Association of E-Cigarettes With Erectile Dysfunction

Estimated trends in the global number of vapers via Electronic Cigarette via Wikipedia

“Association of E-Cigarettes With Erectile Dysfunction: The Population Assessment of Tobacco and Health is the first population-based study reporting the association between electronic nicotine delivery systems (ENDS) use and erectile dysfunction (ED). Approximately 1 in 6 adult men in the U.S. reported suffering from moderate-to-severe erectile dysfunction, which is consistent with the findings of previous studies.4 Current ENDS use was associated with higher odds of ED among U.S. adults, adjusting for age, other risk factors, and CVD history overall and also when evaluating the association among adult men aged 20–65 years with no history of CVD. In addition, daily ENDS use was significantly associated with higher odds for ED in all adjusted models in this study, whereas current ENDS users who are also former smokers seemed to consistently experience a higher risk of ED.”

More on Association of E-Cigarettes With Erectile Dysfunction: The Population Assessment of Tobacco and Health Study via American Journal of Preventive Medicine
Additional data on the topic may be found here on Population Assessment of Tobacco and Health (PATH) via NIH.

Collateral Damage of COVID-19

“Dr. Sheila Singh is used to explaining complex medical situations in simple terms. The pediatric neurosurgeon at McMaster Children’s Hospital in Hamilton says that lately, she’s seeing too many oranges and grapefruits and fewer ping pong balls.

That’s not good, and it could signal that the COVID-19 pandemic has delayed the diagnosis of many pediatric diseases, sometimes with devastating results.

‘You can imagine a tumour that’s the size of a ping pong ball, it’s easier for me to work around and remove it,’ she said. ‘But if that ping pong ball-sized tumour grows to the size of an orange or a grapefruit, the tumour has grown to a size where it’s much more difficult now to deal with.’

Singh told Dr. Brian Goldman, host of White Coat Black Art, that she is now seeing two to three times more oranges and grapefruits than before the pandemic. In other words, the tumours have been left to grow much longer due to delays in diagnosis.

Singh says she believes the delays in diagnosis have been caused by patients staying away from hospitals because:

  • They are afraid of catching COVID-19.
  • There is a lack of in-person visits with their family doctor.
  • There is an anchor bias to look for COVID-19 symptoms to the detriment of flagging other serious diseases.

‘There’s no doubt there will be collateral damage,’ she said, ‘and some of that will be death and poor outcomes from diseases that could have had better outcomes.’

More on Late diagnosis of tumours in children collateral damage of COVID-19, doctors say via CBC Radio.

Equity, Diversity, & Inclusion Resources

The UBC Faculty of Medicine’s Office of Faculty Development offers a wide range of EDI resources. Here are a few below for those wanting to learn more on designing safe and inclusive learning environments.

  1. PGME Learning Environment modules:  https://postgrad.med.ubc.ca/faculty-staff/learning-environment-modules/
  1. The following resources can be found here: https://facdev.med.ubc.ca/home-page/resources/#learner
  • Inclusivity module 
  • Language Guide 
  • Safe and Supportive LE module 
  1. Land Acknowledgement PPT: https://facdev.med.ubc.ca/home-page/resources/#territorialacknowledgement
  1. Teaching Scenario Library and Pilot: https://facdev.med.ubc.ca/scenario-library/
  1. Community of Practice of facilitators who want to practice skills for leading discussions on sensitive topics (includes workshops and opportunities to practice). Email the program manager Erica Amari at Erica.a@ubc.ca for information or to join. 
  1. Support from Office of Faculty Development to facilitate sessions. The Office supports facilitators who would like lead a session on learning environment and EDI. Please email fac.dev@ubc.ca to discuss your needs. 

Artificial Intelligence Healthcare Project

“Minnie Teng is among the 2021 awardees of a 2021 Compassion and Artificial Intelligence Grant from AMS Healthcare. Nine remarkable individuals, and their multidisciplinary teams, were selected by an external expert review panel. Their work will help transform healthcare by ensuring that technologies are enabling of healthcare’s compassionate purpose.

Minnie Teng, UBC Clinical Instructor & Medical Student

Teng, a second-year medical student at UBC who is also a clinical instructor with the department of occupational science and occupational therapy, received the grant for her project entitled, ‘Optimizing interactions between humans and artificial intelligence when administering remote cognitive assessments.’

