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Quick Takes: A podcast by physicians, for physicians
20 minutes | 9 days ago
What all physicians need to know about mental health apps
Which apps should you recommend to your patients?On this episode of Quick Takes Dr. Gratzer sits down with returning guest and digital psychiatry expert, Dr. John Torous of Harvard University.They discuss the use of mobile apps to aid in diagnosis and treatment as well as issues around digital privacy, the potential of chatbots, and how AI may change the field. But at the heart of this episode, they try to determine just what makes a good app. What do physicians need to know before using an app in their clinical work?During Drs. Gratzer and Torous’ conversation we learn more about: what makes a good app and how mobile apps can be integrated into mental health treatment how apps may pose a risk to data privacy and securitythe potential of chatbots and AIand the challenges of sustaining patient engagement with apps. To hear more of what Dr. Torous has to say on the topic of digital mental health, listen to Quick Takes episode 3 What all physicians need to know about digital psychiatry.Follow us on Twitter
18 minutes | 2 months ago
What all physicians need to know about suicide prevention
“If you have a room of one hundred people, one hundred people in that room have been affected by suicide.”So notes Dr. Juveria Zaheer, CAMH psychiatrist and clinician scientist with the Institute for Mental Health Policy Research, and Dr. David Gratzer’s guest on this episode of Quick Takes.In this 10th episode of Quick Takes, Dr. Gratzer and Dr. Zaheer discuss the weighty topic of suicide. Often a difficult topic for health care providers to deal with, they keep it accessible by focusing on practical issues such as how to approach risk assessment and dealing with a suicidal patient..What you will learn:there’s a complicated relationship between COVID-19 and suicidewhat Dr. Zaheer’s research on suicide has uncoveredwhat some of the warning signs for suicide areways to co-create a safety plan with your patient.The podcast ends with an important reminder that the more we talk about suicide, the more we can all help prevent it. Follow us on Twitter
20 minutes | 5 months ago
What all physicians need to know about the rapid virtualization of mental health care – and the post-pandemic future
“We’re having a digital moment in medicine and behavioural health like one we have never seen.”So notes Dr. Jay Shore, chair of the American Psychiatric Association's Telepsychiatry Committee, and Dr. David Gratzer’s guest on this episode of Quick Takes.In this episode Dr. Gratzer and Dr. Shore discuss the rise of virtual care during this pandemic and how our current experiences could impact the entire healthcare system. They cover the challenges (Zoom fatigue) and opportunities (hybrid care solutions) COVID-19 has brought about. And Dr. Shore leaves the listeners with some excellent tips for providers new to virtual health as well as some guidelines on patient-physician interaction that should benefit all listeners.What you will learn:what the challenges are in virtual carewhat opportunities this period of rapid virtualization has brought abouthow our healthcare system may evolve as a result of all the digital work being done currentlyuseful tips for new virtual care providers and some guidelines on patient-physician interaction.Follow us on Twitter
18 minutes | 8 months ago
What all physicians need to know about telemental health
The world of mental health care delivery is being reshaped. In this episode of Quick Takes, Dr. David Gratzer sits down with the associate chief in the General Adult Psychiatry and Health Systems division at CAMH, Dr. Allison Crawford. Dr. Crawford is an expert on telemental health and in a time when working at home and social distancing are the norm, the need to learn about alternative health care delivery methods is on the rise. Listen to this episode to learn the basics on telemental/virtual mental health and receive some excellent advice on how best to approach starting out in virtual mental health care. What you will learn: What telemental health looks like currently and what it is evolving intobeyond the name change to virtual mental healthhow much easier it is to do with our current technology.How patients are responding to itit goes beyond convenience for somethey actually rate the quality of virtual care higher than providers.Some very useful tips for how best to approach starting out in virtual mental health and what you should be aware ofrelationships are still incredibly important – and that can’t be replaced by machines.How the evolution of technology may impact the use and growth of virtual mental health. Follow us on Twitter
