The University of British Columbia
UBC - A Place of Mind
The University of British Columbia
Faculty of MedicineThis Changed My Practice (UBC CPD)
  • Home | Articles
  • TCMP Rural
  • Bios
  • Suggest/Contribute
  • Subscribe
  • Resources
  • Key features | 0.25 credits/article
  • UBC CPD Courses
» This Changed My Practice » Practice Change

Practice Change

Why I no longer prescribe weight loss, calculate BMI, or use the term “obesity”

Why I no longer prescribe weight loss, calculate BMI, or use the term “obesity”

By Dr. Katarina Wind on May 3, 2022

Medical school taught me that “obesity” is a cause of morbidity and mortality, and that weight loss is its cure. I recorded patients’ BMIs and counselled them on weight-loss strategies, believing that I was helping them.

Read More | 30 Comments

Practice tip (for BC practitioners) utilizing PathwaysBC beyond specialist lookups — finding patient handouts, requisitions, point-of-care tools

By Drs. Tracy Monk, Nick Graham, Karin Kausky, Michele Thomasse, and Ryan Gallagher on March 22, 2022

We all used PathwaysBC.ca to help us find specialists for our patients, to look up wait times and what information to include in a referral, but we learned that Pathways could help streamline our clinical work in so many more ways.

Read More | No Comments

Tokes in the throat: cannabis smoking-related harm in otolaryngology

Tokes in the throat: cannabis smoking-related harm in otolaryngology

By Brendan McNeely and Dr. Amanda Hu on February 9, 2022

Recent evidence has emerged that shows cannabis smoking is related to significant patient morbidity. Namely, cannabis smoke exposure increased the risk of oropharyngeal cancer in a dose-dependent manner. Cannabis use may also be associated with hearing loss, vestibular dysfunction, tinnitus, and sinusitis.

Read More | 4 Comments

Perioperative anticoagulation management in mechanical heart valves, the PERIOP2 trial

Perioperative anticoagulation management in mechanical heart valves, the PERIOP2 trial

By Drs. Taylor Drury, Poupak Rahmani, and Tony Wan on January 26, 2022

We continue to use full dose therapeutic low molecular weight heparin (LMWH) for bridging in the pre-operative period. However, we now use post-operative prophylactic LMWH as an alternative bridging strategy in patients undergoing high-risk bleeding procedures. In patients at high risk of thromboembolism (including mechanical mitral valve and atrial fibrillation) undergoing a high-risk bleeding procedure, we are now less aggressive in resuming full dose therapeutic anticoagulation, as we feel comfortable using prophylactic LMWH for up to several days post-operatively before resuming therapeutic anticoagulation.

Read More | 3 Comments

Advances in diabetes glucose monitoring

Advances in diabetes glucose monitoring

By Gerri Klein on January 12, 2022

For all my patients who are on hypoglycemic medications, oral or injectable, I suggest using rtCGM or isCGM. Even intermittent use or a short trial of 10 days to two weeks with either of these devices can be enlightening for patients. With the ongoing COVID restrictions, many of my patients have been unable (or unwilling) to obtain an A1C from a lab test. In my practice, I have found it helpful to use glucose TIR to assess glucose control as an adjunct measure to A1C results; when an A1C is not available; and to guide treatment recommendations.

Read More | 23 Comments

Curing Through Connection: A 3-part series on attachment, resilience, and health. Article 3: The Importance of Attachment Theory in Healthcare

Curing Through Connection: A 3-part series on attachment, resilience, and health. Article 3: The Importance of Attachment Theory in Healthcare

By Dr. Linda Uyeda and Dr. Ashley Miller on July 7, 2021

The ingredients needed to create a happy workplace also largely reflect the principles of secure attachment. Across all levels within organizations, if people do not feel “safe, seen, soothed, and secure” they are more likely to make errors, breach safety protocols, and struggle working together as a team.

Read More | 4 Comments

Concussion rehabilitation update and a free self-management concussion tool

Concussion rehabilitation update and a free self-management concussion tool

By Sue Barlow and Carolyn Rondeau on June 3, 2021

Concussions or mild traumatic brain injury are the most common type of traumatic brain injury. It is estimated that every year in British Columbia (BC), there are approximately 14,500 visits to the emergency department and that this number is most likely an underestimate of the “true burden of concussion”.

Read More | 8 Comments

father comforting his crying little son - parenthood concept

Curing Through Connection: A 3-part series on attachment, resilience, and health. Article 2: Parenting During a Pandemic

By Dr. Ashley Miller and Dr. Linda Uyeda on May 12, 2021

As I started to understand that this pandemic would wear on, I had to figure out how to help my patients’ families and my own family navigate our way through this totally new reality. I drew on the science of attachment, resilience and healthy relationships to make a plan. (Please stay tuned for Article #3!)

Read More | 1 Comment

Rate versus Rhythm Control in Patients with Atrial Fibrillation: Time to Change the Paradigm?

Rate versus Rhythm Control in Patients with Atrial Fibrillation: Time to Change the Paradigm?

By Drs. Christopher C. Cheung, Kenneth G. Gin, Jason G. Andrade on February 10, 2021

Patients with persistent AF, less symptomatic and/or older patients, and those with prior anti-arrhythmic failure are best managed with a rate control strategy. The EAST-AFNET 4 study is a practice-changing trial, and strongly supports the role of early rhythm control in patients with newly-diagnosed AF.

