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HOW CAN CLINICIANS COUNTER VIRAL MISINFORMATION? Viral misinformation has long posed a threat to public health, but the pandemic put a spotlight on the problem, said experts at the Canadian Immunization Conference last winter. According to Phillip Mai, co-director of Ryerson University’s social media lab, people over 55 are most prone to fall for and share misinformation. UNPACKING “LONG COVID” Unpacking “long COVID”. Terry Murray | Toronto, Ont. | February 11, 2021. Experts met recently to define COVID-19’s long-term consequences, but a global consensus may take time to pin down. Experts at a recent World Health Organization meeting warned that the long-term complications of COVID-19, known as “long COVID” or postCOVID-19
HOW CAN CANADA IMPROVE WORSENING WAIT TIMES? The interconnectedness of all the sectors in healthcare has been underappreciated, and siloed funding has inhibited the kinds of cross-sector discussions which could improve patient flow. A lot of people still manage waitlists as a stack of paper on the side of their desks, which leads to inefficiency. NEW NATIONAL CONSORTIUM TO TACKLE ANTI-INDIGENOUS RACISM Diana Duong | CMAJ | February 19, 2021. A new Indigenous-led consortium will work together on anti-racism efforts across Canada’s medical schools. Indigenous medical leaders across Canada have formed a national consortium on Indigenous medical education to collaborate on anti-racist reforms and culturally safe care. For years, this workhas
HOW WORK HOURS AFFECT MEDICAL RESIDENT PERFORMANCE AND The difference between 80 hours and 100 hours per week which residents could have worked before the reforms, is unlikely to make much of a change in learning, either positive or negative, he said. Dr. Kevin Imrie, physician-in-chief at the Sunnybrook Health Sciences Centre and cochair of the Fatigue Risk Management Taskforce, said the new study CANADA WILL HAVE THREE-DIGIT SUICIDE PREVENTION HOTLINE BY Canada will have three-digit suicide prevention hotline by 2023. A national suicide prevention service will provide 24/7/365 crisis support. Sixteen people in Bill Pringle’s life have died by suicide – four in the past year alone. The 62-year-old Saskatoon man has himself attempted suicide eight times. He says that easy access tosuicide
INDIGENOUS YOUTH CO-DEVELOP A NEW WAY TO MEASURE THEIR Indigenous communities across Canada are adapting a new way of measuring child and youth wellbeing with a tool co-designed by Indigenous youth. Those behind the tool say Indigenous-developed health measures are desperately lacking, although vitally important as communities continue to contend with the mental health fallout ofcolonization.
CHALLENGES OF TREATING CHRONIC Primary care providers who treat patients with chronic pain appear to be exhibiting signs of burnout, in large part because they often feel unable to help patients overcome their complex challenges. This was a conclusion of the authors of a recent paper in PLoS ONE based on interviews with 19 doctors and 8 nurses in primary care, supplemented MEDICAL COUNCIL OF CANADA ABANDONS CONTROVERSIAL EXAM 19 hours ago · The Medical Council of Canada (MCC) has scrapped a controversial medical licensing exam after repeated cancellations and technical difficulties during the pandemic. FEDS UPDATE IMMUNIZATION ADVICE Feds update immunization advice with Moderna vaccine approval. National recommendations on COVID-19 immunizations now include guidance on the safety, efficacy and use of both Moderna and Pfizer vaccines. Moderna and Pfizer COVID-19 vaccines are similar enough that you can swap them in a pinch, according to the latest guidance fromCanada’s
HOW CAN CLINICIANS COUNTER VIRAL MISINFORMATION? Viral misinformation has long posed a threat to public health, but the pandemic put a spotlight on the problem, said experts at the Canadian Immunization Conference last winter. According to Phillip Mai, co-director of Ryerson University’s social media lab, people over 55 are most prone to fall for and share misinformation. UNPACKING “LONG COVID” Unpacking “long COVID”. Terry Murray | Toronto, Ont. | February 11, 2021. Experts met recently to define COVID-19’s long-term consequences, but a global consensus may take time to pin down. Experts at a recent World Health Organization meeting warned that the long-term complications of COVID-19, known as “long COVID” or postCOVID-19
HOW CAN CANADA IMPROVE WORSENING WAIT TIMES? The interconnectedness of all the sectors in healthcare has been underappreciated, and siloed funding has inhibited the kinds of cross-sector discussions which could improve patient flow. A lot of people still manage waitlists as a stack of paper on the side of their desks, which leads to inefficiency. NEW NATIONAL CONSORTIUM TO TACKLE ANTI-INDIGENOUS RACISM Diana Duong | CMAJ | February 19, 2021. A new Indigenous-led consortium will work together on anti-racism efforts across Canada’s medical schools. Indigenous medical leaders across Canada have formed a national consortium on Indigenous medical education to collaborate on anti-racist reforms and culturally safe care. For years, this workhas
HOW WORK HOURS AFFECT MEDICAL RESIDENT PERFORMANCE AND The difference between 80 hours and 100 hours per week which residents could have worked before the reforms, is unlikely to make much of a change in learning, either positive or negative, he said. Dr. Kevin Imrie, physician-in-chief at the Sunnybrook Health Sciences Centre and cochair of the Fatigue Risk Management Taskforce, said the new study CANADA WILL HAVE THREE-DIGIT SUICIDE PREVENTION HOTLINE BY Canada will have three-digit suicide prevention hotline by 2023. A national suicide prevention service will provide 24/7/365 crisis support. Sixteen people in Bill Pringle’s life have died by suicide – four in the past year alone. The 62-year-old Saskatoon man has himself attempted suicide eight times. He says that easy access tosuicide
INDIGENOUS YOUTH CO-DEVELOP A NEW WAY TO MEASURE THEIR Indigenous communities across Canada are adapting a new way of measuring child and youth wellbeing with a tool co-designed by Indigenous youth. Those behind the tool say Indigenous-developed health measures are desperately lacking, although vitally important as communities continue to contend with the mental health fallout ofcolonization.
CHALLENGES OF TREATING CHRONIC Primary care providers who treat patients with chronic pain appear to be exhibiting signs of burnout, in large part because they often feel unable to help patients overcome their complex challenges. This was a conclusion of the authors of a recent paper in PLoS ONE based on interviews with 19 doctors and 8 nurses in primary care, supplementedCMAJ NEWS
Feds sign off on mixing and matching COVID-19 vaccines, but evidence gaps remain. June 1, 2021. A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. Is Canada warming up to “vaccine passports”? MEDICAL COUNCIL OF CANADA ABANDONS CONTROVERSIAL EXAM 19 hours ago · The Medical Council of Canada (MCC) has scrapped a controversial medical licensing exam after repeated cancellations and technical difficulties during the pandemic. FEDS, MANITOBA LIFTING SOME PANDEMIC RESTRICTIONS BASED ON The federal government said on June 9 it is aiming to lift some pandemic travel restrictions for Canadians who are fully vaccinated against COVID-19, starting as early as July. CMAJ NEWS – PAGE 29 CMAJ News publishes original medical journalism for and about Canadian health professionals and patients, edited by journalists andclinicians.
