Emily Hughes


Articles and Opinion Pieces by this author

Summer Replay: Aging Gracefully – SPRINTing to the right blood pressure target!

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 75…

Summer Replay: We Need to Talk About It – Physician Burnout and Sex Differences in Salary

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…

Summer Replay: Big Data – Dabigatran vs. Rivaroxaban for Atrial Fibrillation and Association of Frailty with Post-Operative Mortality

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…

Top Ten: Best Papers of the Year

All good things must come to an end. As the final episode of the season, Kieran, Emily, and Emilio look back at their top ten favorite papers from The Rounds Table 2016-2017 year. It’s a rapid fire episode like you’ve never heard before! See the links to the papers below. We want to thank everyone…

REPLAY: Emergent Realizations – Contrast-Induced Nephropathy & Opioid Prescribing Patterns

Contrast-induced nephropathy is cited as the third most common cause of iatrogenic acute kidney injury. In the Emergency Department, physicians must balance diagnosing life-threatening conditions using emergent imaging with the risk of potential harm caused by exposure to IV contrast. Recent studies, including the one discussed by Lauren in this episode, challenge the proposed causal…

Great Expectations: International Medical Graduates & MD Estimates of Benefits and Harms

Foreign medical graduates are an important resource, and data on their proficiency is important to the public. Jay guides listeners through a study that answers the following: do patient outcomes differ between general internists who graduated from a medical school outside of the United States and those who graduated from a US medical school? Each…

Emergent Realizations: Contrast-Induced Nephropathy & Opioid Prescribing Patterns

Contrast-induced nephropathy is cited as the third most common cause of iatrogenic acute kidney injury. In the Emergency Department, physicians must balance diagnosing life-threatening conditions using emergent imaging with the risk of potential harm caused by exposure to IV contrast. Recent studies, including the one discussed by Lauren in this episode, challenge the proposed causal…

REPLAY – Is Canada Ready for National Pharmacare?

“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…

Is Canada Ready for National Pharmacare?

“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…

REPLAY: Testing and Treatment in Diabetes – Taken with a Grain of Sugar!

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…

When Care is Critical: Conservative vs Conventional Oxygen Treatment in the ICU and the Effect of Hydrocortisone on the Development of Septic Shock

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…

Smoke & Mirrors? Tai Chi vs. Physiotherapy for Knee Osteoarthritis & Symptoms in Smokers with Preserved Pulmonary Function

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…

We Need to Talk About It: Physician Burnout and Sex Differences in Salary

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…

If you build it, they will come! – ICU beds, dementia and quality of care in MI outcomes

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…

Testing and Treatment in Diabetes – Taken with a Grain of Sugar!

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…

Aging gracefully – SPRINTing to the right blood pressure target!

  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 Bigger Picture: Industry Sponsored Research and Negative Trials

  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…