The Medical Post
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The Medical Post
2015 MEDIA KIT The Brand Doctors Rely On News • Foreign worker rules irk MD recruiters 27 • IBD: A growing affliction in kids 28 • 5 tips for discussing genetic tests 44 VOLUME 50 NO. 7 • $98 yEar doctors’ favourite OTc brands Annual survey • ThE INdEpENdENT VOIcE fOr caNada’s dOcTOrs • 31 May 6, 2014 14 awesome adventures you can take this summer PM 40070230 ›Bear-watching in B.C. ›Paddling in northern Ontario Plus High-tech gear guide p.17 to 26 UE s 14 ss ture 20 L I ven E ad aV an ition Trnadi ed Ca Breaking down walls New OMA head says he wants to reduce silos 8 Courtesy of Wild Water Adventures Get outdoors! THE INDEPENDENT VOICE FOR CANADIAN DOCTORS Financ e A taxing rule regardin g family trus ts 22 Enviable engagement A history and record of quality journalism For almost 50 years, The Medical Post is instantly recognized as the brands doctors know to represent their profession. Because we're not tethered to an association, we tell it the way it is Proof is in the data The Medical Post ranks #1 or #2 in key readership and exposure demographics Unparalleled track record for award recognition More honours and awards than any other physician publication, including recognition in Canada, abroad and from our medical publication peers Impactful tabloid size format Unique tabloid size differentiates us from magazine-sized journals, especially on a crowded doctor’s desk, resulting in ads that are noticed Medical meeting coverage Our expert clinical writers attend, cover, and deliver medical meeting content from across the globe From our print edition “Letters To The Editor” and columns, to our online blogs, story comments, polls, forums and social media interaction, we’re constantly connected to our physician community The destination for physician voices to speak to their peers Our desire to bring doctor perspectives to our pages and online, attracts the “who’s who” of MD contributors Advocacy for our physician audience Doctors appreciate our role as their watchdog which we demonstrate through campaigns and calls to action ENT VOIC E FOR CANA DA’S DOCT ORS Our covers tell a story, engage our readers, and draw them in with words and images that are compelling, colourful and often controversial. Our readers expect this from us Dr. Anna Reid, former presid of the Canad ent ian Medical Association • SEPTE MBER 23, 2014 • Wome n leader s: Getting beyond the gen der divide 14 • Surve y of MD -MBA programs 19 • Transf erring student leadershi professio p nal leader to by Dr. Jos ship hua Tep per 13 • Editorial: So you’re a new lea der . . . 12 Cancer les sons An MD find s her pat through the paralle h universe of the sickl 16 YOU CON NEC R TO LEA TIO N RNI NG 3 Stunning visual presentations 22 MAY 6, 2014 THE 14 MEDICAL POST | TRAVEL CanadianHealthcareNetwork.ca awesome Canadian adventures CanadianHealthcareNetwork.ca THE MEDICAL POST | TRAVEL The Medical Post’s 2014 travel issue Take a walk on the wild side this summer with fun outdoor offerings in every province BY CAROL HILTON • Tremblant Treehouses, Mont-Tremblant, Que. Enjoy a bird’s-eye-view of the Centre Touristique et Éducatif des Laurentides regional park with a glamping (“glamour camping”) stay in these charming treehouses overlooking Lake Cordon. Enjoy canoeing, hiking, swimming and fishing on-site. Located one hour and 40 minutes northwest of Montreal, 25 minutes from the town of Mont-Tremblant. Prices start at $99/night. www.tremblantactivities.com/o-treehouse-mont-tremblant Golden, B.C. Victoria Canmore, Alta. P.E.I. Morden, Man. Cypress Hills, Sask. Thunder Bay, Ont. MontTremblant, Que. Lawrencetown Beach, N.S. Saint John, N.B. Alma, N.B. Milton, Ont. • Fresh Air Adventure, Alma, N.B. Explore the breathtaking coastline of the Bay of Fundy while learning about local natural history in a single or double sea kayak. Book in advance as trip availability depends on the tides and guide availability. Half-day adventures ($64 adult, $52 youth) are the most popular, though two-hour, full-day and