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Just Medicine

Just Medicine

By Just Medicine Podcast

Just Medicine is a podcast on equity in healthcare, hosted by medical students in British Columbia. Each episode, we bring on a guest to chat about a range of social justice topics and how they relate to medicine and health care. The aim of the podcast is to equip medical trainees with the knowledge and skills to provide inclusive care to a growingly diverse population. The podcast is released every second Thursday of the month, starting on January 12, 2023.

This podcast is not affiliated with UBC Faculty of Medicine and is not meant to provide medical advice.
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Currently playing episode

1. The Art of Medicine in Mental Health and Substance Use

Just MedicineJan 12, 2023

00:00
56:33
12. Migrant Farm Worker Health Part 1: Providing Care for Migrant Farm Workers in British Columbia

12. Migrant Farm Worker Health Part 1: Providing Care for Migrant Farm Workers in British Columbia

Many Canadians may not realize that the apples in their fruit basket or the flowers brought home to family may be there because of the contributions of a migrant farm worker (MFW) to the nation. Despite having such a significant impact on the Canadian agricultural landscape, MFWs face inequities in health care access and delivery across the country. In this two part series, Sebastian Lopez Steven, (UBC MSI 2) engages with healthcare workers that provide care to these individuals in British Columbia. Join us for enlightening conversations regarding the major health issues for MFWs and how to bring care to these individuals in a culturally competent manner.


Episode 1 focuses on a chat with Christelle Kuenzig, a nurse practitioner who provides care for MFWs in the Lower Mainland of British Columbia. We chat with Christelle about a general approach to healthcare provision in this population and what needs to change to ensure equity for MFWs across the province and the country.


Resources for the listener

1. Overview of the Seasonal Agricultural Worker Program (SAWP) as part of the temporary foreign worker framework in Canada: https://www.canada.ca/en/employment-social-development/services/foreign-workers/agricultural/seasonal-agricultural.html


2. Salami, B., Meharali, S., & Salami, A. (2015). The health of temporary foreign workers in Canada: A scoping review. Canadian Journal of Public Health, 106(8), e546–e554. https://doi.org/10.17269/CJPH.106.5182


3. Istiko, S. N., Durham, J., & Elliott, L. (2022). (Not That) Essential: A Scoping Review of Migrant Workers’ Access to Health Services and Social Protection during the COVID-19 Pandemic in Australia, Canada, and New Zealand. International Journal of Environmental Research and Public Health, 19(5). https://doi.org/10.3390/ijerph19052981

Apr 11, 202442:30
11. Reproductive Health Part 3 - Rural Pregnancy Care with Dr. Sheila Curran
Mar 21, 202401:02:27
10. Reproductive Health Part 2 - Cervical Cancer: A Preventable Disease Rooted in Inequity with Dr. Lauren Adolph
Mar 07, 202401:04:02
9. MAiD for Mental Health Series Part 2 - Exploring the Positive Outcomes
Feb 08, 202447:04
7. Reproductive Health Part 1 - Access to Contraceptives with Dr. Yuyang Wang
Feb 04, 202455:43
8. MAiD for Mental Health Series Part 1 - Exploring Equity Considerations
Jan 11, 202442:14
6. Taking a Good Substance Use History with Dr. Elise Jackson

6. Taking a Good Substance Use History with Dr. Elise Jackson

We're back with another episode and this month we're focusing on one of the most important skills we learn in medicine, history taking! Specifically in this episode we focus on taking a good substance use history while remaining sensitive and providing patient-centred care. Please see below for the terms we discussed in episodes. Enjoy!


Terminology (Terms can change over time and they are usually regionally specific, so this list is most specific to the West Coast)

Substance names

  1. Up = Stimulants (Usually cocaine, in powder or crack form)
  2. Down = Opioids (Not specific to a single opioid, but usually in BC refers to fentanyl)
  3. Side = crystal methamphetamine (or crystal)
  4. Combinations:
  • Speedball = cocaine and opioids
  • Goofball = Crystal meth and opioids


Quantity of substance

  • A Point = 0.1 gram
  • 8 ball/a ball = 1/8 of an ounce = 3.5 g


Route of Injection

  • Smashing = inject in any form (IV, IM, SC)
  • Muscling = intramuscular injections
  • Skin popping = subcutaneous injections
  • Jugging = injection directly into the jugular vein
Oct 12, 202355:23
5. Reframing Encounters and Partnering with Patients - Trauma Informed Care

5. Reframing Encounters and Partnering with Patients - Trauma Informed Care

We are BACK! In this episode, I sat down with Dr. Maria Hubinette to chat about Trauma-Informed Care. Many of our patients have faced many forms of trauma and even had traumatic experiences in healthcare settings. It's important to recognize that health systems and healthcare workers can contribute to trauma and how we can alleviate some of the damage that can happen in health encounters through TIC.
Sep 14, 202301:19:26
4. Gender Affirming Care Series Part 2 - What does "transitioning" mean?
Apr 13, 202354:12
3. Gender Affirming Care Series Part 1 - Healthcare experiences of trans and gender diverse people

3. Gender Affirming Care Series Part 1 - Healthcare experiences of trans and gender diverse people

In the first episode of this special multi-part series on Gender Affirming Care, I chatted with 3 special guests who are advocates for inclusive trans care. Rae, Lucas, and Dr. Thompson all bring their own experiences and perspectives in how medical trainees can engender (pun intended) change in medical education with respective to gender affirming care.

