ELECTRONIC MEDICAL RECORD (EMR) CPSO PEER ASSESSMENTS

Sept.11 2014 VENDOR SHOWCASE (15) @ Int Plaza Hotel, Etobicoke. (a West Toronto suburb pronounced "Etobico"). Organized by ONTARIOMD located @ OMA offices which manages the EMR Adoption Program,funded by eHealth Ontario.FREE admission to 500+ MDs RNs Office staff etc.

Northern Toronto Suburb THORNHILL GP Jeffrey HEBERT U.Tor 1987., a"Physician Peer Leader" & College Phys.& Surg. Ont(CPSO). Assessor talked on the CPSO Assessment now carried out every TEN YEARS up to 70y then every FIVE YEARS. This is for Ontario.

Dr HEBERT pointed out importance of recording SOCIAL HISTORY & PERSONAL MEDICAL PROFILE. CPSO likes  Negative findings  (not just "NAD").Be prepared to defend and display the tests listed in commercial clinical exam templates.20% fail & are re-assessed..

GP assessors earn about $1,500 a day. Dr.HEBERT admitted he gets new ideas from looking into colleagues'offices.

CPSO likes S.O.A.P formula. with full details of medicine dosage..

Past OMA President Hamilton (Stony Creek) Scott WOODER U.Tor.1985 talking on OHIP billing pointed out that the Govt had to give generous BONUSES for preventive medicine and working after5pm & weekends to keep GPs in FULL GP medicine and not limit themselve to "First Aid" walk-in clinics or "focused practice".

(Comment: Focussed practice examples: .GP-anaesthesia, GP-Dermatology, Eye refraction, Clinical Hypnosis, Legal medicine Methadone management, Pain clinics,, Palliative medicine, Sport Medicine, Traditional Chinese Medicine, GP-Psychotherapy., Surgical assisting, and Admin jobs in Industry & Insurance)

(Comment: In UK 500 GPs leaving Family practice- DAILY MAIL Sept.12 2014)

WIKIPEDIA::Past Ontario Liberal Minister of Health (1987-1990) Hon Elinor CAPLAN PC mother of Zane CAPLAN of CAPLANSKY'S DELI

Mr.Zane`CAPLAN is owner of CAPLANSKY'S DELI (home smoked meat)at 356 College street (at Brunswick) with outdoor patio facing the KENSINGTON CLINC.  The clinic includes the Kensington Eye Institute, a PRIVATE clinic with Teaching Hospital Ophthalmologists, who bill the Ontario Health Insurance Plan OHIP)..Charges for complex lens implants not paid by OHIP are billed privately. (Copied from  the Montreal example of PRIVATE "ROCKLAND MD" hospitals).

TORONTO STAR: OTTAWA LAWYER MICHAEL CRYSTAL $412-million class action against Scarborough ROUGE VALLEY CENTENARY HOSPITAL for disclosing details of 8,300 patients to local BABY PHOTOGRAPHER (2009-2014)

Disclosures by two hosp  employees included:
\
name, room number, length of stay, type of room accomodation, reason for admission.

Lawsuit has not yet been certified.

Two-day OMA COLLABORATIVE SESSION ON MENTAL HEALTH: Ont. Med. Review July/Aug 2014 26-28 (Ms B KLICH-)

(BLOG COMMENT)
OHIP (Ont.Health Ins.Plan) does not pay for PhD CLINICAL PSYCHOLOGISTS . OHIP pays GPs who do "GP-psychotherapy"  $125.50/ 50 minutes.. No time limit for treatment. No specific training required.. Any GP can bill for Primary Mental Health. or GP-psychotherapy. Public Health doctors with limited clinical experience can add to their retirement pension working for Psychiatrists who have a Psych clinic. The GP-psych takes 70% of the OHIP fee. The Psychiatrist can have a "stable" of GPs paying 30% for office and overheads.. Research of the four main Toronto clinics show that patients are not screened for organic disease. Many have simple social problems more suitable for a Social worker. GPs working in the clinics are expected to extend treatment to at least 12 treatments a= $1500+..In Ontario the Psychologists do not object. They can bill Private Insurers or the patient directly. Avoiding OHIP fee control.

