The Rounds Table

The Rounds Table is a free weekly podcast supported by Healthy Debate, the Canadian Society of Internal Medicine, and the University of Toronto Office of Continuing Professional Development. Tune in to hear early-career academic clinicians exploring topics from the latest research in adult medicine. To find out more about us, click here.

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  • February 2016

    • Pure GOLD: Updated 2016 COPD Management Guidelines

      This week, Amol, general internal medicine resident at the University of Toronto, discusses the GOLD 2016 COPD management guidelines, and compares it to the new Star Wars movie! While many clinicians will have a well-practiced approach to managing COPD exacerbations, Amol examines the evidence for […]

  • January 2016

    • Cognition Edition: Post-Operative Delirium and Healthcare Costs in Dementia

      January is Alzheimer Awareness Month in Canada! To bring this to light, Amol and Nathan discuss three recent papers: The first is a systematic review and meta-analysis of risk factors for post-operative delirium. Among other findings, the study identified two nutritional-related variables, low BMI and low albumin, […]

    • Old Questions, New Options: Spironolactone for Resistant Hypertension and Polymer-Free Stents

      This week, we debut our new “Two Truths, One Lie” segment! Join us and put your knowledge to the test. As always, Amol, general internal medicine resident at the University of Toronto, and Reena, staff physician at St. Michael’s hospital, discuss 2 recent papers: A […]

    • The Upbeat Episode: Opioid Prescription and High Sensitivity Troponin Assay

      Amol, general internal medicine resident at the University of Toronto, and Reena, staff physician in internal medicine at St. Michael’s hospital, discuss 2 recent papers: Opioid prescription is an increasing public health crisis. A retrospective cohort study found that patients who experience non-fatal opioid overdose […]

    • Amol's 10 Favourite Papers of 2015

      Happy new year! In our first episode of 2016, Amol, general internal medicine resident at the University of Toronto, talk about his 10 favourite papers of 2015. Rate us on iTunes! Follow us on Twitter @roundstable. The Papers 1. Teixobactin, a new antibiotic:  http://www.nature.com/nature/journal/v517/n7535/full/nature14098.html 2. […]

    • December 2015

      • Fahad’s Work and Fahad Gets Worked Up: Prevalence of severely underweight women and peripheral arterial disease

        This week, Amol, general internal medicine resident at the University of Toronto, and Fahad, general internist at St. Michael’s hospital in Toronto, discuss two recent papers: Fahad and colleagues recently published a study in JAMA that looks at severe adult undernutrition in low and middle […]

      • Replay: Better Vagal Maneuvers for Arrhythmias and eCigarettes in Adolescents

        This week we are replaying our first episode of the season. Originally aired on September 18, 2015, Amol and Fahad discuss: 1. A randomized controlled trial shows that a new approach to vagal maneuvers for supraventricular tachyarrhythmia was shown to be significantly more effective than traditional maneuvers. […]

      • The SPRINT to lower blood pressure

        This week, Amol, resident in General Internal Medicine at University of Toronto, and Mike Fralick, chief medical resident at St. Michael’s Hospital in Toronto, talk about 2 blood pressure studies: A meta-analysis and systematic review found that more intensive blood pressure lowering was associated with […]

    • November 2015

      • Changing the Tune: Post-operative Readmission and Music as Perioperative Therapy

        Amol, general internal medicine resident at the University of Toronto, and Nathan, general surgery resident at the University of Toronto, discuss 2 recent studies: Does it matter which hospital patients return to after surgery? A large retrospective cohort study showed that when post-operative patients are […]

      • Diabetes Week: Mortality in Diabetes and DPP-4 Inhibitors Compared to Sulfonylureas

        This week, Amol, general internal resident at the University of Toronto, and Reena, General Internist at St. Michael’s Hospital in Toronto, discuss two papers: Reena shares a large registry-based study that found adult patients with Type 2 Diabetes in Sweden had a 15% higher mortality rate […]

