Canadian Family Physician (CFP) is Canada's only peer reviewed family medicine journal. Join Dr. Nick Pimlott, Scientific Editor of CFP, and Dr. Sarah Fraser, Deputy Editor of CFP, as they interview contributing authors to the journal each month.
info_outline Thoughtful prescribing for patients with difficult-to-treat depression 11/30/2023
Thoughtful prescribing for patients with difficult-to-treat depression Join Dr. Nick Pimlott for this episode of the CFP Podcast as he interviews Alex Crawley and Amy Soubolsky from the Rx Files Academic Detailing Program in Saskatchewan about the management of difficult-to-treat depression in primary care. The interview is based on an article published in the November issue of the journal entitled “”. Mr. Crawley and Ms. Soubolsky are co-authors of the article with their colleague Jessica Visentin. Together they discuss a case-based careful step wise approach to this challenging area of clinical practice.
info_outline PEER simplified lipid guideline 2023 update 10/26/2023
PEER simplified lipid guideline 2023 update Join Drs Nick Pimlott and Sarah Fraser as they co-host this CFP podcast on the new PEER Simplified Lipid Guideline: 2023 Update. They interview Dr Mike Kolber, lead author on the paper, which is published in October’s issue of the journal. They discuss the process of how he and his team developed these guidelines, and they take a deep dive into the evidence behind dyslipidemia screening, prevention, and treatment. Read the guidelines in English: . Access the guidelines in French: . Check out the systematic review that informed the guidelines: .
info_outline Social accountability in family medicine 10/05/2023
Social accountability in family medicine Join Dr Sarah Fraser in this podcast with 4th year medical student Nusha Ramsoondar and Dr Alex Anawati. They discuss their recent publications in September’s issue of CFP, on the themes of social accountability and anti-racism in medicine. You can find the original publications here: Nusha Ramsoondar is a 4th year medical student at the Northern Ontario School of Medicine’s Thunder Bay campus. She hopes to practice in Northern Ontario. Alex Anawati is a primary care and emergency room physician advancing social accountability as an equity-oriented health policy strategy. He is co-lead for the SAFE for Health Institutions Project at the Dr Gilles Arcand Centre for Health Equity.
info_outline Screening for primary prevention of fragility fractures: how much time does it take? 08/31/2023
Screening for primary prevention of fragility fractures: how much time does it take? Providing preventive care can be time consuming, and potential benefits have to be weighed against risks and costs. Dr Nick Pimlott interviews Drs Roland Grad, Donna Reynolds, and Guylène Thériault about their work on a new guideline on screening for fragility fractures and how the concept of “time needed to treat” is gaining importance in guideline development. Read their Prevention in Practice review article in the August 2023 issue of Canadian Family Physician in English () or French (). Access the Canadian Task Force on Preventive Health Care’s Fragility Fracture Decision Aid at: .
info_outline Third Rail: Physician Wellness 07/20/2023
Third Rail: Physician Wellness In this Third Rail edition of the podcast Dr. Sarah Fraser has a conversation with Dr. Shane Neilson about mental illness in physicians as well as Dr. Neilson's new book . Shane Neilson is a physician, poet, and critic from New Brunswick, now practising in Guelph, Ontario. He published Saving: A Doctor's Struggle to Help His Children, a memoir about intergenerational disability in conversation with professional medical practice, with Great Plains Publishing in 2023. Shane completed his Ph.D at McMaster where his dissertation on the representations of chronic pain in Canadian literature received the Governor-General's Gold Medal. An adjunct professor of family medicine at the Waterloo Regional Campus of McMaster University, Shane's academic interest concerns disability, non-neurotypicality, and chronic illness in the profession of medicine.
info_outline Third Rail: Gender-affirming care and 2SLGBTQ+ health, part 2 06/15/2023
Third Rail: Gender-affirming care and 2SLGBTQ+ health, part 2 The importance of language to the care of 2SLGBTQ+ patients, the discrimination that 2SLGBTQ+ health care professionals face, and the current political climate shape part 2 of this conversation that Dr Sarah Fraser hosts with Drs Robyn Moxley, Andrew Organek, and Thea Weisdorf. These podcast guests and Toronto-based family doctors contributed the following articles to the June 2023 issue of Canadian Family Physician: “Supporting 2SLGBTQ+ patients in your practice”: « Soutenir les patients 2SLGBTQ+ dans votre pratique »: “Affirming pregnancy care for transgender and gender-diverse patients”: “Should all family physicians provide gender-affirming primary care?”:
info_outline Third Rail: Gender-affirming care and 2SLGBTQ+ health, part 1 06/08/2023
Third Rail: Gender-affirming care and 2SLGBTQ+ health, part 1 The care of 2SLGBTQ+ patients is a natural fit for family practices, yet many family doctors fear they lack relevant skills and instead refer patients to other providers. Dr Sarah Fraser discusses such barriers to care and how family physicians can create safe spaces for 2SLGBTQ+ patients with Drs Robyn Moxley, Andrew Organek, and Thea Weisdorf.
