Author: UBC Abbotsford-Mission Family Practice Residency Program

Greetings All!

Journal Club is tomorrow at my place! A big thank you to our new Journal Club reps Drs. Zhang and Park for stepping forward and our past reps Drs. Dickinson and Hansma for doing such an amazing job handling the club’s logistics.

Dr. Iris Liu, our Site Faculty for Behavioural Medicine & Scholarship, has prepared the content for our session.

Time: Wednesday, July 17, 2019 from 6:30 – 8:30 pm

Location: Jacqui’s Place

Food: Please complete this form to confirm your attendance, your food restrictions including allergies, and your food preference.

Attendance: Please review our Academic Expectations & Guidelines 2019 regarding AHD attendance. As indicated, if you are unable to attend please contact our Faculty Lead Dr. Iris Liu.

Topic & Preparation: This month we’re focusing on the lobotomy. Please visit the StoryCorps website and review and listen to their radio show on My Lobotomy:

“Dully’s personal journey to find out about his lobotomy took him around the country as he interviewed lobotomy patients, their family members, and people who witnessed the operation. ‘This is my odyssey,’ said Dully. ‘Everyone has one thing have to do before they die, and this is mine.'”

Dr. Liu will be facilitating our discussion on this fascinating and controversial topic.

See you tomorrow!

Jacqueline

#JournalClub #MentalHealth #Lobotomy

Do you ever wonder how you’re doing as a clinical educator? Are you looking for an alternative to receiving feedback and coaching on your teaching? Would you like to share your ideas and tips? 

One of the challenges in medical education is the lack of instructional feedback and mentorship we offer physicians teaching in the clinical setting. Very few individuals truly understand the complexity of educating a person while managing an office and addressing patients’ concerns. 

Peer Observation: By the Preceptors, For the Preceptors is a two-year peer observation initiative, created by and for you, our clinical educators within the UBC Faculty of Medicine’s Family Practice Residency program. This project aims to assist you in building a supportive network of colleagues to strengthen your professional development and enhance the quality of your teaching.  

JOIN US! If you’re a UBC clinical educator and would like to participate in co-creating this platform click here to learn more and participate!

#UBCFacultyOfMedicine #UBCFamilyPracticeResidencyProgram #FacultyDevelopmentInitiativeGrant #PeerObservation

Greetings! I know many of our R2s have headed off to their rural adventure! That’s why I wanted to share the timely tweet-thread above. It’s important that we keep our mind and heart receptive to new learning experiences and opportunities that may open doors for us. Sometimes we think we have it all planned and then we intersect with a place, a person, an event, or a thought that completely shifts our paradigm and exposes us to the unknown while simultaneously awakening our curiosity.

This is also an opportunity to unpack that suitcase of knowledge. We never quite know what we have until someone or some circumstance requires us to pull from within and share it.

Enough of my philosophical ramblings :). Please complete your Rural Academic Travel Log while you are away. Instructions may be found here.

If you need anything, just hollah!

Jacqueline

Greetings Residents! We’ve just released the updated UBC Academic Expectations and Guidelines for 2019. This document specifically addresses our site’s expectations regarding Academic Half Day, Journal Club, and Scholar Projects. Please review!

You can also access this document under our Residents tab above.

Thank you,

Jacqueline

For those wanting to shift to a plant-based diet, this black bean and quinoa salad looks amazing!

#SummerPartyFood #PlantBasedDiet #CanadaFoodGuide2019

“Generative adversarial networks, the algorithms responsible for deepfakes, have developed a bit of a bad rap of late. But their ability to synthesize highly realistic images could also have important benefits for medical diagnosis.

Deep-learning algorithms are excellent at pattern-matching in images; they can be trained to detect different types of cancer in a CT scan, differentiate diseases in MRIs, and identify abnormalities in an x-ray. But because of privacy concerns, researchers often don’t have enough training data. This is where GANs come in: they can synthesize more medical images that are indistinguishable from the real ones, effectively multiplying a data set to the necessary quantity.”

