Post Archives

Dr. Richard Cohen
January 17, 2013

Stuck in Transmission: Time to Change Gears

In the past I followed a tried and tested format for classroom lecturing ‘Tell them what you are going to tell them’ (a set of well-written educational objectives), ‘tell them what you want to tell them’ (no shortage of instructional papers on how to develop a good PowerPoint presentation) and finally ‘tell them what you have told them’ (a concise summary). read more...

Dr. Marisa Collins
January 8, 2013

This app changed my practice: My Fitness Pal

Achieving and maintaining a healthy body weight is an important objective for patients and physicians alike. Just in time for New Year’s resolutions, here’s an app to recommend to your patients and, perhaps, to make use of yourself. read more...

Dr. Kiran Veerapen
December 18, 2012

The Importance of Words in Clinical Teaching

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. read more...

Dr. Steve Wong

Letter from the editor

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. read more...

Dr. William T. Gibson
December 3, 2012

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

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. read more...

Dr. Neda Amiri
November 20, 2012

Contributed Works

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 […] read more...

Dr. Jason Hart

Rivaroxaban for treatment of symptomatic pulmonary embolism: exploring new territories

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. read more...

Dr. Laura Sauvé
November 5, 2012

Rotavirus vaccine

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. read more...

Dr. Joseph Lam
October 23, 2012

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

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. read more...

Dr. Dan Ezekiel
October 10, 2012

Undergoing the College’s practice review assessment

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. read more...

Dr. David Topps
September 24, 2012

This app changed my practice: DizzyFix

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. read more...

Dr. Maria Chung
September 10, 2012

Depression in the elderly

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. read more...

Dr. Jiri Frohlich
August 20, 2012

What’s new in dyslipidemia

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. read more...

Dr. Marisa Collins
July 31, 2012

May I add an HIV test to your bloodwork today?

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

Dr. Susan Hollenberg
July 10, 2012

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

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

Dr. Ran Goldman
June 18, 2012

Active video games and child's physical activity

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

Sue Murphy
June 1, 2012

Going Experiential

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. read more...

Dr. Steve Wong
May 28, 2012

This app changed my practice: Dropbox

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. read more...