winter 2013

p h y s i c i a n   w e l l n e s s
MDLink to primary care


This fall, the NLMA launched MDLink, a new program that helps physicians gain access to primary care by connecting physician-patients with family physician-providers in their own community or a neighboring one.

c l i n i c a l   p r a c t i c e
Patient Blood Management

By Daphne Osborne, MN, RN
The safety of the blood supply has increased significantly with respect to blood borne infectious disease transmission. However, adverse transfusion related events remain major risks associated with allogeneic blood transfusion.

c l i n i c a l   p r a c t i c e
New concussion guidelines released, new CMA CME on concussions

This fall, the Ontario Neurotrauma Foundation (ONF) released the updated Second Edition of the Guidelines for Concussion/Mild Traumatic Brain Injury and Persistent Symptoms.

f i n a n c i a l
Make sure your investment portfolio is tax efficient


By Trixie Baker, MD Physician Services
As year-end approaches, it’s a great time for investors to review their investment portfolio. Ultimately, it’s not just about paying less tax it’s making sure investments are tax efficient.

h e a l t h   t e c h n o l o g y
NLCHI launches HEALTHe NL Viewer

Submitted Article
The Newfoundland and Labrador Centre for Health Information is moving ahead with implementation of the provincial electronic health record, HEALTHe Newfoundland and Labrador (HEALTHe NL).

g e n e r a l   c o u n c i l
End-of-life issues dominate CMA debate, an Integrated Palliative Approach to Care launched

Issues surrounding the physician role at the end-of-life took centre stage at this year’s CMA General Council meeting in Calgary.

p r a c t i c e   m a n a g e m e n t
From Peer to Peer

By Jean-Marie Auffrey, MD
The evaluation of patient records makes up a major portion of the Atlantic Provinces Medical Peer Review assessment process. It is, therefore, essential for us to have some understanding of what our standards for patient records are.

e d u c a t i o n
Exciting new changes to Memorial University’s MD program

Submitted Article
Two exciting developments were made this fall at Memorial University’s Faculty of Medicine. In September, the faculty launched an innovative, new undergraduate medical education program and the first-year class size was increased to 80 students.

f i n a n c i a l
When the odds aren’t in your favour

Submitted Article
As a physician, you’ve likely witnessed the hardships of dealing with a critical illness.  Aside from the obvious physical and mental battles involved, fighting critical illnesses is often an expensive proposition for the patient and their family.

h e a l t h   p o l i c y
National Physician Survey Flags a Lack of Patient Care Resources and Workforce Planning

New data released from the 2013 National Physician Survey shows that access to key health care resources, the impact of Canada’s aging population and workforce planning issues are posing significant challenges for Canada’s doctors.

h e a l t h   p r o m o t i o n
Action on bike helmet legislation needed in time for 2014 season

All provinces and territories must legislate bicycle helmet use for all ages, says the Canadian Paediatric Society (CPS) in its new position paper titled Bicycle helmet use in Canada: The need for legislation to reduce the risk of head injury.

e d u c a t i o n
Discipline of Family Medicine an integral part of primary care in Newfoundland and Labrador

By Dr. Cathy MacLean
With over 10,000 patients at four family medicine teaching clinics across St. John’s, full-time faculty of the Discipline of Family Medicine at Memorial make significant contributions to patient care.

Online Only i n   m e m o r i a m
Former NLMA President passes away

The Newfoundland and Labrador Medical Association is saddened by the passing of former NLMA President Dr. Brian John Sturmey Harley. He passed away peacefully on August 22, 2013 in St. John's, NL at the age of 89.

Online Only c m a   n e w s
CMA members have access to $395 clinical tool

By Mr. Patrick Sullivan
DynaMed, an evidence-based point-of-care tool, has become one of the most popular clinical tools offered by the Canadian Medical Association since its introduction more than two years ago.

Online Only f i n a n c i a l
Decorations, presents and the tax man

By Mr.Chris Humby, Deloitte LLP
The holidays are here, presents have to be purchased, decorations put into place and planning is in full force for Christmas parties and family gatherings. Income tax, RRSPs, the selling of shares and incorporation are often the last thing people think about.

Online Only e d u c a t i o n
MUN Med Gateway

Submitted Article
Did you know that each year St. John’s welcomes many refugees who have fled their home country to escape combat zones, environmental devastation, or persecution based on sex, race, religion, nationality or political opinion?

Online Only  c m a   n e w s
CMA updates return-to-work policy

By CMA Staff
Because of physicians' ever-increasing degree of responsibility in the return-to-work process, the CMA has updated its return-to-work policy, The treating physician's role in helping patients return to work after an illness or injury.

Online Only e d u c a t i o n
de Souza Institute expands curriculum to all health care professionals that treat cancer patients

Submitted Article
According to the Canadian Cancer Society, in 2013 91,400 Canadian women and 96,200 Canadian men will develop cancer. The demand for health care professionals to enhance their cancer care skills is high.

Online Only  e d u c a t i o n
‘That’s our focus’

By David Penney
A community challenge requires a community solution. That’s the approach a St. John’s community alliance has taken to address the issue of drug abuse and addiction among youth.

Online Only  i n f o r m a t i o n   t e c h n o l o g y
Chronic Disorders Network Core launches new web portal

The Chronic Disorders Network Core  provides health researchers and health care providers the opportunity to upload links to research articles that they believe would be helpful information to those affected by chronic disorders.

Online Only  h e a l t h   p r o m o t i o n
‘First of their kind’ Food addiction and the development of human obesity

By Sharon Gray
A new paper released this fall from the laboratory of Dr. Guang Sun, professor in the Faculty of Medicine at Memorial, shows that food addiction is an important contributing factor in the development of obesity.

Online Only  d o c t o r s  i n  t h e  n e w s
Doctors in the News

Awards, appointments and installations: Dr. Roger Butler ; Dr. Cheri Bethune; Dr. Jared Butler; Dr. Steve Darcy; Dr. Steve Parsons; Dr. Sonny Collis; Dr. Proton Rahman; and, Dr. Vicki Crosbie.

Online Only  i n   m e m o r i a m
In Memoriam

It is with great sadness that we inform our readers of the passing of Drs. Brian  Harley, Maurice McVickers, William Marshall, Michael Nurse, Maxwell House, Charles Hutton, Marian Greene and Rufus Dominic.

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Nexus is published quarterly for Newfoundland and Labrador's physicians. It is a forum for the exchange of views, ideas and information for members.