info_outline Importance of symptoms to the practice of family medicine 06/01/2023
Importance of symptoms to the practice of family medicine Symptoms drive patients to seek primary care, but the fact that up to half never lead to a diagnosis is a challenge; it’s also an opportunity to refresh how symptoms are viewed in family medicine. Dr Nick Pimlott hosts a discussion with Dr Thomas Freeman and Dr Moira Stewart about the implications of paying greater attention to symptoms for patient care, research, and teaching. Check out their research on abdominal pain symptoms in the May 2023 issue of Canadian Family Physician: . Their informative essay on studying symptoms in family practice appeared in the March 2020 issue: .
info_outline The value of family medicine 04/27/2023
The value of family medicine Continuous, longitudinal care results in better patient outcomes and health care savings, so how can this evidence be leveraged to address the crisis in family medicine? Dr Nick Pimlott Interviews Drs Michael Kolber, Tina Korownyk, and Jennifer Young about the case for investing in primary care. Read their article in the April 2023 issue of Canadian Family Physician: .
info_outline Team-based care for patients with chronic noncancer pain 04/13/2023
Team-based care for patients with chronic noncancer pain The success of an innovative nurse-led program points to a way to rethink how family practices help patients manage chronic noncancer pain. Dr Nick Pimlott interviews Dr Hillel Finestone about the initiative and how other clinics could adopt this approach. Dr Finestone is a Professor in the Division of Physical Medicine and Rehabilitation at the University of Ottawa and a physiatrist at Élisabeth Bruyère Hospital. Read his article in the March issue of Canadian Family Physician and go to the CFPlus tab to access the tools highlighted in this episode: .
info_outline Third Rail: Data dispel myths about generational practice patterns 03/30/2023
Third Rail: Data dispel myths about generational practice patterns The popular narrative about newer cohorts of family physicians working less than their predecessors is disputed by data published in 2022. In this Third Rail edition of the CFP Podcast, Dr Sarah Fraser interviews Dr Ruth Lavergne, a researcher at Dalhousie University, about her findings and ideas for strengthening primary care—which include supporting longitudinal care, addressing administrative workloads, and moving away from the unhelpful focus on generational differences. Read Dr Lavergne’s research article in the Canadian Medical Association Journal at .
info_outline Proper timing of medication use in older patients 03/16/2023
Proper timing of medication use in older patients With polypharmacy common among older patients, proper administration of medications and avoidance of drug-food interactions are extremely important. Dr Nick Pimlott interviews pharmacists Alex Crawley and Erin Yakiwchuk about everyday pitfalls, practical tips, and the value of team-based care in addressing these issues. Alex Crawley is Associate Director and Erin Yakiwchuk is a member of the RxFiles Academic Detailing Program at the University of Saskatchewan in Saskatoon. Read their article, “,” in the February 2023 issue of Canadian Family Physician.
info_outline Third Rail: What is lifestyle medicine? 03/02/2023
Third Rail: What is lifestyle medicine? Lifestyle medicine is an innovative form of primary care that could help shift our system to focus on wellness and prevention rather than disease. Dr Sarah Fraser hosts a chat with Dr Sheila Lakhoo about the benefits of this approach as well as barriers that exist in accessing and practising lifestyle medicine. Dr Lakhoo is a family physician in Toronto, Ont, who received a diploma in lifestyle medicine from the American Board of Lifestyle Medicine in 2020.
info_outline How primary care transformation could enhance the entire health system 02/16/2023
How primary care transformation could enhance the entire health system Solutions to the health care crisis exist if political will can be found to change. Dr Rick Glazier shares inspiring insights on both the challenges and opportunities before us in this conversation with your host, Dr Nick Pimlott. Among his many roles, Dr Glazier is a family physician in Toronto, Ont, a renowned researcher, and a Professor in the Department of Family and Community Medicine at the University of Toronto. Read his related in the January 2023 issue of Canadian Family Physician.
