The GenerEhlist - CCFP Exam Prep, Low Risk Obstetrics & Canadian Primary Care Medicine

Written By: Alexzandra Hughes-Visentin - FM PGY2, Toronto Review By: Dr Kyla Freeman, CCFP-OSS Artwork, as ever, by Dr Aikansha Chawla

9/25/24 • 34:07

Written By: Alexzandra Hughes-Visentin, FM-PGY1, Women’s College Hospital Expert Review By: Dr Alix Murphy, PGY4 OBGYN, University of Toronto Art and Co-Hosting by Aikansha Chawla - PGY1 OBGYN

6/8/24 • 17:23

  Written and Researched By: Alexzandra Hughes-Visentin, FM PGY1 – Women’s College Hospital – Toronto Expert Review By: Dr Alix Murphy, PGY4 OBGYN at University of Toronto

6/5/24 • 23:28

  Episode 4: Assessment of Patients with Memory Concerns Hosts: Care of the Elderly Drs. Christine Miller & Ian Bekker Art: Aikansha Chawla

5/7/24 • 21:48

Today we shall be talking about Pneumonia! What an exciting topic. According to Dr William Osler considered to be the “father of modern medicine” and who trained at McGill, pneumonia is known as “the old man’s friend” he wrote, “"Pneumonia may well be called the friend of the aged. Taken off by it in an acute, not often painful illness, the old man escapes those 'cold gradations of decay' so distressing to himself and his friends.” Dr. Olser himself died from complications of pneumonia. Pneumonia has a fascinating history as it has been with humanity for many centuries. Symptoms of pneumonia were first described by Hippocrates around 460 BC, but it wasn’t until the 19th century that doctors were aware pneumonia was its own condition and not a symptom of another disease. Interesting tidbits of pneumonia related history, Dr. Edwin Klebs was the first person to observe bacteria causing pneumonia under the microscope in 1875 and the bacterial genus klebsiella was named after him. Strep pneumonia, commonest cause of CAP was the first bacteria to be gram stained to distinguish gram positive from gram negative bacteria by Hans Christian Gram in 1884. Hence the name “Gram” stain. The Spanish Flu in 1918, which was an H1N1 influenza A pandemic, killed more people than the first world war in combat, resulting in approximately 20-50 million deaths, and was the second most deadly pandemic on record. In comparison, Covid19 worldwide deaths stand at around 7 million according to the WHO in November 2023. Alright, we could talk all day about pneumonia history, but its time to focus on CCFP objectives for pneumonia!

4/14/24 • 28:47

  Authors: Veronica Oczkowski (MS4) and Andrea Brabant (rFM PGY-2) Content Expert and Reviewer: Dr. Matt Strickland   The rest of trauma objectives including: secondary survey, child abuse suspicion, and a review of everything before we finish up.

4/7/24 • 20:10

Authors: Veronica Oczkowski (MS4) and Andrea Brabant (rFM PGY-2) Content Expert and Reviewer: Dr. Matt Strickland According to the World Health Organization (WHO) and the Centers for Disease Control (CDC), more than nine people die every minute from injuries or violence. A total of 5.8 million people of all ages and economic groups die every year from unintentional injuries and violence. The burden of injury accounts for 18% of the world’s total diseases. Motor vehicle crashes alone cause more than 1 million deaths annually and an estimated 20 million to 50 million significant injuries; they are the leading cause of death due to injury worldwide.  Traumatic presentations are unfortunately quite common, so it’s important we get comfortable with a strong approach. Our goal today is in no way to complete an exhaustive review. That being said, we did our best to prepare a brief overview that allows us to cover the CCFP objectives. Get ready. This is a pretty robust topic to cover, so buckle up!!

3/11/24 • 35:47

  https://thegenerehlist.ca/episode-3-bpsd-behavioural-and-psychological-symptoms-of-dementia/   Written By: Christine Miller, COE Resident  Review By: Dr. Christian Weins, Psychiatrist, Palliative Care Hosts: Christine Miller, COE Resident & Hannah Dunnigan, Rural Family Medicine Resident Art: as ever by Aikansha Chawla

3/4/24 • 19:09

Written By: Christine Miller, COE Resident Review By: Dr. Keiran Tuck, Neurologist, Movement Disorder Specialist Hosts: Christine Miller, COE Resident & Hannah Dunnigan, Rural Family Medicine Resident Art: as ever by Aikansha Chawla https://thegenerehlist.ca/episode-2-parkinsons-disease-part-2/ 

1/29/24 • 34:38

First of a two part review of Parkinson's Disease in the elderly. Written By: Christine Miller, COE Resident Review By: Dr. Allison Nakanishi, Geriatrician Hosts: Christine Miller, COE Resident & Hannah Dunnigan, Rural Family Medicine Resident  Art: as ever by Aikansha Chawla

12/31/23 • 23:00

A quick hello to meet the force behind all things Geriatrics in Family medicine in the GenerEHlist family.