PANDEMIC AMPLIFIES CALLS FOR Pandemic amplifies calls for alternative payment models. The slowdown in patients and procedures due to COVID-19 is hitting some doctors harder than others. Doctors who depend on fee-for-service payments have seen their incomes drop considerably during the pandemic, while those paid under other models have been relatively unscathed. UNPACKING “LONG COVID” Unpacking “long COVID”. Terry Murray | Toronto, Ont. | February 11, 2021. Experts met recently to define COVID-19’s long-term consequences, but a global consensus may take time to pin down. Experts at a recent World Health Organization meeting warned that the long-term complications of COVID-19, known as “long COVID” or postCOVID-19
HOW CAN CLINICIANS COUNTER VIRAL MISINFORMATION? Viral misinformation has long posed a threat to public health, but the pandemic put a spotlight on the problem, said experts at the Canadian Immunization Conference last winter. According to Phillip Mai, co-director of Ryerson University’s social media lab, people over 55 are most prone to fall for and share misinformation. CONTROVERSIAL MEDICAL LICENSING Controversial medical licensing exam cancelled with two days’ notice. The last-minute cancellation of the MCCEQ II will leave many newly graduated doctors in licensing limbo. The Medical Council of Canada has called off an in-person medical licensing exam amid mounting safety concerns and questions about the exam’s relevance. INDIGENOUS YOUTH CO-DEVELOP A NEW WAY TO MEASURE THEIR Indigenous communities across Canada are adapting a new way of measuring child and youth wellbeing with a tool co-designed by Indigenous youth. Those behind the tool say Indigenous-developed health measures are desperately lacking, although vitally important as communities continue to contend with the mental health fallout ofcolonization.
WHEN PATIENTS MISS APPOINTMENTS, EVERYONE PAYS Costs can add up quickly, too. Although most doctors aren’t compensated for their time when patients don’t show up, according to a 2016 review, some primary care networks in Alberta paid specialists more than $200 per hour for no-show appointments. Some clinics have found ways to reduce disruption from no-shows and late cancellations.CMAJ NEWS
Feds sign off on mixing and matching COVID-19 vaccines, but evidence gaps remain. June 1, 2021. A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. Is Canada warming up to “vaccine passports”? MEDICAL COUNCIL OF CANADA ABANDONS CONTROVERSIAL EXAM 14 hours ago · The Medical Council of Canada (MCC) has scrapped a controversial medical licensing exam after repeated cancellations and technical difficulties during the pandemic. FEDS UPDATE IMMUNIZATION ADVICE Feds update immunization advice with Moderna vaccine approval. National recommendations on COVID-19 immunizations now include guidance on the safety, efficacy and use of both Moderna and Pfizer vaccines. Moderna and Pfizer COVID-19 vaccines are similar enough that you can swap them in a pinch, according to the latest guidance fromCanada’s
CMAJ NEWS – PAGE 4 A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. CMAJ NEWS – PAGE 29 CMAJ News publishes original medical journalism for and about Canadian health professionals and patients, edited by journalists andclinicians.
IS CANADA WARMING UP TO “VACCINE PASSPORTS”? As COVID-19 vaccinations ramp up across Canada, the idea of easing some pandemic restrictions based on immunity or vaccination status appears to be gaining traction. PANDEMIC AMPLIFIES CALLS FOR Pandemic amplifies calls for alternative payment models. The slowdown in patients and procedures due to COVID-19 is hitting some doctors harder than others. Doctors who depend on fee-for-service payments have seen their incomes drop considerably during the pandemic, while those paid under other models have been relatively unscathed. HOW CAN CLINICIANS COUNTER VIRAL MISINFORMATION? Viral misinformation has long posed a threat to public health, but the pandemic put a spotlight on the problem, said experts at the Canadian Immunization Conference last winter. According to Phillip Mai, co-director of Ryerson University’s social media lab, people over 55 are most prone to fall for and share misinformation. NEW NATIONAL CONSORTIUM TO TACKLE ANTI-INDIGENOUS RACISM Diana Duong | CMAJ | February 19, 2021. A new Indigenous-led consortium will work together on anti-racism efforts across Canada’s medical schools. Indigenous medical leaders across Canada have formed a national consortium on Indigenous medical education to collaborate on anti-racist reforms and culturally safe care. For years, this workhas
CANADA WILL HAVE THREE-DIGIT SUICIDE PREVENTION HOTLINE BY Canada will have three-digit suicide prevention hotline by 2023. A national suicide prevention service will provide 24/7/365 crisis support. Sixteen people in Bill Pringle’s life have died by suicide – four in the past year alone. The 62-year-old Saskatoon man has himself attempted suicide eight times. He says that easy access tosuicide
CMAJ NEWS
Feds sign off on mixing and matching COVID-19 vaccines, but evidence gaps remain. June 1, 2021. A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. Is Canada warming up to “vaccine passports”? MEDICAL COUNCIL OF CANADA ABANDONS CONTROVERSIAL EXAM 14 hours ago · The Medical Council of Canada (MCC) has scrapped a controversial medical licensing exam after repeated cancellations and technical difficulties during the pandemic. FEDS UPDATE IMMUNIZATION ADVICE Feds update immunization advice with Moderna vaccine approval. National recommendations on COVID-19 immunizations now include guidance on the safety, efficacy and use of both Moderna and Pfizer vaccines. Moderna and Pfizer COVID-19 vaccines are similar enough that you can swap them in a pinch, according to the latest guidance fromCanada’s
CMAJ NEWS – PAGE 4 A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. CMAJ NEWS – PAGE 29 CMAJ News publishes original medical journalism for and about Canadian health professionals and patients, edited by journalists andclinicians.
IS CANADA WARMING UP TO “VACCINE PASSPORTS”? As COVID-19 vaccinations ramp up across Canada, the idea of easing some pandemic restrictions based on immunity or vaccination status appears to be gaining traction. PANDEMIC AMPLIFIES CALLS FOR Pandemic amplifies calls for alternative payment models. The slowdown in patients and procedures due to COVID-19 is hitting some doctors harder than others. Doctors who depend on fee-for-service payments have seen their incomes drop considerably during the pandemic, while those paid under other models have been relatively unscathed. HOW CAN CLINICIANS COUNTER VIRAL MISINFORMATION? Viral misinformation has long posed a threat to public health, but the pandemic put a spotlight on the problem, said experts at the Canadian Immunization Conference last winter. According to Phillip Mai, co-director of Ryerson University’s social media lab, people over 55 are most prone to fall for and share misinformation. NEW NATIONAL CONSORTIUM TO TACKLE ANTI-INDIGENOUS RACISM Diana Duong | CMAJ | February 19, 2021. A new Indigenous-led consortium will work together on anti-racism efforts across Canada’s medical schools. Indigenous medical leaders across Canada have formed a national consortium on Indigenous medical education to collaborate on anti-racist reforms and culturally safe care. For years, this workhas
CANADA WILL HAVE THREE-DIGIT SUICIDE PREVENTION HOTLINE BY Canada will have three-digit suicide prevention hotline by 2023. A national suicide prevention service will provide 24/7/365 crisis support. Sixteen people in Bill Pringle’s life have died by suicide – four in the past year alone. The 62-year-old Saskatoon man has himself attempted suicide eight times. He says that easy access tosuicide
CMAJ NEWS – PAGE 4 A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. CMAJ NEWS – PAGE 29 CMAJ News publishes original medical journalism for and about Canadian health professionals and patients, edited by journalists andclinicians.
