99 Topics For The Ccfp

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: Orthobullets Ankle Fractures Distal Radius Fractures

Co-host: Dr. Mike Kirlew All that wheezes is not asthma! But it's a good place to start. This week's links: CPS: Managing the paediatric patient with an acute asthma exacerbation CPS: Diagnosis and management of asthma in preschoolers: A Canadian Thoracic Society and Canadian Paediatric Society position paper MDCalc: Pediatric Respiratory Assessment Measure (PRAM) for Asthma Exacerbation Severity

Co-host: Dr. Mike Kirlew 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! This week's links: What's My Risk? - Cancer Care Ontario

Co-host: Dr. Mike Kirlew 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!" This week's links: Dr. Aaron Rothstein's {GeM} Generalist Medicine Podcast SOGC - Ovulation Induction in Polycystic Ovary Syndrome

Co-host: Dr. Mike Kirlew Remember: H. pylori serology does not indicate current infection! This week's links: Choosing Wisely's "Bye Bye, PPI" Choosing Wisely - Gastroenterology Recommendations

Co-host: Dr. Mike Kirlew Happy Thanksgiving! (This talk was recorded in July 2016 — it's a good one!) Links from this week's talk: Highly recommended: Saskatchewan Spine Pathway Dr. Mike Evans - Low Back Pain

Co-host: Dr. Mike Kirlew Links from this week's talk: CFP: "Update on age-appropriate preventive measures and screening for Canadian primary care providers" Canadian Task Force on Preventative Health Care (CTFPHC) guidelines U.S. Preventative Services Task Force (USPSTF) guidelines

Co-host: Dr. Mike Kirlew Links from this week's talk: Highly recommended: CCIRH's Evidence-Based Preventative Care Checklists Caring for a newly arrived Syrian refugee family Ontario College of Family Physicians Primary Care Interventions in Poverty

Co-host: Dr. Mike Kirlew 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. Links from this week's talk: Venous Thromboembolism – Lecture Notes - Life in the Fast Lane Well's Criteria for DVT Padua Prediction Score for Risk of VTE

Guest hosts: Dr. Sonali Srivastava, Dr. Mark Karanofksy — Family physician at Jewish General Hospital (McGill University training site) 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: How do you think residents should prepare for the SOO? What specifically can they do to practice? Practice with staff, and practice within a study group — each prepare a different case and practice with each other. Be careful not to read all the cases beforehand. How many SOO's do you think they should do before the actual exam? No real number, until you are comfortable. Once you master the process of the exam, practice only if you need more confidence. How much before the exam should they begin practicing? It is hard to do an interview with two problems and a social context in R1. Usually we do 1-2 sessions in R1. In R2

Co-host: Dr. Mike Kirlew 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. Links from this week's talk: CFPC's Fever in Infants and Children [pdf] UpToDate's Patient Information: Fever in Children (Beyond the Basics)

Co-host: Dr. Mike Kirlew 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 one-page summary.

Co-host: Dr. Mike Kirlew 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! Links from this week's talk: 2013 Cochrane Review, Statins for the primary prevention of cardiovascular disease iCCS Mobile App from the Canadian Cardiovascular Society

Co-host: Dr. Mike Kirlew 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.

Co-host: Dr. Mike Kirlew 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: CANRISK Diabetes Risk Assessment Tool The excellent Canadian Diabetes Association Guidelines in full. Thanks to Dr. Alain-Philip Gendron (FMR1) for help in developing the study notes for this topic.

Co-host: Dr. Mike Kirlew 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.

Co-host: Dr. Mike Kirlew 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 mentioned the ADJUST-PE for age-adjusted D-dimer as being completed in 2012: it's newer than that, completed in 2014.

Co-host: Dr. Mike Kirlew 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: These patients are commonly anxious, which makes everything worse: work on reducing their level of anxiety in the office/ED. 90% of nosebleeds will resolve with basic first aid: start with basic first aid when you first see them, and teach it to them to save them the trip in the next time it happens. If it's recurrent or you can't get it to stop, consider a posterior bleed: these will usually need help from ENT. 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: RXFiles (the "Common Infections" page) MUMS Health’s "Anti-infective Guidelines for Community Acquired Infections" (commonly known as the "Orange Book")