Masha Samuel, Renée-Claude Bider, J. Hughes, M. Talbo, Katherine Lan, Neeti Jain, Esther Kang, P. Jovanovic, Khiran Arumugam, Dylan Langburt, S. J. Wang
The McGill Journal of Medicine (MJM) MedTalks podcast aims to share knowledge and advice with trainees in medicine and the health sciences through interviews with members of the medical community at McGill University and beyond on their careers, research, advocacy, and more. In this episode, Masha (Maryia) Samuel, MJM podcast team member and MSc student in Experimental Medicine interviews Dr. John Hughes, family physician and Assistant Professor at the McGill University Faculty of Medicine. In the first part of the interview, they discuss Dr. Hughes’ early training, his work on an Advanced Crew Medical System, and his involvement in space medicine. In the second part of the interview, they discuss the development of an electronic health record and Dr. Hughes' vision for the future of patient-doctor medical encounters. The episode is rounded off by Dr. Hughes’ advice for medical trainees and junior researchers. The show notes include a glossary of terms, links to publications, images, and videos referenced in the episode, and a transcript of Dr. Hughes and Masha Samuel’s conversation.
{"title":"MJM MedTalks (S01E04 & S01E05): A Conversation with Dr. John Hughes","authors":"Masha Samuel, Renée-Claude Bider, J. Hughes, M. Talbo, Katherine Lan, Neeti Jain, Esther Kang, P. Jovanovic, Khiran Arumugam, Dylan Langburt, S. J. Wang","doi":"10.26443/mjm.v21i1.1063","DOIUrl":"https://doi.org/10.26443/mjm.v21i1.1063","url":null,"abstract":"The McGill Journal of Medicine (MJM) MedTalks podcast aims to share knowledge and advice with trainees in medicine and the health sciences through interviews with members of the medical community at McGill University and beyond on their careers, research, advocacy, and more. In this episode, Masha (Maryia) Samuel, MJM podcast team member and MSc student in Experimental Medicine interviews Dr. John Hughes, family physician and Assistant Professor at the McGill University Faculty of Medicine. In the first part of the interview, they discuss Dr. Hughes’ early training, his work on an Advanced Crew Medical System, and his involvement in space medicine. In the second part of the interview, they discuss the development of an electronic health record and Dr. Hughes' vision for the future of patient-doctor medical encounters. The episode is rounded off by Dr. Hughes’ advice for medical trainees and junior researchers. The show notes include a glossary of terms, links to publications, images, and videos referenced in the episode, and a transcript of Dr. Hughes and Masha Samuel’s conversation.","PeriodicalId":18292,"journal":{"name":"McGill Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43043304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Family Medicine Symposium (FMGSS) 2023","authors":"","doi":"10.26443/mjm.v21i1.1064","DOIUrl":"https://doi.org/10.26443/mjm.v21i1.1064","url":null,"abstract":"","PeriodicalId":18292,"journal":{"name":"McGill Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45403890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kelly Ann Hutchinson, C. Hébert, Ajay Rajaram, P. Fiset, K. Schwartzman
Organizing pneumonia (OP) is a lung pathology mainly affecting distal lung structures. Its etiology is often unknown, in which case it is termed cryptogenic organizing pneumonia (COP). Of those cases of OP with an identified cause, the usual culprits include infections, medications, and radiation therapy. In this report, we present the case of a 73-year-old female on azacitidine –a pyrimidine analogue– used for treatment of myelodysplastic syndrome (MDS). The patient presented with fever, productive cough, and pleuritic chest pain. A CT of the chest, a bronchoalveolar lavage and a transthoracic biopsy were performed, and findings were consistent with OP, thought to be induced by azacitidine. The patient was treated with prednisone and subsequently showed significant improvement. Although rare, this case underlines the importance of considering OP in the context of non-resolving pulmonary infiltrates, particularly when there is a potentially relevant exposure, such as azacitidine.