IS CANADA WARMING UP TO “VACCINE PASSPORTS”? As COVID-19 vaccinations ramp up across Canada, the idea of easing some pandemic restrictions based on immunity or vaccination status appears to be gaining traction. PANDEMIC AMPLIFIES CALLS FOR Pandemic amplifies calls for alternative payment models. The slowdown in patients and procedures due to COVID-19 is hitting some doctors harder than others. Doctors who depend on fee-for-service payments have seen their incomes drop considerably during the pandemic, while those paid under other models have been relatively unscathed. FEDS SIGN OFF ON MIXING AND MATCHING COVID-19 VACCINES Feds sign off on mixing and matching COVID-19 vaccines, but evidence gaps remain. People who received a first dose of the AstraZeneca COVID-19 vaccine should be offered a second dose of the same product, or one of the Pfizer or Moderna shots, according to new advice from Canada’s National Advisory Committee on Immunization (NACI). HOW CAN CANADA IMPROVE WORSENING WAIT TIMES? The interconnectedness of all the sectors in healthcare has been underappreciated, and siloed funding has inhibited the kinds of cross-sector discussions which could improve patient flow. A lot of people still manage waitlists as a stack of paper on the side of their desks, which leads to inefficiency. SHOULD CANADA’S APPROACH TO COVID-19 AND KIDS CHANGE WITH Around the same time, Ontario’s COVID-19 science advisory table reported that variants of concern accounted for two-thirds of new SARS-CoV-2 infections in the province, and were associated with a 103% increased risk of admission to intensive care and a 56% increased risk of death from COVID-19. More recently, Alberta reported 175 DOCTORS WARN OF LATE DIAGNOSES AS CANCER SCREENING BACKLOG In the case of screening mammograms, service disruptions contributed to a shortfall of more than 152,000 screens between March 15 and May 31, 2020, compared with the previous year. By December, the backlog had doubled to more than 300,000 missed screening mammograms. That number is likely higher now – provincial officials say screening is MEDICAL TRAINING REMAINS A BARRIER TO STARTING Medical training remains a barrier to starting a family. Women in medicine have children later than the general public, but eventually catch up after training. Women in medicine wait much longer to have children than those pursuing other careers but close that gap quickly once their training is completed, according to a recent study in JAMA INDIGENOUS YOUTH CO-DEVELOP A NEW WAY TO MEASURE THEIR Indigenous communities across Canada are adapting a new way of measuring child and youth wellbeing with a tool co-designed by Indigenous youth. Those behind the tool say Indigenous-developed health measures are desperately lacking, although vitally important as communities continue to contend with the mental health fallout ofcolonization.
CMAJ NEWS
Feds sign off on mixing and matching COVID-19 vaccines, but evidence gaps remain. June 1, 2021. A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. Is Canada warming up to “vaccine passports”? MEDICAL COUNCIL OF CANADA ABANDONS CONTROVERSIAL EXAM 5 hours ago · The Medical Council of Canada (MCC) has scrapped a controversial medical licensing exam after repeated cancellations and technical difficulties during the pandemic. FEDS UPDATE IMMUNIZATION ADVICE Feds update immunization advice with Moderna vaccine approval. National recommendations on COVID-19 immunizations now include guidance on the safety, efficacy and use of both Moderna and Pfizer vaccines. Moderna and Pfizer COVID-19 vaccines are similar enough that you can swap them in a pinch, according to the latest guidance fromCanada’s
CMAJ NEWS – PAGE 4 A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. CMAJ NEWS – PAGE 29 CMAJ News publishes original medical journalism for and about Canadian health professionals and patients, edited by journalists andclinicians.
IS CANADA WARMING UP TO “VACCINE PASSPORTS”? As COVID-19 vaccinations ramp up across Canada, the idea of easing some pandemic restrictions based on immunity or vaccination status appears to be gaining traction. PANDEMIC AMPLIFIES CALLS FOR Pandemic amplifies calls for alternative payment models. The slowdown in patients and procedures due to COVID-19 is hitting some doctors harder than others. Doctors who depend on fee-for-service payments have seen their incomes drop considerably during the pandemic, while those paid under other models have been relatively unscathed. HOW CAN CLINICIANS COUNTER VIRAL MISINFORMATION? Viral misinformation has long posed a threat to public health, but the pandemic put a spotlight on the problem, said experts at the Canadian Immunization Conference last winter. According to Phillip Mai, co-director of Ryerson University’s social media lab, people over 55 are most prone to fall for and share misinformation. NEW NATIONAL CONSORTIUM TO TACKLE ANTI-INDIGENOUS RACISM Diana Duong | CMAJ | February 19, 2021. A new Indigenous-led consortium will work together on anti-racism efforts across Canada’s medical schools. Indigenous medical leaders across Canada have formed a national consortium on Indigenous medical education to collaborate on anti-racist reforms and culturally safe care. For years, this workhas
CANADA WILL HAVE THREE-DIGIT SUICIDE PREVENTION HOTLINE BY Canada will have three-digit suicide prevention hotline by 2023. A national suicide prevention service will provide 24/7/365 crisis support. Sixteen people in Bill Pringle’s life have died by suicide – four in the past year alone. The 62-year-old Saskatoon man has himself attempted suicide eight times. He says that easy access tosuicide
CMAJ NEWS
Feds sign off on mixing and matching COVID-19 vaccines, but evidence gaps remain. June 1, 2021. A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. Is Canada warming up to “vaccine passports”? MEDICAL COUNCIL OF CANADA ABANDONS CONTROVERSIAL EXAM 5 hours ago · The Medical Council of Canada (MCC) has scrapped a controversial medical licensing exam after repeated cancellations and technical difficulties during the pandemic. FEDS UPDATE IMMUNIZATION ADVICE Feds update immunization advice with Moderna vaccine approval. National recommendations on COVID-19 immunizations now include guidance on the safety, efficacy and use of both Moderna and Pfizer vaccines. Moderna and Pfizer COVID-19 vaccines are similar enough that you can swap them in a pinch, according to the latest guidance fromCanada’s
CMAJ NEWS – PAGE 4 A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. CMAJ NEWS – PAGE 29 CMAJ News publishes original medical journalism for and about Canadian health professionals and patients, edited by journalists andclinicians.
IS CANADA WARMING UP TO “VACCINE PASSPORTS”? As COVID-19 vaccinations ramp up across Canada, the idea of easing some pandemic restrictions based on immunity or vaccination status appears to be gaining traction. PANDEMIC AMPLIFIES CALLS FOR Pandemic amplifies calls for alternative payment models. The slowdown in patients and procedures due to COVID-19 is hitting some doctors harder than others. Doctors who depend on fee-for-service payments have seen their incomes drop considerably during the pandemic, while those paid under other models have been relatively unscathed. HOW CAN CLINICIANS COUNTER VIRAL MISINFORMATION? Viral misinformation has long posed a threat to public health, but the pandemic put a spotlight on the problem, said experts at the Canadian Immunization Conference last winter. According to Phillip Mai, co-director of Ryerson University’s social media lab, people over 55 are most prone to fall for and share misinformation. NEW NATIONAL CONSORTIUM TO TACKLE ANTI-INDIGENOUS RACISM Diana Duong | CMAJ | February 19, 2021. A new Indigenous-led consortium will work together on anti-racism efforts across Canada’s medical schools. Indigenous medical leaders across Canada have formed a national consortium on Indigenous medical education to collaborate on anti-racist reforms and culturally safe care. For years, this workhas
CANADA WILL HAVE THREE-DIGIT SUICIDE PREVENTION HOTLINE BY Canada will have three-digit suicide prevention hotline by 2023. A national suicide prevention service will provide 24/7/365 crisis support. Sixteen people in Bill Pringle’s life have died by suicide – four in the past year alone. The 62-year-old Saskatoon man has himself attempted suicide eight times. He says that easy access tosuicide
CMAJ NEWS – PAGE 4 A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. CMAJ NEWS – PAGE 29 CMAJ News publishes original medical journalism for and about Canadian health professionals and patients, edited by journalists andclinicians.