info_outline Meaningful steps toward improving Indigenous health 02/02/2023
Meaningful steps toward improving Indigenous health Concrete actions designed to ensure health care aligns with the needs of Indigenous people and communities are the focus of this conversation that Dr Nick Pimlott hosts with Drs Mandy Buss and Veronica McKinney. They discuss the CFPC’s Declaration of Commitment to cultural safety and humility, key resources that support related learning in family medicine, and new tools being developed. Drs Buss and McKinney are members of the CFPC’s Indigenous Health Committee. Resources: Declaration of Commitment English: French: CanMEDS–Family Medicine Indigenous Health Supplement English: French:
info_outline Third Rail: Secrecy and stigma; supporting older adults who use substances 01/19/2023
Third Rail: Secrecy and stigma; supporting older adults who use substances Older people are using substances at a high rate, yet stigma and ageism often prevent them from obtaining appropriate and compassionate care. Dr Sarah Fraser chats with Dr Lara Nixon and Dr Cathy Scrimshaw about what physicians and the system at large can do to enhance access to services, reduce harm, and treat patients with dignity. Dr Nixon is an FP in Calgary and Dr Scrimshaw is Medical Director of the Collaborative Mentorship Network for Chronic Pain and Addiction with the Alberta College of Family Physicians.
info_outline Perseverance of family medicine amid war in Ukraine 01/05/2023
Perseverance of family medicine amid war in Ukraine Almost 1 year after the Russian invasion of his country, Ukrainian family physician Dr Oleksii Korzh shares his experiences with host Dr Sarah Fraser. Dr Korzh talks about how medical needs and care have changed during the conflict. Find out why family doctors have never been more important to Ukraine’s health care system in this special episode of the CFP Podcast. Dr Korzh is Head of the Department of General Practice and Family Medicine at the Kharkiv Medical Academy of Postgraduate Education. Read Dr Korzh’s related .
info_outline Family physician practice patterns during COVID-19 and future intentions 12/15/2022
Family physician practice patterns during COVID-19 and future intentions New research shows that family practices were open and seeing patients at the height of the second wave of the pandemic—despite media reports to the contrary. Dr Nick Pimlott interviews Dr Tara Kiran about her important findings and opportunities to rethink how primary care is organized in Canada. in the November 2022 issue of Canadian Family Physician and share your thoughts on this episode at .
info_outline Third Rail: Problems with medical publishing and peer review, part 2 11/17/2022
Third Rail: Problems with medical publishing and peer review, part 2 Flaws in the peer review process and opportunities for improvement are covered in part 2 of our interview with Dr Richard Smith, a well-known former editor of the BMJ. Hosts Dr Sarah Fraser and Dr Nick Pimlott ask Dr Smith about discrimination in peer review and the future of open access publishing.
info_outline Maturation of the Rourke Baby Record 11/10/2022
Maturation of the Rourke Baby Record The Rourke Baby Record, used across Canada today, is an early example of a clinical resource developed by family physicians for family physicians. Your host Dr Nick Pimlott chats with Drs Leslie and James Rourke about the tool’s origins, challenging aspects of its evolution, and its next iteration coming in 2024. Read the related commentary, “,” in the October 2022 issue of Canadian Family Physician.
info_outline Third Rail: Problems with medical publishing and peer review, part 1 11/03/2022
Third Rail: Problems with medical publishing and peer review, part 1 Hard truths about medical journals are examined with unflinching honesty in part 1 of this discussion with Dr Richard Smith, a well-known former editor of the BMJ. Hosts Dr Sarah Fraser and Dr Nick Pimlott get Dr Smith’s take on how physicians consume journal articles, research quality, and what publications should strive to do.
info_outline A vision for the development of primary care research 09/19/2022
A vision for the development of primary care research As the North American Primary Care Research Group (NAPCRG) celebrates its 50th anniversary, Dr Nick Pimlott hosts Dr Vivian Ramsden in a chat about the organization’s success and plans for the future. Dr Ramsden, NAPCRG’s incoming president and the first nurse to serve in the role, shares insights about the evolution of patient-led research and the value of relationships in this work. Read Dr Ramsden’s commentary, “,” in the September 2022 issue of Canadian Family Physician.