      • Replay: Filtered Sunlight for Jaundice and Text Messages for Healthy Lifestyle

        This week we are replaying one of our favourite episodes from earlier this season: Originally aired on October 3, 2015, Amol, general internal resident at the University of Toronto, and Fahad, Staff Internist at St. Michael’s Hospital in Toronto, discuss two papers. It’s phototherapy without the need […]

      • Brain Week: Early Rehab for Stroke and Drug Interaction Increases Bleeding in Brain

        Amol, general internal resident at the University of Toronto, and Raed Joundi, neurology resident at the University of Toronto, discuss 2 recent studies: Is early mobilization helpful for stroke patients? A randomized control trial showed that early aggressive rehabilitation for acute stroke patients resulted in […]

    • October 2015

      • Wishes and Pills: Fulfilling Wishes for Dying Patients and Medications for Back Pain

        Amol, general internal resident at the University of Toronto, and Janice, general internist at the Mount Sinai Hospital in Toronto, discuss 2 recent studies: Dying with dignity is not easy, especially in a highly charged environment like the Intensive Care Unit. Janice talks about a mixed […]

      • Replay: Resident Call Schedules in the ICU and Thyroid Nodules

        This week we are replaying one of our favourite old episodes, due to many of our team members being away at the Canadian Society of Internal Medicine Conference. Originally aired on April 17, 2015, Nathan and Amol want you to understand the following: 1. There […]

      • Questioning Convention: Acetaminophen for Fever and Calcium for Fractures

        Amol and Janice, general internal medicine residents at the University of Toronto, discuss 2 recent studies that challenge 2 widely accepted medical practices. Does using acetaminophen to treat fever improve outcomes? A randomized control trial found that giving acetaminophen to critically ill patients did lower […]

      • What the Heart Wants: Takotsubo Cardiomyopathy and Cardiovascular Benefits of Empagliflozen

        The “broken heart syndrome” – not always caused by a broken heart? A multi-national, multi-centered observational study on takotsubo cardiomyopathy found that physical triggers are more common than emotional triggers, patients present predominantly with chest pain, ECG changes, and troponin elevation. The study also generated […]

      • Brave New World: Filtered Sunlight for Jaundice and Text Messages for Healthy Lifestyle

        It’s phototherapy without the need for electricity. Fahad discusses how filtered sunlight is found to be equivalent to conventional phototherapy in treating infants with elevated bilirubin levels. The film that filters the sunlight is low cost and low-tech, yet has the potential for global impact. Amol […]

    • September 2015

      • Arithmetic Operations: Breast Cancer Screening Choices and Anticoagulation Bridging

        Nathan discusses a randomized trial about breast cancer screening that found that sending women information about both the risks and the benefits of breast cancer screening resulted in more women making an “informed choice” and fewer wanting to undergo screening mammography. Amol discusses the BRIDGE […]

      • New Beginnings: Better Vagal Maneuvers for Arrhythmias and eCigarettes in Adolescents

        Amol and Fahad discuss: 1. A randomized controlled trial shows that a new approach to vagal maneuvers for supraventricular tachyarrhythmia was shown to be significantly more effective than traditional maneuvers. 2. A survey in California adolescents shows that there is an association between eCigarette use and […]

      • Season 2 Promo: “Good Stuff” from our great new team

        Season 2 of The Rounds Table kicks off next week. To get things started, here’s a short episode with ‘good stuff’ recommendations from our excellent new team: Jennifer Peng, Anthony Maher, and Annie Wang. Good Stuff Jennifer: http://www.theatlantic.com/health/archive/2014/11/the-dutch-village-where-everyone-has-dementia/382195/  Anthony: http://blogs.plos.org/globalhealth/2013/11/jojewell2/?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+plos%2Fblogs%2Fblogosphere+%28Blogs+-+Blogosphere%29 Annie: http://freakonomics.com/2015/08/27/are-you-ready-for-a-glorious-sunset-a-new-freakonomics-radio-episode/  Music Credits (Creative Commons): In your […]