IS CANADA WARMING UP TO “VACCINE PASSPORTS”? As COVID-19 vaccinations ramp up across Canada, the idea of easing some pandemic restrictions based on immunity or vaccination status appears to be gaining traction. PANDEMIC AMPLIFIES CALLS FOR Pandemic amplifies calls for alternative payment models. The slowdown in patients and procedures due to COVID-19 is hitting some doctors harder than others. Doctors who depend on fee-for-service payments have seen their incomes drop considerably during the pandemic, while those paid under other models have been relatively unscathed. FEDS SIGN OFF ON MIXING AND MATCHING COVID-19 VACCINES Feds sign off on mixing and matching COVID-19 vaccines, but evidence gaps remain. People who received a first dose of the AstraZeneca COVID-19 vaccine should be offered a second dose of the same product, or one of the Pfizer or Moderna shots, according to new advice from Canada’s National Advisory Committee on Immunization (NACI). HOW CAN CANADA IMPROVE WORSENING WAIT TIMES? The interconnectedness of all the sectors in healthcare has been underappreciated, and siloed funding has inhibited the kinds of cross-sector discussions which could improve patient flow. A lot of people still manage waitlists as a stack of paper on the side of their desks, which leads to inefficiency. SHOULD CANADA’S APPROACH TO COVID-19 AND KIDS CHANGE WITH Around the same time, Ontario’s COVID-19 science advisory table reported that variants of concern accounted for two-thirds of new SARS-CoV-2 infections in the province, and were associated with a 103% increased risk of admission to intensive care and a 56% increased risk of death from COVID-19. More recently, Alberta reported 175 DOCTORS WARN OF LATE DIAGNOSES AS CANCER SCREENING BACKLOG In the case of screening mammograms, service disruptions contributed to a shortfall of more than 152,000 screens between March 15 and May 31, 2020, compared with the previous year. By December, the backlog had doubled to more than 300,000 missed screening mammograms. That number is likely higher now – provincial officials say screening is MEDICAL TRAINING REMAINS A BARRIER TO STARTING Medical training remains a barrier to starting a family. Women in medicine have children later than the general public, but eventually catch up after training. Women in medicine wait much longer to have children than those pursuing other careers but close that gap quickly once their training is completed, according to a recent study in JAMA INDIGENOUS YOUTH CO-DEVELOP A NEW WAY TO MEASURE THEIR Indigenous communities across Canada are adapting a new way of measuring child and youth wellbeing with a tool co-designed by Indigenous youth. Those behind the tool say Indigenous-developed health measures are desperately lacking, although vitally important as communities continue to contend with the mental health fallout ofcolonization.
CMAJ NEWS
Feds sign off on mixing and matching COVID-19 vaccines, but evidence gaps remain. June 1, 2021. A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. Is Canada warming up to “vaccine passports”? CMAJ NEWS – PAGE 4 A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. CMAJ NEWS – PAGE 29 CMAJ News publishes original medical journalism for and about Canadian health professionals and patients, edited by journalists andclinicians.
FEDS UPDATE IMMUNIZATION ADVICE Feds update immunization advice with Moderna vaccine approval. National recommendations on COVID-19 immunizations now include guidance on the safety, efficacy and use of both Moderna and Pfizer vaccines. Moderna and Pfizer COVID-19 vaccines are similar enough that you can swap them in a pinch, according to the latest guidance fromCanada’s
IS CANADA WARMING UP TO “VACCINE PASSPORTS”? As COVID-19 vaccinations ramp up across Canada, the idea of easing some pandemic restrictions based on immunity or vaccination status appears to be gaining traction. FEDS SIGN OFF ON MIXING AND MATCHING COVID-19 VACCINES Feds sign off on mixing and matching COVID-19 vaccines, but evidence gaps remain. People who received a first dose of the AstraZeneca COVID-19 vaccine should be offered a second dose of the same product, or one of the Pfizer or Moderna shots, according to new advice from Canada’s National Advisory Committee on Immunization (NACI). HOSPITALS GRAPPLING WITH NURSE EXODUS Hospitals grappling with nurse exodus. Emergency departments are struggling to retain and replace experienced nurses. As Canada faces its third wave of the COVID-19 pandemic, experienced nurses are leaving emergency departments for less demanding positions or retiring early. In the fourth quarter of 2020, job vacancies in Canada’shealth care
MEDICAL TRAINING REMAINS A BARRIER TO STARTING Medical training remains a barrier to starting a family. Women in medicine have children later than the general public, but eventually catch up after training. Women in medicine wait much longer to have children than those pursuing other careers but close that gap quickly once their training is completed, according to a recent study in JAMA NEW NATIONAL CONSORTIUM TO TACKLE ANTI-INDIGENOUS RACISM Diana Duong | CMAJ | February 19, 2021. A new Indigenous-led consortium will work together on anti-racism efforts across Canada’s medical schools. Indigenous medical leaders across Canada have formed a national consortium on Indigenous medical education to collaborate on anti-racist reforms and culturally safe care. For years, this workhas
CANADA WILL HAVE THREE-DIGIT SUICIDE PREVENTION HOTLINE BY Canada will have three-digit suicide prevention hotline by 2023. A national suicide prevention service will provide 24/7/365 crisis support. Sixteen people in Bill Pringle’s life have died by suicide – four in the past year alone. The 62-year-old Saskatoon man has himself attempted suicide eight times. He says that easy access tosuicide
CMAJ NEWS
Feds sign off on mixing and matching COVID-19 vaccines, but evidence gaps remain. June 1, 2021. A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. Is Canada warming up to “vaccine passports”? CMAJ NEWS – PAGE 4 A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. CMAJ NEWS – PAGE 29 CMAJ News publishes original medical journalism for and about Canadian health professionals and patients, edited by journalists andclinicians.
FEDS UPDATE IMMUNIZATION ADVICE Feds update immunization advice with Moderna vaccine approval. National recommendations on COVID-19 immunizations now include guidance on the safety, efficacy and use of both Moderna and Pfizer vaccines. Moderna and Pfizer COVID-19 vaccines are similar enough that you can swap them in a pinch, according to the latest guidance fromCanada’s
IS CANADA WARMING UP TO “VACCINE PASSPORTS”? As COVID-19 vaccinations ramp up across Canada, the idea of easing some pandemic restrictions based on immunity or vaccination status appears to be gaining traction. FEDS SIGN OFF ON MIXING AND MATCHING COVID-19 VACCINES Feds sign off on mixing and matching COVID-19 vaccines, but evidence gaps remain. People who received a first dose of the AstraZeneca COVID-19 vaccine should be offered a second dose of the same product, or one of the Pfizer or Moderna shots, according to new advice from Canada’s National Advisory Committee on Immunization (NACI). HOSPITALS GRAPPLING WITH NURSE EXODUS Hospitals grappling with nurse exodus. Emergency departments are struggling to retain and replace experienced nurses. As Canada faces its third wave of the COVID-19 pandemic, experienced nurses are leaving emergency departments for less demanding positions or retiring early. In the fourth quarter of 2020, job vacancies in Canada’shealth care
MEDICAL TRAINING REMAINS A BARRIER TO STARTING Medical training remains a barrier to starting a family. Women in medicine have children later than the general public, but eventually catch up after training. Women in medicine wait much longer to have children than those pursuing other careers but close that gap quickly once their training is completed, according to a recent study in JAMA NEW NATIONAL CONSORTIUM TO TACKLE ANTI-INDIGENOUS RACISM Diana Duong | CMAJ | February 19, 2021. A new Indigenous-led consortium will work together on anti-racism efforts across Canada’s medical schools. Indigenous medical leaders across Canada have formed a national consortium on Indigenous medical education to collaborate on anti-racist reforms and culturally safe care. For years, this workhas
CANADA WILL HAVE THREE-DIGIT SUICIDE PREVENTION HOTLINE BY Canada will have three-digit suicide prevention hotline by 2023. A national suicide prevention service will provide 24/7/365 crisis support. Sixteen people in Bill Pringle’s life have died by suicide – four in the past year alone. The 62-year-old Saskatoon man has himself attempted suicide eight times. He says that easy access tosuicide
CMAJ NEWS – PAGE 4 A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. CMAJ NEWS – PAGE 29 CMAJ News publishes original medical journalism for and about Canadian health professionals and patients, edited by journalists andclinicians.