Read More | 2 Comments

Psychological PPE during COVID-19

Psychological PPE during COVID-19

By Dr. Jennifer Russel & Françoise Mathieu MEd RP on November 18, 2020

A few weeks into the COVID-19 crisis and as a psychiatrist working in a tertiary care hospital, while homeschooling my two boys, I had a strong awareness that I needed to really work to keep myself healthy in a way that I have never felt before to make sure I was able to survive this crisis. I needed to grab my psychological PPE.

Read More | 10 Comments

Portable ultrasound

Portable ultrasound

By Drs. Philip Lee and Stefanie Falz Mclellan on September 30, 2020

The integration of point of care ultrasound (PoCUS) in the emergency department workflow is not always easy, and these challenges have been amplified in the time of COVID-19. The COVID-19 pandemic has led to an increased interest in the use of handheld ultrasound devices as they simplify infection control procedures and take up little space in emergency rooms crowded with critical care equipment.

Read More | 5 Comments

Heart

Icosapent Ethyl to Reduce Atherosclerotic Events in Patients with Hypertriglyceridemia

By Omid Kiamanesh, MD, FRCPC on August 26, 2020

Despite intensive lowering of LDL-C using lipid-modifying therapy, residual ASCVD risk persists, particularly in those with hypertriglyceridemia. Icosapent ethyl has been shown to reduce residual ASCVD risk and cardiovascular death in select patients with hypertriglyceridemia while on statin therapy.

Read More | 8 Comments

Nash, W. P. (2011). US Marine Corps and Navy combat and operational stress continuum model: A tool for leaders. Combat and operational behavioral health, 107-119.

Stress First Aid as a form of Peer Support

By Dr. Joanna Cheek on August 5, 2020

It’s not easy to train in new skills to support our mental health when the race has already begun. We are all going to cycle out of the green zone many times, regardless of our practice of self-care. We need each other right now to provide peer support to help each of us notice when we’re moving to the right of the stress continuum and pause or pace ourselves so we can complete this marathon together.

Read More | 7 Comments

Serious Illness Conversations in the Time of COVID-19

Serious Illness Conversations in the Time of COVID-19

By Drs. Lawrence Chow and Rose Hatala on May 6, 2020

In the era of the COVID-19 pandemic, our most vulnerable patients (the elderly and those with chronic illnesses) are disproportionately at the highest risk of mortality. In this difficult and chaotic time, it’s more important than ever that we maintain a humanistic approach to care. This involves keeping the patient, and their values and preferences, front and center in our care.

Read More | 4 Comments

Taking care of each other during COVID-19 – peer support for physicians

Taking care of each other during COVID-19 – peer support for physicians

By Tandi Wilkinson MD CCFP-EM on April 1, 2020

I conducted a study examining effective peer support in rural Canadian physicians. (Spoiler alert: those who have had good peer support say it is essential to their career in medicine.) Here is what I am doing now to ensure I, and my team, can manage through this unprecedented time at work.

Read More | 21 Comments

Government Assistance Forms

Government Assistance Forms: Do they leave you bewildered?

By Dr. Janet McKeown on March 11, 2020

Government Assistance: Health Resources and Forms tool has helped me understand assistance with a more organized approach. It has helped me access information quickly and it has helped me be more knowledgeable about billing provincially, federally and privately. It is also an efficient tool to use in a teaching environment to help learners better understand government assistance.

Read More | 15 Comments

Hiding in plain sight: men’s mental health

Hiding in plain sight: men’s mental health

By Dr. Dan Bilsker on January 8, 2020

It is well-known that men die on average 3-4 years before women – but why? We identified three main factors contributing to Years of Life Lost by men compared to women: cardiovascular disease, suicide, and motor vehicle accidents. As a psychologist, I was intrigued by the substantial contribution of suicide.

Read More | 4 Comments

IUD

Use of endometrial aspirators as a uterine sound for IUD insertion

By Dr. Lisa Nakajima on December 4, 2019

One of the risks of IUD insertion includes perforation of the uterus. Although uterine perforation is relatively uncommon and often does not cause long-term harm, it does increase the risk of unplanned pregnancy and often requires surgery. I have chosen to use endometrial aspirators that are commonly used for endometrial biopsy sampling as a sound for IUD insertions, instead of the traditional metal sounds.

Read More | 7 Comments

mental-health

ACEs (Adverse Childhood Experiences): One Family Physician’s Experience

By Dr. Tahmeena Ali on August 21, 2019

I now ask all patients, young and old, new to my practice and established for years, male and female, to complete an ACEs questionnaire in my clinic. I garner a new level of respect for my patients’ resilience and for the ongoing turmoil many of my young patients face. I make finding supports for these young vulnerable patients one of my top priorities—as important as a referral to a specialist or for diagnostic imaging.

Read More | 10 Comments

Tropical

Practice Tip: Cutaneous larva migrans

By Dr. Miguel Imperial on July 30, 2019

Once I diagnose a patient with CLM based on a compatible travel history and characteristic serpiginous rash, I continue to treat the itch and inflammatory symptoms symptomatically if indicated, but I am able to much more readily offer systemic therapy with ivermectin since it no longer requires a Health Canada Special Access application.

Read More | 4 Comments

Facing a College Physician Practice Enhancement Program Assessment? What you need to know in 2019?

