All articles

Drs. Sandra Sirrs and Neda Amiri
Feb 04, 2013

Thyroid Nodules: Get more information from your ultrasound

Ultrasound can be a powerful tool in distinguishing thyroid nodules with malignant potential from benign ones. Thyroid nodules found on physical examination are common. Fewer than 5% of these nodules are malignant. read more...

Dr. Ran Goldman
Jan 21, 2013

Acute limping in children

Acute limping is a very common chief complaint among children visiting a clinic. When children with a limp present to you, always consider the possibility of septic arthritis. How can one differentiate between transient synovitis and septic arthritis? read more...

Dr. Richard Cohen
Jan 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
Jan 08, 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
Dec 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
Dec 03, 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...

Drs. Jason Hart and Neda Amiri
Nov 20, 2012

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
Nov 05, 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
Oct 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
Oct 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
Sep 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...