12/28/23 • 01:43

Obesity Canada published a guideline in 2020 that we will be referring to a lot in this episode. It defines obesity as a chronic, progressive and relapsing disease characterized by the presence of adiposity that impairs health and social well-being.    So today you’ll learn what you need to know for the exam, but also some practical considerations for real life visits that take into account the pressures of diet culture, and how we as physicians can provide evidence based advice that doesn’t isolate and judge our patients. And because we know language matters, you’ll hear us use terms like “large bodies”, instead of saying someone is fat. There are advocates who have reclaimed the term fat, but today we’ll stick with medical jargon and terms aimed to avoid stigma.  

12/17/23 • 25:22

Syncope = a brief loss of consciousness and postural tone that resolves spontaneously with a return to baseline neurological function within seconds or a few minutes. Presyncope = near LOC. Should be worked up the same as we know it portends a similar risk of downstream badness as syncope. presyncope is “I almost lost consciousness and then recovered” → more of acute thing. The final common pathway of syncope is the same regardless of the underlying cause. In general, 10 seconds of interrupted blood flow to the brain.

11/27/23 • 38:27

An update episode for 2023 on some tips and tricks for both the SAMP and SOOs from the founders of The Review Course: Dr Paul Dhillon and Dr Simon Moore. New bundled labs that are okay What guidelines are too new? Review the SNO PQRST method AND, get $100 off The Review Course in 2024 by using the code 'GenerEhlist' when you register.

11/12/23 • 28:09

The show producer has not yet provided a description for this episode.

9/24/23 • 19:19

Written By: Savannah Leigh Bennet and Samantha Kent, FM PGY-2s, Memorial University Expert Review By: Dr Gillian Morrison, Geriatrician, St John's Newfoundland

9/18/23 • 16:45

 Hello and welcome to another episode of The GenerEhlist’s CFPC 105 topics podcast.  ●        Today’s topic is renal failure ●        This episode was written by Vaishvi Patel, a third-year medical student from the University of Alberta, and Ronan Noble an MD/PhD student from the UofA as well, and it was reviewed by Dr. Whitney Hung, an internal medicine senior resident in Edmonton, AB.

9/11/23 • 18:27

Episode Written By : Kyla Freeman PGY3 Content Reviewer : Dr. Charley Boyd, FP working Obstetrics Hosts : Kyla Freeman, Patricia Massel Artwork : Aikansha Chawla In today's episode we review the basics of gestational diabetes screening and management. We also briefly discuss the newborn hypoglycemia screening protocol for infants born to gestational parents with diabetes and first steps of management.

7/24/23 • 31:34

Written By: Cezara-Maria Latcu Peer Review By: Bianca-Mariana Baila FM PGY1 Check also the CCFP 105 Topics: Periodic Health Assessment Part One and Two episodes.  So, first things first: Who should be assessed for osteoporosis and fracture risk?  There are three categories: 1.   All women and men aged 65 or more; 2.   Adults aged 50-64 who are at high risk of fracture or have already experienced a fragility fracture; 3.   Younger adults under the age of 50 who are at high risk of fractures. We know who, let’s see „How?”

7/16/23 • 24:22

Written By: Vaishvi Patel, a third-year medical student from the University of Alberta, and Ronan Noble an MD/PhD student from the UofA Expert Review By: Dr. Whitney Hung, an internal medicine senior resident in Edmonton, AB.

6/11/23 • 11:44

  We have a bread-and-butter family medicine topic ready for you today – immunizations! This episode was: written by Sean Wang, a third-year Dalhousie medical student out of Halifax, Nova Scotia and  peer-reviewed by another East-Coaster, Dr. Melissa Power, Dalhousie Family Medicine Staff and the Faculty Undergraduate Coordinator of South-West Nova. This is a large topic and don’t worry, we won’t just repeat routine vaccine schedules to you the whole time; rather the CCFP objectives focus on the more nuanced details of vaccines – which we all need to have a solid grasp on.

5/7/23 • 26:22

Written By: Andrea Brabant – FM PGY1 - NWT Expert Review By: Dr Katherine Breen, ER Physician NWT Meningitis is defined as inflammation of the meninges, the membranes covering the brain and spinal cord. It is most commonly due to infection, either bacterial or viral. This can happen through hematogenous spread, when bacteria invade the bloodstream (often from the upper airway), and gradually make their way to the subarachnoid space.  However, it can also happen through direct contiguous spread. This is when organisms gain entry into the cerebrospinal fluid from adjacent infections (think sinusitis, brain abscess, otitis media) or directly through penetrating traumatic injury, congenital defects, or during neurosurgical procedures.