Her team is collaborating with people with disabilities to pilot remote assessments to evaluate how the design of human-computer-environment interactions can be optimized for compassionate care.

‘We are honoured to be the recipients of this award that will allow us to explore how software, hardware, environment, and people interact and impact healthcare in virtual settings,’ Teng said. ‘The study will contribute significantly to the scarce literature on how design of the environment and tasks can influence perception and delivery of compassionate care.'”

More on Minnie Teng awarded grant for artificial intelligence healthcare project via UBC Faculty of Medicine.

Racism in Medicine

“In July 2020, CBC News first revealed Wessels tied a noose and then taped it to the door of an operating room at the Queen Elizabeth II Hospital in Grande Prairie, Alta, a city 450 kilometres north of Edmonton.

A colleague, surgeon Dr. Scott Wiens, said Wessels told him the noose was for a Black, Nigerian-born surgical assistant, Dr. Oduche Onwuanyi. The incident was reported to hospital administration minutes after it happened. Over the next four years, at least three doctors reported it to the hospital’s administration, Alberta Health Services, the college and then-health minister Tyler Shandro.

Wessels was never suspended and faced no discipline. The college subsequently admitted it had failed to investigate the incident in a timely manner. Alberta Health Services (AHS), which manages the province’s health-care system, said it believed the matter had been dealt with. The college announced a hearing for Wessels shortly after CBC News revealed the noose incident.”

Read more here on Surgeon handed 4-month suspension for noose incident at Alberta hospital via CBC.

Courageous Conversations: Experiential Learning for Planetary Health

On Tuesday, December 7, 12:00 p.m. to 1:00 p.m. (ET), the Section of Teachers (SOT) invites you to a free-flowing Q & A–style webinar on incorporating planetary health education in family medicine training. Given the realities of climate change affecting different parts of Canada, there are startling revelations on the importance of planetary health as a key area of focus for family physicians and for family medicine education. In this interactive webinar, hear from family physicians and learners who have been advocating for planetary health education and share practical examples on our collective opportunities to increase awareness and foster learning innovations. Planetary health comes at a time when we are all called to reflect on our ways of knowing and doing, challenging us to do better. Linked to curriculum enhancements needed in Indigenous health, anti-racism, and anti-oppression education in medical education, reform is possible.

Date & time: December 7, 12pm-1pm ET
Event Link: https://www.youtube.com/watch?v=4Kh8-JdlWbA

Learning objectives. Participants will:

  1. Become aware of the Guide to Integrating Planetary Health in Family Medicine Training.  
  2. Explore practical experiential learning opportunities for awakening educator interest in planetary health. 
  3. Share who across the country is advocating and advancing planetary health education in medicine. 
  4. Catalyze a community of interest among teachers/learners to advance planetary health education in family medicine.  
  5. Recognize the opportunities of advancing planetary health education stimulating curriculum change while supporting a medical education culture that values Indigenous health, anti-racism, and anti-oppression in service of fostering a culture of diversity, equity, and inclusion.  

Panelists: Dr. Warren Bell, Dr. Aimée Bouka, Dr. Ojistoh Horn, Dr. Celia Walker, Dr. Edward Xie, and Dr. Jean Zigby.

UBC Medical Student Pitches in During Devastating Flood

“Wanting to make the most of my educational experience, I headed to the local hospital on Tuesday morning and offered to help wherever I could.”
Brayden Fishbook

“UBC Southern Medical Program student Brayden Fishbook was en route to Chilliwack for a family practice elective when he found himself stranded due to the province’s catastrophic atmospheric river event.

When he arrived in Hope four hours later, traffic crawled through town as torrential rain poured down.

‘I came across a hotel that was completely dark and quickly realized the entire town was without power,’ says Fishbook. ‘Cars were parked at gas stations waiting for power to return and traffic was being diverted across the Fraser River as Highway 1 was now closed.’

Fishbook followed rerouted traffic towards Highway 7 and eventually came to a standstill due to another landslide. With Highway 3 also blocked, all routes in and out of the small rural community were closed indefinitely.

Exhausted and resigned to his situation, Fishbook pulled over to the side of the road and spent the night in his car. ‘Fortunately, I had my sleeping bag, a pillow and some food I had packed for my stay in Chilliwack,’ he says. ‘It wasn’t too cold overnight and I actually managed to get some sleep.'”

Read more about Brayden’s experience via UBC Faculty of Medicine.