https://simplecast.com CMPA: Practically Speaking CMPA Practically Speaking is a Canadian Medical Protective Association podcast where we share expert advice on a variety of topics affecting physicians and their practice. From assisting physicians in reducing medical-legal risk and enhancing safe medical care, to discussing physician wellness and how the CMPA supports its members in a changing healthcare environment, this podcast will cover what you need to know when you need it most. Earn Self-Learning Section 2 MOC credits and non-certified Self-Learning Mainpro+ credits for each episode. 2020 Canadian Medical Protective Association en Tue, 20 Sep 2022 10:00:00 +0000 Tue, 20 Sep 2022 10:00:11 +0000 https://cmpa-practically-speaking.simplecast.com CMPA: Practically Speaking https://image.simplecastcdn.com/images/25162e03-9759-4241-95b3-197e9591d1e4/861f7825-a447-460c-986b-d13c9b1cca6a/3000x3000/20-smc-podcast-e.jpg?aid=rss_feed https://cmpa-practically-speaking.simplecast.com episodic CMPA Practically Speaking is a Canadian Medical Protective Association podcast where we share expert advice on a variety of topics affecting physicians and their practice. From assisting physicians in reducing medical-legal risk and enhancing safe medical care, to discussing physician wellness and how the CMPA supports its members in a changing healthcare environment, this podcast will cover what you need to know when you need it most. Earn Self-Learning Section 2 MOC credits and non-certified Self-Learning Mainpro+ credits for each episode. Canadian Medical Protective Association, CMPA no https://feeds.simplecast.com/sw2loCBN assistance, cmpa, healthcare, medical-legal, medico-legal, perspective, physician wellness, physicians, reduce risk, safe medical care, steven bellemare, yolanda madarnas, medical, canadian Canadian Medical Protective Association info@cmpa.org cfb2da30-4934-451c-ae5e-6d4000eb3259 Disclosing patient safety incidents Tue, 20 Sep 2022 10:00:00 +0000 info@cmpa.org (Canadian Medical Protective Association) https://cmpa-practically-speaking.simplecast.com/episodes/disclosing-patient-safety-incidents-yr8yY7m9 Disclosing patient safety incidents Canadian Medical Protective Association 00:17:13 Disclosure of patient safety incidents to patients or caregivers is a legal, ethical and professional obligation for physicians. Appropriate disclosure conversations facilitate dialogue during the incident management process and reinforces patient-physician trust. In this month’s episode, Steven and Yolanda discuss the best ways to handle disclosure of patient safety incidents and the importance of efficient communication in addressing patients’ needs throughout the process. Disclosure of patient safety incidents to patients or caregivers is a legal, ethical and professional obligation for physicians. Appropriate disclosure conversations facilitate dialogue during the incident management process and reinforces patient-physician trust. In this month’s episode, Steven and Yolanda discuss the best ways to handle disclosure of patient safety incidents and the importance of efficient communication in addressing patients’ needs throughout the process. professional obligation, adverse event, disclosing harm, patient safety incident, documentation, incident, hospital matters, legal duty, ethical duty, legal action, college matters, accident, team communication, physician-patient communication, disclosure, near miss no full 13 886a97bf-787c-4bc5-8f35-2940985d7b36 Leveraging Patient Decision Aids To Ensure Shared Decision Making Mon, 22 Aug 2022 10:00:00 +0000 info@cmpa.org (Canadian Medical Protective Association) https://cmpa-practically-speaking.simplecast.com/episodes/leveraging-patient-decision-aids-to-ensure-shared-decision-making-l68dfZzB Leveraging Patient Decision Aids To Ensure Shared Decision Making Canadian Medical Protective Association 00:20:17 Decision support tools are designed to ease shared decision-making and patient involvement on health care decisions. When patients actively participate in decision-making and understand what is required of them, they are more likely to follow through. To establish an efficient shared decision making process, physicians must consider patients values, preferences and circumstances. In this month’s episode of CMPA Practically Speaking, our experts discuss the importance of patient’s decision aids to overcome communication challenges and build a strong patient-physician relationship. Decision support tools are designed to ease shared decision-making and patient involvement on health care decisions. When patients actively participate in decision-making and understand what is required of them, they are more likely to follow through. To establish an efficient shared decision making process, physicians must consider patients values, preferences and circumstances. In this month’s episode of CMPA Practically Speaking, our experts discuss the importance of patient’s decision aids to overcome communication challenges and build a strong patient-physician relationship. differential diagnosis, values, standard of care, communication, clinical decision-making, documentation, physician-patient relationship, decision support tools, diagnosis, patient decision aids, patient care, physician-patient communication, patient-centred communication, shared decision-making no full 12 ad158abe-091f-4bcc-a141-74fa142b60c7 Ensuring a safe return environment for patients Mon, 18 Jul 2022 10:00:00 +0000 info@cmpa.org (Dr. Steven Bellemare, Dr. Yolanda Madarnas) https://cmpa-practically-speaking.simplecast.com/episodes/ensuring-a-safe-return-environment-for-patients-DFf4f3hx Ensuring a safe return environment for patients Dr. Steven Bellemare, Dr. Yolanda Madarnas 00:16:41 When considering medical clearance for participation after injuries, there are numerous components to take into consideration to ensure physicians act within the standard of care, and that they keep patients’ best interest in mind. In this month’s episode, Steven and Yolanda discuss the precautions and responsibilities of both parties in assuring a safe return environment. The duo highlights the importance of shared decision-making to establish an efficient framework. When considering medical clearance for participation after injuries, there are numerous components to take into consideration to ensure physicians act within the standard of care, and that they keep patients’ best interest in mind. In this month’s episode, Steven and Yolanda discuss the precautions and responsibilities of both parties in assuring a safe return environment. The duo highlights the importance of shared decision-making to establish an efficient framework. return to activities, medical forms, multi-disciplinary care, communication, informed decision-making, documentation, return to school, physician-patient relationship, fitness to participate, return to work no full 11 d09cf7cd-7600-4ae3-96a0-aa5f1a558e10 Reducing diagnostic errors in the OR Related CMPA Perspective article:

Can intraoperative decisions be diagnostic errors?

https://www.cmpa-acpm.ca/en/advice-publications/browse-articles/2020/can-intraoperative-decisions-be-diagnostic-errors

]]> Tue, 14 Jun 2022 15:00:00 +0000 info@cmpa.org (Dr. Steven Bellemare, Dr. Yolanda Madarnas) https://cmpa-practically-speaking.simplecast.com/episodes/reducing-diagnostic-errors-in-the-or-D_GHM7Fa Related CMPA Perspective article:

Can intraoperative decisions be diagnostic errors?

https://www.cmpa-acpm.ca/en/advice-publications/browse-articles/2020/can-intraoperative-decisions-be-diagnostic-errors

]]> Reducing diagnostic errors in the OR Dr. Steven Bellemare, Dr. Yolanda Madarnas 00:16:59 Surgeons put a tremendous amount of focus on mastering the technical skills and maximizing their knowledge base. Data from the CMPA's medico-legal files suggest that a number of adverse events involving surgeons are related to communication issues, rather than to poor surgical technique or insufficient knowledge. This episode identifies techniques to help physicians working in surgery settings reduce their risk of adverse events in the OR. Surgeons put a tremendous amount of focus on mastering the technical skills and maximizing their knowledge base. Data from the CMPA's medico-legal files suggest that a number of adverse events involving surgeons are related to communication issues, rather than to poor surgical technique or insufficient knowledge. This episode identifies techniques to help physicians working in surgery settings reduce their risk of adverse events in the OR. or, diagnostic error, operating room, debriefs, surgical safety checklist, growth mindset, documentation, surgeon, cognitive reserves, psychological safety, listening up, surgery, huddles, speaking up, team communication, situational awareness no full 10 2fe51612-bb07-4e90-8c7b-f72e8e0adde9 The ins and outs of team debriefs Related CMPA Perspective article:

Team debriefs: Participate and minimize your medical-legal risks

https://www.cmpa-acpm.ca/en/advice-publications/browse-articles/2019/team-debriefs-participate-and-minimize-your-medical-legal-risks

Institute for Healthcare Improvement (IHI) Framework for Improvement

http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx

]]> Mon, 16 May 2022 13:30:00 +0000 info@cmpa.org (Dr. Steven Bellemare, Dr. Yolanda Madarnas) https://cmpa-practically-speaking.simplecast.com/episodes/the-ins-and-outs-of-team-debriefs-0LWJ56FJ Related CMPA Perspective article:

Team debriefs: Participate and minimize your medical-legal risks

https://www.cmpa-acpm.ca/en/advice-publications/browse-articles/2019/team-debriefs-participate-and-minimize-your-medical-legal-risks

Institute for Healthcare Improvement (IHI) Framework for Improvement

http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx

]]> The ins and outs of team debriefs Dr. Steven Bellemare, Dr. Yolanda Madarnas 00:15:39 Steven and Yolanda discuss the ins and outs of routine team debriefs: What are they? Who should use them? How should they be implemented? How can they potentially improve patient safety? Steven and Yolanda discuss the ins and outs of routine team debriefs: What are they? Who should use them? How should they be implemented? How can they potentially improve patient safety? team performance, debriefs, improvement, growth mindset, patient safety, cognitive process, briefing, huddles, speaking up, safe medical care, team communication, teams, quality improvement, debriefing, situational awareness no full 9 e73464eb-af0b-4327-ad41-8e58da108d89 Contingency planning for the unplanned absence from practice Related CMPA Perspective article:

Closing or leaving a practice: Tips for primary care physicians

https://www.cmpa-acpm.ca/en/advice-publications/browse-articles/2020/closing-or-leaving-a-practice-tips-for-primary-care-physicians

]]> Thu, 12 Nov 2020 20:02:37 +0000 info@cmpa.org (Dr. Yolanda Madarnas, Dr. Steven Bellemare) https://cmpa-practically-speaking.simplecast.com/episodes/contingency-planning-for-the-unplanned-absence-from-practice-bykw_4_V Related CMPA Perspective article:

Closing or leaving a practice: Tips for primary care physicians

https://www.cmpa-acpm.ca/en/advice-publications/browse-articles/2020/closing-or-leaving-a-practice-tips-for-primary-care-physicians

]]> Contingency planning for the unplanned absence from practice Dr. Yolanda Madarnas, Dr. Steven Bellemare 00:11:37 Retirement, parental leave, illness, moving to a new practice – what considerations should be made when taking an unplanned leave of absence? This episode looks at the importance of planning for the unforeseen, and ensuring patients’ continuity of care is at the forefront of those arrangements. Retirement, parental leave, illness, moving to a new practice – what considerations should be made when taking an unplanned leave of absence? This episode looks at the importance of planning for the unforeseen, and ensuring patients’ continuity of care is at the forefront of those arrangements. custodian of medical records, medica-legal, short term leave, coverage, continuity of care, illness, leaving practice, contingency plan, planning for leave, parental leave no full 8 1290deb3-0159-4a92-b62f-b03c15e1a579 Covering other specialties? Know the risks Thu, 12 Nov 2020 19:49:30 +0000 info@cmpa.org (Dr. Steven Bellemare, Dr. Yolanda Madarnas) https://cmpa-practically-speaking.simplecast.com/episodes/covering-other-specialties-know-the-risks-LkkxGUD4 Covering other specialties? Know the risks Dr. Steven Bellemare, Dr. Yolanda Madarnas 00:22:13 Occasionally, physicians may be asked to provide medical care outside of their area of expertise. During the COVID-19 pandemic, for example, more physicians have been asked to fill-in on the ICU and in long-term care facilities. What are your rights as a physician? How can you best handle the situation? How do you ensure your patients’ safety? This episode covers these – and other questions – related to the risks and responsibilities when covering other specialties. Occasionally, physicians may be asked to provide medical care outside of their area of expertise. During the COVID-19 pandemic, for example, more physicians have been asked to fill-in on the ICU and in long-term care facilities. What are your rights as a physician? How can you best handle the situation? How do you ensure your patients’ safety? This episode covers these – and other questions – related to the risks and responsibilities when covering other specialties. area of expertise, resource constraints, icu, medical-legal considerations, covid-19, long-term care, patient safety, health emergencies, scope of practice, medical-legal risk, pandemic no full 7 6c17e35e-5f78-4f11-86da-f15e68943873 Accessing EMRs: How to avoid breaching privacy rules CMPA Perspective article:

Why do you need to know? A balancing act for accessing personal health information

www.cmpa-acpm.ca/en/advice-publications/browse-articles/2020/why-do-you-need-to-know-a-balancing-act-for-accessing-personal-health-information

]]> Wed, 7 Oct 2020 17:35:39 +0000 info@cmpa.org (Dr. Steven Bellemare, Dr. Yolanda Madarnas) https://cmpa-practically-speaking.simplecast.com/episodes/accessing-emrs-how-to-avoid-breaching-privacy-rules-J_grTiLf CMPA Perspective article:

Why do you need to know? A balancing act for accessing personal health information

www.cmpa-acpm.ca/en/advice-publications/browse-articles/2020/why-do-you-need-to-know-a-balancing-act-for-accessing-personal-health-information

]]> Accessing EMRs: How to avoid breaching privacy rules Dr. Steven Bellemare, Dr. Yolanda Madarnas 00:17:03 When is access to EMR deemed inappropriate? In this episode, Dr. Bellemare and Dr. Madarnas offer key considerations on how to avoid breaching privacy rules when accessing electronic medical records. The hosts review how privacy legislation, the circle of care, and custodianship of medical records affect how and when physicians can access medical records. When is access to EMR deemed inappropriate? In this episode, Dr. Bellemare and Dr. Madarnas offer key considerations on how to avoid breaching privacy rules when accessing electronic medical records. The hosts review how privacy legislation, the circle of care, and custodianship of medical records affect how and when physicians can access medical records. circle of care, patient privacy, personal health information, custodianship of medical records, privacy legislation, phipa, electronic medical record, personal health information protection act, privacy breach, privacy, patient follow-up, medical records, emr, medical-legal, inappropriate access to emr, emrs no full 6 5b952045-8b66-42c1-8b9d-093a49d2c4ba COVID-19: Managing wait times Concerns surrounding wait times in the delivery of health care are not new, however, the COVID-19 pandemic has resulted in further concerns due to the postponement of elective procedures. 

In this episode, Dr. Steven Bellemare and Dr. Yolanda Madarnas discuss the impact of wait times on patients, physicians, and the healthcare system with Dr. Wendy Levinson, Chair of Choosing Wisely Canada. 

They provide timely tips on the safe management of wait times and resource utilization in order to promote safe care and decrease medical-legal risk for physicians.

]]> Thu, 10 Sep 2020 19:36:05 +0000 info@cmpa.org (Dr. Wendy Levinson, Dr. Steven Bellemare, Dr. Yolanda Madarnas) https://cmpa-practically-speaking.simplecast.com/episodes/covid-19-managing-wait-times-PD2p5L2e Concerns surrounding wait times in the delivery of health care are not new, however, the COVID-19 pandemic has resulted in further concerns due to the postponement of elective procedures. 

In this episode, Dr. Steven Bellemare and Dr. Yolanda Madarnas discuss the impact of wait times on patients, physicians, and the healthcare system with Dr. Wendy Levinson, Chair of Choosing Wisely Canada. 

They provide timely tips on the safe management of wait times and resource utilization in order to promote safe care and decrease medical-legal risk for physicians.