18 minutes | a year ago
What all physicians need to know about cannabis use and how to talk to our patients about it
With one year of legalized cannabis (and this podcast) under our belts, it’s time to look at the impact that cannabis (and now legal edibles) has had – and how to talk to your patients about their use.In this episode of Quick Takes, Dr. David Gratzer sits down with Dr. Leslie Buckley, the Chief of the Addictions Division at the Centre for Addiction and Mental Health in Toronto, to discuss the evidence for using cannabis to treat psychiatric disorders (spoiler alert: not much) and how to incorporate motivational interviewing techniques into practice – even in short interviews. We also talk about the problem with edibles and the advantages of CBD over THC.In this episode, the conversation focused on:How cannabis use has changed with legalization one year on – and where things might go now that edibles are legal.What the evidence is for using cannabis in treatment (not much).Some real-world examples – and excellent techniques – to try when using motivational interviewing with your cannabis patients.The main interview rounds out with talk about the difference between THC and CDB use.In this episodes’ bonus content, Double Take, Drs. Gratzer and Buckley enjoy the opportunity to engage in some role-play as they run through a scenario in which Dr. Gratzer plays a young adult who is using cannabis to relieve his anxiety. Listen as Dr. Buckley demonstrates some MI techniques while she interviews him. Episode #7 Double Take
10 minutes | a year ago
7- Double Take: Motivational interviewing for anxiety-related cannabis use (A role-play)
Motivational interviewing for anxiety-related cannabis use (a role-play)In this episode’s Double Take, Drs. Gratzer and Buckley enjoy the opportunity to engage in some role-play as they run through a scenario in which Dr. Gratzer plays a young adult who is using cannabis to relieve his anxiety. Listen as Dr. Buckley demonstrates some MI techniques while she interviews him.
8 minutes | a year ago
6-Double Take with Peter Selby
“The biggest risk is self-study without actual demonstration of performance.”Dr. Peter Selby, CAMH Chief of Medicine in Psychiatry, discusses the current state of technology in medical education with Dr. Gratzer.Together they cover topics such as:how technology has helped bridge the access gap in medical education;the benefit of smartphones to just-in-time learning;the ability of VR and simulation to help people learn in more diverse – and impactful – ways;and how an online community of practice helped to fill the void on smoking cessation education for Syrian refugees.
11 minutes | a year ago
6-Double Take with David Goldbloom
“It’s no accident that Alexa and Siri have names… so I suspect that technology will also morph to be more and more human-like.”Dr. David Goldbloom, CAMH Senior Medical Advisor, and Dr. Gratzer have a light-hearted conversation in which Dr. Goldbloom predicts 5 things that may be in store for the future of medical education and they consider how technology challenges the norms and expectations of the role of clinicians.Dr. Goldbloom bravely gives us his 5 predictions (safe in the knowledge he may not be around to account for them in the future!)They discuss the research Dr. John Torous has done on patient use of mental health apps. (Check out our episode of Quick Takes featuring Dr. Torous)As well as the difficulties in recommending apps to patients.Dr. Goldbloom looks back at his work using televideo for psychiatry outreach.Their discussion ends on a cautionary note regarding privacy protection when it comes to technology.
15 minutes | a year ago
6-Double Take with Ivan Silver
“I’m not sure we’re there yet, in psychiatry, in having that kind of useful information to make it really ‘just-for-me’ learning. I think ‘just-in-time’ is here, but ‘just-for-me’ I don’t think has arrived yet.”In a lively conversation with Dr. Gratzer, Dr. Ivan Silver, former CAMH VP Education, shares his thoughts on how medical education has been reshaped by technology.In this discussion, Dr. Silver:introduces some of us to the term “heutagogy” (the study of self-determined learning) and how technology can aid us in with our learning goals;looks back at the rise of video-based lectures;recounts the emergence (and decline) of MOOCs;details the progression of his paper-based library of evidence-based practice to a digital version he can easily share with students;and he brings up an interesting perspective on the impact of technology on the future of the earth (conference attendance really affects one’s carbon footprint!)
