{"title":"Physician Assessment of Social Determinants of Health: A Necessary Component in Improving Care of Patients","authors":"E. Chaudry","doi":"10.18192/uojm.v11is1.5933","DOIUrl":"https://doi.org/10.18192/uojm.v11is1.5933","url":null,"abstract":"The importance of building a therapeutic relationship between a physician and a patient is taught early on in a medical student's training, specifically through the practice of obtaining a patient history. This process consists of gathering information in four main categories: the history of the present illness, personal social history, past medical history, and family history. Each piece of information obtained within these categories is vital in ensuring a patient receives appropriate and effective care. Specifically, a social history consists of asking about a patient's relationship status, support system, home environment, interests, exercise, nutritional habits, substance use, and sexual history. To complete a successful and full social history, one should try to address the social determinants of health. As per the Government of Canada’s website, social determinants of health “refer to a specific group of social and economic factors within the broader determinants of health. These relate to an individual’s place in society such as income, education or employment” [1]. Consequently, a critical component of a complete social history interview should be investigating a patients socioeconomic status. Low socioeconomic status (LSES) has been found to play a role in incidence and susceptibility to a variety of health conditions. As such, I believe that screening for and asking questions pertaining to the socioeconomic status of a patient should be considered a vital and essential component of every patient assessment.","PeriodicalId":30662,"journal":{"name":"University of Ottawa Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47879407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"La lourdeur d’une plume","authors":"Megan Cipro","doi":"10.18192/uojm.v11is1.6027","DOIUrl":"https://doi.org/10.18192/uojm.v11is1.6027","url":null,"abstract":"","PeriodicalId":30662,"journal":{"name":"University of Ottawa Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42623476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Equitable Virtual Care in Canada: Addressing The Digital Divide","authors":"Michael Crozier","doi":"10.18192/uojm.v11is1.5937","DOIUrl":"https://doi.org/10.18192/uojm.v11is1.5937","url":null,"abstract":"Online healthcare services are rapidly transforming the landscape of healthcare in Canada. Although the digitization of healthcare delivery has been occurring gradually over the past two decades, the COVID-19 pandemic has catalyzed a “digital boom” in healthcare [1–4]. Now more than ever, healthcare practitioners and patients alike have transitioned from in-person appointments to virtual care via online platforms [3-5]. Virtual care, once an optional service, is becoming an essential one. A recent survey conducted by the Canadian Medical Association (CMA) aiming to assess Canadians’ opinions about virtual care, reported that 19% of Canadians accessed routine healthcare via phone, telehealth, virtual service, or video conference with their physician(s) prior to the COVID-19 pandemic compared to 53% since the beginning of the pandemic [5]. Due to necessity, virtual care evidently went from being uncommon to the status quo during the COVID-19 pandemic.","PeriodicalId":30662,"journal":{"name":"University of Ottawa Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41539549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Moving Forward with Virtual Care: Lessons for the Post COVID-19 Era","authors":"A. Saad","doi":"10.18192/uojm.v11is1.5926","DOIUrl":"https://doi.org/10.18192/uojm.v11is1.5926","url":null,"abstract":"On March 11th 2020, the World Health Organization declared COVID-19 a global pandemic [1,2]. We had realized the gravity of the situation before but, until that day, did not comprehend how our reality was about to change for the foreseeable future. Following that declaration, most countries and states implemented strict public health restrictions to contain the spread of the virus and decrease its mortality rate by enforcing physical distancing measures. Albeit effective, such measures did not come without consequences on the quality of life and wellbeing of people worldwide [3]. Social isolation, loneliness, loss of employment and income, and housing instability were some of the adverse events that arose during what we call “the lockdown” [4,5]. A friend of mine who had migrated to Canada from a war-torn zone felt the magnitude of this lockdown. “It’s like moving from one prison to another” he explained, reminiscing about a time he was forced to stay home to avoid the unforgiving jaws of man-made conflict.","PeriodicalId":30662,"journal":{"name":"University of Ottawa Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48798962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Considerations on the Impact of COVID-19 Pandemic on Medical Education","authors":"Gareth Leung","doi":"10.18192/uojm.v11is1.6070","DOIUrl":"https://doi.org/10.18192/uojm.v11is1.6070","url":null,"abstract":"","PeriodicalId":30662,"journal":{"name":"University of Ottawa Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41472209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Une langue différente, une expérience différente de la santé","authors":"Marcel Miron-Celis","doi":"10.18192/uojm.v11is1.6014","DOIUrl":"https://doi.org/10.18192/uojm.v11is1.6014","url":null,"abstract":"Il est estimé qu’environ 8 millions des Canadiens, soit 23% de la population canadienne, s’identifient comme francophones (1). De ces 8 millions, près d’un million vivent en situation minoritaire, dispersés dans des régions majoritairement anglophones tels que l’Ontario, les maritimes, les provinces de l’ouest et les régions du nord canadien (1). En tant que minorités linguistiques, les Franco-canadiens ne sont pas étrangers aux inégalités qui assaillent le tissu social au Canada. Bien qu’il existe peu de recherche récente à ce sujet, il est bien connu que