Fractures
October 30, 2017
Co-host: Dr. Chris Beavington (FMR3 in Sports and Exercise Medicine)
This week, Dr. Chris Beavington tackles the orthopedic content for the Family Medicine examination.
This week's links:
This week, Dr. Chris Beavington tackles the orthopedic content for the Family Medicine examination.
This week's links:
All that wheezes is not asthma! But it's a good place to start.
This week's links:
A new study note has been published on Gastro-intestinal Bleed, contributed by Dr. Daniel Pepe, a Family Medicine resident at Western University. We welcome contributions from all residents and Family Physicians — if you would like to contribute to a topic, please drop us a line.
This week, Mike and I discuss cancer care. The best takeaway from this talk: sometimes patients can disappear into a "cancer blackhole" when they're diagnosed, where they're busy with specialist appointment after specialist appointment. Consider pre-booking appointments with these patients at regular intervals to help them navigate the process, discuss any issues that might pop up (don't forget, depression is very common), and remember: their non-cancer health continues - they still need ongoing preventative screening for other conditions!
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This week, Mike and I discuss how to approach the common presenting complaint of "we've been trying, but we can't seem to get pregnant... help us!"
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Remember: H. pylori serology does not indicate current infection!
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A new study note has been published on Dementia, contributed by Dr. Romesa Khalid, a resident in Family Medicine at McMaster University, and kindly reviewed by Dr. Fabian Schwarz. We welcome contributions from all residents and Family Physicians — if you would like to contribute to a topic, please drop us a line.
Happy Thanksgiving!
(This talk was recorded in July 2016 — it's a good one!)
Links from this week's talk:
Links from this week's talk:
Links from this week's talk:
To supplement Sonali and Mark's excellent talk about an approach for SOOs, I thought I would share the simplified, 3 step approach for the SOOs that I used during the examination.
There are lots of other ways to prepare for the SOOs, and this is just one more added into the fray: I would encourage you to try a few out as mental models while you're doing your practice, and use what works best for you. For myself, I found that I really can't keep that much in my head, especially when I'm nervous for an exam, and so I worked to simplify the SOO content into 3 short prompts that I could use to keep organized and make sure that I touched on all the relevant information during the exam. A PDF of the approach is included below for your use, feel free to share if you find it helpful!
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Our very own regular co-host Dr. Michael Kirlew is much too modest to mention it himself, but here at the 99 Topics we felt like giving him a special shout-out for standing up and telling it like it is in Ottawa in front of the Indigenous Affairs Committee.
"In my 10 years, I can say that First Nations individuals who live on reserves receive a level of health care that's far inferior to what other people get, not just a little inferior, far inferior."
Keep fighting the good fight, Dr. Kirlew. To see video of him speaking before the committee, hop on over to the CBC article.
This week Mike and I talk Deep Vein Thrombosis (DVT). This topic overlaps with pulmonary embolism (PE) somewhat, which we've already discussed as part of the talk on Chest Pain.
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This week, we have a special episode for you! A special thank you to guest hosts Dr. Srivastava and Karanofksy, who chat about Simulated Office Orals (SOOs), a core part of the CCFP examination. Bullet points are included below:
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This week we talk about fever, which is a super common presenting complaint both in Primary Care and in the Emergency Department. Most of the CCFP exam's focus seems to be on children with fever, but we talk about a few other related conditions as well that can occur in adults.
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Arguably, the last of the "core" chronic disease topics this week: Hypertension! The 2015 Canadian Hypertension Education Program (CHEP) has everything you need to know for the exam and for practice; guidelines published alongside the paper are a fairly short and recommended read, or even shorter, their highlights.
Yet another core Family Medicine topic this week, hyperlipidemia. The best reading you can do for the exam around this topic is to read through Dr. Michael Allan et al.'s recent article in the CFP titled Simplified lipid guidelines: prevention and management of cardiovascular disease in primary care, but of course we'll have a "summary of the summary" up in the study notes very soon!
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And the second part of our two-parter discussion of Diabetes.
Thanks to Dr. Alain-Philip Gendron (FMR1) for help in developing the study notes for this topic.
The first part of our two part discussion of Diabetes (what a huge topic!), certainly one of the most prevalent diseases in Family Medicine.
Links from this week's talk:
Thanks to Dr. Alain-Philip Gendron (FMR1) for help in developing the study notes for this topic.
This week, we discuss depression: one of the most common presentations in Family Medicine. I managed to not record my chat with Mike this time around, so you'll need to take our word for it that it was excellent and highly entertaining.
Some points from our chat:
Brief, office-based CBT is a great skill to have to help your depressed patients. An example guide is available at A Therapist's Guide to Brief Cognitive Behavioral Therapy. The University of Calgary also offers a distance-learning certificate in CBT.
The RXFiles offers a very comprehensive comparison of antidepressant medications.
