of the oral whole cell cholera and traveller’s diarrhea vaccine in Canada promised a novel approach to the prevention of TD.

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Active video games and child's physical activity

By Dr. Ran Goldman on June 18, 2012

With advances in computer based gaming, safety concerns and sedentary life style of today’s families, children have been significantly less active.

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Going Experiential

By Sue Murphy on June 1, 2012

An ongoing problem with student supervision in the clinical setting is managing the expectations of Clinical supervisors. Frequently, clinical supervisors are clinicians with many years of experience in their specialty, who have not been practicing at “entry level” for some time.

This app changed my practice: Dropbox

By Dr. Steve Wong on May 28, 2012

Like many physicians, for many years now, I’ve been using electronic-only copies of journal articles (pdf files) for my own continuing education, reference and teaching purposes. Now, I have an easy way to organize and access documents.

Diabetes and exercise

By Dr. Andrew Farquhar on May 14, 2012

I direct more effort to encouraging physical activity as a critical tool in the management of T2D. I emphasize a healthy diet but stress that weight loss is not the primary goal, exercise is.

Role of inhaled steroids in acute asthma exacerbations

By Dr. Julian Marsden on April 30, 2012

Given their effectiveness, safety, and ability to prevent relapses inhaled corticosteroids are now part of my discharge prescription for asthma exacerbations.

Screening for depression in pregnancy using the Edinburgh Depression Scale

By Dr. Karen Buhler on April 16, 2012

The EDS is a highly sensitive screening tool administered in less than 10 minutes and can be distributed before the encounter.

Apps, websites and guidelines for osteoporosis management in primary care in 2012

By Dr. Daniel Ngui on April 2, 2012

Given our aging population, more and more family physicians are being asked for advice about diagnosis and treatment on osteoporosis.

Advance care plan (ACP) for patients with multiple co-morbidities

By Dr. Catherine Clelland on March 20, 2012

The GP Services Committee developed the Complex Care Planning fee (14033) to encourage Family Physicians to spend time with patients with multiple co-morbidities and develop a plan for their management.

Paradigm shift in treatment of hemangiomas

By Dr. James Bergman on March 5, 2012

At present, for hemangiomas patients who I feel need systemic therapy I personally use oral Propanolol instead of systemic steroids, as I believe that the benefit risk analysis presently favours Propanolol.

Understanding breast cancer responsiveness

By Dr. Karen Gelmon on February 20, 2012

There has been an explosion of information about the genetics and molecular makeup of breast cancers with a heightened understanding that this is not one disease. Using newer sequencing technology, researchers have suggested 9 distinctive types of the disease.

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Something as basic as wax cleaning!

By Dr. Michael Clifford Fabian on February 6, 2012

Cerumen build-up is a common problem for patients and doctors alike. According to McCarter et al cerumen impaction is present in approximately 10 percent of children, 5 percent of normal healthy adults and up to 57 percent of older patients in nursing homes.

Tailoring therapy for type 2 diabetes: the role of incretins

By Dr. Breay Paty on January 23, 2012

These oral agents, administered once daily, augment endogenous GLP-1, resulting in an A1C reduction of 0.5 – 0.9%. Since GLP-1 does not directly stimulate insulin, they have the advantage of not promoting hypoglycemia or weight gain.

This app changed my practice: CCS lipid guidelines

By Dr. Steve Wong on January 9, 2012

This app allows a very rapid entry of relevant parameters to perform risk assessments using the Framingham Risk Score but also the Reynolds Risk Score.

Archives by date

The Importance of Words in Clinical Teaching

Letter from the editor

Direct-to-Consumer genetic testing: What it means for the general practitioner

Contributed Works

Rivaroxaban for treatment of symptomatic pulmonary embolism: exploring new territories

Rotavirus vaccine

"Bleach baths" and atopic dermatitis – help from under the kitchen sink

Undergoing the College’s practice review assessment

This app changed my practice: DizzyFix

Depression in the elderly

What’s new in dyslipidemia

May I add an HIV test to your bloodwork today?

The whole cell cholera and travellers’ diarrhea vaccine – Looking for evidence in the prevention of travellers’ diarrhea

Active video games and child's physical activity

Going Experiential

This app changed my practice: Dropbox

Diabetes and exercise

Role of inhaled steroids in acute asthma exacerbations

Screening for depression in pregnancy using the Edinburgh Depression Scale

Apps, websites and guidelines for osteoporosis management in primary care in 2012

Advance care plan (ACP) for patients with multiple co-morbidities

Paradigm shift in treatment of hemangiomas

Understanding breast cancer responsiveness

Something as basic as wax cleaning!

Tailoring therapy for type 2 diabetes: the role of incretins

This app changed my practice: CCS lipid guidelines

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