IS CANADA WARMING UP TO “VACCINE PASSPORTS”? As COVID-19 vaccinations ramp up across Canada, the idea of easing some pandemic restrictions based on immunity or vaccination status appears to be gaining traction. HOSPITALS GRAPPLING WITH NURSE EXODUS Hospitals grappling with nurse exodus. Emergency departments are struggling to retain and replace experienced nurses. As Canada faces its third wave of the COVID-19 pandemic, experienced nurses are leaving emergency departments for less demanding positions or retiring early. In the fourth quarter of 2020, job vacancies in Canada’shealth care
PANDEMIC AMPLIFIES CALLS FOR Pandemic amplifies calls for alternative payment models. The slowdown in patients and procedures due to COVID-19 is hitting some doctors harder than others. Doctors who depend on fee-for-service payments have seen their incomes drop considerably during the pandemic, while those paid under other models have been relatively unscathed. WHAT’S IMPORTANT TO KNOW ABOUT THE NEW COVID-19 VARIANTS What’s important to know about the new COVID-19 variants? New variants of SARS-CoV-2 identified in the United Kingdom and South Africa have led to escalating infections, lockdowns and travel restrictions. On September 20, a new SARS-CoV-2 variant, called B117, was first identified in Greater London in England among a large numberof new cases.
DOCTORS WARN OF LATE DIAGNOSES AS CANCER SCREENING BACKLOG In the case of screening mammograms, service disruptions contributed to a shortfall of more than 152,000 screens between March 15 and May 31, 2020, compared with the previous year. By December, the backlog had doubled to more than 300,000 missed screening mammograms. That number is likely higher now – provincial officials say screening is HOW CAN CANADA IMPROVE WORSENING WAIT TIMES? The interconnectedness of all the sectors in healthcare has been underappreciated, and siloed funding has inhibited the kinds of cross-sector discussions which could improve patient flow. A lot of people still manage waitlists as a stack of paper on the side of their desks, which leads to inefficiency. MEDICAL TRAINING REMAINS A BARRIER TO STARTING Medical training remains a barrier to starting a family. Women in medicine have children later than the general public, but eventually catch up after training. Women in medicine wait much longer to have children than those pursuing other careers but close that gap quickly once their training is completed, according to a recent study in JAMA INDIGENOUS YOUTH CO-DEVELOP A NEW WAY TO MEASURE THEIR Indigenous communities across Canada are adapting a new way of measuring child and youth wellbeing with a tool co-designed by Indigenous youth. Those behind the tool say Indigenous-developed health measures are desperately lacking, although vitally important as communities continue to contend with the mental health fallout ofcolonization.
CMAJ NEWSNEWS ARCHIVEHEALTH NEWS RECAPCMAJ NEWSCMAJ IMPACT FACTORCMAJJAMCCMAJ JOURNAL
Mar 19, 2021. The passage of Bill C7 opens up access to medical aid in dying, along with new challenges for health professionals. Canadian physicians frustrated with vaccine rollout. Mar 11, 2021. Three in five physicians surveyed by the Canadian Medical Association FEDS UPDATE IMMUNIZATION ADVICE Feds update immunization advice with Moderna vaccine approval. National recommendations on COVID-19 immunizations now include guidance on the safety, efficacy and use of both Moderna and Pfizer vaccines. Moderna and Pfizer COVID-19 vaccines are similar enough that you can swap them in a pinch, according to the latest guidance fromCanada’s
HOSPITALS GRAPPLING WITH NURSE EXODUS Hospitals grappling with nurse exodus. Emergency departments are struggling to retain and replace experienced nurses. As Canada faces its third wave of the COVID-19 pandemic, experienced nurses are leaving emergency departments for less demanding positions or retiring early. In the fourth quarter of 2020, job vacancies in Canada’shealth care
PANDEMIC AMPLIFIES CALLS FOR Pandemic amplifies calls for alternative payment models. The slowdown in patients and procedures due to COVID-19 is hitting some doctors harder than others. Doctors who depend on fee-for-service payments have seen their incomes drop considerably during the pandemic, while those paid under other models have been relatively unscathed. NEW NATIONAL CONSORTIUM TO TACKLE ANTI-INDIGENOUS RACISM Diana Duong | CMAJ | February 19, 2021. A new Indigenous-led consortium will work together on anti-racism efforts across Canada’s medical schools. Indigenous medical leaders across Canada have formed a national consortium on Indigenous medical education to collaborate on anti-racist reforms and culturally safe care. For years, this workhas
INDIGENOUS YOUTH CO-DEVELOP A NEW WAY TO MEASURE THEIR Indigenous communities across Canada are adapting a new way of measuring child and youth wellbeing with a tool co-designed by Indigenous youth. Those behind the tool say Indigenous-developed health measures are desperately lacking, although vitally important as communities continue to contend with the mental health fallout ofcolonization.
HOW WORK HOURS AFFECT MEDICAL RESIDENT PERFORMANCE AND The difference between 80 hours and 100 hours per week which residents could have worked before the reforms, is unlikely to make much of a change in learning, either positive or negative, he said. Dr. Kevin Imrie, physician-in-chief at the Sunnybrook Health Sciences Centre and cochair of the Fatigue Risk Management Taskforce, said the new study ARE FEES FOR CATARACT SURGERY STILL TOO HIGH? The negotiated fees paid to ophthalmologists for cataract surgery hover around $400 across the country, but they have been falling. Rocha says the fee in Manitoba has decreased by about 10% over the past 20 years, while fees in Ontario have fallen by 25%. Cuts like these will hurt recruitment and retention of doctors, he says. SPIKE IN E-SCOOTER INJURIES LINKED TO RIDE-SHARE BOOM A recent study published in JAMA Surgery found the annual number of e-scooter injuries in the United States climbed 222% from 4,582 in 2014, when there were no scooter ride-share companies, to 14,651 in 2018, when rentals took off in North America and Europe. The rate of injuries increased, too, from 6 per 100,000 people to 19 per 100,000people.
IS IT EVER ETHICAL FOR DOCTORS TO DIAGNOSE PATIENTS THEYCAN MEDICAL ASSISTANTS DIAGNOSE PATIENTSCAN NURSES DIAGNOSE PATIENTSCAN REGISTERED NURSES DIAGNOSE PATIENTSPHYSICAL THERAPIST DIAGNOSE PATIENTSWHO CANDIAGNOSE PATIENTS
Kim Jong-un’s mental state has almost certainly been opined upon by psychiatrists, he said. When a judge requests a psychiatric assessment of a person whom the psychiatrist hasn’t met, the assessment relies on materials collected by others. But in such cases, the limitations of the evaluations are understood, said Mulsant. CMAJ NEWSNEWS ARCHIVEHEALTH NEWS RECAPCMAJ NEWSCMAJ IMPACT FACTORCMAJJAMCCMAJ JOURNAL
Mar 19, 2021. The passage of Bill C7 opens up access to medical aid in dying, along with new challenges for health professionals. Canadian physicians frustrated with vaccine rollout. Mar 11, 2021. Three in five physicians surveyed by the Canadian Medical Association FEDS UPDATE IMMUNIZATION ADVICE Feds update immunization advice with Moderna vaccine approval. National recommendations on COVID-19 immunizations now include guidance on the safety, efficacy and use of both Moderna and Pfizer vaccines. Moderna and Pfizer COVID-19 vaccines are similar enough that you can swap them in a pinch, according to the latest guidance fromCanada’s
HOSPITALS GRAPPLING WITH NURSE EXODUS Hospitals grappling with nurse exodus. Emergency departments are struggling to retain and replace experienced nurses. As Canada faces its third wave of the COVID-19 pandemic, experienced nurses are leaving emergency departments for less demanding positions or retiring early. In the fourth quarter of 2020, job vacancies in Canada’shealth care
PANDEMIC AMPLIFIES CALLS FOR Pandemic amplifies calls for alternative payment models. The slowdown in patients and procedures due to COVID-19 is hitting some doctors harder than others. Doctors who depend on fee-for-service payments have seen their incomes drop considerably during the pandemic, while those paid under other models have been relatively unscathed. NEW NATIONAL CONSORTIUM TO TACKLE ANTI-INDIGENOUS RACISM Diana Duong | CMAJ | February 19, 2021. A new Indigenous-led consortium will work together on anti-racism efforts across Canada’s medical schools. Indigenous medical leaders across Canada have formed a national consortium on Indigenous medical education to collaborate on anti-racist reforms and culturally safe care. For years, this workhas
INDIGENOUS YOUTH CO-DEVELOP A NEW WAY TO MEASURE THEIR Indigenous communities across Canada are adapting a new way of measuring child and youth wellbeing with a tool co-designed by Indigenous youth. Those behind the tool say Indigenous-developed health measures are desperately lacking, although vitally important as communities continue to contend with the mental health fallout ofcolonization.