Facing a College Physician Practice Enhancement Program Assessment? What you need to know in 2019?

By Dr. Daniel Ngui on June 12, 2019

The Physician Practice Enhancement Program Assessment is highly educational and it helps physicians enhance the quality of their patient care through a peer review. It provides valuable feedback and creates opportunities to guide professional development and lifelong learning.

Read More | 3 Comments

The myth of the “Manipulative Personality Disorder”:  taking the blame out of the illness

The myth of the “Manipulative Personality Disorder”: taking the blame out of the illness

By Dr. Joanna Cheek on May 8, 2019

View personality disorder symptoms as important treatment targets in themselves. Be curious about each patient’s story, validate PD symptoms as coping mechanisms, focus on collaborative problem solving, set proactive regular visits, and also be mindful of your own emotional reactions providing compassion and empathy while setting clear boundaries.

Read More | 7 Comments

Parkinson’s disease: burden of non-motor problems

Parkinson’s disease: burden of non-motor problems

By Dr. Darly Wile on April 3, 2019

What I have found is that while it can sometimes be assumed that motor problems are the patient’s “biggest problem”, this is often not the case; instead, I now make a point of asking the patient, and their family directly: “What is the biggest problem for you right now?”

Read More | 3 Comments

Decreasing pain of osteoarthritic knees

Decreasing pain of osteoarthritic knees

By Dr. Muxin (Max) Sun on March 6, 2019

I have decreased my frequency of giving steroid injections for decreasing pain of osteoarthritic knees. I educate patients on evidence, placebo effects and risks. I recommend less invasive therapies including physiotherapy, exercise (quadriceps and hip abductor strengthening, Tai Chi), hot compress, antiinflammatory creams, weight loss, TENS machine, orthopedic & orthotic devices, etc.

Read More | 10 Comments

HIV pre-exposure prophylaxis (PrEP) for individuals at risk for HIV infection

HIV pre-exposure prophylaxis (PrEP) for individuals at risk for HIV infection

By Mark W. Hull MD MHSc on November 13, 2018

Over the last five years, on an ongoing basis, we have seen new HIV infections occurring in young gay, bisexual and other men who have sex with men (MSM). The majority of these individuals had had a prior negative HIV test within the last year, or were presenting with signs or symptoms supportive of an acute HIV infection, suggesting recent exposure and transmission of HIV infection, highlighting the need for novel HIV prevention strategies.

Read More | 4 Comments

Learning to meet my patient where they are at – how letting go changed my practice

Learning to meet my patient where they are at – how letting go changed my practice

By Michelle C. Danda, RN, BN on October 10, 2018

I realized that engagement is paramount when working with an ambivalent patient, because the change that they want to make is often important in their life, even if the clinician views it as a problem behavior. Motivational interviewing education has been shown to improve patient alliance and treatment adherence.

Read More | 4 Comments

Trauma Informed Practice (TIP) makes perfect (or at least it is a good start)

Trauma Informed Practice (TIP) makes perfect (or at least it is a good start)

By Dr. Carol-Ann Saari on September 5, 2018

In the general population, approximately 75% of Canadians will report having experienced an adverse and potentially traumatic experience in their lifetime, with 9.2% meeting criteria for PTSD. We have to become trauma informed. Trauma informed practice (TIP) is a way of providing services that recognizes the need for physical and emotional safety, choice and control in decisions affecting one’s treatment and an environment where patients do not experience further traumatization.

Read More | 1 Comment

Equity-oriented health care

Equity-oriented health care

By Dr. Colleen Varcoe and Dr. Heather Smith on August 15, 2018

Health equity-oriented care is now part of my daily practice; the tools created with, and provided by, the EQUIP study have helped to make health care inequity an issue that I can screen for and offer options for management.

Read More | No Comments

Surgery

Baby aspirin for extended DVT prophylaxis after elective hip and knee arthroplasty

By Drs. Terence Yung and Tony Wan on July 24, 2018

For those who had an elective hip or knee arthroplasty who have no other risk factors for VTE, after initial 5 days of DVT prophylaxis with rivaroxaban 10mg a day, I complete the remaining DVT prophylaxis with aspirin 81mg once daily for an additional 30 days for hip arthroplasty and 9 days for knee arthroplasty. Those who already were on once-daily 81mg aspirin prior to surgery will receive 162mg aspirin once daily instead in this period.

Read More | 2 Comments

Boy-with-cerebral-palsy

Hip surveillance in children with cerebral palsy

By Dr. Min S. Phang, MRCP, FRCPC and Stacey Miller, PT on June 13, 2018

I now refer all children with cerebral palsy, or suspected cerebral palsy, to the Child Health BC Hip Surveillance Program. Information about the program is available at www.childhealthbc.ca/hips, including a referral form for physicians. The incidence of hip dislocations can be significantly reduced!

