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The Canadian Medical Association Journal
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This week on #CMAJPodcasts, we discuss access to mental health care for Black youth with Mercedes Sobers and Dr. Amy Gajaria. They unpack study findings and describe a program offering culturally adapted care and trust-building.
➡️ www.cmaj.ca/transcript-241733
November 3, 2025 at 7:01 PM
Government partnerships and virtual care:
Independent evaluation of corporate virtual care partnerships can confirm that equity, safety, privacy, and transparency criteria are met and maintained.
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250639
Government partnerships with corporate virtual primary care
Key points More than 6.5 million people in Canada do not have access to a regular primary care clinician.[1][1] Health workforce challenges across the country have adversely affected primary care acce...
www.cmaj.ca
November 3, 2025 at 6:07 PM
Halo nevi:
Adult-onset halo nevi are associated with a 1% risk of developing primary cutaneous melanoma 1 year after halo nevus diagnosis.
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250684
Eruptive halo nevi and vitiligo in a 40-year-old woman
A 40-year-old woman presented to our dermatology clinic for assessment of new nevi surrounded by depigmented skin, as well as separate depigmented patches, which had appeared suddenly within 1 month o...
www.cmaj.ca
November 3, 2025 at 6:07 PM
Eustachian tube dysfunction:
Allergic rhinitis, chronic rhinosinusitis, gastroesophageal reflux disease, and smoking increase risk and severity of eustachian tube dysfunction.
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250163
Eustachian tube dysfunction in adults
It is caused by inflammation or narrowing of the eustachian tube, which leads to aural fullness and muffled hearing (obstructive dysfunction) or, less commonly, hearing one’s own voice amplified (patu...
www.cmaj.ca
November 3, 2025 at 6:07 PM
Pediatric abdominal trauma poses a diagnostic challenge, balancing the need to rule out clinically important intra-abdominal injury against the risks of radiation exposure, given children’s increased sensitivity to radiation-induced malignancies.
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250736
Blunt abdominal trauma in a 6-year-old boy and need for imaging
A 6-year-old boy presents to the emergency department after a motor vehicle collision at 90 km/h. The child was properly restrained, had no loss of consciousness, and experienced 1 episode of emesis a...
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November 3, 2025 at 6:06 PM
Distance to primary care:
More than 1 in 10 patients in urban or suburban regions who were rostered to a family physician in a patient enrolment model in Ontario lived farther than 30 km from their family doctor.
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250265
Distance to primary care and its association with health care use and quality of care in Ontario: a cross-sectional study
Background: In Canada, patients who move may choose to stay on their original family physician’s roster, creating long distances to seek primary care. We sought to explore how distance to primary care...
www.cmaj.ca
November 3, 2025 at 6:06 PM
Corporate virtual primary care: what are the impacts on access and equity?

CMAJ Volume 197, Issue 37, features new articles on government partnerships and virtual care; distance to primary care; pediatric blunt abdominal trauma, and more.
➡️ www.cmaj.ca/content/197/37
November 3, 2025 at 6:04 PM
"The escalation of opioid use among youth is being overlooked. Existing addiction services are also inadequate to meet the needs of young people with opioid use disorder (OUD)."
— The Globe and Mail ➡️ www.theglobeandmail.com/canada/artic...

Learn more in the CMAJ ➡️ doi.org/10.1503/cmaj...
Canada’s youth are part of the opioid crisis and need treatment
Despite investment in harm-reduction initiatives, safer supply, and treatment for adult patients, the opioid overdose crisis in Canada continues. More than 18 people in Canada still die every day from...
doi.org
October 27, 2025 at 10:21 PM
Yes, and….:
"'Yes, and …' is a philosophy of resilience, a way of not dwelling, of keeping the pedals turning when the road disappears."
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251072
Yes, and …
It’s another Saturday clinic, a welcome break from my PhD work of writing statistical codes, drafting manuscripts, and stressing over grant deadlines. One day a week, I get to trade my desk for the cl...
www.cmaj.ca
October 27, 2025 at 7:11 PM
Rational opioid prescribing:
Rational opioid prescribing not only respects the pharmacology of opioids, but also funnels fewer patients into chronic use and addiction.
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251666
Opioid prescribing in Canada: a continued retreat from God’s own medicine
[See related article at www.cmaj.ca/lookup/doi/10.1503/cmaj.250670][1] Key points In this issue’s research article, Rebić and colleagues show that rates of opioid prescribing across 6 Canadian provin...
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October 27, 2025 at 7:11 PM
Youth and the opioid crisis:
"There is no excuse for health systems’ inaction and lack of investment to provide evidence-based addictions services for youth."
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.251682
October 27, 2025 at 7:10 PM
Bed-based care for substance use disorders:
The RE-AIM framework can be used to both guide implementation of complex interventions and evaluate the extent to which models of bed-based care for substance use disorders are effective and should be maintained
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.240955
Bed-based care as a response to the overdose crisis: an approach to informing and evaluating proposed expansion
Key points Despite the introduction of many innovative approaches to the prevention and management of substance use disorder (SUD) by clinicians, peers, public health practitioners, policy-makers and ...
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October 27, 2025 at 7:10 PM
Ulcerated tophaceous gout:
Although tophaceous gout is common, ulcerative presentations are uncommon, and no treatment guidelines exist.
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250758
Ulcerated tophaceous gout
An 88-year-old man with peripheral vascular disease, chronic kidney disease, a 60-year smoking history, and gout (for which he was taking colchicine) presented to the emergency department with a wound...
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October 27, 2025 at 7:09 PM
Cutaneous nodular amyloidosis:
Subcutaneous insulin injections have been reported to cause insulin-derived amyloidosis at injection sites, typically in the abdomen.
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.241719
Localized cutaneous nodular amyloidosis from insulin injections in a 40-year-old woman
Key points A 40-year-old woman presented to her family physician with a new subcutaneous mass in the right lower quadrant of her abdomen, along with nonspecific systemic symptoms, including occasional...
www.cmaj.ca
October 27, 2025 at 7:09 PM
Trends in prescription opioid use:
Declines in prescription opioids for pain between 2018 and 2022 aligned with national efforts to promote appropriate opioid prescribing for acute and chronic noncancer pain in Canada.
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250670
Trends in prescription opioid use for pain in Canada: a population-based repeated cross-sectional study of 6 provinces
Background: National information on prescription opioid use in Canada is lacking. We sought to examine trends in the incidence and prevalence of prescription opioid dispensing for pain in Canada. Met...
www.cmaj.ca
October 27, 2025 at 7:00 PM
The opioid crisis: what are the effects on Canada’s youth?