11 minutes | a year ago
6-Double Take with Sanjeev Sockalingam
“As we think about simulation, and how it might not be feasible for everyone to come to a place and practice in a simulation lab, how we can make those more virtually available either through augmenting with virtual reality, or other kinds of digital spaces where we can start to experiment in more team-based care.”CAMH’s VP of Education looks ahead and considers just-for-me learning experiences and how AI and simulation may impact medical education.In his discussion with Dr. Gratzer they touch on the following:how to prepare clinicians to incorporate technology into their practice;the current deficiencies of medical school and residency programs in preparing students to have discussions on technology use in practice;the benefits of synchronous types of training and the example of ECHO;the potential of AI on exam writing;and what the future classroom may look like – and how it will function.
14 minutes | a year ago
What all physicians need to know about technology and education
AI. Apps. Simulation.In this episode of Quick Takes, Dr. David Gratzer sits down with Drs. Ivan Silver, Peter Selby, Sanjeev Sockalingam, and David Goldbloom. This esteemed group of influential educators discuss how technology has changed medical education, and some of the potential and pitfalls of future changes.In this episode the following was discussed:How technology in the classroom began as video-based lectures and the limits of this teaching model.How existing online learning allows for more flexibility and accessibility.The future (and present) of learning through VR and simulation-based teaching.The dangers technology poses to privacy.And how to integrate technology into the medical education curriculum – without it replacing training in other necessary skills.Out of respect to what each of these educators had to say, we will be releasing their full interviews in four separate Double Take episodes. You’ll hear their responses to how technology functions in medical education (past, present and future) in our main Quick Takes episode, but their individual episodes offer far more substance. We highly recommend you listen to them all!Double Take with Dr. Ivan SilverDouble Take with Dr. Peter SelbyDouble Take with Dr. Sanjeev SockalingamDouble Take with Dr. David Goldbloom
12 minutes | a year ago
What all physicians need to know about physician burnout
“How many more patients?How much time is left in my day?”Sound familiar? Hopefully not too familiar – such thinking may indicate burnout.In this episode of Quick Takes, Dr. David Gratzer sits down with Dr. Treena Wilkie, Deputy Physician-in-Chief, Medical Affairs and Practice at CAMH to talk about burnout: what the signs are, and what can – and is – being done to help doctors avoid it.In this episode the following was discussed:What exactly is physician burnout?How common burnout is now and why rates may be rising.The effect physician burnout could have on the public health care system.What doctors can do if they think they may be experiencing it.And what organizations should do to try to ensure their physicians never burn out.To hear a story of one physician’s experience with burnout, check out our bonus track Episode #5 Double Take
9 minutes | a year ago
5-Double Take: One physician’s experience with burnout
Physician burnout is real – and on the rise.Our bonus content for this episode is a true “bonus” as you get to hear from a psychiatrist who not only experienced burnout, but who successfully bounced back and is thriving. Dr. Murray Erlich is open and honest as he tells his own personal story: what he went through, how he dealt with it, and his advice to all physicians on what warning signs to look out for.
27 minutes | 2 years ago
What all physicians need to know about global psychiatry
When there is no psychiatrist, how do people get the mental health care they need?This special edition of Quick Takes covers this topic as Dr. David Gratzer interviews Prof. Vikram Patel – 2019 winner of the prestigious John Dirks Canada Gairdner Global Health Award – about how his ground-breaking research has helped with the prevention and treatment of mental health in low-income countries. This conversation breaks our 10 to 15-minute format and runs around 26 minutes – but the time flies by as Prof. Patel details his award-winning research projects and what inspired him to push his ideas out on a global scale.In this episode the following was discussed:What inspired Prof. Patel’s work.The significance of community health workers in his research.How the success of his project sparked the creation of the NGO, Sangath.And the challenges involved in scaling things up on a global level.The conversation ends with a one-minute rapid-fire Q&A between Dr. Gratzer and Prof. Patel.
