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TopicKey PointsResourcesGeneral Resources
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Social Determinants of HealthPhysicians tend to have lower perceptions of lower SES pts
• Income
• Education
• Unemployment & job security
• Employment & working conditions
• Early childhood dev
• Race
• Gender
• Sexuality
• Food insecurity
• Housing
• Social exclusion
• Social safety net
• Health services
• Aboriginal status
• Disability
Health care professionals are also members of the community – education, training, continuing care
Best Advice GuideWhite Coat Black Art Podcast

https://depts.washington.edu/bhdept/ethics-medicine

https://trilliumhealthpartners.ca/aboutus/Documents/IDEA-Framework-THP.pdf

https://www.canada.ca/content/dam/phac-aspc/documents/corporate/transparency/corporate-management-reporting/internal-audits/audit-reports/framework-ethical-deliberation-decision-making/pub-eng.pdf
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Indigenous HealthGenerational trauma
Trauma-informed care
Traditional medicine
Distrust in healthcare
Physician bias
Social determinants impacting health
Truth and Reconciliation Act

https://www.cfpc.ca/CFPC/media/PDF/CanMEDS-IndigenousHS-ENG-web.pdf

https://www.cfpc.ca/CFPC/media/Resources/Indigenous-Health/SystemicRacism_ENG.pdf

https://www.rcaanc-cirnac.gc.ca/eng/1524499024614/1557512659251

https://www.youtube.com/watch?v=IpKjtujtEYI&pp=ygUbaW5kaWdlbm91cyBoZWFsdGggaW4gY2FuYWRh
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Racism/anti-racism/systemic/institutionalApproaching conversations with relatives/friends with openness - nonjudgmental, continuous conversations
Need more representation in medical school, in textbooks, etc.
THERE IS NO BIOLOGICAL BASIS FOR RACE - the differences between races come from social determinants of health - institutional and systemic racism play a large role in health differences between different races.


https://www.commonwealthfund.org/publications/newsletter-article/2021/jan/medical-mistrust-among-black-americans

https://www.nejm.org/doi/full/10.1056/NEJMms2004740

https://www.cmaj.ca/content/193/2/E55

https://equityhealthj.biomedcentral.com/articles/10.1186/s12939-021-01410-9

So You Want to Talk About Race by Ijeoma Oluo
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Opioid CrisisHarm Reduction
Safe injection sites
Naloxone
Non-cancer Opioid use
Social determinants of health
Public Education
Stigma
Prescription monitoring
Fentanyl
Many physicians are not fully comfortable with managing patients on Naloxone - lots of regulations/regular visits.
https://cpsns.ns.ca/resource/initiation-of-opioid-therapy-for-acute-pain/

https://www.wcb.ns.ca/Portals/wcb/Opioid%20treatment%20agreement%20Sample%201%20FINAL.pdf

https://health-infobase.canada.ca/substance-related-harms/opioids-stimulants/

https://ontario.cmha.ca/harm-reduction/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034966/

https://www.cbc.ca/news/health/opioid-poisoning-parachute-1.5789654
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Primary care/Patient-centred careProviding a comprehensive circle of care
Based on community and individual patient needs
https://patientsmedicalhome.ca/

https://www.cmpa-acpm.ca/en/advice-publications/handbooks/collaborative-care-summary

https://catalyst.nejm.org/doi/full/10.1056/CAT.17.0559
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Physician shortage
https://www.cma.ca/healthcare-for-real/does-canada-have-enough-doctors

https://pmc.ncbi.nlm.nih.gov/articles/PMC10186392/

https://www.cma.ca/healthcare-for-real/why-it-so-hard-find-family-doctor

https://www.cbc.ca/news/politics/meet-the-canadians-without-a-family-doctor-1.7116475
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Vaccine hesitancyhttps://cps.ca/en/documents/position/working-with-vaccine-hesitant-parents

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6515949/pdf/0650175.pdf

https://canvax.ca/brief/how-government-policies-and-political-ideologies-impact-vaccine-acceptance-covid-19-and