    • August 2015

    • July 2015

      • Summer Replay 2: Reducing c-sections and prednisolone vs. pentoxifylline for alcoholic hepatitis

        Amol and Nathan want you to understand the following: 1. A large randomized evaulation of a quality improvement intervention demonstrated a modest but significant reduction in rates of cesarean-section in Quebec. 2. A large double-blind randomized-controlled-trial of over 1100 patients showed that pentoxifylline is not beneficial in […]

      • Summer Replay: Community Acquired Pneumonia and Skin Infections

        Aired April 23: Empiric antibiotic choices for community acquired pnuemonia and clindamycin versus trimethoprim-sulfamethoxazole for skin and soft tissue infections. Fahad and Amol want you to understand the following: 1. A large, high quality RCT showed that there was no significant difference between an empiric treatment strategy […]

      • Season Finale: Dabigatran Reversal and Digoxin Mortality

        Fahad and Amol want you to recognize that: 1. Idarucizumab as an agent that specifically reverses the hemostatic effects of dabigatran.  2. A post-hoc analysis of the ROCKET-AF study showed that digoxin is associated with increased mortality in patients with atrial fibrillation. The papers Idaracizumab for Dabigatran reversal. […]

    • June 2015

    • May 2015

    • April 2015

      • Replay-The Royal We: Effects of Participation in NSQIP, Steroids for Pneumonia

        Effects of participation in the National Surgical Quality Improvement Program and Prednisone in Community Acquired Pneumonia Nathan and Amol want you to understand the following: 1. Participation in the National Surgical Quality Improvement Program has not appeared to improve overall patient outcomes or cost. 2. Adjunct […]

      • The Antibiotics Jam: Community Acquired Pneumonia and Skin Infections

        This week: Empiric antibiotic choices for community acquired pnuemonia and clindamycin versus trimethoprim-sulfamethoxazole for skin and soft tissue infections. Fahad and Amol want you to understand the following: 1. A large, high quality RCT showed that there was no significant difference between an empiric treatment strategy of […]

      • Take me to the Bank: Resident call schedules in the ICU and Thyroid Nodules

        This week: A Randomized Controlled Trial of Resident Call Schedules in the ICU and The Natural History of Benign Thyroid Nodules. Nathan and Amol want you to understand the following: 1. There was no significant difference between three different call schedules in the ICU in terms of […]

      • Replay: We’re Back (pain)! Perioperative Atrial Fibrillation, Paracetamol and back pain

        Originally aired September 3, 2014: Perioperative AFib and Long-Term Risk of Ischemic Stroke; Paracetamol not more effective than placebo in acute low back pain Nathan and Amol want you to: 1. Understand that perioperative atrial fibrillation is associated with increased long-term risk of ischemic stroke. 2. Recognize that […]

    • March 2015

      • All About Bleeding: Transfusion targets after cardiac surgery and intracranial bleeding on warfarin

        This week: The TITRE2 trial about hemoglobin transfusion strategies after cardiac surgery and the RETRACE study about intracranial bleeding in patients on warfarin. Nathan and Amol want you to understand the following: 1. In cardiac surgery patients, a restrictive transfusion strategy was no different than liberal transfusion in […]

      • Peanut Placebo, Nocebo, PCSK9: Lipid lowering and peanut allergy

        This week: New studies of PCSK9 inhibitors for lipid lowering and a randomized controlled trial of early peanut exposure to prevent allergy Fahad and Amol want you to understand the following: 1. PCSK9 inhibitors are new cholesterol-lowering monoclonal antibodies that have been shown to reduce LDL beyond […]

      • We turned one! “Too rich for my blood: Obesity, palliative care, hepatitis c”