]]> COVID-19: Managing wait times Dr. Wendy Levinson, Dr. Steven Bellemare, Dr. Yolanda Madarnas 00:19:38 Dr. Wendy Levinson, Chair of Choosing Wisely Canada, joins the hosts to discuss tips on the safe management of wait times in order to promote safe care and decrease medical-legal risk for physicians. Dr. Wendy Levinson, Chair of Choosing Wisely Canada, joins the hosts to discuss tips on the safe management of wait times in order to promote safe care and decrease medical-legal risk for physicians. postponement of elective procedures, wait time management, covid-19, pandemic, safe medical care, wait times, resource utilization, choosing wisely canada no full 5 e8dcf472-3fc9-41d3-904f-55cb7ac693fb COVID-19: Virtual care CMPA Perspective article:

Providing virtual care during the COVID-19 pandemic

www.cmpa-acpm.ca/en/advice-publications/browse-articles/2020/providing-virtual-care-during-the-covid-19-pandemic

]]> Wed, 26 Aug 2020 16:15:18 +0000 info@cmpa.org (Dr. Yolanda Madarnas, Dr. Steven Bellemare) https://cmpa-practically-speaking.simplecast.com/episodes/covid-19-virtual-care-TkAn7qt_ CMPA Perspective article:

Providing virtual care during the COVID-19 pandemic

www.cmpa-acpm.ca/en/advice-publications/browse-articles/2020/providing-virtual-care-during-the-covid-19-pandemic

]]> COVID-19: Virtual care Dr. Yolanda Madarnas, Dr. Steven Bellemare 00:18:19 As a result of the COVID-19 pandemic, physicians have had to rapidly pivot their practices to include virtual care provision. In this podcast, Dr. Yolanda Madarnas, CMPA Physician Advisor, and Dr. Steven Bellemare, CMPA Director of Practice Improvement, identify key issues to consider for the provision of safe virtual care. Listen to them discuss how to include considerations around clinical judgment, standard of care, informed consent, and privacy to provide the best virtual care you can. As a result of the COVID-19 pandemic, physicians have had to rapidly pivot their practices to include virtual care provision. In this podcast, Dr. Yolanda Madarnas, CMPA Physician Advisor, and Dr. Steven Bellemare, CMPA Director of Practice Improvement, identify key issues to consider for the provision of safe virtual care. Listen to them discuss how to include considerations around clinical judgment, standard of care, informed consent, and privacy to provide the best virtual care you can. informed consent, standard of care, covid-19, privacy, pandemic, virtual care, clinical judgment no full 4 92210b8d-f50c-434b-b9ce-afefdbee3c46 COVID-19: Advance care directives CMPA Perspective article:

End-of-life: Planning for compassionate care during COVID‑19

www.cmpa-acpm.ca/en/advice-publications/browse-articles/2020/end-of-life-planning-for-compassionate-care-during-covid-19

]]> Wed, 26 Aug 2020 16:09:46 +0000 info@cmpa.org (Dr. Steven Bellemare, Dr. Yolanda Madarnas) https://cmpa-practically-speaking.simplecast.com/episodes/covid-19-advance-care-directives-wM7LKtkt CMPA Perspective article:

End-of-life: Planning for compassionate care during COVID‑19

www.cmpa-acpm.ca/en/advice-publications/browse-articles/2020/end-of-life-planning-for-compassionate-care-during-covid-19

]]> COVID-19: Advance care directives Dr. Steven Bellemare, Dr. Yolanda Madarnas 00:17:41 During the COVID-19 pandemic, physicians may be deployed to unfamiliar clinical units and may need to have difficult discussions around goals of care that they are not used to having, perhaps even with patients they don’t know. In this podcast, Dr. Yolanda Madarnas, CMPA Physician Advisor, and Dr. Steven Bellemare, CMPA Director of Practice Improvement, discuss the CMPA’s experience with cases involving end of life care. Listen to them discuss key messages that may help you effectively support patients and families who need to make plan of care choices as a result of a COVID-19-related critical illness. During the COVID-19 pandemic, physicians may be deployed to unfamiliar clinical units and may need to have difficult discussions around goals of care that they are not used to having, perhaps even with patients they don’t know. In this podcast, Dr. Yolanda Madarnas, CMPA Physician Advisor, and Dr. Steven Bellemare, CMPA Director of Practice Improvement, discuss the CMPA’s experience with cases involving end of life care. Listen to them discuss key messages that may help you effectively support patients and families who need to make plan of care choices as a result of a COVID-19-related critical illness. end of life, advance care, goals of care, covid-19, pandemic no full 3 1a44c08d-3282-4333-a81f-3001f2aac79c COVID-19: Physician Moral Distress CMPA Perspective article:

Moral distress: The cost of uncertainty during a pandemic

www.cmpa-acpm.ca/en/advice-publications/cmpa-perspective/2020/message-from-the-cmpa-president

]]> Fri, 17 Jul 2020 16:41:08 +0000 info@cmpa.org (Dr. Steven Bellemare, dr. Caroline Gérin-Lajoie, Dr. Yolanda Madarnas) https://cmpa-practically-speaking.simplecast.com/episodes/covid-19-physician-moral-distress-Iq3IggfO CMPA Perspective article:

Moral distress: The cost of uncertainty during a pandemic

www.cmpa-acpm.ca/en/advice-publications/cmpa-perspective/2020/message-from-the-cmpa-president

]]> COVID-19: Physician Moral Distress Dr. Steven Bellemare, dr. Caroline Gérin-Lajoie, Dr. Yolanda Madarnas 00:18:46 Physicians routinely face challenging situations and difficult decisions. This can be morally distressing, especially during times of crisis, such as the COVID-19 pandemic. In this podcast, Dr. Yolanda Madarnas, CMPA Physician Advisor, and Dr. Steven Bellemare, CMPA Director of Practice Improvement, are joined by Dr. Caroline Gérin-Lajoie, psychiatrist at The Ottawa Hospital, and Executive Vice-President of Physician Health and Wellness at the Canadian Medical Association. Listen to them discuss why it is important to recognize and manage moral distress and explore various coping strategies that physicians can adopt to stay well. Physicians routinely face challenging situations and difficult decisions. This can be morally distressing, especially during times of crisis, such as the COVID-19 pandemic. In this podcast, Dr. Yolanda Madarnas, CMPA Physician Advisor, and Dr. Steven Bellemare, CMPA Director of Practice Improvement, are joined by Dr. Caroline Gérin-Lajoie, psychiatrist at The Ottawa Hospital, and Executive Vice-President of Physician Health and Wellness at the Canadian Medical Association. Listen to them discuss why it is important to recognize and manage moral distress and explore various coping strategies that physicians can adopt to stay well. moral distress, covid-19, physician wellness, pandemic no full 2 0d05a938-a506-4cc3-830d-e09b2213938f COVID-19: Reasonable Care CMPA Perspective article:

Scarce resources: Caring for patients during COVID-19

www.cmpa-acpm.ca/en/advice-publications/browse-articles/2020/scarce-resources-caring-for-patients-during-covid-19

]]> Fri, 17 Jul 2020 15:07:05 +0000 info@cmpa.org (Dr. Steven Bellemare, Dr. Yolanda Madarnas) https://cmpa-practically-speaking.simplecast.com/episodes/covid-19-reasonable-care-U3V6QxeP CMPA Perspective article:

Scarce resources: Caring for patients during COVID-19

www.cmpa-acpm.ca/en/advice-publications/browse-articles/2020/scarce-resources-caring-for-patients-during-covid-19

]]> COVID-19: Reasonable Care Dr. Steven Bellemare, Dr. Yolanda Madarnas 00:14:32 A public health emergency may force a shift away from the usual patient-first ethics, to a public-first approach. This episode covers the concept of reasonable care and the patient’s best interests to help you make sense of the unusual demands the COVID-19 pandemic may place on you. A public health emergency may force a shift away from the usual patient-first ethics, to a public-first approach. This episode covers the concept of reasonable care and the patient’s best interests to help you make sense of the unusual demands the COVID-19 pandemic may place on you. ethics, covid-19, public-first approach, patient-first, reasonable care, pandemic no full 1