Read More | No Comments

Page 1 of 3123»

Visit ubccpd.ca

UBC CPD logo and website

View all CPD (conferences, workshops, webinars, online modules, customized in-community courses, hands-on courses, etc.): ubccpd.ca/courses.
  • Awards
In 2014 TCMP won the CFPC Continuing Professional Development (CPD) Award. This award recognizes a MAINPRO®-accredited educational program that has provided an exceptional learning experience to practicing or practice-eligible CFPC members.
In 2012 UBC CPD received the Royal College Accredited CPD Provider Innovation Award for This Changed My Practice.
  • Categories
  • Tags
  • Addiction Medicine
  • Allergy/ Immunology
  • Announcements
  • Cardiology
  • Dermatology
  • Diabetes
  • Emergency Medicine
  • Endocrinology
  • Family Medicine
  • Gastroenterology
  • Geriatrics
  • Hematology
  • Hepatology
  • Infectious Disease
  • Internal Medicine
  • Nephrology
  • Neurology
  • Obstetrics and Gynaecology
  • Oncology
  • Ophthalmology
  • Orthopaedics
  • Otorhinolaryngology or ENT (ear, nose and throat)
  • Palliative Care
  • Pediatrics
  • Physiatry
  • Physical Therapy
  • Practice
  • Psychiatry
  • Respirology
  • Rheumatology
  • Sport Medicine
  • Surgery
  • Teaching
  • Technology
  • Travel Medicine
  • Urology
  • Wellness
  • work-life women well-being venous thromboembolism Vaccine ultrasound thrombosis teaching Stroke Sexual Medicine resource Pregnancy Practice Tip Practice Change patient handouts pain opioids Mental Health liver Kidney Disease iOS infants HIV heart failure heart GI Tract exercise Elderly diet Diabetes depression COVID-19 concussion children cardiovascular cancer Breast cancer brain blood work blood pressure billing Beta Blockers autism arthritis apps
    • Authors
    • Timeline
    • Past Articles
    • Andrea Holmes
    • Andrea Warnick
    • Beata Chami
    • Cait O'Sullivan
    • Clarissa Wallace
    • Douglas Cave, PhD
    • Dr. Adeera Levin
    • Dr. Alexander Chapman
    • Dr. Alice Chang
    • Dr. Alisa Lipson
    • Dr. Alissa Wright
    • Dr. Amanda Hill
    • Dr. Amin Javer
    • Dr. Amin Kanani
    • Dr. Andrew Farquhar
    • Dr. Andrew Howard
    • Dr. Anna Tinker
    • Dr. Anne Antrim
    • Dr. Antoinette van den Brekel
    • Dr. Barb Melosky
    • Dr. Bob Bluman
    • Dr. Breay Paty
    • Dr. Brian Bressler
    • Dr. Brian Kunimoto
    • Dr. Carol-Ann Saari
    • Dr. Catherine Allaire
    • Dr. Catherine Clelland
    • Dr. Charlie Chen
    • Dr. Chris Cheung
    • Dr. Chris Stewart-Patterson
    • Dr. Christina Williams
    • Dr. Christy Sutherland
    • Dr. Clara van Karnebeek
    • Dr. Colleen Dy
    • Dr. Colleen Varcoe
    • Dr. Craig Goldie
    • Dr. Dan Bilsker
    • Dr. Dan Ezekiel
    • Dr. Daniel Dodek
    • Dr. Daniel Kim
    • Dr. Daniel Ngui
    • Dr. Darly Wile
    • Dr. David Sheps
    • Dr. David Topps
    • Dr. Dean Elbe
    • Dr. Deborah Altow
    • Dr. Devin Harris
    • Dr. Diane Villanyi
    • Dr. Duncan Etches
    • Dr. Ed Weiss
    • Dr. Edmond Chan
    • Dr. Eileen Murray
    • Dr. Elina Liu
    • Dr. Elisabeth Baerg Hall
    • Dr. Eric Yoshida
    • Dr. Erica Tsang
    • Dr. George Luciuk
    • Dr. Glen Burgoyne
    • Dr. Gordon Francis
    • Dr. Graeme Wilkins
    • Dr. Greg Rosenfeld
    • Dr. Heather Leitch
    • Dr. Hector Baillie
    • Dr. Hugh Anton
    • Dr. James Bergman
    • Dr. Jan Hajek
    • Dr. Jane Buxton
    • Dr. Janet McKeown
    • Dr. Janet Simons
    • Dr. Jason Hart
    • Dr. Jennifer Grant
    • Dr. Jennifer Robinson
    • Dr. Jiri Frohlich
    • Dr. Joanna Cheek
    • Dr. Joseph Lam
    • Dr. Judy Allen
    • Dr. Julian Marsden
    • Dr. Julio Montaner
    • Dr. Kam Shojania
    • Dr. Kara Jansen
    • Dr. Karen Buhler
    • Dr. Karen Gelmon
    • Dr. Karen Nordahl
    • Dr. Katarina Wind
    • Dr. Kelly Luu
    • Dr. Ken Seethram
    • Dr. Kenneth Gin
    • Dr. Kenneth Madden
    • Dr. Kevin Fairbairn
    • Dr. Keyvan Hadad
    • Dr. Kiran Veerapen
    • Dr. Kourosh Afshar
    • Dr. Krishnan Ramanathan
    • Dr. Launette Rieb
    • Dr. Laura Sauvé
    • Dr. Leslie Sadownik
    • Dr. Linda Uyeda
    • Dr. Linlea Armstrong
    • Dr. Lisa Nakajima
    • Dr. Maria Chung
    • Dr. Marisa Collins
    • Dr. Martha Spencer
    • Dr. Mary V. Seeman
    • Dr. Matthew Clifford-Rashotte
    • Dr. Maysam Khalfan
    • Dr. Michael Clifford Fabian
    • Dr. Michael Diamant
    • Dr. Michelle Withers
    • Dr. Miguel Imperial
    • Dr. Min S. Phang, MRCP, FRCPC
    • Dr. Monica Beaulieu
    • Dr. Mustafa Toma
    • Dr. Muxin (Max) Sun
    • Dr. N. John Bosomworth
    • Dr. Nadia Zalunardo
    • Dr. Natasha Press
    • Dr. Nawaaz Nathoo
    • Dr. Neda Amiri
    • Dr. Nigel Sykes
    • Dr. Pam Squire
    • Dr. Paul Mullins
    • Dr. Paul Thiessen
    • Dr. Peter Black
    • Dr. Ran Goldman
    • Dr. Randall White
    • Dr. Ric Arseneau
    • Dr. Richard Cohen
    • Dr. Richard Kendall
    • Dr. Roberto Leon
    • Dr. Roey Malleson
    • Dr. Rosemary Basson
    • Dr. Sandra Sirrs
    • Dr. Sarah Finlayson
    • Dr. Sarah Stone
    • Dr. Sharlene Gill
    • Dr. Shelina Babul
    • Dr. Shireen Mansouri
    • Dr. Shirley Jiang
    • Dr. Shirley Sze
    • Dr. Simon Moore
    • Dr. Soren Gantt
    • Dr. Stan Lubin
    • Dr. Steve Wong
    • Dr. Sue Murphy
