A New Kind of Rounds: Type 2 Diabetes in the Elderly CME

Thanks to my local Division of Family Practice and the Practice Support Program (PSP), we were able to put together "A New Kind of Rounds" event all about helping patients find the right amount of medicine. 

Our first event, focussed on Type 2 Diabetes in the Elderly, and specifically the harms of treating this too aggressively. Inspired by the Lown Institute's RightCare Rounds and the DoNoHarm Project, we started with patient cases in which the patient's perspective highlighted the burden of treatment and the potential harms of too much medicine.

After small-group case learning, I presented a didactic session reviewing the unique factors that change our approach to management in the elderly, the best available evidence on diagnosis and treatment targets, the current guidelines, and some resources that clinicians and patients can refer to in order to make shared decisions about the "right amount" of care.

The event was well-attended and it was heartwarming to see the level of engagement on this topic from clinicians in our community; we are reviewing the evaluations to consider some changes to the format. Participants also generated an amazing of possible topics for future events, from hypertension to cancer-screening, and anti-psychotic use in the elderly to the annual physical. 

The slides are available here.

Your feedback is most welcome. You can comment below or e-mail. 

My other lectures can be viewed here.

Source: http://prezi.com/ln78vzbqpu4-/?utm_campaig...

Health Care Social Media #hcsm - Using it for advocacy & Prezi slides

I have used social media extensively to advance my advocacy for the Less is More Medicine movement. This includes blogging here to share the latest research and opinions, tweeting @LessIsMoreMed to spread the word, participating in related discussion groups (eg. Teaching Value in HealthCare on Google+), and using LinkedIn to connect with colleagues in my province who are also engaged in health care transformation. I also listen to podcasts (like the BS Medicine Podcast) to keep up to date on the latest studies relevant to this area and prescribe YouTube videos (like those of Dr Mike Evans) to patients to help them join me in shared decision-making or to help them self-manage using less harmful and costly measures.
 

Curious about how to use Social Media in your professional existence as a health care provider?

Here is the brief talk I gave to the UBC CPD Practice Survival Skills audience in Vancouver, Jun 13, 2015.

There is also an accompanying handout which highlights some of the key resources that will help guide you to (safely) using HCSM professionally.

The talk and handout present a fairly superficial overview of how one might use social media to advance a clinical or advocacy agenda, but hopefully it gives you a taste of how you might use this technology meaningfully. Or, it might encourage you to not use it at all, which is also a valid choice!

For me, #hcsm has been the foundation for this Less Is More work. It is the means by which I can make a big splash with no budget (other than my own investment of 'spare' time and web hosting fees), grow my expertise (with no advanced degree in health policy), and network with heavy hitters in this field (who I would otherwise be unable to access).

It is an incredibly powerful tool.

Source: https://prezi.com/zqkq47ihjazf/hscm-going-...

PRESENTATION SLIDES: SRPC Rural & Remote Medicine Course: Less is More Medicine

The  handout  for my talk.

The handout for my talk.

The slides from my Society of Rural Physicians of Canada (SRPC) Rural & Remote talk are now available on Prezi.

The handout can be seen here.

Please explore this website to find out more. Read about other projects, attend a conference or event, or try out a shared decision making tool.

I would value any feedback via Twitter (@LessIsMoreMed) or via email, whether about the talk (if you attended) or about this website or topic in general.

This conference had a great number of speakers on subjects related to mine, ranging from Wendy Levinson on Choosing Wisely to Dee Mangin's keynote and workshop about tackling polypharmacy, to some of the hard-hitting EBM stuff from Ken Milne of the BEEMGroup and Mike Allan/Mike Kolber of Tools for Practice. On Saturday we'll hear about antibiotic overuse from Keith White in his session "Put the pen down and back away."

Inappropriate health care (or "too much & too little medicine") is a prevalent issue; it's great to see it being tackled from so many different angles.

To find out more about my past and future talks, look at the Media/Talks section.

Source: https://prezi.com/fypbc5slxilc/srpc-rural-...

PRESENTATION SLIDES: Choosing Wisely (& Beyond): Starting Conversations Around Unnecessary Tests and Procedures

The slides from my UBC CPD 50th Annual Post Graduate Review in Family Medicine talk are now available, here on Prezi.

The handout can be seen here.

Start with the 11 recommendations for family practice physicians/patients from Choosing Wisely Canada, and then please explore this website to find out more. Read about other projects, attend a conference or event, or try out a shared decision making tool.

I would value any feedback via Twitter (@LessIsMoreMed) or via email, whether about the talk (if you attended) or about this website or topic in general.


It was a pleasure to share this brief presentation, to hear the great questions and discussions on the subject, and to see how these challenges were highlighted in the other talks of the day. Inappropriate health care (or "too much & too little medicine") is a prevalent issue. Hopefully starting with campaigns like Choosing Wisely and the effort to curate similar projects/conferences/resources with "Less is More in Medicine" provides a good start to tackling this immense issue.

20 minutes is not a long time to explain the problem of "too much medicine," to share what is already being done and to inspire and create a call to action. Fortunately, I have the opportunity to speak at other events including the SRPC's Rural and Remote conference in April in Montreal as well as at the St Paul's Family Medicine course this November in Vancouver.

To find out more about my past and future talks, look at the Media/Talks section.

Source: https://prezi.com/bpguaxve_yyx/ubc-cpd-50t...