OCFP Resident Committee

Clinical Question: Are vaginal estradiol tablets (Vagifem®) effective for genitourinary syndrome of menopause?

Bottom Line: Vaginal estradiol tablets are likely no better than placebo vaginal gel for reducing "most bothersome symptom scores" (mainly dyspareunia). However, compared to placebo vaginal tablets, they reduce symptoms (example: treatment "success" at 12 months in 86% versus 41% placebo). A non-medicated vaginal gel may be reasonable first-line for dyspareunia.

For more of these little pearls, sign up for Tools For Practice at

Sign Up for Tools for Practice | GoMainpro By subscribing to ACFP’s Tools for Practice – Non-Member Subscribers list, you agree and provide your express consent (according to Canada’s Anti-Spam Legislation) to receive regular emails pertaining to:

Here is a sample question from Tools for Practice - a cool OCFP member benefit that can keep you up to date! Click the link below to receive clinical questions like this regularly.

"Toxins for Health? Botulinum toxin for migraine.

Clinical Question: What is the efficacy of botulinum toxin for migraine prophylaxis?

Bottom Line: Patients with chronic migraine who receive botulinum toxin (example Botox™) have 2 fewer migraine days per month compared to placebo (from 19 days to 11 days with treatment versus 13 days with placebo), with no benefit in episodic migraine. Adverse events include blepharoptosis, muscle weakness, neck/injection site pain and 3% stop treatment due to adverse events."

Sign Up for Tools for Practice | GoMainpro By subscribing to ACFP’s Tools for Practice – Non-Member Subscribers list, you agree and provide your express consent (according to Canada’s Anti-Spam Legislation) to receive regular emails pertaining to:

Finishing residency? Ensure you apply for your independent CPSO license by May 17, 2019 to obtain it for July 1. You need it to apply for your OHIP billing number and WSIB!
https://www.cpso.on.ca/CPSO/media/Documents/physician/registration-applicants/apply-for-registration/ip-fyr-application-form.pdf

For a one stop spot for all your transitioning to practice resources, see our resident guide below.

http://www.ocfpresidentguide.com/

OCFP Residency Guide There are links to everything you will need in each section, and you can always visit the index for a more detailed page of links. 

CFPC's Guide to Quality Improvement (QI) Education in Family Medicine Training one-pager has just been released! Follow the link to download and share with your cohort. The College of Family Physicians of Canada - CFPC https://www.cfpc.ca/uploadedFiles/Directories/Sections/Section_of_Residents/SOR-GIFT-OnePager-2018.pdf

Need a moment? A few minutes? Longer? Check out a UBC wellness resource for audio recordings of breathing, mindfulness meditation, and yoga exercises.

https://postgrad.med.ubc.ca/resident-wellness/resources/mindfulness-based-stress-reduction-resources-part-1/mindfulness-based-stress-reduction-resources-audio-recordings-breathing-body-awareness-and-yoga/

Audio Recordings: Breathing, Body Awareness, and Yoga | Postgraduate Medical Education, UBC Faculty of Medicine   Breathing, Body Awareness, and Yoga Mindful Breathing (5 minutes):   Mindful Breathing (15 minutes):   Whole Body Awareness:   Body Scan Meditation (15 minutes):   Body Scan Meditation (30 minutes):   Body Scan Meditation (45 minutes):   Mindful Yoga Introd...

Free online for residents! CFPC's Self Learning Program is a learning tool created by Family Physicians that provides access to leading-edge information from peer-reviewed medical journals through an engaging platform (MCQs and SAMPs) https://selflearning.cfpc.ca/ #/lng-en/

Tomorrow, at McMaster and Queens Univeristy, residents are hosting Our Stories, the first forum to share experiences with mental health in medical education. It is a time to come together to . Register and sign up to share your story on your schools event page linked below. A HUGE thank you to the OCFP who is supporting the McMaster event!

https://www.facebook.com/OurStories19/

Our Stories To promote a culture of openness and dialogue amongst trainees and end the stigma of mental health a

Meta-analysis provides evidence that physician burnout may jeopardize patient care. If we need another reason to take care ourselves as physicians, we should do it for our patients!

https://www.ncbi.nlm.nih.gov/pubmed/?term=Association+Between+Physician+Burnout+and+Patient+Safety%2C+Professionalism%2C+and+Patient+Satisfaction+A+Systematic+Review+and+Meta-analysis

The highly acclaimed CASTED course, tailored to those working in primary care. Registration open!

From our committee to yours, we recommend making new friends for your wellness! Please contact your local representative to connect with our committee with any of your concerns or questions during your Family Medicine residency in Ontario.

Canadian Blood Services needs your help. Do something good for someone else's wellness today.

https://www.ctvnews.ca/mobile/health/canadian-blood-services-seeking-22-000-donors-to-avoid-shortage-1.4051904

Life's a beach, read a book.

https://www.chapters.indigo.ca/en-ca/books/top-tens/