Specialty Matters | Ce qui compte en médecine

Climate Solutions: Let's Get Motivated!

Physicians have influence. People listen to physicians. If you’re wondering, "What can I do to have a bigger impact on the health of this planet?" then you’re in the right place. Today’s guest, Myles Sergeant, MD, FCFP, likens the health of the planet to the health of a patient. He’s here to explore individual, clinical, and systems-level opportunities to help advance the planetary health agenda. He shares practical, low-hanging fruit strategies that align with patient care and promote sustainability. Dr. Sergeant takes us on his journey (his calling) to make healthcare more sustainable, sharing personal stories and insights. He recognizes the intersection between health and the environment and discusses the environmental impacts of home care vs. hospitalization, hospital food, end-of-life care, polypharmacy, patient education, and more. Sustainability in healthcare is a collaborative space. Whatever steps you take… whether at home or at your place of work… these steps make an important difference.  This is the last episode of this season. Thanks for tuning in!  · ·      PEACH Health Ontario https://peach.healthsci.mcmaster.ca/ [https://peach.healthsci.mcmaster.ca/] ·       Canadian Association of Physicians for the Environment (CAPE)  https://cape.ca/ [https://cape.ca/] ·       The Canadian Coalition for Green Health Care https://greenhealthcare.ca/ [https://greenhealthcare.ca/] ·       Nix the Nitrous https://greenhealthcare.ca/nix-the-nitrous/ [https://greenhealthcare.ca/nix-the-nitrous/] ·       The Lancet, Managing greenhouse gas emissions in the terminal year of life in an overwhelmed health system: a paradigm shift for people and our planet www.thelancet.com/pdfs/journals/lanplh/PIIS2542-5196(24)00048-2 [http://www.thelancet.com/pdfs/journals/lanplh/PIIS2542-5196(24)00048-2] ·       The Lancet, Planetary Health https://www.thelancet.com/journals/lanplh/home [https://www.thelancet.com/journals/lanplh/home] ·       Trees for Hamilton http://www.treesforhamilton.ca/ [http://www.treesforhamilton.ca/]

Stratégies pour l'équité : Comprendre la lutte contre l’oppression et l’antiracisme en médecine

Que pouvez-vous faire pour créer un environnement juste et équitable pour les médecins, la communauté apprenante et les patient·es? Notre invitée, Aimée Bouka, M.D., CCMF, propose d’adhérer aux concepts suivants pour que cet environnement soit des plus sains : humilité, curiosité, détermination réflexive, désapprentissage intentionnel, réapprentissage dynamique, alliance inclusive et partenariat collaboratif.   La Dre Bouka explique les liens complexes qui existent entre les stratégies liées à l’équité, la diversité, la lutte contre l’oppression et l’antiracisme en médecine. Ces stratégies ont pour but de bâtir une société plus juste où chaque personne, quel que soit son point de départ, peut tendre vers les mêmes objectifs. Reconnaissant l’étendue de la terminologie utilisée dans ce domaine, la Dre Bouka en vulgarise les principaux termes et concepts. Découvrez comment ces éléments se recoupent et quelles sont les mesures à prendre pour favoriser des milieux de soins plus équitables et inclusifs. Suivez-nous dans cette aventure, une étape à la fois!   Ressources: Equity in Health Systems (EqHS) Lab https://www.eqhslab.com/ [https://www.eqhslab.com/]  Le Conseil médical du Canada, Prestation de soins anti-oppressifs https://mcc.ca/fr/objectifs/expert-medical/prestation-de-soins-anti-oppressifs/ [https://mcc.ca/fr/objectifs/expert-medical/prestation-de-soins-anti-oppressifs/]  What is White Supremacy Culture? https://www.whitesupremacyculture.info/what-is-it.html [https://www.whitesupremacyculture.info/what-is-it.html]

