PODCAST

The Rounds Table

Dr. John Fralick and Dr. Michael Fralick

The Rounds Table is a free recurring medical podcast covering the latest and most important research from major medical journals. It is intended for all practicing healthcare professionals and aims to to help them keep up to date in the care of their patients.

science life sciences

All Episodes

Is Canada Ready for National Pharmacare?

The Rounds Table ·

2017/02/10

“There is no comparable healthcare system in the world that does not ensure universal coverage of [at least] essential medicines.” – Dr. Steve Morgan on the need for Pharmacare in Canada What would a Canadian National Pharmacare Program look like? We break it down for you this week on a special episode of The Rounds ... The post Is Canada Ready for National Pharmacare? appeared first on Healthy Debate.

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REPLAY – New Year, New Medicine: Alternatives to...

The Rounds Table ·

2017/02/03

It’s a new year, which means new theme music for The Rounds Table! This week, Kieran and Jay take listeners through alternatives to inpatient hospitalization and the effects of PPIs on community acquired pneumonia. Hospitals often operate at over 100% capacity, and inpatient care is expensive – it accounts for 32% of US healthcare dollars! ... The post REPLAY – New Year, New Medicine: Alternatives to Hospitalization & Association of PPIs with Pneumonia appeared first on Healthy

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Clearing Confusion in Palliative Care: Antipsychotics...

The Rounds Table ·

2017/01/27

It’s palliative care week on The Rounds Table! Kieran and Ariel guide listeners through two noteworthy new studies: interventions to clarify goals of care for individuals with advanced dementia; and a randomized trial of treatment for delirium in palliative care. Goals of care discussions are critical in ensuring treatments are aligned with patients expressed wishes. ... The post Clearing Confusion in Palliative Care: Antipsychotics for Delirium and Goals of Care Interventions appeared first on

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Keeping a Pulse on Drug Reactions: Emergency Visits...

The Rounds Table ·

2017/01/20

Kieran and Fraser are back this week to take listeners through two exciting new studies. What percentage of people that present to the Emergency Department have an adverse drug event (ADE)? How big does an abdominal aortic aneurysm (AAA) have to be to warrant surgical repair? Listen to find out! Emergency Department visits for ADEs ... The post Keeping a Pulse on Drug Reactions: Emergency Visits for Adverse Drug Events and Thresholds for AAA Repair appeared first on Healthy Debate.

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All Things Must End (Including Life and Smoking!):...

The Rounds Table ·

2017/01/13

Is quitting cold turkey the best way to stop smoking? When should you transfuse a patient? How effective are current models of palliative care? We’re answering relevant and thought-provoking questions this week on The Rounds Table! Ashley, like many family physicians, makes a point of advising and supporting smoking cessation at most visits she has ... The post All Things Must End (Including Life and Smoking!): Gradual Versus Abrupt Smoking Cessation and Palliative Care Effectiveness appeared first

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New Year, New Medicine: Alternatives to...

The Rounds Table ·

2017/01/06

It’s a new year, which means new theme music for The Rounds Table! This week, Kieran and Jay take listeners through alternatives to inpatient hospitalization and the effects of PPIs on community acquired pneumonia. Hospitals often operate at over 100% capacity, and inpatient care is expensive – it accounts for 32% of US healthcare dollars! ... The post New Year, New Medicine: Alternatives to Hospitalization & Association of PPIs with Pneumonia appeared first on Healthy Debate.

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REPLAY: Bugs & Drugs – Duration of Antibiotic Therapy...

The Rounds Table ·

2016/12/30

Bugs, drugs, and optimal duration for antibiotic therapy? New frontiers in HIV treatment? Listen this week as Kieran and Jay Spiegel, a resident in General Internal Medicine in Toronto, discuss two studies: It’s hard to remember what the right drug is to treat a certain bug, let alone the correct duration of therapy. Further, for ... The post REPLAY: Bugs & Drugs – Duration of Antibiotic Therapy in Community-Acquired Pneumonia and Early Antiretroviral Treatment for HIV appeared first on Healthy

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REPLAY: Testing and Treatment in Diabetes – Taken...

The Rounds Table ·

2016/12/23

We’re back this week with Kieran and Ashley to take another look at diabetes and sweet treats. Should current practice guidelines be taken with a grain of salt – or should I say – sugar? Listen to find out! New drugs have popped up on the market for diabetes management, necessitating an update to practice ... The post REPLAY: Testing and Treatment in Diabetes – Taken with a Grain of Sugar! appeared first on Healthy Debate.

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Big Data: Dabigatran vs. Rivaroxaban for Atrial...

The Rounds Table ·

2016/12/16

It’s big data week on The Rounds Table! When initiating pharmacotherapy for atrial fibrillation, which drug is best? How does frailty influence surgical outcomes? Kieran and Michael Fralick, General Internist at St. Michael’s Hospital, take listeners through two noteworthy studies: When a new medication is developed it is generally compared against standard of care or ... The post Big Data: Dabigatran vs. Rivaroxaban for Atrial Fibrillation and Association of Frailty with Post-Operative Mortality

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When Care is Critical: Conservative vs Conventional...

The Rounds Table ·

2016/12/09

This week’s episode is jam-packed with critical care medicine. What is the effect of conservative versus conventional oxygen therapy on mortality in patients in the ICU? Hydrocortisone on development of septic shock? Kieran and Laura take listeners through two important studies examining these questions. Prior research suggested excessive oxygenation in patients admitted to the ICU ... The post When Care is Critical: Conservative vs Conventional Oxygen Treatment in the ICU and the Effect of

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DANISH with your Coffee? ICDs for Non-Ischemic...

