UBCO: Keto Diet Research

“My concern is that many of the people going on a keto diet—whether it’s to lose weight, to treat Type 2 diabetes, or some other health reason—may be undoing some of the positive impacts on their blood vessels if they suddenly blast them with glucose. Especially if these people are at a higher risk for cardiovascular disease in the first place. Our data suggests a ketogenic diet is not something you do for six days a week and take Saturday off.”
Dr. Jonathan Little, UBCO Associate Professor in the School of Health and Exercise Sciences

Learn more on “On the Keto Diet? Ditch the Cheat Day” by Nathan Skolski via UBCO.

Reference: Cody Durrer, Nia Lewis, Zhongxiao Wan, Philip Ainslie, Nathan Jenkins, Jonathan Little. Short-Term Low-Carbohydrate High-Fat Diet in Healthy Young Males Renders the Endothelium Susceptible to Hyperglycemia-Induced Damage, An Exploratory Analysis. Nutrients, 2019; 11 (3): 489 DOI: 10.3390/nu11030489

Unilateral Dermatoheliosis

Unilateral Dermatoheliosis. Image via The New England Journal of Medicine

With summer right around the bend here’s an image of 69-year-old man with unilateral dermatoheliosis caused by ultraviolet rays that had penetrated the window glass of his delivery truck that he drove for 28 years. “Chronic UVA exposure can result in thickening of the epidermis and stratum corneum, as well as destruction of elastic fibers. This photoaging effect of UVA is contrasted with photocarcinogenesis.”

Read more on Unilateral Dermatoheliosis by Jennifer R.S. Gordon, M.D. & Joaquin C. Brieva, M.D. via The New England Journal of Medicine

Learn more on Sun Hazards in Your Car by Susan T. Butler, M.D. via Skin Cancer Foundation.

Trust in Digital Health

“In order for the promise of digital health to be realized, companies will need to ensure their patients’ data is safe, secure and error-free. Beyond security, healthcare companies operating as providers must also maintain the confidentiality and privacy of that data. Doing so isn’t simply good practice; it’s an existential requirement for companies operating in this space. There is a baseline expectation — from users, and from employers and health plans working with digital health companies — of privacy being maintained.”

More on Demanding Privacy, and Establishing Trust, in Digital Health by Sean Duffy via TechCrunch

Feedback Fallacy


“We humans do not do well when someone whose intentions are unclear tells us where we stand, how good we ‘really’ are, and what we must do to fix ourselves. We excel only when people who know us and care about us tell us what they experience and what they feel, and in particular when they see something within us that really works.”

More on The Feedback Fallacy (March-April 2019) by Marcus Buckingham & Ashley Goodall via Harvard Business Review.

#MustRead #GameChanger #GoodIntentions #IdiosyncraticRaterEffect

Work-Related Mental Health Guideline

“The guideline, which is structured using a clinical reasoning pathway, includes 11 evidence-based recommendations and, where clear evidence is not available, 19 consensus-based recommendations. The guideline provides tools to assist assessment and diagnosis, and includes recommendations on the work-relatedness of mental health conditions, patient management including decisions about return to work, comorbid or secondary mental health conditions, conveying a diagnosis to a patient and communication with others in the workplace. It promotes collaboration, communication, cultural sensitivity and appropriate care, highlighting the important role that can be played by family physicians, and the members of their teams, in each person’s personal recovery and return to work.”

More on Managing Work-Related Mental Health Conditions in Family Medicine (25Mar2019) by Michael Kidd via 

AMEE Webinar

The next International Association for Medical Education (AMEE) webinar hosted by the AMEE Simulation Committee will be presented by Walter Eppich –  “Learning through talk: exploring synergies between simulation and workplace learning” on Friday 29th of March at 2:00 pm (GMT/UK) / 7:00 a.m. (PST) .

Talk as joint social activity impacts communication practices, learning, and patient care. This session will explore the important role of talk in both simulation and workplace settings.

Lessons learned from healthcare debriefing will help us identify ways to address the ‘process’ and ‘content’ of talk of clinical practice to promote learning and patient care.

As of 2019, the AMEE webinar series will be entirely free you can access the webinars by joining here when the webinar begins.

Due to limited space it is advisable to join on time as AMEE cannot guarantee entry to webinars.

Virtual Medicine Conference 2019: Access to Livestream


Greetings! This week I’m headed down to the Virtual Medicine Conference at Cedars-Sinai Hospital in Los Angeles. I recently learned that organizers will livestream the event for free. This means you can join me! Access the conference agenda and livestream here. Conference starts on Wednesday, March 27 at 9:00 a.m. Hope to catch you there!

Warm Regards,