multiple-day tours are also available. www.freshairadventure.com www.discoverfossils.com • Butchart Gardens, Victoria Set in the Garden City, Butchart Gardens is just one fine example of Victoria’s fresh-air offerings. This large garden is worldfamous for its beauty and variety. Open year-round, the summer rate for adults is $30.80. • Canmore Cave Tours, Canmore, Alta. Go deep under Grotto Mountain for an amazing adventure in this alpine cave system. While learning about the geology of the area, you’ll “climb, crawl, slither and get muddy” inside the caves, culminating in a chamber full of stalactites and stalagmites. The 4.5-hour daytime “Explorer Tour” is $115 for adults, $105 for youth. www.butchartgardens.com • Amethyst Mine Panorama, Thunder Bay, Ont. Rock hounds and geology enthusiasts can dig for amethyst, Ontario’s official gemstone, and tour the working mine area set in the rugged Lake Superior landscape. Admission is $8, plus $3 per pound for the dig-your-own amethyst. www.amethystmine.com • Zen Climb, Milton, Ont. Take an introductory outdoor rock climbing lesson for a fun getaway, just an hour outside of Toronto. Set at the Niagara Escarpment’s Rattlesnake Point Conservation Area, the day-long course costs $160 per person, with lower rates for two people or more. www.canmorecavetours.com • Wild Water Adventures, Lake Louise, Alta. Float gently down calm waters or shoot some wild rapids on the Kicking Horse River in the heart of the Rocky Mountains. Trips are available for beginners or experienced paddlers, ranging from 90-minute trips to multi-day packages. Prices start at $75 adult/$55 youth for a 90-minute trip. • Northern Lights Wildlife Wolf Centre, Golden, B.C. Gain a new appreciation for wolves at this educational centre. The wolves housed here were born in captivity and are not eligible for release in the wild, but are meant to serve as conservation ambassadors for their wild counterparts. Admission to the centre is $12 for adults, $35 for a family of four. A 1.5-hour educational adventure hike with the wolves and photography session is $295 for one or two people. 23 www.saintjohnadventures.ca • Fossil Dig Adventure Tours, Morden, Man. Fossil digs with the Canadian Fossil Discovery Centre range from a half-day ($60 for adults/$50 for kids) to a five-day excursion ($525/$475). The tours have a 100% success rate for finding fossils—marine reptiles dating from the late Cretaceous period when the province was submerged in shallow sea water. St. John’s, N.L. Lake Louise, Alta. MAY 6, 2014 • Saint John Adventures Reversing Falls Zip Line, Saint John, N.B. Take to the air with this series of five exhilarating zip line rides over the worldfamous Reversing Falls, an amazing natural phenomenon caused by the collision of the Saint John River with the tremendous rise and fall of the waters of the Bay of Fundy. Reservations are recommended. • Cycle P.E.I.’s Confederation Trail Travel from one end of the province (Tignish) to the other (Elmira) and claim your official “Tip to Tip” certificate at the East Point Lighthouse Craft Shop. Choose from many picturesque villages as stopping places on this 270 kilometretrail, the Island’s portion of the Trans Canada Trail. Guided tours and self-guided arrangements are available through a few tour companies, or you can make your own plans to explore at your leisure. www.tourismpei.com/pei-cycling www.zenclimb.com/ programs/introductoryoutdoor-rock-climbing.html wildwater.com www.northernlightswildlife.com • Reesor Ranch, Cypress Hills, Sask. Live like a cowboy as you enjoy traditional ranch activities such as cattle drives, herd health checks and horseback riding at this historic, family-run cattle ranch. The daily rate of $225 per person includes three meals per day, accommodations and horse use (minimum booking of two guests required). www.reesorranch.com/cypresshillsadventures.html • Iceberg Quest, St. John’s, N.L. What could be cooler than whale watching off the coast of Newfoundland this summer? The thrill of sailing past 12,000-yearold icebergs at the same time, of course! In addition to