Evidence Based Medicine

Fractured foundations: Reimagining primary care in Canada

Canada’s primary care system is not bending. It is breaking. And what breaks at the foundation eventually collapses across the whole structure.

Why Canada needs a ready-to-run adaptive platform trial before the next pandemic hits

When the next pandemic arrives (and it will!) Canada will once again face urgent questions: Which treatments work? For whom? At what dose? And how quickly should we act?

Leadership lessons from a pot of flowers: Reawakening health-care leadership

Health care collapse is only one story. The deeper story lives underground, in the quiet places where resilience begins.

We can’t afford to wait for health care any longer 

Canada’s health-care system remains one of our greatest national ideals. But ideals don’t shorten waitlists.

Pharmacists are essential in bridging the gap between AI and patient-centered care

In a world pushing toward data-driven systems and algorithms, pharmacists can safeguard the human element of care by acting as a nexus between health and technology.

Meeting patients where they are: Why medical training must include social media literacy

Some medical schools are beginning to explore digital health communication, but comprehensive social media literacy training remains the exception rather than standard practice.

Fail-first drug rules defy logic, deny timely access for people with rare diseases

Despite the recent approval of targeted biologics that can significantly improve quality of life, Canadians living with Myasthenia Gravis continue to face unjust policy barriers.

A roadmap for change: Building the health workforce Canadians deserve

A well-planned, integrated workforce can deliver access, improved outcomes and support our health professionals. It’s time to put the future in motion.

AI and the mental health crisis: Can chatbots fill the gap?

Canadians are increasingly turning to AI chatbots, like ChatGPT, for mental health support. But is this type of technology truly up to the task?

Three tools clinicians use to debunk viral health myths

Canadians face a steady stream of confident health claims; some partly right, others wrong and risky – and some potentially fatal. Health care experts share some best practices to combat myths in clinic.

Climate change fuelling the spread of tuberculosis

With floods in Pakistan, cyclones in Madagascar and droughts in Somalia, it is crucial that we learn to recognize the critical links between climate change and disease.

Using ‘integration’ to silence culturally specific care

When culturally specific care is allowed to vanish under another name, we all lose a piece of the commons we rely on.

One collective voice: Family doctors must speak up to protect our profession

Canadian family medicine is standing on a knife’s edge. We, as family doctors, need to decide our future.

Knit one, purl two on the way to mental health

Addressing rising mental health rates will undoubtedly require a range of different tools, both pharmacological and non-pharmaceutical.

Tylenol misinformation puts pregnant patients at risk

Casting doubt on Tylenol without solid evidence does not empower pregnant people, it corners them. It adds guilt, stigma and undermines their confidence in making safe decisions for themselves and their babies.

The training gap undermining Canada’s primary care teams

While family medicine is exploring how to prepare doctors for team-based primary care, other health professions lack equivalent training requirements.

We are taught to fix the system – then forced to waste time in it

Every year, medical students across the country must resubmit the same forms verifying their vaccine history. Redundant paperwork like this is a symptom of a system which bureaucracy overrides basic logic.

Trust those who heal, not those who provoke

A Seuss-style rhyme on the very real harm of health misinformation.

‘I understand’: Words of empathy that have helped me through residency

"That evening, they walked me past the point we usually diverged and sat with me in my apartment lobby. They sat as I cried. They listened."

Financially sustainable and fair: Value-based care a solution to pay disparities and health-care system strain

The gender-based physician compensation gap is more than a workplace injustice – it undermines the efficiency and effectiveness of the Canadian health-care system.