    • Dr. Suren Sanmugasunderam
    • Dr. Susan Hollenberg
    • Dr. Susan Woolhouse
    • Dr. Sylvia Stockler
    • Dr. Tahmeena Ali
    • Dr. Tandi Wilkinson
    • Dr. Tara Sedlak
    • Dr. Taryl Felhaber
    • Dr. Taylor Drury
    • Dr. Ted Steiner
    • Dr. Terence Yung
    • Dr. Tony Wan
    • Dr. Vanessa Brcic
    • Dr. William T. Gibson
    • Dr. Yazdan Mirzanejad
    • Francoise Mathieu
    • Gerri Klein
    • Glynnis Tidball, MSc (Aud, SLP), RAUD
    • James McCormack
    • Kishore Mulpuri
    • Lily Zhou
    • Michael Lee
    • Michelle C. Danda, RN, BN
    • Michelle van den Engh
    • Nichole Fairbrother
    • Nina Zoric
    • Ruth Elwood Martin
    • Shari Hurst
    • Sue Barlow
    • Sue Murphy
    • May 2022
    • April 2022
    • March 2022
    • February 2022
    • January 2022
    • December 2021
    • November 2021
    • October 2021
    • September 2021
    • August 2021
    • July 2021
    • June 2021
    • May 2021
    • April 2021
    • March 2021
    • February 2021
    • January 2021
    • December 2020
    • November 2020
    • October 2020
    • September 2020
    • August 2020
    • July 2020
    • June 2020
    • May 2020
    • April 2020
    • March 2020
    • February 2020
    • January 2020
    • December 2019
    • November 2019
    • October 2019
    • September 2019
    • August 2019
    • July 2019
    • June 2019
    • May 2019
    • April 2019
    • March 2019
    • February 2019
    • January 2019
    • December 2018
    • November 2018
    • October 2018
    • September 2018
    • August 2018
    • July 2018
    • June 2018
    • May 2018
    • April 2018
    • March 2018
    • February 2018
    • January 2018
    • December 2017
    • November 2017
    • October 2017
    • September 2017
    • August 2017
    • July 2017
    • June 2017
    • May 2017
    • April 2017
    • March 2017
    • February 2017
    • January 2017
    • December 2016
    • November 2016
    • October 2016
    • September 2016
    • August 2016
    • July 2016
    • June 2016
    • May 2016
    • April 2016
    • March 2016
    • February 2016
    • January 2016
    • December 2015
    • November 2015
    • October 2015
    • September 2015
    • August 2015
    • July 2015
    • June 2015
    • May 2015
    • April 2015
    • March 2015
    • February 2015
    • January 2015
    • December 2014
    • November 2014
    • October 2014
    • September 2014
    • August 2014
    • July 2014
    • June 2014
    • May 2014
    • April 2014
    • March 2014
    • February 2014
    • January 2014
    • December 2013
    • November 2013
    • October 2013
    • September 2013
    • August 2013
    • July 2013
    • June 2013
    • May 2013
    • April 2013
    • March 2013
    • February 2013
    • January 2013
    • December 2012
    • November 2012
    • October 2012
    • September 2012
    • August 2012
    • July 2012
    • June 2012
    • May 2012
    • April 2012
    • March 2012
    • February 2012
    • January 2012
    • December 2011
    • November 2011
    • October 2011
    • September 2011
    • August 2011
    • July 2011
    • June 2011
    • May 2011
    • April 2011
    • March 2011
    • February 2011
    • January 2011
    • December 2010
    • November 2010
    • October 2010
    • September 2010
    • August 2010
    • July 2010
    • June 2010
    • April 2010
      • Why I no longer prescribe weight loss, calculate BMI, or use the term “obesity”
      • Identifying Advanced Heart Failure in your patient
      • Practice tips for heart failure with reduced ejection fraction (HFrEF): supporting patients with medications and self-monitoring
      • Practice tip (for BC practitioners) utilizing PathwaysBC beyond specialist lookups — finding patient handouts, requisitions, point-of-care tools
      • Use of non-invasive tests for liver fibrosis
      • Pharmacologic thromboprophylaxis in hospitalized patients with COVID-19
      • Tokes in the throat: cannabis smoking-related harm in otolaryngology
      • Perioperative anticoagulation management in mechanical heart valves, the PERIOP2 trial
      • Advances in diabetes glucose monitoring
      • Letter from the editor
      • Cultivating compassion for people who are unvaccinated
      • PAUSE Trial & Thrombosis Canada Guidelines: practice tip
      • Adult ADHD — Practice Tip
      • Physician well-being during COVID-19 — burnout & moral injury
      • Approach to the patient with flashes and/or floaters
      • Can we identify patients at risk for Opioid Use Disorder when beginning opioid analgesics for pain from new or ongoing non-cancer causes?
      • New treatment option for Primary Biliary Cholangitis (PBC)
      • Curing Through Connection: A 3-part series on attachment, resilience, and health. Article 3: The Importance of Attachment Theory in Healthcare
      • IMPROVE VTE scoring to guide VTE prophylaxis for medical inpatients
      • Concussion rehabilitation update and a free self-management concussion tool
      • Curing Through Connection: A 3-part series on attachment, resilience, and health. Article 2: Parenting During a Pandemic
      • Giant Cell Arteritis Part 2: Treatment
      • A Refresher in Pelvic Pain
      • Clearing up the confusion around pneumococcal vaccines
