spring 2013

c o r p o r a t e
Members vote to ratify new governance model


By NLMA Staff
Physicians from across the province voted to ratify the proposed NLMA governance model in an online vote that concluded on April 11.

c o m m o n   r e v o l t   a g a i n s t   p a p e r w o r k   (c. r. a. p.)
Missed appointments: Part 1

By Dr. Paul Bonisteel
Dentists do it. Vets do it. Now I’m doing it too — billing for missed appointments.

c l i n i c a l   p r a c t i c e
Heard it all on opioids?

By Ms. Sarah Berglas
In treating severe cancer pain, opioids are a good option. The benefit outweighs potential adverse events. Use of opioids in other chronic conditions is more controversial.

f i n a n c i a l
Best practices for debt minimization


By MD Physician Services
Once your schooling is over, and you’re established in your career, developing an inclusive plan to address your debt is important to help maintain a balance in your finances.

c m a   n e w s
Beware of surprise invoices from overseas medical directories, MDs warned

By CMA Staff
A Halifax pediatrician has issued a warning to fellow physicians after receiving a whopping bill from a company based in Portugal because he responded to its request to check his entry in the American Medical Directory.

h e a l t h   p r o m o t i o n
Are you inadvertently assisting baby formula companies by not knowing “the Code”?

Submitted Article
The attitudes and practices of health care professionals can have a positive or negative effect on breastfeeding success.

d o c t o r s   i n   t h e   n e w s
Newfoundland, my home no more

By Dr. Lydia Hatcher
I am leaving Newfoundland, my home for over 45 years. I have been a family doctor for the past 31 years so it is with some guilt and mixed emotions that I made this difficult decision.

c l i n i c a l   p r a c t i c e
The lowdown on marijuana for medical purposes

By NLMA Staff
A national poll recently conducted for the Canadian Medical Association found that 85 per cent of Canadians believe that medical marijuana should go through the same rigorous testing and approval as other medicines.

m e m b e r s h i p
Senior and retired physician group of NLMA

By Dr. Vince McMahon
The Senior and Retired Physicians group of NLMA is open to any physician aged over 65, practicing or retired.

i n f o r m a t i o n   t e c h n o l o g y
Centre offers NLMA Members access to medication profiles through EHR Viewer

Submitted Article
The Newfoundland and Labrador Centre for Health Information continues to roll out the iEHR Labs project, which consists of three components: an EHR Viewer, a Shared Health Record and a Jurisdictional Lab Information System.

e d u c a t i o n
Project makes significant progress in prostate cancer research

Submitted Article
Dr. Ken Kao and his team at Memorial University of Newfoundland have made an important discovery that could lead to better detection and treatment methods for those diagnosed with prostate cancer.

h e a l t h   p o l i c y
Physician views on end-of-life issues vary widely

By Mr. Patrick Sullivan
Recent findings from a survey of CMA members’ views on major end-of-life issues has found that only 20% of respondents would be willing to participate if euthanasia is legalized in Canada, while twice as many would refuse to do so.

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

By NLMA Staff
The Late Dr. Jack Hand posthumously awarded Diamond Jubilee Medal; Dr. Ed Mayo is CFPC Family Physician of the Year; Dr. William Pryse-Phillips publishes first children's book; Dr. Marshall Godwin publishes historical novel.

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

By NLMA Staff
It is with great sadness that we inform our readers of the passing of Dr. Marc Alexander Thorp and Dr. Kenneth Bryson Roberts. The NLMA would like to express condolences to the family and friends of these outstanding physicians.

Online Only e d u c a t i o n
Medical school earns national recognition for excellence in producing rural doctors

Submitted Article
The Faculty of Medicine at Memorial University has been honoured by the Society of Rural Physicians of Canada with the Keith Award, given annually to Canadian postgraduate medical programs that have excelled in producing rural doctors.

Online Only  c m a   n e w s
Revised CMA Driver’s Guide now online

Submitted Article
The 8th edition of the Canadian Medical Association’s Driver’s Guide is now available.

Online Only e d u c a t i o n
With med school enrolment growing, MDs' teaching time jumps by 31%

By Mr. Patrick Sullivan
In the last 15 years, enrolment in Canada's medical schools has risen by close to 80%. Newly analyzed data indicate that Canadian physicians are now involved in teaching to an unprecedented degree, and that this trend is likely to continue.

Online Only  h e a l t h   p r o m o t i o n
Canada’s doctors release blueprint for health equity

Submitted Article
In March, the Canadian Medical Association  released the paper Physicians and Health Equity: Opportunities in Practice, which outlines ways front-line physicians can help level the playing field and ensure that more of their patients can achieve good health.

Online Only  c m a   n e w s
CMPA’s medico-legal insights now online for medical students

By Mr. Patrick Sullivan
Canada's leading provider of medico-legal advice for practicing physicians has its sights on a new target: medical students.

Online Only  e d u c a t i o n
CME credits now available for reading CMAJ; CMAJ Open now available

Submitted Article
CMA members can now earn CME credits for reading CMAJ and the CMA will transfer the credits earned to the College of Family Physicians of Canada; CMAJ Open now available online.

Online Only  c l i n i c a l   p r a c t i c e
Canadians are paying the price for drug shortages

Submitted Article
According to the results of a new survey completed by over 1,070 members of the CPA, CMA, and CSHP in late 2012, drug shortages clearly remain a problem for Canada’s health system.

Online Only  h e a l t h   p r o m o t i o n
Diet high in processed meat associated with poor survival from colorectal cancer

Submitted Article
Research on colorectal cancer and dietary patterns shows that a diet high in processed meats is associated with worsened disease-free survival.

Online Only  c l i n i c a l   p r a c t i c e
Evidence update

Submitted Article
The NLCAHR established the Contextualized Health Research Synthesis Program to provide research evidence to help guide decision makers in the provincial health system on issues of pressing interest to Newfoundland & Labrador.

Online Only  c l i n i c a l   p r a c t i c e
Health Passport promotes dialogue between physicians and French-speaking patients

Submitted Article
The Newfoundland and Labrador French Health Network has launched a new tool to facilitate communication and promote dialogue between francophones and English-speaking health professionals.

Online Only  c l i n i c a l   p r a c t i c e
Sleep and dementia survey results help reduce evidence-to-practice gap

Submitted Article
Results of a 2012 survey conducted to determine what health care providers know about sleep problems in older adults living with dementia, as well as what types of assessments and interventions are commonly used to address sleep problems.

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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.