The Rounds Table ·

2016/12/02

It’s arrhythmia week on The Rounds Table! Should heart failure patients give up a caffeine jolt in the morning? How can we better identify appropriate patients for ICDs? Paxton Bach, fellow in General Internal Medicine at UBC, joins Kieran to discuss two exciting studies: Studies that inform practice toward the best medical treatments are of ... The post DANISH with your Coffee? ICDs for Non-Ischemic Cardiomyopathy and Effects of High Dose Caffeine on Cardiac Arrhythmias appeared first on Healthy

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Smoke & Mirrors? Tai Chi vs. Physiotherapy for Knee...

The Rounds Table ·

2016/11/25

Dr. Fraser Pollard, Family Physician in Trenton ON, discusses his frustration with the lack of effective treatments for osteoarthritis for long-term pain and disability in his patients. But there is hope! Fraser dips his toes into critically examining alternative medicine in leading listeners through a single blinded comparative effectiveness trial of Tai Chi versus physiotherapy ... The post Smoke & Mirrors? Tai Chi vs. Physiotherapy for Knee Osteoarthritis & Symptoms in Smokers with

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PESIT and PATCH it! – Plugging ICH with platelets and...

The Rounds Table ·

2016/11/18

It’s so hot you can barely touch it – the PESIT study! So what’s the buzz all about? Pulmonary embolism is one of those dreaded diagnoses – it can be life-threatening, but often elusive in its diagnosis since so many other conditions cause similar symptoms. Kieran takes listeners through the multi-centre cross sectional PESIT study ... The post PESIT and PATCH it! – Plugging ICH with platelets and quantifying the prevalence of PE in syncope appeared first on Healthy Debate.

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We Need to Talk About It: Physician Burnout and Sex...

The Rounds Table ·

2016/11/11

Physician burnout is a work related syndrome involving emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. The prevalence of burnout has reached a shocking 50% in both staff and resident physicians! Something needs to be done. Ariel Lefkowitz, Chief Medical Resident at Mount Sinai Hospital in Toronto, takes listeners through a systematic review ... The post We Need to Talk About It: Physician Burnout and Sex Differences in Salary appeared first on Healthy

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If you build it, they will come! – ICU beds, dementia...

The Rounds Table ·

2016/11/04

Ever wondered about when to mechanically ventilate patients with dementia in the ICU? Or how hospital quality predicts survival post MI? Tune in this week as Dr. Laura Walker, Chief Medical Resident at St. Michael’s Hospital, and Kieran discuss two intriguing studies! The prevalence of dementia is steadily rising across North America. Among hospitalized nursing ... The post If you build it, they will come! – ICU beds, dementia and quality of care in MI outcomes appeared first on Healthy

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Testing and Treatment in Diabetes – Taken with a...

The Rounds Table ·

2016/10/28

We’re back this week with Kieran and Ashley to take another look at diabetes and sweet treats. Should current practice guidelines be taken with a grain of salt – or should I say – sugar? Listen to find out! New drugs have popped up on the market for diabetes management, necessitating an update to practice ... The post Testing and Treatment in Diabetes – Taken with a Grain of Sugar! appeared first on Healthy Debate.

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Aging gracefully – SPRINTing to the right blood...

The Rounds Table ·

2016/10/21

A recurring question: in the management of BP, how low should we go? This week, Paxton and Kieran discuss two studies that aim to refine the answer. The appropriate treatment target for systolic blood pressure in elderly patients with hypertension is uncertain, particularly for the frail elderly. Kieran leads the discussion on the SPRINT ... The post Aging gracefully – SPRINTing to the right blood pressure target! appeared first on Healthy Debate.

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The Bigger Picture: Industry Sponsored Research and...

The Rounds Table ·

2016/10/14

This week’s Rounds Table is all about studying studies, emphasizing the importance of understanding a body of evidence within the context of existing literature. A refreshing reminder that the “big picture” in medical research can be easy to lose sight of when keeping up to date with individual trials! Dr. Ashley Minuk, Family Physician ... The post The Bigger Picture: Industry Sponsored Research and Negative Trials appeared first on Healthy Debate.

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Moody & unSAVEd – CPAP for Prevention of...

The Rounds Table ·

2016/10/07

Is October making you overtired and moody? Tune in this week as Dr. Paxton Bach, resident in General Internal Medicine at UBC, and Kieran discuss two tantalizing studies! The SAVE Clinical Trial is the largest ever to study the effect of CPAP on prevention of cardiovascular outcomes and death in patients with obstructive sleep ... The post Moody & unSAVEd – CPAP for Prevention of Cardiovascular Endpoints in OSA and SSRI Treatment of Depression in Heart Failure appeared first on

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REPLAY – Drugs on the Brain: Opining on...

The Rounds Table ·

2016/09/30

We’re back and better than ever with a NEW host! This season, Kieran Quinn takes the reigns and is excited to bring you the latest and greatest in the world of emerging clinical evidence. Along outgoing host Amol Verma, the two hosts discuss two studies: Just how dangerous are opioids in the treatment of chronic pain ... The post REPLAY – Drugs on the Brain: Opining on Opioid-Induced Death and Ticagrelor for TIA or Stroke appeared first on Healthy Debate.

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The Rounds Table

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