      • Curing Through Connection: A 3-part series on attachment, resilience, and health. Article 1: Cultivating secure bonds with our children during stressful times
      • Rate versus Rhythm Control in Patients with Atrial Fibrillation: Time to Change the Paradigm?
      • Specialists and Family Practice: Tackling the Pseudo-Penicillin Allergy Epidemic Together
      • Sodium Glucose Cotransporter 2 (SGLT2) Inhibitors: New drug class in the treatment of Heart Failure with Reduced Ejection Fraction — DAPA-HF and EMPEROR-Reduced trials
      • Letter from the editor
      • Alcohol Use Disorder — New Name, New Standard of Care, Dramatically Better Outcomes
      • Psychological PPE during COVID-19
      • “Can you prescribe me cannabis, doc?”
      • Treating Teenagers with Acne
      • Portable ultrasound
      • Giant Cell Arteritis Part 1: Diagnosis
      • Icosapent Ethyl to Reduce Atherosclerotic Events in Patients with Hypertriglyceridemia
      • Stress First Aid as a form of Peer Support
      • Transforming Management of Stable Ischemic Heart Disease – To Revascularize or Not? How the ISCHEMIA trial will affect clinical practice
      • Interpretation of Syphilis Serology
      • Self-Compassion
      • Nurturing Resilience in Clinical Supervision
      • Healthcare Professional Well-Being
      • Serious Illness Conversations in the Time of COVID-19
      • Evolving in the era of COVID-19
      • Taking care of each other during COVID-19 – peer support for physicians
      • Government Assistance Forms: Do they leave you bewildered?
      • Preparing children for the medically assisted death of a loved one
      • Practice tip: medication-induced stuttering in psychiatric patients
      • Learning from each other: A Peer Coaching Program
      • Appropriate testosterone testing for male hypogonadism
      • Hiding in plain sight: men's mental health
      • Letter from the editor
      • Use of endometrial aspirators as a uterine sound for IUD insertion
      • You too can help eliminate Hepatitis C by 2030
      • New insight into “HFpEF” – cardiac amyloid no longer a zebra diagnosis?
      • Using topical corticosteroids safely and effectively
      • “Girls on the Spectrum”: Autistic Spectrum Disorder in Girls
      • Sinusitis: appropriate diagnosis and management
      • ACEs (Adverse Childhood Experiences): One Family Physician's Experience
      • Practice Tip: Cutaneous larva migrans
      • Presenteeism
      • Correcting the Myth of Calcium Correction
      • Facing a College Physician Practice Enhancement Program Assessment? What you need to know in 2019?
      • Dry Eye Syndrome
      • The myth of the “Manipulative Personality Disorder”: taking the blame out of the illness
      • Anal cancer: information to get you out of the dark!
      • Parkinson’s disease: burden of non-motor problems
      • Anxiety disorders among pregnant and postpartum women
      • Decreasing pain of osteoarthritic knees
      • Help - the steroids are not working - Helping women with refractory vulvar lichen sclerosus
      • Pearls and Pitfalls of Rheumatologic Lab Investigations
      • Dietary and physical activity recommendations for cancer survivors
      • Letter from the editor
      • Postoperative “troponinitis” is not benign: highlighting the importance of surveillance
      • HIV pre-exposure prophylaxis (PrEP) for individuals at risk for HIV infection
      • Driving assessment in older adults
      • New insight into “HFpEF” – cardiac amyloid no longer a zebra diagnosis?
      • Learning to meet my patient where they are at - how letting go changed my practice
      • Fecal incontinence: just ask!
      • Trauma Informed Practice (TIP) makes perfect (or at least it is a good start)
      • Better than sex? Building mind wandering tolerant presentations
      • Equity-oriented health care
      • Baby aspirin for extended DVT prophylaxis after elective hip and knee arthroplasty
      • Wellness and self-care for professional excellence
      • Hip surveillance in children with cerebral palsy
      • The power of storytelling in clinical encounters
      • Concussion management: time to give “brain rest” a rest
      • Trauma as a determinant of health
      • Practice Tip: “SAIL" through a vulvovaginal examination
      • The practice of mindfulness
      • Guidelines
      • Adverse events following immunizations (AEFI)
      • Guidelines for working with formerly incarcerated people
      • Angiotensin Receptor Neprilysin Inhibitor (ARNI) in Heart Failure with Reduced Ejection Fraction (HFrEF): Sacubiltril/Valsartan and the PARADIGM HF Trial
      • Letter from the editor
      • Managing your passwords
      • Managing opioid use disorder: buprenorphine/naloxone opioid agonist treatment
      • Indications and value of self-administered vaginal swabs for STIs and vaginitis
      • MOVE an injury not RICE
      • Whether or not to use systemic corticosteroids to treat a skin disease
      • The risks of worklessness
      • Evaluation of penicillin allergy
      • Management of Perioperative Bridging Anticoagulation in Patients with Atrial Fibrillation
      • Backward Course Design
      • Review of the topic of Autism Spectrum Disorder