        Originally aired March 11, 2014: obesity, palliative care, hepatitis c Amol, Fahad, and Travis want you to: 1. Understand trends in obesity prevalence in adults and children. 2. Appreciate the effect of early palliative care on quality of life in patients with advanced cancer. 3. Recognize new therapeutic […]

      • SARAH’s VOICE: Pre-exposure prophylaxis in HIV and exercise for the rheumatoid hand

        VOICE: Tenofovir and Emtricitabine for HIV pre-exposure prophylaxis in African women and SARAH: Hand exercises in Rheumatoid Arthritis Fahad and Amol want you to understand the following: 1. Pre-exposure prophylaxis was not effective in a population of African women. Medication adherence was apparently excellent based on self-report […]

    • February 2015

      • Obstetrical Medicine Special: Hypertension and Thrombophilia in Pregnancy

        The CHIPS trial of Hypertension in Pregnancy and TIPPS trial of Thrombophilia in Pregnancy Janice and Amol want you to understand the following: 1. Tight blood pressure control in pregnancy does not affect fetal outcomes in pregnancy compared with loose blood pressure control. The only difference […]

      • The Royal We: Effects of Participation in NSQIP, Steroids for Pneumonia

        Effects of participation in the National Surgical Quality Improvement Program and Prednisone in Community Acquired Pneumonia Nathan and Amol want you to understand the following: 1. Participation in the National Surgical Quality Improvement Program has not appeared to improve overall patient outcomes or cost. 2. Adjunct […]

      • Getting “Travis-y”: Stroke and AFib, Naloxegol for Opioid Constipation

        Originally aired July 2, 2014: Cryptogenic Stroke and Atrial Fibrillation, Naloxegol for Opioid-Induced Constipation Fahad and Amol want you to: 1. Appreciate the importance of subclinical atrial fibrillation in cryptogenic stroke and consider longer monitoring to detect it. 2. Recognize Naloxegol as a targeted therapy for opioid-induced constipation that is […]

      • These are not real stock tips: Post-op DVT Prophylaxis and Intra-arterial Treatment of Stroke

        Factor XI Antisense Oligonucleotides for Post-operative VTE and Intra-arterial Treatment for Stroke Nathan and Amol want you to understand the following: 1. Factor XI is a promising treatment target for preventing VTE, with a recent study showing that an antisense oligonucleotide was more effective in reducing […]

    • January 2015

      • Special Gastroenterology Edition with Dr. Samir Grover, Gastro-naut

        Eosinophilic esophagitis Samir and Amol want you to understand the following: 1. Eosinophilic esophagitis is an important and under-recognized clinical condition that causes significant symptoms and is very treatable. 2. Endoscopy, and particularly duodenoscopy, is an important potential source of infection transmission. 3. The rise of […]

      • From SES to Soil: Neighbourhood Disadvantage and A Groundbreaking New Antibiotic

        Neighbourhood Disadvantage and 30-day Rehospitalization; Teixobactin – a Novel Antibiotic Reena and Amol want you to understand the following: 1. Neighbourhood disadvantage was associated with an increased risk of readmission similar to the presence of chronic diseases like COPD. 2. Teixobactin is a new antibiotic […]

      • Best of Hospital Medicine 2013 Part II

        Originally Aired October 1, 2014: Blood Transfusions in Upper GI Bleeding, Aspirin in DVT prophylaxis, Vasopression and Steroids in Cardiac Arrest, MRSA Decolonization, Fluid and Sodium Restriction in Heart Failure Fahad and Amol want you to gain familiarity with a number of major new studies in […]

      • Best of Hospital Medicine 2013 Part I

        Originally Aired September 24, 2014: Fecal Transplantation & Probiotics for C. difficile; Prone Positioning in ARDS; Steroids in COPD; Hospital Management of Diabetes. Fahad and Amol want you to gain familiarity with a number of major studies in hospital medicine published in 2013. 1. Fecal transplantation […]



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