spectacular sightings of humpback whales, you may see minke whales, finback whales and dolphins on the twohour tour, and bird lovers will delight in seeing Atlantic puffins and northern gannets. Iceberg viewing tends to peak in May/ June, while whales peak in July/August. Tours run from May to mid-September ($60 adult; $28 child). • East Coast Surf School, Lawrencetown Beach, N.S. Brave the Atlantic’s cold waters and learn to surf at Nova Scotia’s finest surfing beach. Located 30 minutes from Halifax, the location’s consistent, manageable waves make it a great place for beginners. Lessons are offered daily, with the basic rate of $75 including a one-hour lesson plus your wetsuit and board rental for the day. www.ecsurfschool.com icebergquest.com As with our words, our commitment to art design and direction engages and delights our readers, because after all, doctors enjoy a visually impactful read as much as anyone ” The Medical Post makes me feel good about being a physician. —Dr. Rajni Singhal 2 Clockwise: Saint John Adventures; Tourism New Brunswick, Canada; Tourism PEI/John Sylvester; iStockphoto; Iceberg Quest; Courtesy of Ontario Tourism; Amethyst Mine Panorama; Courtesy of the Canadian Fossil Discovery Centre; Le Centre d’Activités Tremblant Our multi-platform approach delivers the information doctors want, when, and in the format they wish • THE INDE PEND Leaders h Issue ip Mark Holleron/C MA Commitment to anywhere, any time, any format Cardiac monitor shrunk ing 4 50 NO. 13 • $98 YEAR The Covers worth a thousand words PM 40070230 —Dr. Sarah Giles VOLU ME to inform physicians with the latestbreaking medical news and insights Icons: iStockphoto; photos (clockwise): Canmore Cave Tours; Wild Water Adventures, Inc.; Reesor Ranch; Northern Lights Wildlife Wolf Centre; The Butchart Gardens “ The Medical Post is the only publication that deals with life as a doctor. I love to read about people like me (not just the boring academic stuff). Inside • Writing • Inside a better ‘no subs the chan ’ request • Case 20 Report: ges at CMA 8 Family eme rgency 10 2013 MEDICAL MEDIA STUDY (PMB, MMS) HIGHLIGHTS The Medical Post leads the English closed set and OTC remedies. Leading in EXPOSURES, publications for reaching highly experienced The Medical Post connects best with physicians, frequent physicians who work in solo or clinic environments conference/CME attendees and regular physician and therefore see a high number of patients. They stay visitors to various websites, most notably daily visits to apprised of pharmaceutical products by engaging medical publication sites. The Medical Post’s website with the lead publication connecting with pharma attracts more daily physician visitors than all other closed websites, and for being high prescribers of prescription set publication websites. More doctors reading more pages Readership The Medical Post delivers up to 42% MORE ADVERTISING PAGE EXPOSURES than other national publications* (Exposure is the average issue readership multiplied by percent of pages read; a measurement of THOROUGHNESS of reading) All physicians 24,031 GPs 17,238 Internal Medicine (IMs) 1,462 Psychiatry 2,093 430 The Medical Post (#1) 13,069 Cardiology CMAJ 12,493 Other specialties 2,809 Doctor's Review 11,845 High prescribers 6,571 Cdn Journal Diagnosis 11,292 From DERMATOLOGY Clinical Practice Guide 25 Dr. Lifestyle tests her green thumb 38 Tech nologE M R & y Repo rt INSIDE The big tech leap forward 2014 EMR & Technology Report T1 physician entry 10,937 Column: Parker To boldly where go medicine not gone has before T5 Dr. Puneet Seth entering orders for patients through the HUGO computerized physician order entry system at Woodstock Hospital General in Ontario. Technology puts patients seat T7 in the driver’s A on the new virus do (and orstep not Eb no, it’s ola) 4 VOLUME 50 NO. 8 • $98 YEAR • THE INDEPENDENT VOICE FOR CANADA’S DOCTORS • MAY 20, 2014 9,202 Newsand walk-ins concern ed: online launch 17 ’s newest Canada ination starts CME dest 50 NO. 12 • $98 YEA Case Re A pa port tie ‘Mich nt fears ae disea l Jackso se 8 n’ 