HOW WORK HOURS AFFECT MEDICAL RESIDENT PERFORMANCE AND The difference between 80 hours and 100 hours per week which residents could have worked before the reforms, is unlikely to make much of a change in learning, either positive or negative, he said. Dr. Kevin Imrie, physician-in-chief at the Sunnybrook Health Sciences Centre and cochair of the Fatigue Risk Management Taskforce, said the new study ARE FEES FOR CATARACT SURGERY STILL TOO HIGH? The negotiated fees paid to ophthalmologists for cataract surgery hover around $400 across the country, but they have been falling. Rocha says the fee in Manitoba has decreased by about 10% over the past 20 years, while fees in Ontario have fallen by 25%. Cuts like these will hurt recruitment and retention of doctors, he says. SPIKE IN E-SCOOTER INJURIES LINKED TO RIDE-SHARE BOOM A recent study published in JAMA Surgery found the annual number of e-scooter injuries in the United States climbed 222% from 4,582 in 2014, when there were no scooter ride-share companies, to 14,651 in 2018, when rentals took off in North America and Europe. The rate of injuries increased, too, from 6 per 100,000 people to 19 per 100,000people.
IS IT EVER ETHICAL FOR DOCTORS TO DIAGNOSE PATIENTS THEYCAN MEDICAL ASSISTANTS DIAGNOSE PATIENTSCAN NURSES DIAGNOSE PATIENTSCAN REGISTERED NURSES DIAGNOSE PATIENTSPHYSICAL THERAPIST DIAGNOSE PATIENTSWHO CANDIAGNOSE PATIENTS
Kim Jong-un’s mental state has almost certainly been opined upon by psychiatrists, he said. When a judge requests a psychiatric assessment of a person whom the psychiatrist hasn’t met, the assessment relies on materials collected by others. But in such cases, the limitations of the evaluations are understood, said Mulsant. CMAJ NEWS – PAGE 3 CMAJ News publishes original medical journalism for and about Canadian health professionals and patients, edited by journalists andclinicians.
ARCHIVES | CMAJ NEWS Feds sign off on mixing and matching COVID-19 vaccines, but evidence gaps remain. by CMAJ News | Jun 1, 2021 | Archive, Diana Duong, Latest. Feds sign off on mixing and matching COVID-19 vaccines, but evidence gaps remain Diana Duong | CMAJ | June 1, 2021 A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. PANDEMIC AMPLIFIES CALLS FOR Pandemic amplifies calls for alternative payment models. The slowdown in patients and procedures due to COVID-19 is hitting some doctors harder than others. Doctors who depend on fee-for-service payments have seen their incomes drop considerably during the pandemic, while those paid under other models have been relatively unscathed. SHOULD CANADA’S APPROACH TO COVID-19 AND KIDS CHANGE WITH Around the same time, Ontario’s COVID-19 science advisory table reported that variants of concern accounted for two-thirds of new SARS-CoV-2 infections in the province, and were associated with a 103% increased risk of admission to intensive care and a 56% increased risk of death from COVID-19. More recently, Alberta reported 175 HOSPITALS GRAPPLING WITH NURSE EXODUS Hospitals grappling with nurse exodus. Emergency departments are struggling to retain and replace experienced nurses. As Canada faces its third wave of the COVID-19 pandemic, experienced nurses are leaving emergency departments for less demanding positions or retiring early. In the fourth quarter of 2020, job vacancies in Canada’shealth care
UNPACKING “LONG COVID” Unpacking “long COVID”. Terry Murray | Toronto, Ont. | February 11, 2021. Experts met recently to define COVID-19’s long-term consequences, but a global consensus may take time to pin down. Experts at a recent World Health Organization meeting warned that the long-term complications of COVID-19, known as “long COVID” or postCOVID-19
WHAT ABOUT THE WAIT TIMES CANADA ISN’T TRACKING? Similarly, British Columbia monitors all surgical wait times but doesn’t track non-surgical waits. Nova Scotia tracks and publicly reports the widest range of wait times of any province, including average non-surgical waits. The government’s website reports that 50% of patients see a neurologist within 98 days, while 90% seesomeone within
CANADA WILL HAVE THREE-DIGIT SUICIDE PREVENTION HOTLINE BY Canada will have three-digit suicide prevention hotline by 2023. A national suicide prevention service will provide 24/7/365 crisis support. Sixteen people in Bill Pringle’s life have died by suicide – four in the past year alone. The 62-year-old Saskatoon man has himself attempted suicide eight times. He says that easy access tosuicide
HOW CAN CANADA SAFEGUARD THOSE MARGINALIZED BY SOCIETY AS Downie agrees that the expansion of MAID should be paired with “improving access to mental health services and support for people with disabilities.”. However, she and others note that Canada’s assessment process appears to be working well screening people for the service. “The process already protects people,” says Helen Long,CEO of
SHOULD MEDICAL ERRORS EVER BE In Canada, cases involving medical errors similar to Bawa-Garba’s case would be “dealt with in the tort law system it would not go into criminal law context,” said Berger. Dr. Albert Wu, a general internist in Baltimore, Maryland, who studies adverse events and quality improvement, agreed that criminal changes are unfair in casesof
CMAJ NEWSNEWS ARCHIVEHEALTH NEWS RECAPCMAJ NEWSCMAJ IMPACT FACTORCMAJJAMCCMAJ JOURNAL
Mar 19, 2021. The passage of Bill C7 opens up access to medical aid in dying, along with new challenges for health professionals. Canadian physicians frustrated with vaccine rollout. Mar 11, 2021. Three in five physicians surveyed by the Canadian Medical Association FEDS UPDATE IMMUNIZATION ADVICE Feds update immunization advice with Moderna vaccine approval. National recommendations on COVID-19 immunizations now include guidance on the safety, efficacy and use of both Moderna and Pfizer vaccines. Moderna and Pfizer COVID-19 vaccines are similar enough that you can swap them in a pinch, according to the latest guidance fromCanada’s
HOSPITALS GRAPPLING WITH NURSE EXODUS Hospitals grappling with nurse exodus. Emergency departments are struggling to retain and replace experienced nurses. As Canada faces its third wave of the COVID-19 pandemic, experienced nurses are leaving emergency departments for less demanding positions or retiring early. In the fourth quarter of 2020, job vacancies in Canada’shealth care
PANDEMIC AMPLIFIES CALLS FOR Pandemic amplifies calls for alternative payment models. The slowdown in patients and procedures due to COVID-19 is hitting some doctors harder than others. Doctors who depend on fee-for-service payments have seen their incomes drop considerably during the pandemic, while those paid under other models have been relatively unscathed. NEW NATIONAL CONSORTIUM TO TACKLE ANTI-INDIGENOUS RACISM Diana Duong | CMAJ | February 19, 2021. A new Indigenous-led consortium will work together on anti-racism efforts across Canada’s medical schools. Indigenous medical leaders across Canada have formed a national consortium on Indigenous medical education to collaborate on anti-racist reforms and culturally safe care. For years, this workhas
INDIGENOUS YOUTH CO-DEVELOP A NEW WAY TO MEASURE THEIR Indigenous communities across Canada are adapting a new way of measuring child and youth wellbeing with a tool co-designed by Indigenous youth. Those behind the tool say Indigenous-developed health measures are desperately lacking, although vitally important as communities continue to contend with the mental health fallout ofcolonization.
