General Internist interested in Resource Stewardship, Quality Improvement and Teaching High-Value Care @Sunnybrook @GIMToronto @ChooseWiselyCA @JAMAInternalMed
Toronto
Joined May 2010
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Very excited to share our (@MattCheungMD, @dryulialin and Ruth Croxford and Chris Dharma from @ICESOntario) work in @JAMAInternalMed showing that nearly 2/3 of IM B12 in Ontario given without evidence of deficiency. jamanetwork.com/journals/jam… – at Toronto, Ontario
A great opportunity for rising chief residents to learn about editing, high value care, and academic medicine!
JAMA Internal Medicine is looking for Chief Residents who have an interest in high value care and medical education or research for the Teachable Moment Editorial Fellowship Program.
📅 Applications are due: May 15, 2026
🔗Learn more and apply here: ja.ma/42DFvim
An amazing opportunity to learn the editorial process and work as an editor at @JAMAInternalMed and the @JAMANetwork
📢 Now Accepting Applications: 2026–2027 @JAMAInternalMed Teachable Moment Editorial Fellowship
Chief Medical Residents: elevate your academic trajectory and gain firsthand experience in editorial decision‑making.
Learn more & apply: ja.ma/4cGCUKy
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Apply for this amazing fellowship where you will get hands on experience in the editorial process for Chief Residents in the US and Canada
📢 Now Accepting Applications: 2026–2027 @JAMAInternalMed Teachable Moment Editorial Fellowship
Chief Medical Residents: elevate your academic trajectory and gain firsthand experience in editorial decision‑making.
Learn more & apply: ja.ma/4sf9eJg
Pleased to share our work in @JAMAInternalMed that shows criteria-based initially reduced vitamin D testing. testing has increased to baseline since. Further efforts are needed to promote stewardly ordering
@Michael_Hillmer @JonZipursky @ONThealth @Sunnybrook @UofT_DoM
Implementing criteria-based testing for vitamin D in Ontario reduced testing initially, but the volume of tests returned to pre-policy levels over the following 14 years. #SGIM25
ja.ma/42Uo9ib @WKSilverstein @JonZipursky
Are you an incoming Chief Resident? Are you interested in medical editing and reducing low value care? If so, consider applying to the
@JAMAInternalMed
Teachable Moments Editorial Fellowship!
Link to apply is here - jamanetwork.com/pages/jama-i…
Very pleased to share Eight Ways General Internists Can Practice High-Value, Low-Carbon Care: The @CSIMSCMI Climate Conscious @ChooseWiselyCA Recommendations, published today in @JournalGIM link.springer.com/article/10…
@MathildeGSimard @nabha_shetty @OwenLuo5
The 30% of unnecessary tests, treatments, and procedures in healthcare also contribute to healthcare's carbon footprint. Read our commentary in @TheLancetPlanet on how @ChooseWiselyCA has engaged societies to develop new climate-focused recommendations.
sciencedirect.com/science/ar…
Despite well-intentioned systemwide efforts to increase post osteoporotic fracture prescribing, our @JAMANetworkOpen study found <1/3 Ontario adults admitted with osteoporotic fractures receive medical treatment in the year following osteoporotic fracture.
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Our findings underscore the need for renewed and expanded health system efforts to improve postfracture prescribing of antiosteoporosis medications, particularly for patients at highest risk of undertreatment.
Read more here jamanetwork.com/journals/jam…
Today @t_goodale and I marked the launch of our TENTH cohort of @ChooseWiselyCA STARS! We kicked off our Fall Summit with a great lecture by @bornk from @ihpmeuoft that described what resource stewardship is and why it is a critical competency to embed into curriculum
Next, @DrEmilyMcD from @mcgillu talked about stewardship in action, discussing deprescribing and how medical students can take an active role to change practice
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Carolyn Campbell is one of our outstanding @ChooseWiselyCA STARS students who has done a tremendous amount of work to advance resource stewardship education at @CummingSchool. Congrats on an amazing term!!!
choosingwiselycanada.org/new…
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Really interesting Teachable Moment on an important consideration when prescribing GLP1 and GIP agonists…be sure to closely monitor side effects of other weight-based medications
With the increasing use of tirzepatide and other GLP-1 analogs for the treatment of obesity, weight-based and narrow therapeutic index medications may require close monitoring. ja.ma/3YsR0IH
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Medical students that participated in @ChooseWiselyCA STARS gained knowledge as it relates to resource stewardship, change management skills, and catalyzed a commitment to incorporate high-value care into future practice.
Link for more - link.springer.com/article/10…
Telemetry is often ordered without a clear clinical indication and there is evidence that its use can be safely reduced. Our paper in @bmj_latest outlines strategies that clinicians can take to reduce inappropriate telemetry use bmj.com/content/386/bmj-2023…
Medical students are helping drive change to reduce low-value, carbon intensive care. Grateful to the @CanadianPress and @CP24 for showcasing @ChooseWiselyCA STARS!
cp24.com/mobile/lifestyle/he…
@Sunnybrook @UofT_DoM
Proud to share the @CSIMSCMI's Climate-Conscious Choosing Wisely Recommendations! Four practical changes that Internists can make to practice high-value, climate friendly care.
@MathildeGSimard
@OwenLuo5
@nabha_shetty
Health care contributes nearly 5% of greenhouse gas emissions—twice as much as the aviation industry. We can help both patients & the planet by adopting climate-conscious practices. See the 40 new #ChoosingWisely recs developed by 20+ clinical specialties: bit.ly/cwc-climate
Never. Again.
#WeRemember
It is impossible to picture six million people at once; to read six million names; to know six million stories. This Holocaust Remembrance Day, #WeRemember and reaffirm our enduring commitment to remember the victims of the Holocaust and the other victims of Nazi persecution.
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Remembering the 6 million Jews who were murdered in the Holocaust on this #YomHashoa. My grandparents were among the lucky ones to survive.
Failing to denounce and eradicate anti semitism has real and devastating consequences. Never again.
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