All articles

Dr. Rohit Vijh
May 13, 2024

PCR swabs: a useful diagnostic tool for identifying syphilis

Given the increasing rates of syphilis and changing epidemiology of syphilis with increasing incidence in heterosexual populations, my clinical suspicion for syphilis testing has increased. If a patient presents with primary or secondary lesions that are amenable to PCR swabbing, I now collect a PCR swab specimen, in addition to sending the patient for serology. read more...

Dr. Omesh Syal
Apr 15, 2024

Using data for practice quality improvement to address blood sugar challenges for complex care patient

I highly recommend registering with the Health Data Coalition and becoming more familiar with your measures within the HDC Discover application to recognize your contribution. We, as a collective profession, can make a positive impact on our own practices and larger communities. read more...

Dr. Steve Wong
Mar 20, 2024

CPSBC Library closure

We were saddened to hear of the closure of the BC College Library on March 15. The College Library has been an important partner for TCMP since our beginning and we sincerely appreciate everything they have done for our readership. read more...

Dr. Paxton Bach
Mar 12, 2024

New guidance on alcohol and health from the Canadian Centre on Substance Use and Addiction

The new Canadian guideline situates alcohol-related harms along a continuum, recognizing that negative health and social consequences of alcohol can arise even at rates previously consistent with low risk. read more...

Rohit Singla PhD, Dr. Daniel Raff, Dr. Hester Vivier, and Dr. Andre Van Wyk
Feb 14, 2024

Talking smart: conversational AI streamlines clinical practice

Conversational AI has become a valuable tool for family physicians in Canada. It helps us provide better patient care, eases the burden of documentation, and reduces burnout. Incorporating digital scribe technology brings marked efficiency, especially given the high patient volumes. With AI managing real-time transcription and summarization, physicians can give undivided attention to patients, deepening rapport and focus on prescriptions and referrals. read more...

Drs. Carson Chin, Nathan Hitchman, and Jordan Friedmann
Jan 24, 2024

Gouty pitfalls

Guidelines recommend that ULT be directed by SUA, but interpretation of such differs in acute and chronic phases of gout. Therapies require renal dose adjustment and can lead to serious and even fatal adverse events. Preventable adverse events continue to occur in BC due to underutilization of testing. read more...

Drs. Kevin Liang and Philip Hui
Jan 10, 2024

Asthma and COPD as-needed inhalers (SABD): where refills matter!

New asthma and COPD guidelines are changing the way we provide respiratory care; SABDs, such as salbutamol and ipratropium, are no longer the mainstay treatment for both conditions. Importantly, SABD overuse is a measure of poor disease control and suggests a need for treatment escalation. read more...

Dr. Steve Wong
Dec 20, 2023

Letter from the editor

In the demanding landscape of modern healthcare, physicians bear the weight of both clinical responsibilities and the intricate challenges that come with navigating an evolving health-care system. Physician burdens are a leading cause of practitioner stress and a key factor in early practice exits.  Finally, this is being more openly discussed and we are even seeing regulatory and funding bodies starting to acknowledge, and sometimes start to address, this critical issue. read more...

Dr. Shirley Samuel-Haynes
Nov 21, 2023

Palliative approach to care and serious illness conversations

I learned that a palliative approach to care and serious illness conversations address and manage patients' and families' psychological, practical, social, loss/grief, spiritual, and physical issues like pain and symptom management in line with their goals of care and help prepare for eventual life closure. Here are practical tips on how to implement this in your practice. read more...

Beata Chami
Nov 08, 2023

Effectively managing imposter syndrome in medicine

Experience of imposter feelings is linked to poor mental health outcomes such as anxiety, depression, and burnout and results in lower professional fulfillment. There may not be a “cure” for imposter syndrome, but there are strategies available to minimize the onset of it. Addressing symptoms that can have a significant impact on your well-being and those that you care for. read more...

Dr. Rachel Grimminck, Dr. Jo Hoffman, and Dr. Laura McLean
Oct 25, 2023

Psychedelics: safely navigating a new frontier

Given the rapidly shifting social, political, and legal contexts surrounding the use of psychedelics, we realized the need to offer an informed opinion on the use of psychedelics in the same way we offer information and harm reduction strategies for substances such as opiates, cannabis, and alcohol. read more...

Dr. Nawaaz Nathoo and Sorayya Seddigh
Oct 11, 2023

No more reading glasses: daily eyedrops for presbyopia

There are currently no eye drops for presbyopia treatment that have been approved for use in Canada. In December 2021, pilocarpine hydrochloride 1.25% eye drops became the first drug approved by the FDA for the medical management of presbyopia. Pilocarpine is a miotic agent that uses the eyes’ natural ability to constrict the pupil via parasympathetic innervation. It has been shown to improve near-intermediate vision without impacting distance vision. read more...