16 R IND EPE NDE NT VOI CE FOR CAN ADA ’S DOC TOR S • SEP E ENT VOIC FOR CANA ORS DA’S DOCT The lowdown on the low-T debate 15, 2014 • Out of the s shadow INDE PEND • THE YEAR 10 • $98 50 NO. ved s impro Help ha struggling rs for docto ntal illness with me tion, but or addic ll face they sti t from en judgm p.12 peers *PMB MMS 2013, Total Physicians, excluding NEJM site UME Full • Are CMA co ph vera an ide ysicians facing ge nti • Me dical ty crisis? mariju 22 ana, deba ted • THE 10 iStock ; courte sy of Medeo Stephen Hutchings #1 visited medical publication website Unintend tion 8 morcella 5 • IMGs Report: 9 • Case t trauma Blunt ches JULY VOLU ME VOL Travel Chill out on an Alaskan cruise 34 PM 40070 230 The Medical Post online CanadianHealthcareNetwork.ca Ob/gyn versy: controed tumour PM 40070230 CFP DE order T6 William D.W. Dorken Cdn Journal CME 2014 INSI Predicting the impact Apple’s of health-monitoring device T2 T he slow real-time rise of in Canada monitoring T3 Safer, better, faster, cheaper: decision Clinical support T4 A doctor on lessonsreflects learned from launching computerized Virtu al Dr. Eric Cadesky of Vanc ouve r uses Medeo to see patie nts. visits Techno lo see the gy is disrup tin ir patie nts—an g how docto rs d bill fo r it PM 40070230 p.9 Calc ut Scott Munn s Rafferty Dr. Jame overcame was and addiction return able to ine to medic help with the rs of Docto ’s Nova Scotia l Professionaam. Progr Support ctors die How do rray’s classic Ken Mu Dr. An ta to Iq took na Banerji aluit her to ’s rese gave her an the Arctic— arch adop an ted so d n 25 tors Dr. how doc 11 s essay on ir own end see the *PMB, MMS 2013 3 TEM BER 9, 201 4 PRINT AND DIGITAL REACH ii: Hawafor e Paradisrds 25 ne ce: Scienn it isn’t Whe d on base ce 13 scien 7 r tips fo g securin 30 grants Print circulation: FEBR • THE VOL UME 2 • $98 50 NO. IND EPEN DEN T VOIC E FOR CAN ADA TOR ’S DOC UAR y 47,000 18, 2014 S • yEAR Renal ation denerv ck A setba 8 38 35 d Mr. ta MD an be ise of In pra nds husba 28 us Frivolo ts ain compl it’s Sigh, ated complic I n ke d ma e stig ase th essionals e to er of It’s tim medical pr s 21 around with tattoo , Robertson Emilie student a med rsity Unive at the ta, of Alber os. tatto has six (monthly average) 16 u Are yo for 61,500 Sawisky idance New gu Total English Physicians Gregory Allergy tion preven 0 PM 4007023 14,500 The Power of Combined Print and Digital Reach B.C. al medic s politic it so Why ise? divisiv + CanadianHealthcareNetwork.ca unique users and enewsletter subscribers: ready ? 14, 15 followers: 3,700 The Medical Post Actions taken after reading any issue of The Medical Post:** 75% clipped, copied or filed Average Time Spent Reading:** 21 minutes per issue of The Medical Post. an article for future reference 68% discussed an article or called one to someone’s attention 29% visited the website of an advertiser mentioned in the publication. (Oct. 2014) WEBSITE CanadianHealthcareNetwork.ca (online home of The Medical Post) is #1 to attract physicians on a daily or weekly basis* (Total physicians,excluding NEJM site) • CanadianHealthcareNetwork.ca English Physicians Registrants: 13,808 (Oct. 2014) • CanadianHealthcareNetwork.ca English Physician Visits: 19,665 (Avg. per mth. For 6 months ending Aug. 2014) Print Circulation Specialists Circulation: 47,000 Total: GP/FMs GP/FMs 30,774 (65% ) Specialists 16,226 (34%) AAM audited statement, March 2014 *PMB, MMS 2013 **Rogers Connect Market Research 2013 4 2015 PUBLISHING SCHEDULE 14x Frequency ISSUE DATE SPACE + MATERIAL CLOSE Jan. 20 Jan. 5 Feb. 17 Jan. 27 Mar. 17 Feb. 24 Dr. Kidd: Dr. Marlow: CME credit management made easier 29 SPECIAL REPORTS CLINICAL PRACTICE GUIDES VOLUME 50 NO. 3 • $98 YEAR The hazards of e-cigarettes Why I enjoy doing labour and delivery 20 8 • THE INDEPENDENT VOICE FOR CANADA’S DOCTORS • t os dP M ee d e a l fe survey & forecast MARCH 11, 2014 Where now? New ch After rough recent negotiations, columte Fitness- n we look at where your income wr tra istband cking s 42 might be going next 23 IMS Top 100 Drugs Insid e • N.S . brin MD mo ging