      • Step by step approach to determine the safety of prescribing Hormone Replacement Therapy
      • Seeking collateral information when clinical practice guidelines deliver strong recommendations for drug therapies on the basis of a single clinical trial
      • Long-term benzodiazepine use is associated with increased mortality in people with schizophrenia
      • Elevated Lipoprotein (a) is a common reason for unexplained premature or recurrent coronary heart disease and stroke
      • Serious illness conversations and capturing advance care planning
      • First Canadian guideline on perioperative cardiac risk assessment and management for patients undergoing non-cardiac surgery
      • Outcome-focused cognitive behavioral therapy (CBT)
      • Why does my student seem disengaged? A perspective on learner engagement in new environments
      • Geriatric urinary incontinence: just ask!
      • Symptoms attributed to Chronic Lyme Disease
      • Outbreak overload: fever in the returning traveller
      • Pyogenic granulomas
      • Letter from the editor
      • BC Take Home Naloxone Program - updated article
      • Chronic Fatigue Syndrome upgraded to disease
      • Two causes of anemia
      • Prednisolone or pentoxifylline for alcoholic hepatitis
      • Pyogenic granulomas
      • But I don’t do maternity care… (yes you do!)
      • Diagnosing processing disorders
      • Best practice: a tip from an employment lawyer
      • Gaps in recognizing, treating and managing concussions
      • Recommending a plant-based diet
      • Part 2: Minimizing the pain of the IUD insertion: all effort required
      • Comparing intensive versus standard blood-pressure control: The SPRINT Trial
      • Diagnosis and management of congenital cytomegalovirus infection
      • Non-hormonal treatments for menopausal symptoms
      • Nail fungus
      • Part 1: Who should be offered an IUD, and selection of the appropriate IUD
      • The Alvarado Score in Acute Appendicitis
      • Part 2: Treating Gout - Practice Tips and Clinical Pearls
      • Surgery versus IVF in endometriosis infertility
      • When quality trumps quantity: a clinician’s perspective
      • Screening for occult cancer in unprovoked venous thromboembolism (VTE)
      • Enhance the valsalva to (actually) terminate SVT
      • Screening for developmental dysplasia of the hip: an evidence-based approach to practice
      • Weight loss in healthy people
      • Letter from the editor
      • Concussion rehabilitation
      • A simple new technique for collecting urine in infants
      • Postnatal investigation of antenatally detected hydronephrosis
      • Hope for patients with fatigue, pain, and unexplained symptoms
      • Exercise during pregnancy
      • Cardiovascular outcomes and blood pressure, glucose, and cholesterol numbers
      • Management of cyclical pelvic pain
      • This app changed my practice - Read by QxMD
      • Recognizing the Potential Influence of the Interpersonal Gap in Teaching
      • This app changed my practice - Treatable Intellectual Disability Endeavor in B.C. (TIDE) - Treatable ID App www.treatable-id.org
      • Measurement of depressive symptoms improves outcomes in primary care
      • Open book exams - something to consider?
      • BC Take Home Naloxone Program
      • Role of imaging in management of undescended testis (UDT)
      • Mineralocorticoid Receptor Antagonists in Heart Failure with Preserved Ejection Fraction: The TOPCAT and ALDO-DHF trials
      • Evolving use of multi parametric MRI in prostate cancer detection
      • The unvoiced questions of children experiencing an illness, dying, or death in their family
      • Meningococcal Serogroup B Vaccine
      • Why Am I Talking?
      • Part 1: Diagnosing Gout in Primary Care Settings: Do we have to tap?
      • This app changed my practice: Mindshift App
      • Does my patient have a food allergy?
      • Incretin Safety: What is the Evidence?
      • Age-Related Macular Degeneration: New treatments that changed my practice
      • Knee arthroscopy for conditions of the degenerative knee
      • Non-suicidal self-injury
      • Letter from the editor
      • Fecal biomarkers in the diagnosis and management of inflammatory bowel disease
      • Can my patient safely drive on long-term daily opioid medication?
      • Ovarian cancer and hereditary predisposition
      • Tinnitus – The Essentials of Patient Care in BC
      • Diuretic strategies in patients with acute decompensated heart failure
      • Early diagnosis of autism
      • What blood pressure should I target in my patients with chronic kidney disease?
      • Routine neonatal oximetry screening for critical congenital heart defects in British Columbia: It's time!
      • Meniscectomy
      • Contributed Works Dr. Sylvia Stockler
      • DrugCocktails.ca resource
      • Managing opioid withdrawal
      • Minimal evidence of benefit from medications to increase sexual desire
      • Myocardial infarction in women without obstructive coronary artery disease
      • Compassion Fatigue What you don't know will hurt you
      • Update on the guidelines for Subacute Bacterial Endocarditis (SBE) prophylaxis
      • Using domperidone to enhance lactation