Another week, another topic! A favourite topic for GP/Emerg docs everywhere, and Dr. Mike Kirlew is back to talk Chest Pain. The study notes to accompany will be up shortly, and I would highly recommend them: this topic is so large that covering it in one podcast episode is a hopeless task (although we tried our best!). Be sure to look up the new and upcoming chest pain / ACS scoring tools and rule out algorithms (HEART score, TIMI score, etc.), as most Emergency departments are moving to a 1- or 2-hour rule-out for low risk ACS patients.
Erratum:
We have a special treat this week - Dr. Mike Kirlew, of the famous (infamous?) Dr. Mike Kirlew's CCFP Podcasts has joined us for a special episode on Anaphylaxis!
The study notes have been published alongside the podcast this week - we're still looking for interested residents who would like to work on one of the 99 Topics, if that sounds like you please get in touch with us, we'd love to have you.
And we're back, but dammit, we have a nosebleed this week. Blame it on the dry northern Saskatchewan air.
Key points this week:
Thanks to FMR2 Dr. Isa Saidu for help in developing this topic!
Exams are over, time to celebrate!
This week, we talk antibiotics.
Probably the most important thing know about antibiotics is having a first-line and second-line antibiotic (and dosing) in mind for common infections.
Two great resources for this:
This week, we talk anemia — a fairly big topic!
As an aside, another great study resource for you: Dr. Mike Kirlew’s CCFP podcasts, from Sioux Lookout, Ontario. His lectures are focused on OSCE content rather than the 99 Topics, which I think complements this podcast nicely. I find his lecture style a bit too energetic for me, but the content is fantastic, and he has a knack for simplifying complex content.
This week's links:
This week, we talk about allergy and anaphylaxis.
"The key to treating patients with anaphylaxis is to have a low threshold to treat. The most important point out of this whole podcast is that epinephrine, given IM at anaphylaxis doses, is essentially without serious sequelae. If you think of anaphylaxis, you should probably give it!"
This week's links:
The second of the 99 topics, Advanced Cardiac Life Support (ACLS). A much more manageable topic this week, thank goodness!
As we're just getting started, feedback (and corrections) are greatly appreciated. Please do get in touch via email or twitter.
This week's links:
Our first podcast kicks off with a bang — the massive topic of Abdominal Pain!
As we're just getting started, feedback (and corrections) are greatly appreciated. Please do get in touch via email or twitter.
This week's links:
Here are some resources I have used and would recommend for your study for the CCFP Exam, roughly in order of how effective I feel they are:
Swanson's Family Medicine Review — My favourite study resource bar none! An American textbook (although I've been told Swanson himself was Canadian) focused on the AAFP examinations, but nonetheless broad enough in scope to touch on most if not all of what we need to know for the CCFP exam.
Why do I love it? It's case-based: it holds my attention as I work through a presenting complaint, differential, management, and then I come out on the other side knowing more about a particular condition. Highly recommended, and a good resource that can hold your attention when you're burnt out from learning "bullet point medicine".
The Practice Based Small Group (PBSG) Learning Program (a.k.a. "The McMaster PBLs") — The McMaster PBLs are a good resource for the CCFP, and useful for Mainpro credit once you're out into solo practice. If your Department doesn't provide you access, then beg them to get it. The University of Saskatchewan academic half-days usually include at least one of these. Each PBL works through a topic in great detail, with 2-3 cases, questions to prompt learning, as well as thoroughly-referenced and researched explanations.
Dr. Mike Kirlew’s CCFP podcasts (iTunes) — Dr. Mike Kirlew practices in Sioux Lookout, Ontario, and his lectures are mostly focused on OSCE content rather than the 99 Topics, which I think complements this podcast nicely. I find his lecture style a tad scattered, and unfortunately the lectures don't have an accompanying description at this time (to match up to particular topics), but the content is fantastic, and he has a knack for simplifying complex content. Highly recommended.
The Guide to the Canadian Family Medicine Examination — Published in 2013, it was created as an initiative of the University of Saskatchewan Family Medicine Residents at the time, along with faculty support. I think this book is great, although it's getting a bit out of date. It is brief but thorough — if you read through it from cover to cover, which won't take you very long, you'll have a great idea of what you know and what you don't, and where you need to focus your studies.
Family Medicine Notes by Dr. Danielle O'Toole — These are compiled study notes from Dr. Danielle O'Toole, a former Family Medicine Resident, now practicing in Academic Family Medicine at McMaster. They are updated yearly, and comprehensive in scope. These study notes are quite condensed, but fairly comprehensively cover the topics. She has sample pages available on her website — have a look and see what you think.
Bates' Guide to Physical Examination and History-Taking — Last but not least, if you need to brush up on your physical examination skills, which are a core component of both the MCCQE2 and CCFP examinations (but are generally considered prior knowledge from medical school), this is the book for you. Everything you need to know, with lots of pictures.
Do you have study resources that I haven't covered here that you think are awesome? Let me know via email or Twitter.