{"title":"A Case of Organizing Pneumonia Following Azacitidine Treatment for Myelodysplastic Syndrome","authors":"Kelly Ann Hutchinson, C. Hébert, Ajay Rajaram, P. Fiset, K. Schwartzman","doi":"10.26443/mjm.v21i1.983","DOIUrl":"https://doi.org/10.26443/mjm.v21i1.983","url":null,"abstract":"Organizing pneumonia (OP) is a lung pathology mainly affecting distal lung structures. Its etiology is often unknown, in which case it is termed cryptogenic organizing pneumonia (COP). Of those cases of OP with an identified cause, the usual culprits include infections, medications, and radiation therapy. In this report, we present the case of a 73-year-old female on azacitidine –a pyrimidine analogue– used for treatment of myelodysplastic syndrome (MDS). The patient presented with fever, productive cough, and pleuritic chest pain. A CT of the chest, a bronchoalveolar lavage and a transthoracic biopsy were performed, and findings were consistent with OP, thought to be induced by azacitidine. The patient was treated with prednisone and subsequently showed significant improvement. Although rare, this case underlines the importance of considering OP in the context of non-resolving pulmonary infiltrates, particularly when there is a potentially relevant exposure, such as azacitidine.","PeriodicalId":18292,"journal":{"name":"McGill Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47972032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ontario Student Medical Education Research Conference (OSMERC)","authors":"Ontario Medical Student Association","doi":"10.26443/mjm.v21i1.1056","DOIUrl":"https://doi.org/10.26443/mjm.v21i1.1056","url":null,"abstract":"","PeriodicalId":18292,"journal":{"name":"McGill Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46168960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Experimental Medicine Graduate Students' Society (
{"title":"Experimental Medicine Biomedical Graduate Conference (AMBGC)","authors":"Experimental Medicine Graduate Students' Society (","doi":"10.26443/mjm.v21i1.1051","DOIUrl":"https://doi.org/10.26443/mjm.v21i1.1051","url":null,"abstract":"","PeriodicalId":18292,"journal":{"name":"McGill Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49224190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There is limited information on the effects of continued methadone maintenance therapy following aneurysmal subarachnoid hemorrhage (aSAH). However, with the increasing incidence of opioid use disorder (OUD) in the US, there is a need to define best practices for the management of pain and prevention of acute withdrawal syndrome in patients with pre-existing OUD who develop aSAH. In this case report, we describe the use of MMT in a patient with aSAH and discuss important considerations, including sedation or confusion that might mimic acute neurologic changes seen in cerebral vasospasm or delayed cerebral ischemia, cardiac complications related to QTc prolongation, and liver or kidney interactions associated with aSAH routine treatment. Our patient recovered from her aSAH without any adverse events and, with increased monitoring and collaborative team-based care, including input from those with expertise in OMD or aSAH, we believe MMT can be safely continued in most aSAH patients.
{"title":"Methadone Maintenance Therapy after Aneurysmal Subarachnoid Hemorrhage: A Case Report","authors":"Austin L. Smith, A. Cook, K. Hatton","doi":"10.26443/mjm.v21i1.933","DOIUrl":"https://doi.org/10.26443/mjm.v21i1.933","url":null,"abstract":"There is limited information on the effects of continued methadone maintenance therapy following aneurysmal subarachnoid hemorrhage (aSAH). However, with the increasing incidence of opioid use disorder (OUD) in the US, there is a need to define best practices for the management of pain and prevention of acute withdrawal syndrome in patients with pre-existing OUD who develop aSAH. In this case report, we describe the use of MMT in a patient with aSAH and discuss important considerations, including sedation or confusion that might mimic acute neurologic changes seen in cerebral vasospasm or delayed cerebral ischemia, cardiac complications related to QTc prolongation, and liver or kidney interactions associated with aSAH routine treatment. Our patient recovered from her aSAH without any adverse events and, with increased monitoring and collaborative team-based care, including input from those with expertise in OMD or aSAH, we believe MMT can be safely continued in most aSAH patients.","PeriodicalId":18292,"journal":{"name":"McGill Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46380752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dalia Eladas, Audrey Amar, Fatima Boulmalf, Leen Makki, M. Suissa, Kaba Tambadou, Fanny Hersson-Edery
Background: Advance Care Planning has benefits for patients and is often optimal when done in the primary care setting. Unfortunately, it does not occur frequently or routinely. The goal of this project was to understand the challenges and barriers that residents at a Family Medicine training site face in initiating and discussing Advance Care Directives. Methods: An online survey was conducted among 50 Family Medicine residents at the Herzl clinic. Participants were asked about their experience, their comfort level, and their challenges with Advance Care Planning discussions. A focus group with 12 Family Medicine residents further probed, through open-ended questions, the specific challenges they have faced during Advance Care Planning and ideas to address them. Results: The online survey and focus group identified that most residents perceived a lack of time, inadequate training, and poor uptake of available tools as barriers to have Advance Care Planning discussions in a community setting. Residents also felt that patients were inadequately prepared for these discussions. For improvement, most residents suggested to increase the variety of teaching modalities, to dedicate time for these discussions and to prioritize in-person discussions. Conclusion: The residents in Family Medicine face many challenges and barriers to having Advance Care Directives discussions with their patients but were able to provide avenues for improvement.