      • Midshaft Clavicle Fractures
      • Five clinical points on Rheumatoid Arthritis in Family Practice
      • Lateral Epicondyle Tendinopathy (Tennis Elbow) Toolkit
      • Letter from the editor
      • When vulvovaginal atrophy involves loss of genital sexual sensitivity: local (vaginal) dehydroepiandrosterone (DHEA) shows promise
      • Swaddling and developmental dysplasia of the hips
      • B.C. Cancer Agency Colon Cancer Program
      • Choosing Wisely - A resource to help reduce unnecessary or harmful tests and interventions
      • HIV in Family Practice: testing & diagnosis
      • Effects of glucocorticoids on cardiovascular risks in patients with rheumatoid arthritis
      • Managing the complicated somatoform disorder patient
      • Evaluation of familial cancer risk: it starts at www.screeningbc.ca
      • Reduce falls by improving cognitive function
      • Traveller’s diarrhea
      • Use exams to guide, not drive, learning; the importance of intrinsic motivation
      • RACE Hotline
      • Provoked vestibulodynia (PVD) needs holistic management and a chronic pain approach
      • Pharmacogenetics and pharmacogenomics: practice tips
      • How a family physician can help patients with chronic pain: a guide to navigating patient internet resources in BC
      • Clostridium difficile infection (CDI)
      • Aldosterone antagonists for the treatment of systolic heart failure
      • Barrier repair in atopic dermatitis
      • Care gaps in schizophrenia: male/female differences
      • Appropriate use of sedation in palliative care
      • Never ignore an elevated eosinophil count - especially in travellers, immigrants and refugees
      • Thyroid Nodules: Get more information from your ultrasound
      • Acute limping in children
      • Stuck in Transmission: Time to Change Gears
      • This app changed my practice: My Fitness Pal
      • 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
      • Letter from the editor
      • What is the correct dosing for Vitamin D?
      • Vapor rub for treatment of nocturnal cough and cold symptoms in children
      • Non-suicidal self-injury: reducing future risk
      • The most important question never asked about sleep
      • Improving end-of-life care for patients with advanced cancer
      • It’s just a runny nose!
      • Spreading pain with neuropathic features may be induced by opioid medications
      • Community acquired pneumonia
      • Don’t request testosterone levels for women’s low sexual desire
      • This app changed my practice: Pocket A1C
      • Treating Hepatitis C - the future is now!
      • Proton pump inhibitors and Clostridium difficile infection
      • New targets for Diabetes (A1C): Why we are aiming at 'only' 7 percent
      • Advocating Fallopian Tube removal at the time of hysterectomy to prevent ovarian cancer
      • Weed is not just an herb
      • Prostate Specific Antigen – Does the new data support its utility for prostate cancer screening?
      • Acute Ischemic Stroke: Thombolysis is an Effective Therapy
      • Self-management of mood problems
      • New therapies and new end points in the treatment of Crohn’s Disease
      • Management of maternal thyroid disease in pregnancy
      • Chronic ulcers and biofilms
      • The outcomes of prematurity
      • Monitoring of cardiovascular disease risk in people with chronic mental illness
      • Smoking Cessation
      • Transient Ischemic Attacks: High Risk and Treatable
      • Use of HAART as a strategy to stop HIV and AIDS
      • Early prenatal screening
      • Leaving warfarin for the rats? A new option in anticoagulation for atrial fibrillation
      • Minimizing radiation exposure – decision to order imaging?
      • An Update: BPH Management for Family Physicians
      • The Intra-Uterine Device
      • Pediatric allergy
      • The natural history of severe dementia
      • Understanding eGFR in the clinical context: who does and does not need referral?
      • Probiotic therapy has changed my approach to treating patients with irritable bowel syndrome
      • New fee codes and treatment options have improved my care of patients with mental health problems
      • Evidence shows that chemotherapy holidays may not be in the best interest for patients with metastatic colorectal carcinoma

      Recent Comments

      • Katarina Wind on Why I no longer prescribe weight loss, calculate BMI, or use the term “obesity”
      • Gwyn McIntosh on Why I no longer prescribe weight loss, calculate BMI, or use the term “obesity”
      • Dr. William Clarke on Why I no longer prescribe weight loss, calculate BMI, or use the term “obesity”
      • Dr. Maggie Watt on Why I no longer prescribe weight loss, calculate BMI, or use the term “obesity”
      Disclaimer
      This Changed My Practice – UBC CPD
      Faculty of Medicine
      City Square, East Tower, 200-555 W 12th Ave
      Vancouver, BC Canada V5Z 3X7
      Tel 604 675 3777
      Fax 604 675 3778
      Website ubccpd.ca
      Email tcmp.cpd@ubc.ca
      Find us on
          
      Back to top
      The University of British Columbia
      • Emergency Procedures |
      • Terms of Use |
      • Copyright |
      • Accessibility