in • Check nitoring over-70 10 ing up on che cklists Asthm Allerg a & Practi y Clinical Guide ce 31 8 CanadianHealthcareN etwork.ca Asth ma cl Omn witharis : Powe an excel rful lent allerg tolera ic rhinit bility is relief profil e. is it ® Common adverse and placebo reactions Most common include (1%–10%) were adverseepistaxis epistaxis in 2 reactions(2.7% to 6 vs. (8.4% reported 2.1%), week clinical vs. nasal Indications COVERE Mar. 17 13248E Medical under licence. June 23 June 2 Aug. 18 July 28 Sept. 15 Aug. 25 Sept. 29 Sept. 8 Oct. 13 Sept. 22 Oct. 27 Oct. 6 Nov. 24 Dermatology + THE MEDICAL POST CanadianHealthcareNetwork.ca CLINICAL PRACTICE GUIDE 5 A fter diarrhea and fever, skin problems represent the third most common reason travellers seek medical attention once they are back home. Dermatological conditions acquired through travel can be a source of anxiety for many patients. Below are five skin conditions to be aware of when evaluating patients returning from travel. Let’s start here.1 Doctors' Finance ® Cutaneous larva migrans Cutaneous larva migrans (CLM), also known as “creeping eruption,” is an acquired parasitic skin condition commonly found in tropical and subtropical regions including the Caribbean and the southeastern and Gulf states of the United States. CLM commonly affects vacationing sunbathers, beach walkers and children playing in sandboxes. CLM is not contagious and cannot be transmitted between individuals. It is usually caused by the larvae of the hookworms Ancylostoma braziliense and Ancylostoma caninum. These larvae infest dog and cat gastrointestinal tracts and produce eggs that contaminate their hosts’ feces. Upon release, the eggs hatch and incubate in warm, sandy soil until they become infectious. The condition is usually acquired by walking barefoot on a beach or soil littered with infectious larvae from dog or cat feces. The larvae invade humans through the epidermis by direct skin contact. The skin surfaces most often affected are the feet, hands and buttocks. The initial presentation of CLM, occurring shortly after penetration, is that of an erythematous papule or a non-specific dermatitis. A few days after penetration, the larvae begin to migrate through the epidermis using innate protease enzymes at a rate of a few millimetres to a few centimetres per day. The migration produces a characteristic 2 mm- to 4 mm-wide, erythematous, elevated, linear or serpentine plaque visible on the skin’s surface. Vesicular and papular lesions may also be observed along the plaque. The lesions of CLM are intensely itchy and sometimes produce burning sensations. Systemic symptoms are rare. The larvae lack an ability to penetrate the epidermal basement membrane and are unable to invade other human organs. Intractable itch and fear of infestation usually bring patients into their physicians’ offices. The diagnosis of CLM is based on the typical clinical features. A biopsy is usually unnecessary. The condition is self-limited, and without treatment the larvae eventually die over a few weeks to months. However, CLM can be rapidly and effectively treated with oral albendazole (400 mg/day for three days) or with a single dose of ivermectin (200 mcg/kg dose). Thiabendazole (25 mg/d to 50 mg/d for two to five days) and mebendazole (200 mg twice daily for four days) can also be used. Topical steroids and antihistamines can be useful for symptom control and topical antibiotics may be helpful for secondary infections. CLM can be easily prevented by avoiding contact with contaminated sand or soil, by wearing appropriate footwear and regularly using a beach towel. MAY 20, 2014 Contact dermatitis from henna tattoos Allergic contact dermatitis from henna tattoos is becoming more common in the general population. Henna is a natural red-brown dye that is derived from the leaves of the tree Lawsonia inermis in North Africa and Asia. It is used extensively during TAB THE MEDICAL POST DIABETES Self-monitoring of blood glucose p.36 ➠ Apps for diabetes p.38 ➠ A1C: Choose your target wisely April 21 March 31 Dermatology May 26 May 5 October 