CMAJ Volume 197, Issue 36, features new articles on youth and the opioid crisis; cutaneous nodular amyloidosis; ulcerative tophaceous gout, and more.
➡️ www.cmaj.ca/content/197/36
October 27, 2025 at 6:57 PM
#CMAJPodcasts co-host Dr. Mojola Omole teams up with the Ontario Medical Association to share her story about how she continues to advocate for patients ➡️ www.youtube.com/watch?v=vljn...
Dr. Mojola Omole Won't Give Up
YouTube video by Ontario Medical Association
www.youtube.com
October 20, 2025 at 6:58 PM
Stillbirth and grief:
A physician and father reflects on his grief through a long, arduous journey after the stillbirth of his son.
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250827
Father’s Day
My first act on becoming a father was calling the burial society for our stillborn son. It all happened so quickly. Even as I drove to the hospital, the prospect of a stillbirth wasn’t within my imag...
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October 20, 2025 at 6:04 PM
Marjolin ulcer is a rare but aggressive transformation of chronic inflammatory or scarred skin, seen in approximately 4.6% of people with long-standing hidradenitis suppurativa.
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250874
Marjolin ulcer in a 63-year-old with hidradenitis suppurativa
A 63-year-old woman with a 20-year history of hidradenitis suppurativa, classified as Hurley Stage III (a disease-specific staging system); a 12 pack-year smoking history; pyoderma gangrenosum; and di...
www.cmaj.ca
October 20, 2025 at 6:03 PM
Survivors of torture:
Many refugees have experienced torture due to cultural, religious, or ethnic conflicts, and increasingly due to domestic violence and 2SLGBTQI+ discrimination.
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250389
Refugees who are survivors of torture
Survivors may be triggered by recounting memories of traumatic events and are at risk of retraumatization. [1][1] Allowing patients to control how they communicate their narrative can help them engage...
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October 20, 2025 at 6:03 PM
Atrial fibrillation and tachy-brady syndrome:
Given the efficacy of catheter ablation for atrial fibrillation, particularly when performed early in the disease course, delays in accessing this treatment in Canada remain a concern.
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250196
Atrial fibrillation and tachy-brady syndrome in a 68-year-old woman
Key points A 68-year-old woman from rural Ontario arrived at her local emergency department with worsening palpitations. Her medical history included breast cancer treated with surgical resection and ...
www.cmaj.ca
October 20, 2025 at 6:03 PM
The Canadian Task Force on Preventive Health Care recommends against screening adults for depression using questionnaires based on evidence suggesting that depression screening using a screening tool has little to no effect on health.
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250237
Recommendation on screening adults for depression using a screening tool
Background: Depression negatively affects how a person feels, thinks, or behaves; is associated with impaired functioning in social and work settings; and can be associated with thoughts of suicide. T...
www.cmaj.ca
October 20, 2025 at 6:02 PM
This week on #CMAJPodcasts, we're joined by Drs. Eddy Lang and Jennifer Young to discuss why universal screening for depression using a screening tool is not recommended.
➡️ www.cmaj.ca/transcript-2...
October 20, 2025 at 5:57 PM
Atrial fibrillation and tachy-brady syndrome: what is the latest management?

CMAJ Volume 197, Issue 35, features new articles on atrial fibrillation and tachy-brady syndrome; screening for depression; survivors of torture, and more.
➡️ www.cmaj.ca/content/197/35
October 20, 2025 at 5:08 PM
Measles seroprevalence:
The observed measles seroprevalence in British Columbia indicates that current levels of population immunity are sufficient to suppress sustained or generalized measles transmission.
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250788
Measles seroprevalence by birth cohort across the lifespan: a population-based, cross-sectional serosurvey in British Columbia, Canada
Background: In 2025, the province of British Columbia (BC), Canada, experienced heightened measles activity, mostly involving unvaccinated communities. Publicly funded measles vaccination for children...
www.cmaj.ca
October 16, 2025 at 5:13 PM