HOW WORK HOURS AFFECT MEDICAL RESIDENT PERFORMANCE AND The difference between 80 hours and 100 hours per week which residents could have worked before the reforms, is unlikely to make much of a change in learning, either positive or negative, he said. Dr. Kevin Imrie, physician-in-chief at the Sunnybrook Health Sciences Centre and cochair of the Fatigue Risk Management Taskforce, said the new study ARE FEES FOR CATARACT SURGERY STILL TOO HIGH? The negotiated fees paid to ophthalmologists for cataract surgery hover around $400 across the country, but they have been falling. Rocha says the fee in Manitoba has decreased by about 10% over the past 20 years, while fees in Ontario have fallen by 25%. Cuts like these will hurt recruitment and retention of doctors, he says. SPIKE IN E-SCOOTER INJURIES LINKED TO RIDE-SHARE BOOM A recent study published in JAMA Surgery found the annual number of e-scooter injuries in the United States climbed 222% from 4,582 in 2014, when there were no scooter ride-share companies, to 14,651 in 2018, when rentals took off in North America and Europe. The rate of injuries increased, too, from 6 per 100,000 people to 19 per 100,000people.
IS IT EVER ETHICAL FOR DOCTORS TO DIAGNOSE PATIENTS THEYCAN MEDICAL ASSISTANTS DIAGNOSE PATIENTSCAN NURSES DIAGNOSE PATIENTSCAN REGISTERED NURSES DIAGNOSE PATIENTSPHYSICAL THERAPIST DIAGNOSE PATIENTSWHO CANDIAGNOSE PATIENTS
Kim Jong-un’s mental state has almost certainly been opined upon by psychiatrists, he said. When a judge requests a psychiatric assessment of a person whom the psychiatrist hasn’t met, the assessment relies on materials collected by others. But in such cases, the limitations of the evaluations are understood, said Mulsant. CMAJ NEWSNEWS ARCHIVEHEALTH NEWS RECAPCMAJ NEWSCMAJ IMPACT FACTORCMAJJAMCCMAJ JOURNAL
Mar 19, 2021. The passage of Bill C7 opens up access to medical aid in dying, along with new challenges for health professionals. Canadian physicians frustrated with vaccine rollout. Mar 11, 2021. Three in five physicians surveyed by the Canadian Medical Association FEDS UPDATE IMMUNIZATION ADVICE Feds update immunization advice with Moderna vaccine approval. National recommendations on COVID-19 immunizations now include guidance on the safety, efficacy and use of both Moderna and Pfizer vaccines. Moderna and Pfizer COVID-19 vaccines are similar enough that you can swap them in a pinch, according to the latest guidance fromCanada’s
HOSPITALS GRAPPLING WITH NURSE EXODUS Hospitals grappling with nurse exodus. Emergency departments are struggling to retain and replace experienced nurses. As Canada faces its third wave of the COVID-19 pandemic, experienced nurses are leaving emergency departments for less demanding positions or retiring early. In the fourth quarter of 2020, job vacancies in Canada’shealth care
PANDEMIC AMPLIFIES CALLS FOR Pandemic amplifies calls for alternative payment models. The slowdown in patients and procedures due to COVID-19 is hitting some doctors harder than others. Doctors who depend on fee-for-service payments have seen their incomes drop considerably during the pandemic, while those paid under other models have been relatively unscathed. NEW NATIONAL CONSORTIUM TO TACKLE ANTI-INDIGENOUS RACISM Diana Duong | CMAJ | February 19, 2021. A new Indigenous-led consortium will work together on anti-racism efforts across Canada’s medical schools. Indigenous medical leaders across Canada have formed a national consortium on Indigenous medical education to collaborate on anti-racist reforms and culturally safe care. For years, this workhas
INDIGENOUS YOUTH CO-DEVELOP A NEW WAY TO MEASURE THEIR Indigenous communities across Canada are adapting a new way of measuring child and youth wellbeing with a tool co-designed by Indigenous youth. Those behind the tool say Indigenous-developed health measures are desperately lacking, although vitally important as communities continue to contend with the mental health fallout ofcolonization.
HOW WORK HOURS AFFECT MEDICAL RESIDENT PERFORMANCE AND The difference between 80 hours and 100 hours per week which residents could have worked before the reforms, is unlikely to make much of a change in learning, either positive or negative, he said. Dr. Kevin Imrie, physician-in-chief at the Sunnybrook Health Sciences Centre and cochair of the Fatigue Risk Management Taskforce, said the new study ARE FEES FOR CATARACT SURGERY STILL TOO HIGH? The negotiated fees paid to ophthalmologists for cataract surgery hover around $400 across the country, but they have been falling. Rocha says the fee in Manitoba has decreased by about 10% over the past 20 years, while fees in Ontario have fallen by 25%. Cuts like these will hurt recruitment and retention of doctors, he says. SPIKE IN E-SCOOTER INJURIES LINKED TO RIDE-SHARE BOOM A recent study published in JAMA Surgery found the annual number of e-scooter injuries in the United States climbed 222% from 4,582 in 2014, when there were no scooter ride-share companies, to 14,651 in 2018, when rentals took off in North America and Europe. The rate of injuries increased, too, from 6 per 100,000 people to 19 per 100,000people.
IS IT EVER ETHICAL FOR DOCTORS TO DIAGNOSE PATIENTS THEYCAN MEDICAL ASSISTANTS DIAGNOSE PATIENTSCAN NURSES DIAGNOSE PATIENTSCAN REGISTERED NURSES DIAGNOSE PATIENTSPHYSICAL THERAPIST DIAGNOSE PATIENTSWHO CANDIAGNOSE PATIENTS
Kim Jong-un’s mental state has almost certainly been opined upon by psychiatrists, he said. When a judge requests a psychiatric assessment of a person whom the psychiatrist hasn’t met, the assessment relies on materials collected by others. But in such cases, the limitations of the evaluations are understood, said Mulsant. CMAJ NEWS – PAGE 3 CMAJ News publishes original medical journalism for and about Canadian health professionals and patients, edited by journalists andclinicians.
