MacLean Curated Resources

Recommended Resource List:

Teaching Medical Students and Family Medicine Residents in Clinical Settings

April, 2019

Cathy MacLean

Some general resources to sign up for to receive regularly

Needless to say you don’t want to get on too many list servs or email newsletter lists but these are ones I have found particularly helpful for staying up-to-date clinically. You can sign up and get regular updates through email for:

• Tools for Practice from the Alberta College of Family Physicians website (more details below and is now also sent out through the SCFP)

• Info POEMS from the CMA website under clinical updates (need log in and sign up; link below)

• Institute for Healthcare Improvement – for practice improvement/quality improvement (can sign up at their website); mostly if you are interested in the practice management side of things, QI, etc.

• AHQR – also a US site but has information of quality improvement, patient education and practice change. https://www.ahrq.gov/

• Best Advice Guides - www.patientsmedicalhome.ca

• Therapeutics initiative from UBC – great newsletter https://www.ti.ubc.ca

• Centre for Effective Practice which provides resources for family medicine/primary care through a site called The Well https://thewellhealth.ca/

• https://deprescribing.org/

For good Clinical Practice Guidelines remember the following and think critically (see Jim Dickinson’s article in CFP - http://www.cfp.ca/content/64/5/357 )

• A new resource from SPOR research has created a large database of CPG’s – a great collection can be found at https://sporevidencealliance.ca/cpg-database/

• Ideally you want Canadian CPG’s – through CMAJ, Can. Taskforce on Preventive Health Care, Alberta (Towards Optimal Practice)TOP http://www.topalbertadoctors.org/cpgs/ ; good UK guidelines can be found through NICE https://www.nice.org.uk/

• CPG’s should be developed with strong family physician involvement; not specialist driven or specialty society guidelines related to primary care that have no family medicine input

• There should be no industry involvement; look for where it might be present and the impact on the results (an example of industry involvement is in the Diabetes Guidelines)

• The strength of the evidence should be clearly described including where it is lacking

• There should be patient tools/aids/education materials provided that support the evidence but are written appropriately for patients (numeracy and literacy considered, etc.)

See the list of general topics with some favourites/ or most used CPG’s and those at the recommended sites.

Podcasts:

Paid

Primary Care RAP (Reviews and Perspectives)

Ercast.org by Dr. Rob Orman

EMRAP –for Emergency Medicine: Reviews and Perspectives; searchable; NOT FREE

Free Resources

Broomedocs – Dr. Casie Parker; is a rural doc in Western Australia; EBM

Keylime Podcasts from the RCPSC - Focuses on Medical Education.

Best Medicine

Skeptics guide to Emergency Medicine by Dr. Ken Milne

Dr. Kilrew Podcasts Sioux Lookout

Surgery 101 from the University of Alberta

Family Medicine – General Resources (in random order)

• Access to Dynamed – go through USask library or through CMA

• Pepid can be accessed through the SK Health Authority; get off site access

• Best Science Medicine podcast (from Dr. Mike Allen U of A faculty in FM)

• The Centre for Effective Practice – go to THE WELL https://thewellhealth.ca/ - several excellent resources on common problems such as insomnia, headache, back pain, opioids, etc.

• CHEP guidelines

• CDA guidelines

• COPD evaluation/management based on GOLD guidelines

• Depression guidelines and screening tools

• Tools for Practice – Alberta College of Family Physicians

• POEMS through the CMA/Joule (sign in required); scroll to find POEMS by Essential Evidence Plus

• Canadian Family Physician journal including their video series with great intro to common procedures

• PBSGL modules from the Foundation for Medical Practice; free access for residents.

• Clinical Practice Guidelines from CFPC

  • CFP references such as for Simplified Lipid guidelines

• TOPS Alberta CPGs for primary care

• BC Guidelines

• Mike Evans videos - my favourites to use with patients especially for PSA testing

• American Family Physician

• Quality Improvement in Family Medicine

  • University of Toronto's QI Education Page - http://www.dfcm.utoronto.ca/qi-education

  • Quality Book of Tools - https://qualitybookoftools.ca/

• CMA Drivers Guide – on line but have to sign in to the CMA site; can be downloaded

• Choosing Wisely Canada – Resources/toolkits/webinars

• Stewart M, Brown J.B., Weston W.W., McWhinney I.R., McWilliam C.L., Freeman T.R. Patient-Centered Medicine: Transforming the Clinical Method. 2014 Jan. 3rd Edition, Radcliffe Publishing Ltd, Oxford UK. All residents need to be exposed to this text early in their residency and have practiced this extensively so it is an automatic practice by the time they do the SOO (simulated office oral) of their CCFP exam.