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468130/pdf/ofz096.pdf

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468124/pdf/ofy214.pdf
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MAIDCultural/spiritual
Death can be a positive experience
Assessing capacity
Patient centered vs family centered
Process in place
Support patient and other health team members
Holistic assessment
Palliative care
https://www.canada.ca/en/health-canada/services/health-services-benefits/medical-assistance-dying.html

https://www.cfp.ca/content/64/9/641

https://www.youtube.com/watch?v=mAuTSNwT258&list=PLh48wIGDlJ7Sj0zYH7eoCpZlR7V-wENiu&index=44

https://camapcanada.ca/for-the-public/resources/
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LGBTQ+Use of non-gendered language
Normalizing pronouns in healthcare
https://itgetsbettercanada.org/2022/03/21/inclusive-language-how-to/?gclid=CjwKCAiAxreqBhAxEiwAfGfndOzvxnbrAH-OUg6S3daKMFdBjoBSgHa-eb4Zx9RmKGYPK1WhCHAOdxoCAdMQAvD_BwE

https://sharedhealthmb.ca/wp-content/uploads/Pronouns-2SLGBTQQIA-Health-Care-Leading-Practice-Guide-v2.pdf

https://blogs.neurology.org/dei/no-men-allowed-demystifying-pronouns-in-gendered-health-care-spaces/

https://www.tandfonline.com/doi/pdf/10.1080/26895269.2022.2100644
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Housing crisishttps://caeh.ca/cnh3-launches/?gclid=CjwKCAiAxreqBhAxEiwAfGfndOtz9C7JXnJSYgh3akx9yQXyb0b2is3AvHqM9p-TVqsID3Q0ya_zQBoCzUAQAvD_BwE

https://nhchc.org/wp-content/uploads/2019/08/homelessness-and-health.pdf

https://www.youtube.com/watch?v=YWtsh98bZ5c

https://housing-infrastructure.canada.ca/housing-logement/housing-plan-logement-eng.html

https://caeh.ca/budget-2023-ignores-canadas-worsening-housing-and-homelessness-crises-fails-to-support-those-in-greatest-need/?gad_source=1&gclid=CjwKCAiArva5BhBiEiwA-oTnXSL8fmPDeGWOPyVzzY4Id7F1Xg2m19R_eqK3l_LHhT6tTNjIZ3JJGRoCg9kQAvD_BwE

https://www.reuters.com/world/americas/canadas-housing-affordability-crisis-may-persist-years-despite-rate-cuts-2024-09-30/

https://www.cmaj.ca/content/196/19/E666#:~:text=2%20The%20latest%20report%20from,people%20who%20were%20not%20unhoused.
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AIhttps://www.queensu.ca/gazette/stories/leveraging-ai-provide-better-health-care-canadians

https://capra.ca/en/blog/artificial-intelligence-revolutionizing-the-healthcare-industry-2023-10-27

https://lmp.utoronto.ca/artificial-intelligence-healthcare

https://www.cmpa-acpm.ca/en/advice-publications/browse-articles/2019/the-emergence-of-ai-in-healthcare
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Social Mediahttps://health.ucdavis.edu/blog/cultivating-health/social-medias-impact-our-mental-health-and-tips-to-use-it-safely/2024/05#:~:text=Social%20media%20use%20may%20increase,chemical%22%20linked%20to%20pleasurable%20activities.

https://bmcpsychology.biomedcentral.com/articles/10.1186/s40359-023-01243-x

https://pmc.ncbi.nlm.nih.gov/articles/PMC7532328/

https://www.cma.ca/healthcare-for-real/why-health-misinformation-social-media-dangerous

https://www.who.int/europe/news/item/01-09-2022-infodemics-and-misinformation-negatively-affect-people-s-health-behaviours--new-who-review-finds

https://www.bu.edu/articles/2024/health-misinformation-rampant-on-social-media/
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