If you have any questions, want to suggest a topic for us to cover, or know of any experts in a particular field, please email us at justmedicinepod@gmail.com



Resources and References: 

  1. Trans activist leaving Canada https://www.cbc.ca/news/canada/london/sorrenti-trans-activist-leaving-canada-1.6559289
  2. WHO definition of Gender Affirming Care https://www.who.int/standards/classifications/frequently-asked-questions/gender-incongruence-and-transgender-health-in-the-icd
  3. Trevor Project Youth Mental Health Survey https://www.thetrevorproject.org/survey-2020/?section=Introduction
  4. Mental Health Disparities Among Canadian transgender youth https://pubmed.ncbi.nlm.nih.gov/28007056/
  5. Transgender Noninclusive Healthcare and Delaying Care Because of Fear: Connections to General Health and Mental Health Among Transgender Adults: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5436369/
  6. Dr. Thompson’s article in Perspectives on Medical Education about teaching a Gender Affirming Care Framework https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8600495/
  7. Broken Arm Syndrome https://pubmed.ncbi.nlm.nih.gov/36736052/
  8. Injustice at Every Turn: A Report of the National Transgender Discrimination Survey https://transequality.org/sites/default/files/docs/resources/NTDS_Report.pdf
  9. Trans-misogyny https://www.juliaserano.com/av/TransmisogynyPrimer-Serano.pdf
  10. Racialized Equity Labor: https://academic.oup.com/socpro/article-abstract/67/2/286/5488730?redirectedFrom=fulltext


Music by Lesfm from Pixabay.

Mar 09, 202301:01:31
Bonus: The power of words in Gender Affirming Care
Mar 06, 202306:50
2. BMI is not what you think it is: Health At Every Size

2. BMI is not what you think it is: Health At Every Size

Producer’s note: The audio for this episode is a bit unstable at times, so apologies for that in advance.

In this episode, I chatted with Dr. Katarina Wind, a recent Family Medicine graduate and a weight-inclusive practitioner about weight and fatphobia in healthcare. We talked about the history and application of BMI to medicine, her personal journey with weight perception, and how to approach discussions around weight with patients. The sources from the introduction are included below.

If you have any questions, want to suggest a topic for us to cover, or know of any experts in a particular field, please email us at justmedicinepod@gmail.com

Sources

References

  1. Rathbone, JA, Cruwys, T, Jetten, J, Barlow, FK. When stigma is the norm: How weight and social norms influence the healthcare we receive. J Appl Soc Psychol. 2020; 00: 1– 17. https://doi.org/10.1111/jasp.12689
  2. Mann T, Tomiyama AJ, Westling E, Lew AM, Samuels B, Chatman J. Medicare's search for effective obesity treatments: diets are not the answer. Am Psychol. 2007 Apr;62(3):220-33. doi: 10.1037/0003-066X.62.3.220. PMID: 17469900.
  3. Loveman E, Frampton GK, Shepherd J, Picot J, Cooper K, Bryant J, Welch K, Clegg A. The clinical effectiveness and cost-effectiveness of long-term weight management schemes for adults: a systematic review. Health Technol Assess. 2011 Jan;15(2):1-182. doi: 10.3310/hta15020. PMID: 21247515; PMCID: PMC4781196.
  4. Lee JA, Pausé CJ. Stigma in Practice: Barriers to Health for Fat Women. Front Psychol. 2016 Dec 30;7:2063. doi: 10.3389/fpsyg.2016.02063. PMID: 28090202; PMCID: PMC5201160.
  5. McPhail D, Orsini M. Fat acceptance as social justice. CMAJ. 2021 Sep 7;193(35):E1398-E1399. doi: 10.1503/cmaj.210772. PMID: 34493569; PMCID: PMC8443289.
  6. https://www.brown.edu/news/2016-12-12/famine
  7. https://www.huffingtonpost.co.uk/entry/south-asian-health-colonial-history_uk_620e74fee4b055057aac0e9f
  8. https://obesitycanada.ca/guidelines/weightbias/
  9. https://thischangedmypractice.com/why-i-no-longer-prescribe-weight-loss/
  10. https://www.nytimes.com/2013/06/19/business/ama-recognizes-obesity-as-a-disease.html

Music by Lesfm from Pixabay.

Feb 09, 202352:15
1. The Art of Medicine in Mental Health and Substance Use
Jan 12, 202356:33
Podcast Trailer: Welcome to Just Medicine
Jan 02, 202305:36