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Featured Stories

August President’s Message – An Offering of Condolences

On behalf of the ACFP, I offer sincere condolences to the family, friends, colleagues, and patients of Dr. Reynolds. The unimaginable circumstances in which Dr. Reynolds lost his life are something I never anticipated having to consider in the settings in which we work. In addition to the grief surrounding the loss of a dedicated and…

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Our Condolences to the Reynolds Family

Our hearts are heavy with the news of Dr. Walter Reynolds passing. This tragedy ripples throughout the community, profession, and province. To Dr. Reynolds’ family, friends, colleagues, and patients, The Alberta College of Family Physicians is so sorry for your loss. A memorial fund has been created to honour the life of Dr. Reynolds. If…

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#271 – Be still my quivering heart: alcohol and atrial fibrillation

Clinical Question: Does advising patients to abstain from alcohol prevent atrial fibrillation recurrence? Bottom Line: Observational studies consistently report a doseresponse association between alcohol and new onset atrial fibrillation. Based on 1 randomized controlled trial (RCT) of “regular drinkers” with paroxysmal atrial fibrillation, recurrence of atrial fibrillation happened in ~50% who abstain compared to ~70% who…

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A Message from the President – A Call for Collaboration

My Friends and Colleagues, Forming relationships, finding common ground, understanding the perspectives of others – these are all core components to the practice of Family Medicine. This is a set of skills we acquire in training and enhance in practice. For many of us, it defines the core of how we interact with others, not…

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PRACTICAL EVIDENCE FOR INFORMED PRACTICE (PEIP) CONFERENCE 2020

The 2020 PEIP Conference highlights focused reviews on clinically relevant primary care topics that combine evidence, experience, and patient values and is free of industry bias. The Conference is a fully accessible via webcast with limited in-person seating. This multidisciplinary event showcases relevant, evidence-based, and thought-provoking topics in health care. REGISTRATION OPENS AUGUST 2020! 2020…

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TFP #267 – Serology, Serology: How Accurate and Prevalent Art Thou?

Clinical Question:  What is the role of serology testing in the COVID-19 pandemic? Bottom Line:  IgM and IgG antibodies may reveal an individual’s recent (after ~2 weeks) exposure to COVID-19. How long serology remains positive and whether antibodies confer immunity to subsequent infection is unknown. Many different tests exist, each with different accuracy. Current evidence…

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COVID-19 CME Reviews

By Dr. Cathy Scrimshaw 1. Primary Care COVID-19 Pathway Explainedhttps://www.specialistlink.ca/files/RW_COVID_V6.pdf This webinar series is from the Calgary PCN’s group and covered several topics including a public health update, mental health advice, and tools as well as presentation of the primary care pathway for COVID-19 care. Physicians presented the primary care pathway for patients with COVID-19…

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What Made the Difference in Canada’s Worst COVID-19 Outbreak?

By Dr. Adam Vyse, the Calgary Zone PCN, and the Calgary Rural PCN In April 2020, the Cargill Foods meat packing plant was the epicentre of one of North America’s single largest outbreaks of COVID-19. With 2,000 employees, 932 were confirmed positive, with one-third living in and around High River, a town of 13,000 just…

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TFP #261 – Antivirals for COVID-19

Clinical Question: Do treatments such as remdesivir or other anti-virals change patient outcomes in COVID-19 patients? Bottom Line: To date, published RCTs have not demonstrated benefit of treating COVID-19 patients with remdesivir, lopinavir-ritonavir or oseltamivir.  There are signals of potential benefits from one interim analysis of remdesivir and non-statistically different results, but more research is needed. Full publication of studies…

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TFP #259 – Unmasking the evidence around masks for healthcare workers

Clinical Question: Is there a difference between mask types in preventing viral respiratory infections for healthcare workers? Bottom Line: In healthcare workers; Surgical masks and respirators (N95) appear to provide similar protection against viral infections, with N95 masks having slightly lower, but not statistically different, infection rates in the wearer (~1-2%).  Cloth masks are less effective than…

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TFP #258 – Stealth style transmission? Covert data on COVID-19

Clinical Question: What is the evidence for asymptomatic transmission of COVID-19 (including those who will remain asymptomatic and those who are early and not symptomatic yet)? Bottom Line: Transmission of COVID-19 can occur in people who are currently asymptomatic. Case reports suggest this occurs in 6-13% of cases, although modelling suggests this might be higher. The importance of…

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TFP #257 – A rushed introduction to an uninvited guest

Clinical Question: COVID-19: What are the presenting symptoms, clinical course, and risk factors for mortality? Bottom Line: Cough and fever are the most common symptoms. Differences in testing and reporting of cases limit prognostic estimations. At minimum, 80% of cases are clinically mild. Of those hospitalized in North America, ~25% will require ICU admission. Risk factors for…

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