{"title":"Advance Care Directives : A Herzl Clinic Quality Improvement Project","authors":"Dalia Eladas, Audrey Amar, Fatima Boulmalf, Leen Makki, M. Suissa, Kaba Tambadou, Fanny Hersson-Edery","doi":"10.26443/mjm.v21i1.956","DOIUrl":"https://doi.org/10.26443/mjm.v21i1.956","url":null,"abstract":"Background: Advance Care Planning has benefits for patients and is often optimal when done in the primary care setting. Unfortunately, it does not occur frequently or routinely. The goal of this project was to understand the challenges and barriers that residents at a Family Medicine training site face in initiating and discussing Advance Care Directives.\u0000 \u0000Methods: An online survey was conducted among 50 Family Medicine residents at the Herzl clinic. Participants were asked about their experience, their comfort level, and their challenges with Advance Care Planning discussions.\u0000 \u0000A focus group with 12 Family Medicine residents further probed, through open-ended questions, the specific challenges they have faced during Advance Care Planning and ideas to address them.\u0000 \u0000Results: The online survey and focus group identified that most residents perceived a lack of time, inadequate training, and poor uptake of available tools as barriers to have Advance Care Planning discussions in a community setting. Residents also felt that patients were inadequately prepared for these discussions. For improvement, most residents suggested to increase the variety of teaching modalities, to dedicate time for these discussions and to prioritize in-person discussions.\u0000 \u0000Conclusion: The residents in Family Medicine face many challenges and barriers to having Advance Care Directives discussions with their patients but were able to provide avenues for improvement.","PeriodicalId":18292,"journal":{"name":"McGill Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48980191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The move to virtual learning due to the COVID-19 pandemic has resulted in fewer opportunities for medical students to participate in bedside teaching and encounter patients presenting with characteristic clinical findings of various neurological disorders. We describe an interactive, peer-taught learning-session on Zoom teleconference wherein upper-year students developed learning cases using online videoclips of neurological examinations and corresponding findings. A post-session survey revealed an overwhelmingly positive response, especially regarding the sessions’ case-based and peer-taught structure. Overall, considering the dual benefits of peer-teaching, and the opportunity to see a wide range of findings from the videos, this initiative may be a valuable supplemental learning activity for existing undergraduate neurology rotations.
{"title":"Reflections on medical education: An innovative near-peer led initiative using online media to teach the neurological exam","authors":"A. Szpindel, Jack Lam, Stuart Lubarsky","doi":"10.26443/mjm.v21i1.978","DOIUrl":"https://doi.org/10.26443/mjm.v21i1.978","url":null,"abstract":"The move to virtual learning due to the COVID-19 pandemic has resulted in fewer opportunities for medical students to participate in bedside teaching and encounter patients presenting with characteristic clinical findings of various neurological disorders. We describe an interactive, peer-taught learning-session on Zoom teleconference wherein upper-year students developed learning cases using online videoclips of neurological examinations and corresponding findings. A post-session survey revealed an overwhelmingly positive response, especially regarding the sessions’ case-based and peer-taught structure. Overall, considering the dual benefits of peer-teaching, and the opportunity to see a wide range of findings from the videos, this initiative may be a valuable supplemental learning activity for existing undergraduate neurology rotations.","PeriodicalId":18292,"journal":{"name":"McGill Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47177378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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