info_outline Third Rail: Incorporating psychotherapy into family medicine training: Part 2 09/06/2022
Third Rail: Incorporating psychotherapy into family medicine training: Part 2 How to use cognitive behavioural therapy (CBT) to address medically unexplained symptoms is explored in part 2 of this discussion between Dr Sarah Fraser and Dr Peter MacKean. They examine the 5 areas of CBT that family doctors should be attuned to and how applying CBT principles can also benefit physicians—including prevention of burnout.
info_outline Third Rail: Incorporating psychotherapy into family medicine training - Part 1 07/21/2022
Third Rail: Incorporating psychotherapy into family medicine training - Part 1 The untapped benefits of using psychotherapy techniques in everyday practice drive this conversation between Dr Sarah Fraser and Dr Peter MacKean in Part 1 of this podcast. A semi-retired family physician in PEI, Dr MacKean aims to raise awareness and uptake of these methods in family medicine training and practice. This podcast builds on his article “,” published in the February 2022 issue of CFP. The book mentioned in this episode is , by Lee David.
info_outline Chronic pain: a different approach inspired by noninvasive neuroimaging 07/13/2022
Chronic pain: a different approach inspired by noninvasive neuroimaging Dr Sarah Fraser hosts a discussion on this challenging area of care with Dr Maureen Allen, a family physician in Antigonish, NS. Dr Allen shares insights that research in noninvasive neuroimaging has revealed about how the brain adapts to chronic pain and how we can reframe our thinking about chronic pain to enhance patient care. This conversation was sparked by the “” published in CFP in March 2022. The other key article Dr Allen mentions was published in Brain: “.”
info_outline Going against the status quo in screening 07/07/2022
Going against the status quo in screening Do you struggle with knowing when and how to apply screening guidelines as part of providing preventive care? Dr Nick Pimlott digs into the challenges associated with teaching and learning these skills with 3 authors of “” from the May 2022 issue of Canadian Family Physician. This topic is particularly timely given discussions about perceived backlogs in screening tied to the COVID-19 pandemic. Hear intriguing insights from Dr Viola Antao, Associate Professor in the Department of Family and Community Medicine at the University of Toronto in Ontario; Dr Roland Grad, Associate Professor in the Department of Family Medicine at McGill University in Montréal, Que; and Raphael Rezkallah, a medical student at McGill University.
info_outline Health informatics in Canada – fragmented data harms patients and doctors 06/28/2022
Health informatics in Canada – fragmented data harms patients and doctors In this Third Rail edition of the podcast, Dr. Sarah Fraser interviews Dr. Ewan Affleck. Dr. Affleck is a family physician and health informatician who has worked in Canada’s north for the last 30 years. He has received the Order of Canada for his work in health informatics in the Northwest Territories and is also a writer and filmmaker.
info_outline Rural anesthesia, surgery, and obstetric care in Canada 05/18/2022
Rural anesthesia, surgery, and obstetric care in Canada Dr. Nick Pimlott interviews Dr. Stuart Iglesias, a retired rural family physician with anesthesia and surgical skills and tireless champion for high quality rural and remote medical care in Canada. Dr. Iglesias is a co-author of from the April 2022 issue of Canadian Family Physician. The consensus statement has been endorsed by the Canadian Association of General Surgeons (CAGS), the College of Family Physicians of Canada (CFPC), the Society of Obstetricians and Gynaecologists of Canada, the Society of Rural Physicians of Canada (SRPC), the Association of Canadian University Departments of Anesthesia, the Canadian Association of Midwives, the Canadian Medical Association, the Royal College of Physicians and Surgeons of Canada, and the Canadian Association of Surgical Chairs.
info_outline Third Rail: Doctor and parent: Thinking differently about difference 05/11/2022
Third Rail: Doctor and parent: Thinking differently about difference In this Third Rail edition of the podcast, Dr. Sarah Fraser interviews Dr. Sheri Klassen a family physician from Edmonton Alberta. Dr. Klassen is currently pursuing a masters in rehabilitation medicine at the University of Alberta and has written a Third Rail article called: , in the May issue of Canadian Family Physician. In the episode, Dr. Fraser and Dr. Klassen discuss how doctors think about and treat patients with disability.
info_outline Third Rail: A patient's insights into opioid addiction and recovery 05/04/2022
Third Rail: A patient's insights into opioid addiction and recovery In this Third Rail edition of the podcast, Dr. Sarah Fraser interviews Chris Cull a two-time cross Canada cyclist, filmmaker, motivational speaker and founder of , on his recovery from an eight year addiction to opioids. Using his personal experience with opioid addiction, Chris has advised numerous institutions and organizations in the prevention and treatment of substance abuse.