Fragility of Ethics in Medicine

Warning: This episode contains depictions of severe dehumanization and suffering, and specific implications of medicine that some people may find disturbing. We will be referring to the Lancet Commission on medicine, Nazism, and the Holocaust, which includes effective educational approaches to learn from historical insights in health professions curricula.   In this episode, we delve into the precarious nature of medical ethics through the lens of historical atrocities. Our guest, Dorothy Shaw, OC, MBChB, FRCSC, brings forward a thought-provoking discussion inspired by The Lancet Commission on medicine, Nazism, and the Holocaust: historical evidence, implications for today, teaching for tomorrow. Together, we explore the harrowing lessons from the past, examining how ethical boundaries were shattered during some of history's darkest periods.   Join us as we discuss the crucial safeguards needed to ensure that history does not repeat itself. We’ll cover the importance of maintaining vigilance, the role of medical professionals in upholding ethical standards, and the ongoing relevance of these lessons in today’s medical landscape. This episode is a sobering reminder of the fragility of ethics in medicine and a call to action to preserve humanity and integrity in the practice of healing.   Resource Warning:  This document contains depictions of severe dehumanization and suffering, and specific implications of medicine that some may find disturbing.    The Lancet Commission on medicine, Nazism, and the Holocaust: historical evidence, implications for today, teaching for tomorrow   https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)01845-7/abstract

Explorer l'objectif quintuple

Cet objectif à cinq volets visant l’amélioration des soins de santé vous dit quelque chose? Améliorer la santé de la population, Améliorer l’expérience patient et les résultats obtenus, Améliorer l’efficience du système de santé, Améliorer le bien-être des ressources humaines en santé et services sociaux, Améliorer l’équité en santé et services sociaux. Avez-vous envisagé d’approfondir le cadre de cet objectif ou craignez-vous qu’il alourdisse davantage votre charge de travail? Dans cet épisode, la Dre Marie Giroux, CCMF, simplifie les visées et les piliers de ce cadre intuitif. Elle explique comment l'objectif quintuple peut représenter un outil de transformation pour les spécialistes et la communauté apprenante en soins de santé, et comment il peut s’intégrer facilement à votre pratique, quel que soit le milieu où elle est établie. En fait, vous intégrez déjà de nombreux volets d'objectif quintuple sans même vous en rendre compte. Si vous souhaitez diversifier votre pratique médicale tout en priorisant votre bien-être et celui des personnes que vous soignez, ne ratez pas cet épisode! Ressources 1. BCMJ - Advancing Health Equity: The Quintuple Aim  https://bcmj.org/council-health-promotion/advancing-health-equity-quintuple-aim [https://bcmj.org/council-health-promotion/advancing-health-equity-quintuple-aim] 2. The Evolution of the Quintuple Aim https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608191/ [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608191/] 3. Quintuple Aim: What Is It, and How Can Technology Help Achieve It?   https://healthtechmagazine.net/article/2023/07/quintuple-aim-perfcon [https://healthtechmagazine.net/article/2023/07/quintuple-aim-perfcon]

Exploring the Quintuple Aim

Do these healthcare improvement objectives speak to you? Increasing population health… Enhancing patient care experience... Lowering the per capita cost of care... Improving wellness and team health… Advancing health equity. Have you considered delving into the Quintuple Aim framework, or do you worry it might further burden your workload? Join us as our insightful and generous guest, Marie Giroux, MD, CCFP, simplifies the aims and pillars of this intuitive framework. Dr. Giroux illustrates how the Quintuple Aim can be a transformative tool for specialists and learners in healthcare. Explore how these aims effortlessly merge into your daily practice, regardless of your practice setting. The truth is, you're already implementing many aspects of the Quintuple Aim without even realizing it. If you are working to diversify your medical practice while prioritizing the well-being of both you and your patients… this episode is for you!  Resources 1. BCMJ - Advancing Health Equity: The Quintuple Aim  https://bcmj.org/council-health-promotion/advancing-health-equity-quintuple-aim [https://bcmj.org/council-health-promotion/advancing-health-equity-quintuple-aim] 2. The Evolution of the Quintuple Aim https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608191/ [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608191/] 3. Quintuple Aim: What Is It, and How Can Technology Help Achieve It?   https://healthtechmagazine.net/article/2023/07/quintuple-aim-perfcon [https://healthtechmagazine.net/article/2023/07/quintuple-aim-perfcon]