15 minutes | 2 years ago
What all physicians need to know about digital psychiatry
The future of psychiatry is now.In this episode of Quick Takes Dr. David Gratzer sits down with one of the leading experts in digital psychiatry, Dr. John Torous of the Harvard-affiliated Beth Israel Deaconess Medical Center, to discuss how digital tools are now being used in patient care, and what tomorrow may bring. They talk about apps, virtual reality, e-therapy, chatbots, data and, of course, privacy and ethics. Learn what apps you can incorporate into your practice today, and why your patients’ data could be at risk in a digital world.In this episode the following was discussed:The possibilities that new digital tools, and the data they provide, bring to the practice of psychiatry.The exciting potential of new technologies.How to use mobile apps in your clinical practice.The concerns that digital psychiatry can spark.What sparked Dr. Torous’s interest in digital healthcare.Things end with a one-minute rapid-fire Q&A between Dr. Gratzer and Dr. Torous.To hear more about the potential of digital psychiatry, check out our bonus track Episode #3 Double Take
8 minutes | 2 years ago
3-Double Take: Digital psychiatry
Are you curious about things like how cell phone charging data may help psychiatrists predict psychosis in patients with schizophrenia? Then download our bonus Double Take episode for more information on psychiatry in the digital realm.In this bonus episode:Get a bit of a history lesson that explains how using patient data led to the differentiation of bipolar from schizophrenia.Hear how ‘new data’ can help us to understand even severe mental illness.Learn what surprises Dr. John Torous about the digital healthcare space.
15 minutes | 2 years ago
What all physicians need to know about the new Ontario Ministry of Transportation reporting requirements
The rules have changed.This summer, the Ministry of Transportation changed the reporting requirements for Ontario drivers.In this episode of Quick Takes: A podcast by physicians, for physicians, Dr. David Gratzer interviews Dr. Brittany Poynter, Associate Chief and Medical Head of the Emergency Department at the Centre for Addiction and Mental Health (CAMH), and Dr. Travis Barron, CAMH Resident, for their thoughts on when to report a patient. Reviewing real-world examples involving people with mental illness, they discuss the new (and not so new) obligations to report – and the impact reporting may have on your patients’ lives.In this episode the following was discussed:The impact of the language in the legislation and how that may impact your decision to report.What constitutes "acute" psychosis?Defining engagement and treatment under these guidelines.Understanding that the absence of a mandatory duty to report does not mean the absence of a duty to reportTo hear more about the legal side of mandatory reporting, check out our bonus track Episode #2 Double Take
8 minutes | 2 years ago
2-Double Take: A legal perspective on mandatory reporting
If you have another 8 minutes to spare, and you want to know what the legal department at CAMH has to say about mandatory report, then download our Double Take episode. In it, Dr. Gratzer speaks with CAMH legal counsel, Kendra Naidoo.In this bonus episode:What has changed in the reporting guidelinesThe importance of clinical consultation before reporting
8 minutes | 2 years ago
1-Double Take: An in-depth discussion on hyperemesis syndrome, dealing with sub-populations and the benefits of ginger
For listeners who have another 8 minutes to spare – Dr. David Gratzer and Dr. Jonathan Bertram carry on their conversation on cannabis legalization in Canada.In this clip they have a more in-depth discussion on hyperemesis syndrome, dealing with sub-populations and the benefits of ginger – stat!In this episode:Identifying and treating hyperemesis syndromeDealing with sub-populationsIn-patientsOlder adultsAvailable resources for physiciansThe benefits of ginger
11 minutes | 2 years ago
What all physicians need to know about cannabis legalization
It's October 17, 2018.On this historic day Dr. David Gratzer hits the ground running in his new podcast series as he and his guest, Dr. Jonathan Bertram, discuss Canada’s new cannabis policy. By the end of this short and intimate discussion you’ll quickly learn what you need to know to screen, assess and treat cannabis intoxication. You'll also get valuable insight into dealing with new or existing patients thinking about cannabis as a treatment method.Dr. Bertram is an Addictions Medicine Physician at the Centre for Addiction and Mental Health (CAMH) with a special interest in First Nations Outreach & Older Adults population in the context of Pain & Addictions Treatment.This episode covers the following:How acute cannabis intoxication presentsThe importance of taking a substance use historyTreating the intoxicated stateCannabis use disordersTreating patients with medical cannabisOne minute of rapid fire questionsTo hear more of this conversation on the impact of cannabis legalization, check out our bonus track Episode #1 Double Take
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