More on A new way to use the AI behind deepfakes could improve cancer diagnosis via MIT Technology Review.

For those interested in learning more on deepfake technology and the concerns that have been raised regarding its use, check out Artificial intelligence, deepfakes, and the uncertain future of truth by Villasenor via TechTank. Learn more about the legal aspects here at What Can The Law Do About ‘Deepfake’? by Black & Tseng via McMillan.

Congratulations to one of our own! Dr. Todd Sakakibara, Primary Care Physician Vancouver Coastal Health, for his 2019 Health Care Hero award!

“Dr. Todd Sakakibara is a primary care physician at Vancouver Coastal Health’s Three Bridges Community Health Centre. He has made a long-term commitment to improving health care for residents of Vancouver’s vulnerable and under-served populations. His innovative approach to community medicine can be seen in his leadership of the Vancouver BOOST Collaborative at his clinic that sees the highest concentration of opioid overdose deaths. Improving access to integrated, evidence-based care for opioid users has resulted in a significant increase in the number of individuals who receive and remain on opioid treatment therapy.

Dr. Sakakibara is also an educator, researcher and mentor in the areas of LGBTQ health, substance use, mental health, transgender care, and addictions. Working with UBC’s Community Health Initiative, he developed an innovative, multidisciplinary rotation model to expose students and residents to the impact of the social determinants of health for marginalized populations in the downtown eastside.

In 2015, he was involved in a continuing professional development workshop called “But I Don’t Have any Gay Patients! Care for Men Who have Sex with Men,” which aims to build capacity for family physicians to provide primary care for this patient population, and move beyond sexual health into more complex issues.

For his commitment to improving health care in vulnerable and under-served communities, Dr. Sakakibara has been named this year’s Health Care Hero for Vancouver Coastal Health!”

Learn more on VCH physician Dr. Sakakibara and end-of-life initiative iPACE recognized at BC Health Care Awards via Vancouver Coastal Health.

“Using the gene editing tool CRISPR, Lu and his team were able to look at how different genes affect the stress response, and they homed in on L3MBTL2 because it appears to play a protective role for cells. When L3MBTL2 was removed from cells and Lu’s team induced a stress response by exposing the cells to arsenic—a toxic element commonly found in the environment—the cells died. When they overexpressed the gene—or made more of the proteins that the gene consists of—the cells had a higher threshold for stress and didn’t self-destruct.

From a public health perspective, the findings are especially intriguing as Lu noted that the ER produces secretory proteins, including insulin and beta-amyloid, which are implicated in diabetes and Alzheimer’s disease, respectively. Understanding how L3MBTL2 affects ER-related stress responses may lead to new insights into how these diseases develop.”

More on When Cells Reach their Breaking Point by Chris Sweeney via Harvard T.H. Chan School of Public Health.

For more information or to register, click on CLIC 2019!

“Although many countries have not done an extensive assessment of their health sectors’ contributions to climate change, the NHS estimates that the health sector represents 39% of all public sector greenhouse gas emissions in England. In the US, healthcare contributes 9% of overall greenhouse gas emissions.

Pollution and toxic waste rank alongside climate change as major threats to health and sustainability, particularly for low income communities. The World Bank estimates that 23% of child deaths among residents of India could be attributed to pollution, which means that about 350,000 children aged under 5 years die every year as a result of bad air, contaminated water, or similar problems. Unfortunately, healthcare is an important contributor to morbidity and mortality from pollution. One study estimated that the indirect health burdens caused by emissions from the healthcare sector are commensurate with the health burden caused by preventable medical errors.

Increasingly, healthcare organisations of all sizes are implementing strategies to limit their harmful environmental effects. By switching to renewable energy and reducing healthcare waste, healthcare organisations can reduce greenhouse gas emissions and pollution, contribute to growth in renewable energy employment, and realise large financial savings.”

More on How Healthcare Can Help Heal Communities and the Planet (2019) by Francis et al via BMJ.

#CleanUpHealthcare #KnowYourFootprint #TransformingTheHospitalMeal #BringingRoomServiceToPatients #DietAndClimateChange