les communautés francophones dans un contexte minoritaire ont tendance à être moins scolarisées, moins nombreuses sur le marché du travail, ont un revenu moyen moins élevé que la population anglophone et se concentrent souvent à des endroits marqués par une économie instable (2). Étant donné le faible statut socioéconomique des Canadiens français en situation minoritaire, il n’est pas surprenant de constater que ces individus rapportent une perception individuelle de leur santé plus basse que les anglophones majoritaires (3).","PeriodicalId":30662,"journal":{"name":"University of Ottawa Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47899707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Disrupting the paradigm of oncology care in Canada: the triumphs, challenges and future implications of telemedicine","authors":"R. Mclarty","doi":"10.18192/uojm.v11is1.5930","DOIUrl":"https://doi.org/10.18192/uojm.v11is1.5930","url":null,"abstract":"Medicine has long been one of the lingering aspects of society yet to be fully disrupted by technological advances. Unlike media, banking and commerce which have adapted to the growing demand for convenience and accessibility from the public, the practice of medicine in many ways remains much unchanged from decades prior. The 2019 novel coronavirus (COVID-19) demanded an immediate shift in the way Canadian healthcare was delivered to reduce the risk of viral transmission from in person patient encounters. Cancer poses a large and ever-increasing impact on the Canadian population and healthcare resources. Brenner et al. (2020) estimated nearly half of the Canadian population will develop cancer in their lifetime in addition to the recent increasing yearly number of new diagnoses and deaths as the population grows and ages [1]. Cancer patients were initially an ideal population for telemedicine encounters during the pandemic. These patients often have additional comorbidities association with COVID-19 mortality and a diagnosis of cancer may further increase this risk [2]. As healthcare enters a second year within the new paradigm of virtual medicine, it is important to consider the impact and future of telemedicine on Canada’s ever-growing oncology patients.","PeriodicalId":30662,"journal":{"name":"University of Ottawa Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48231124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Infodemic of COVID-19","authors":"M. Lam","doi":"10.18192/uojm.v11is1.5918","DOIUrl":"https://doi.org/10.18192/uojm.v11is1.5918","url":null,"abstract":"While the fight against the COVID-19 pandemic remains centered around the great strides made in fields of biotechnology and epidemiology, an epidemic of misinformation and growing skepticism of the scientific community rages beneath the surface. Almost understandably so, in an unprecedented time of change riddled with fear and a sense of loss, people turn to thoughts, emotions, and behaviours that sometimes do more to impede the return to normalcy that we all crave. Reports that were particularly prevalent during the early pandemic response, including those of individuals refusing to wear masks in public spaces or anti-lockdown rallies throughout North America, only spurred further confusion and divisive sentiments on both sides [1]. While these events may point towards a lack of clear communication and mixed messaging from authority figures in the early response, a culture of inherent skepticism, particularly on social media, continues to be pervasive. With hopes of a global re-opening riding on the current vaccine rollout, widespread acceptance of the COVID-19 vaccines remains essential to achieving herd immunity and ultimately curbing the spread of the virus. However, marginalized and underrepresented groups in North America that have been most heavily affected by the pandemic are also often those who are most distrustful of the medical system [2,3].","PeriodicalId":30662,"journal":{"name":"University of Ottawa Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42014146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Les couleurs de la médecine : Représentation inégale de la pigmentation de la peau dans les ressources en dermatologie","authors":"Yasmine Elmi","doi":"10.18192/uojm.v11is1.6015","DOIUrl":"https://doi.org/10.18192/uojm.v11is1.6015","url":null,"abstract":"Les patients à la peau foncée peuvent présenter des variantes morphologiques et des maladies moins apparentes nécessitant une prise en charge et des thérapies uniques [1]. Cependant, les ressources pédagogiques actuelles en dermatologie ne permettent pas aux médecins d'acquérir la base de connaissances nécessaire pour diagnostiquer et traiter les maladies de la peau chez les patients ethniques. Cela constitue un obstacle important au traitement équitable des patients et à la formation des médecins. Des informations visuelles et textuelles plus cohérentes décrivant les maladies de la peau chez les personnes de couleur devraient être largement intégrées dans les ressources pédagogiques.","PeriodicalId":30662,"journal":{"name":"University of Ottawa Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42258519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Loneliness Under Lockdown: Caring for Mental Health in the Time of COVID-19","authors":"Zier Zhou","doi":"10.18192/uojm.v11is1.5928","DOIUrl":"https://doi.org/10.18192/uojm.v11is1.5928","url":null,"abstract":"Social interaction is critical for maintaining mental health, but constant lockdowns in response to COVID-19 inevitably make this difficult. Technology use is widespread and at the core of many interventions that allow people to stay connected. This commentary aims to explore the positive and negative effects of online spaces like social media, how crisis hotlines and peer support groups help those who are dealing with individual mental health challenges, and when in-person gatherings may be reasonable for certain age demographics including children and seniors.","PeriodicalId":30662,"journal":{"name":"University of Ottawa Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49269079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}