COVID-19 – PAGE 7 – CMAJ NEWS A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. ARCHIVES | CMAJ NEWS Feds sign off on mixing and matching COVID-19 vaccines, but evidence gaps remain. by CMAJ News | Jun 1, 2021 | Archive, Diana Duong, Latest. Feds sign off on mixing and matching COVID-19 vaccines, but evidence gaps remain Diana Duong | CMAJ | June 1, 2021 A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. SHOULD CANADA’S APPROACH TO COVID-19 AND KIDS CHANGE WITH Public health experts say Canada may need to reconsider its pandemic strategy considering increasing hospitalizations among young people with new variants of SARS-CoV-2. UNPACKING “LONG COVID” Several researchers also noted that research on long COVID has so far excluded children and pregnant women. Dr. John Marshall, a professor of surgery at the University of Toronto who chaired the diagnostics working group, said he hopes to collaborate with others who presented data at the meeting to pool information on their cohorts with long-term complications. PANDEMIC AMPLIFIES CALLS FOR Doctors who depend on fee-for-service payments have seen their incomes drop considerably during the pandemic, while those paid under other models have been relatively unscathed. HOSPITALS GRAPPLING WITH NURSE EXODUS A first AstraZeneca shot may be followed by an mRNA COVID-19 vaccine, according to new guidance. WHAT ABOUT THE WAIT TIMES CANADA ISN’T TRACKING? This article is the second in a special series on access to care. Janet Lunn was on a waitlist for four years to see a neurologist in Halifax for pain that felt like “an immense amount of pressure” on her temple and behind her eye. CANADA WILL HAVE THREE-DIGIT SUICIDE PREVENTION HOTLINE BY Sixteen people in Bill Pringle’s life have died by suicide – four in the past year alone. The 62-year-old Saskatoon man has himself attempted suicide eight times.CAROLINE MERCER
How work hours affect medical resident performance and wellness. by CMAJ News | Sep 11, 2019 | Archive, Caroline Mercer, Latest. How work hours affect medical resident performance and wellness Caroline Mercer | Toronto | September 11, 2019 The decades-long debate over resident duty hours shows no signs of slowing.* Archive
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DOES MEDICAL PROFESSIONALISM HAVE A DARK SIDE?Nov 13, 2020
Unexamined biases in medical professional standards may disadvantage those who don’t fit the stock photo image of a doctor. WHY SOME DOCTORS WANT TO DEFUND THE POLICENov 10, 2020
Calling the police shouldn’t be the only option in mental health crises, say health advocates. CONTROVERSIAL MEDICAL LICENSING EXAM CANCELLED WITH TWO DAYS’ NOTICEOct 23, 2020
The last-minute cancellation of the MCCEQ II will leave many newly graduated doctors in licensing limbo. DRIVEN TO DISTRACTION, DOCTORS AND PATIENTS ARE RENEGOTIATING VIRTUALVISITS
Oct 16, 2020
Should there be different rules of engagement for virtual careappointments?
INCREASING SAFETY CONCERNS OVER MEDICAL LICENSING EXAMOct 9, 2020
The Medical Council of Canada is going ahead with MCCQE II exams despite some exam site cancellations. PUBLIC HEALTH EXPERTS ARE LEARNING FROM CANADA’S ANTI-MASK PROTESTSOct 1, 2020
The backlash against wearing masks is a cautionary tale about mistrust and miscommunication. RECORD GIFT TO UNIVERSITY OF TORONTO FACULTY OF MEDICINE SUPPORTS AI,EQUITY
Sep 24, 2020
A new centre for artificial intelligence will bring together experts in computer science, statistics, and medicine. HOSPITALS ROLLING OUT THE “WELCOME MAT” TO EASE COVID-19 FEARSSep 18, 2020
Small changes can make a world of difference to patients anxious aboutseeking care.
WHAT ABOUT THE WAIT TIMES CANADA ISN’T TRACKING?Aug 28, 2020
Patients can wait years for access to non-surgical health services, yet there’s little accountability for those delays. HOW CAN CANADA IMPROVE WORSENING WAIT TIMES?Aug 28, 2020
COVID-19 has compounded longstanding access problems but may compelchange.
PHYSICIAN BILLING DATA REVEAL STRIKING GENDER PAY GAPAug 21, 2020
If you’re a female doctor in Ontario, you’re likely paid less thanyour male peers.
ABORTION CLINIC WEBSITES BLOCKED AT TORONTO HOSPITALAug 20, 2020
Doctors at St. Joseph’s Health Centre are concerned by institutional firewalls blocking abortion information. HOW MANY CANADIAN KIDS SUFFER HARM LINKED TO VAPING AND CANNABIS?Aug 14, 2020
New data show that some young people experience lingering vaping-related health issues. WHY ARE INDIGENOUS COMMUNITIES SEEING SO FEW CASES OF COVID-19?Aug 7, 2020
Indigenous communities have fared better than the rest of Canada in the first wave of the pandemic despite facing major challenges to infectious disease control. “THIS IS WAY MORE COMPLICATED THAN ANYONE EXPECTED…”Aug 6, 2020
Dr. Catherine Hankins talks about the “humbling and sobering” work of Canada’s COVID-19 Immunity Task Force. SHOULD HEALTH WORKERS CONFRONT PATIENTS WHO THEY SUSPECT OF ABUSINGTHEIR PARTNERS?
Jul 31, 2020
Clinicians are often hesitant to address intimate partner violence. VACCINATION DEBATES MAY OBSCURE ACCESS ISSUESJul 24, 2020
Poor compliance with school vaccination policies may have more to do with access issues than anti-vaccination beliefs. MORE QUESTIONS THAN ANSWERS AS CANADA’S IMMUNITY TASK FORCE RELEASESINITIAL RESULTS
Jul 24, 2020
One in 100 Canadians may have been infected with SARS-CoV-2 in the first wave of the pandemic, according to the initial results of a study of blood donors. TEMPORARY FIXES TO CHRONIC DRUG SHORTAGES LEAVE CANADA VULNERABLEJul 16, 2020
Canada may face dire shortages of critical care medicines if a second wave of COVID-19 cases spikes earlier than anticipated. COVID-19 FEARS MAY WIDEN GAPS IN EARLY PREGNANCY CAREJul 10, 2020
Some women may be delaying or avoiding care for early pregnancycomplications.
VIRTUAL CARE IS HERE TO STAY, BUT MAJOR CHALLENGES REMAINJul 9, 2020
Health authorities have mostly left physicians to figure out how to provide virtual care during the pandemic. SOME DOCTORS BARRED FROM RETAKING LICENSING EXAMSJul 3, 2020
Only some doctors will be able to sit licensing exams for family medicine and a certificate in emergency medicine this year. DOES MEDICAL PROFESSIONALISM HAVE A DARK SIDE? Unexamined biases in medical professional standards may disadvantage those who don’t fit the stock photo image of a doctor.Read More
WHY SOME DOCTORS WANT TO DEFUND THE POLICENov 10, 2020
Calling the police shouldn’t be the only option in mental health crises, say health advocates. CONTROVERSIAL MEDICAL LICENSING EXAM CANCELLED WITH TWO DAYS’ NOTICEOct 23, 2020
The last-minute cancellation of the MCCEQ II will leave many newly graduated doctors in licensing limbo. DRIVEN TO DISTRACTION, DOCTORS AND PATIENTS ARE RENEGOTIATING VIRTUALVISITS
Oct 16, 2020
Should there be different rules of engagement for virtual careappointments?
COVID-19: A TIMELINE OF CANADA’S FIRST-WAVE RESPONSEJun 12, 2020
How Canada faced COVID-19, from first cases to provinces reopening. INCREASING SAFETY CONCERNS OVER MEDICAL LICENSING EXAMOct 9, 2020
The Medical Council of Canada is going ahead with MCCQE II exams despite some exam site cancellations. PUBLIC HEALTH EXPERTS ARE LEARNING FROM CANADA’S ANTI-MASK PROTESTSOct 1, 2020
The backlash against wearing masks is a cautionary tale about mistrust and miscommunication. RECORD GIFT TO UNIVERSITY OF TORONTO FACULTY OF MEDICINE SUPPORTS AI,EQUITY
Sep 24, 2020
A new centre for artificial intelligence will bring together experts in computer science, statistics, and medicine. REVIEW UNCOVERS FATAL FLAWS IN LONG-TERM CARE INFECTION CONTROLSep 22, 2020
Long-term care facilities must balance the risk of COVID-19 against residents’ quality of life, according to a review into an outbreakin Nova Scotia.
MORE CMAJ NEWS
For more health care news — plus research, analysis, commentary and more — please visit:CMAJ.CA
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