4/23/23 • 19:41

Episode Written By : Patricia Massel MD, CCFP Content Reviewer : Natasha White, L&D RN and Breastfeeding Coach Hosts : Kyla Freeman, Caitlin Blewett, Patricia Massel Artwork : Aikansha Chawla In today's episode we will review some tips around breastfeeding including how to give the breastfeeding pitch to expectant parents. We will review some common challenges parents face that can contribute to cessation of breastfeeding, such as concerns about breastfeeding logistics and supply. We will cover some breastfeeding norms and norms around infant weight gain. Finally we discuss bottle feeding and breast pumps.    Shownotes 

4/16/23 • 54:29

Written By: Shaila Gunn, FM PGY2, Calgary AB Expert Review: Dr Darby Ewashina, ER Psychiatrist, Calgary AB @doc.darbs on Instagram   Why should a family physician learn about personality disorders? Well, to start, we are the first point of contact with the patients who have them, and often the first to recognize they have a personality disorder. While psychiatrists may have a role in their treatment, most patients do not require a referral, making family doctors the primary provider of care. Even if you do not plan on managing the personality disorder, you WILL have patients with personality disorders and this podcast will help you effectively manage challenging situations.   Personality disorders make up over 10% of the general population, and 24% of the population in primary care. They may or may not seek treatment for aspects pertaining to their personality disorder, but they sure as well will have other health concerns.

4/9/23 • 34:21

A new topic added by the CCFP with the recent increase to 105 Key Topics. Written By: Vaishvi Patel, MS3 - University of Alberta Expert Review By: Dr Stephen Yam - Family Physician with expertise in Oncology and Palliative care - Fort McMurray AB  

4/2/23 • 15:49

Episode Written By : Kyla Freeman, FM PGY3 Episode Reviewed By : Dr. Vanessa Poliquin, OBGYN Hosts : Kyla Freeman (FMR3) & Patricia Massel (MD-CCFP) Artwork : Aikansha Chawla MS4 In this episode we dive into the hypertensive diseases of pregnancy. We will review the various hypertensive disorders, but our main focus will be on preeclampsia. We will go over screening, ASA starts, and calcium supplementation. We review the clinical presentation and diagnosis of preeclampsia with a nod to HELLP syndrome (see our Liver Disease episode for more on that one!). Finally we will discuss the first steps in management and some post-partum considerations. We hope you enjoy! 

3/12/23 • 42:59

Written By: Christopher Clarke, FM PGY2, Victoria BC Expert Review: Dr Jaques De Jager, GP, CFB Edmonton AB We are talking Low Back Pain. Amanda is a 32 year old Search and Rescue Technician with the Royal Canadian Airforce based out of Canadian Forces Base - Comox here on the island. Two days ago, she was on a mission med-evacing a patient from a fishing vessel of the coast.    She and her fellow SAR - Tech were able to stabilize the patient for transport. However, upon bending over to lift the stretcher, Amanda felt an immediate sharp pain her in lumbar spine. Upon returning home for her days off, despite taking Tylenol, which offered little relief, she stayed mainly in bed because the pain was so intense.   She presents to sick parade on Monday at the base clinic, because the pain has not resolved and now she is having some pain radiate down her right leg.   When it comes to back pain, I find it useful to consider timelines as this can help to guide our differential and management.   Definitions ●        Acute back pain: 4 weeks ●        Subacute back pain: 4-12 weeks ●        Chronic back pain: >12 weeks

3/5/23 • 32:47

Written By: Jessica Dawson , FM PGY2 in Edmonton       Expert Review By: Dr. Brent Crawford, an Emergency Medicine physician at Westview Health Center in Stony Plain Alberta.   Lacerations come in many shapes and flavours - big ones, little ones, simple ones, dirty ones, bloody ones, complicated ones - . . .you get it. As family physicians we tend to encounter accidental lacerations (as opposed to incisions of our own making) most often in emergency medicine or urgent care, but we will also see a lot of lacerations in follow up. Lacerations are one of those topics where art, science and personal preference tend to collide. There is enormous practice variation between physicians - probably in part because there is an absence of evidence for and lot of dogma behind many common practices.  We will focus on the fundamentals for the CCFP exam – the things you need to know to put back together the most common lacerations you’ll encounter, and to identify those situations where referral might be necessary or when it’s best not to close things up at all!  There are some great links in the show notes you can reference with tips and tricks for repairing different types of lacerations and deep dives into the evidence.

2/19/23 • 32:08

In this episode we review some of the liver diseases of pregnancy including cholestasis, HELLP syndrome, Acute Fatty Liver Disease of Pregnancy, Cholecystitis, and Hepatitis B and C. We hope this episode helps you broaden your differential when it comes to these patients as well as think about and recognize some rare, but serious liver disorders in pregnancy.

2/5/23 • 34:57

Written By: Timothy Collier, PGY1 FM, Memorial University - Newfoundland Peer Review By: Dr Sarah Donnelly, PGY3 IM, University of Alberta - Edmonton All the CCFP Objectives recommended for Hepatitis!

1/29/23 • 25:38