UK SPINAL NEWS Editorial Board member:: Toronto University Prof.KIERAN MURPHY

Kieran Murphy, MD (Ireland 86), FACR, FRCP(C) (1994)

Toronto Western Hospital
McLaughlin Pavilion
3rd Floor Rm 433, 399 Bathurst St.
Toronto, ON M5T 2S8
Phone: 416.603.5800 x2393
Email: kieran.murphy@uhn.ca




Affiliation in the Department of Medical Imaging of the University of Toronto
Radiologist, Professor, Toronto Western Hospital
Research Interests
• Osteoporosis
• Spine
• Neurovascular imaging
Current funding for CIP residents' salary & projects: 2 years
Possibility of accommodating CIP residents
Number of residents per year: a maximum of 3 per year
Laboratory infra-structure (physical area): wet lab, collaborations at UHN
Office infra-structure: Yes at university
Experience in multi-disciplinary research: Yes

UK: MEDICAL SCREENING SOCIETY

Login   News   Diary   Members   Membership   Presentations   Journal   Public Information   Contact Us   Help   Home     The Society In November 2002 a new international society was set up to provide a forum for the disparate groups involved in medical screening. The Medical Screening Society will provide a forum for people interested in screening to discuss their ideas and problems, to debate controversial topics in a friendly and constructive way, and to share their experiences. The Journal of Medical Screening will be the journal of the Society. The Society will: Set up working groups to look at problems and controversies in medical screening. Produce scientific reports that would be published in the Journal of Medical Screening. Hold periodic scientific meetings on screening. Have a page in each issue of the Journal of Medical Screening Download the rules of the society June 2013 Professor Jacob (Jack) Canick Medical Screening Society founding member Jack Canick died on 19 May 2013. As a tribute to him and his teaching a new page provides downloads of many of his talks.   Medical Screening Society, Wolfson Institute of Preventive Medicine, Charterhouse Square, London EC1M 6BQ

USA NIH: Diagnostic brush test for sporadic CJD using nasal neurones and urine test for prions in variant CJD

• New tests can rapidly and accurately diagnose Creutzfeldt-Jakob disease, an incurable and ultimately fatal neurodegenerative disorder.
• Early diagnoses of prion diseases could help prevent their spread and aid in the development of experimental treatments.

Prion diseases originate when, for reasons not fully understood, normally harmless prion proteins become abnormal, clump together, and accumulate in the brain. The diseases are characterized by sponge-like holes in brain tissue. They are notoriously difficult to diagnose, untreatable, and ultimately fatal.

Sponge-like lesions in the brain tissue of a CJD patient. Image courtesy of CDC.

Human prion diseases include sporadic, familial, and variant Creutzfeldt-Jakob disease (CJD). Sporadic CJD is the most common, affecting an estimated 1 person per million worldwide each year. Sporadic CJD is caused by the spontaneous transformation of normal prions into abnormal ones. Other prion diseases include scrapie in sheep and bovine spongiform encephalopathy (BSE), or mad cow disease, in cattle.
Previously, a definitive CJD diagnosis could only be made by testing brain tissue after death or by biopsy in living patients. In the August 7, 2014, issue of the New England Journal of Medicine, researchers at NIH’s National Institute of Allergy and Infectious Diseases (NIAID) and Italian colleagues described a less invasive test.

Dr. Gianluigi Zanusso and scientists at the University of Verona in Italy developed a way to collect olfactory neurons connected to the brain. The technique involves inserting a rigid fiber-optic rhinoscope into the patient’s nasal cavity. A sterile brush is then inserted alongside the scope. The brush is gently rolled along the mucosal surface to collect the neurons.
The scientists tested for the presence of prions using a technique called real-time quaking-induced conversion—or RT-QuIC. Dr. Byron Caughey’s group at NIAID, with collaborators at Nagasaki University, had previously developed the method to test cerebrospinal fluid for the presence of prions.
The researchers tested nasal samples from 31 people with sporadic CJD, 12 who had other neurologic diseases, and 31 with no neurologic disorder. The test correctly identified 30 of the 31 CJD patients (97% sensitivity) and correctly showed negative results for all 43 of the non-CJD patients (100% specificity). By comparison, tests using cerebral spinal fluid were 77% sensitive and 100% specific, and took twice as long to complete.
“This exciting advance, the culmination of decades of studies on prion diseases, markedly improves on available diagnostic tests for CJD that are less reliable, more difficult for patients to tolerate, and require more time to obtain results,” says NIAID Director Dr. Anthony S. Fauci. “With additional validation, this test has potential for use in clinical and agricultural settings.”
Another NIH-funded team, led by Dr. Claudio Soto of the University of Texas Health Science Center at Houston Medical School, developed a method for detecting prions in urine. They described the technique, called protein misfolding cyclic amplification, in an accompanying paper in the same journal. The test detected prions in 13 of 14 urine samples from patients with variant CJD—a type of CJD caused by exposure to BSE. The test didn’t detect prions in urine samples from healthy controls or from patients with other neurologic disorders, including sporadic or familial CJD. These results suggest that prions in urine are an exclusive feature of variant CJD.
The researchers will continue to develop and assess these tests in patients with CJD and other prion diseases.