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Choosing Wisely Talks | Medico-legal Concerns: What gets in the way of Choosing Wisely? - Shared screen with speaker view
Heather Wrigley
22:57
What is "kihi" (sp?)
Alyssa Herring
23:14
CIHI = Canadian Institute for Health Information
Karen Born, CWC
23:15
CIHI - Canadian Institute for Health Information
Heather Wrigley
23:22
thanks
Karen Born, CWC
23:27
https://www.cihi.ca/en
Richard van der Jagt
23:33
CIHI is Canadian Institute for Health Information
Jaana Ranchithan
24:10
Please feel free to enter your questions or comments into the chat box.
Des Leddin
27:36
Will you send a link to the presentations so that we can share them with colleagues please?
Karen Born, CWC
28:16
Yes - thank you @Des Leddin - it will be available at this link on our website https://choosingwiselycanada.org/events/past/
Christianne Godard
32:07
Perhaps that is because currently more tests are being ordered?
Heather Wrigley
37:59
I often find myself in a situation where a diagnostic imaging report recommends testing that I don't think is indicated. (E.g. "this nodule looks benign and is unchanged compared to prior imaging; we suggest repeating ultrasound in 6 months." If the radiologist has recommended this in writing, but I talk the patient out of it and document my rationale, am I at legal risk for ignoting their recommendation?
Jaana Ranchithan
40:10
Please enter your questions and comments for Dr. Calder and Dr. Kuling into the chat box.
Randy Luckham
40:16
CW: any consideration to educating the public directly on topics like this?
Andrea Stern
40:27
Other scenarios. But my last doctor ordered.
Jennifer Crichton
41:42
Does CWC have any insight to share from CW organizations in other countries? For example, how are the guidelines implemented in practice in the more litigious US system?
Des Leddin
42:44
If a society makes a CWC recommendation or publishes a guideline what is the specialty societies collective and individual member liability?
Jennifer Tang
42:50
Another issue that comes up and can cause conflict are tests requested or ordered by naturopathy, chiro, homeopathy, and the patient comes to the family physician asking for guidance with test interpretation or incidental findings for be they didn't order.
Andrea Stern
44:27
Trying to explain why they don't need a test can be very time consuming. Although I try not to order unnecessary tests sometimes easier to give in. I have had patients when I refuse to do a test they go to a walk in clinic. What happens if abnormality is found on a test I declined to order?
Aviva stewart
55:20
Cancer Care Ontario sends letters directly to all Ontarian’s over age 50 to encourage breast cancer and colon cancer screening. There is absolutely no discussion in these letters of risk/ benefit of screening. Please comment.
Lenora Brace
57:29
Woman say they rather have mammogram screening and say at least I was checked. There is a fear that there is more risk of breast cancer then there was in the past. Our screening programs may have established unrealistic optimism and equally unrealistic fear.
Xiao Jiang
01:01:43
I am a late attendee, had another meeting. Is there a possibility of accessing the recording of this zoom webnar later?
Karen Born, CWC
01:02:02
yes it is recorded and will be posted on our website https://choosingwiselycanada.org/events/past/
Deanna Ward
01:06:00
Sunnybrook has begun a virtual emerg dept today, which hopefully will spread to other hospitals, and assist in reducing late presentations
Xiao Jiang
01:06:23
I have had patients whose physician do ONLY telemed, and when physical exam is needed, they ask patients to go see another physician who DO see patients in person.
Karen Born, CWC
01:06:25
FYI this is the CMPA COVID-19 hub https://www.cmpa-acpm.ca/en/covid19
Jennifer Crichton
01:06:29
Yes re: Sunnybrook! FYI: https://sunnybrook.ca/media/item.asp?c=1&i=2228&f=virtual-emergency-department-ed
Karen Born, CWC
01:07:15
FYI Choosing Wisely Canada recently released guidance on treating RTIs in COVID19 era and when to see patients in person https://choosingwiselycanada.org/perspective/the-cold-standard/
Jennifer Crichton
01:07:31
Children’s Hospital of Eastern Ontario here in Ottawa has also been doing virtual ED visits since early in pandemic FYI: https://www.cheo.on.ca/en/visiting-cheo/emergency-department-virtual-care.aspx
Xiao Jiang
01:10:01
not just litigious, college complaints is another strong driving factor modifying our behaviour. It does not take much to make a college complaint and it is very distressing for the physician. My college had a complaint because he was not able to see the patient due to exposure to covid-19. The patient was unhappy to make an appointment that very day and was unhappy enough to want to do something like that. I was profoundenly saddened by that story
Deanna Ward
01:10:03
do you have any suggestions of how patients can help support the wellbeing of healthcare workers?
Karen Born, CWC
01:10:15
CMA wellness hub FYI https://www.cma.ca/physician-wellness-hub/about
Jaana Ranchithan
01:11:33
This webinar is being recorded and will be available on our website: https://choosingwiselycanada.org/events/past/
Andy Tsang
01:13:58
Thank you everyone for the presentation.
Jaana Ranchithan
01:14:32
Survey Link (English): https://www.surveymonkey.com/r/JVHRHBYSurvey Link (French): https://fr.surveymonkey.com/r/J7ZJKPL
Andrea Stern
01:14:33
Thank you for great talks
Xiao Jiang
01:14:54
when will the recording be available? in 24h hour ?
Jaana Ranchithan
01:14:55
Please email us at: info@choosingwiselycanada.org
Cathy MacLean
01:14:59
Thanks!
Marie-Claude Lebel
01:15:00
thank you very much !
Allan McDougall
01:15:15
Happy holidays everyone. Thanks for organizing this fascinating talk.
Manal Ekladious
01:15:23
Thank you very much
Jaana Ranchithan
01:15:32
The recording will be available by 5:00 pm ET
Xiao Jiang
01:15:37
thank
Xiao Jiang
01:15:41
excellent!