13 September 22 Chair, executive committee, Canadian Diabetes Association 2013 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada, endocrinologist and assistant professor, department of medicine, University of Toronto circulating in the blood for the past three months. It has been used as a tool for the assessment of effectiveness of treatment for decades, and since 1998 an A1C target of 7.0% or less has been recommended for adults with diabetes because of proven reduction in diabetes complications in both type 11,2 and type 2 diabetes.3,4 However, since 2008 and the release of three landmark randomized controlled trials of glycemic control in type 2 diabetes—Action to Control Cardiovascular Disease in Diabetes (ACCORD)5, Action in Diabetes and Vascular Disease: Preterex and Diamicron MR Controlled Evaluation (ADVANCE)6 and the Veterans Affairs Diabetes Trial (VADT)7—there has been recognition that the A1C target of ≤7.0% is not appropriate for all adults with diabetes and that there are situations in which ≤6.5% is appropriate and situations in which a less continued on • page 35 TOr psyc hiatr in cann ist dr. sam Medica Ozer room sky phar in ma’s grow marijuanmid-Marc h just a plan ts were before insta lled. This man may need to see his doctor for a bad case of sunburn when he gets home. Recommended treatments include hydration, soothing topical gels, oral anti-inflammatories and mild topical steroids. enediamine (PPD), which is often added to pure henna to darken its colour and hasten drying. PPD is most commonly found in commercial hair dyes but is also used in textile dyes, dark cosmetics, rubber, photograph developer and photocopier ink. Contact dermatitis from henna tattoos represents a delayed type IV hypersensitivity reaction. The typical presentation is erythema, scaling, edema and blistering in the areas of tattoo exposure several days after application. Itching and pain are common symptoms. As the inflammatory reaction subsides, residual hyper- or hypopigmentation often occurs and can last for months. With robust inflammatory reactions, hypertrophic scarring can ensue. The diagnosis of contact dermatitis from henna tattoos is clinical. Patch testing can be done to confirm continued on • page 26 SPACE + MATERIAL CLOSE Premium Positions (tabloid size) OBC: 15% premium IFC: 10% premium Earned rates apply (tabloid and magazine size ads only) 5 library al MEDICAL POST pr PM 33 s • 25 BY DR. ALICE Y.Y. CHENG iStockphoto is a familiar expression to everyone and denotes simplicity, uniformity and consistency. Although it would be appealing for the same concept to apply to the care of diabetes, it is simply not true. Diabetes is a multidimensional chronic disease that affects people of all ages, sizes, races and walks of life. Given the heterogeneity of the population with diabetes, be it type 1 or type 2, it would make sense that the approach to manage diabetes needs to be personalized and individualized—including the glycosylated hemoglobin (A1C) glycemic target. The A1C is a measure of the amount of glycosylated hemoglobin relative to all the hemoglobin present. Given the lifespan of red blood cells, the A1C is often referred to as an approximate measure of the amount of glucose Allergy/Asthma Diabetes Aim for a glycosylated hemoglobin that optimizes benefits and risks for individual patients “One size fits all” ISSUE ’s dOc apr 2014-05-05 4:17 PM TOPIC ic ac ti ce gu iD e sthma and obstructive chronic ary disease pulmonare conditions Patterns two (COPD) commonof care. Both encountered the most about According diseasesof inflammatio respiratory by chronic 8.1% diagnosed to Statistics are in primary airways. of Canadians characterized inflammation 4% CD4 with Eosinophils, n of having the population asthma haveCanada, often lymphocytes of 1 reportedCOPD. mast the and been cess seen 2 in the are about has of asthma, is unreliable Unfortunately, prevalence the cells and macrophages reported inflammatory cells to be cytes while most because of both under-diagnose over-diagnosed. predominate the and neutrophils, different proCD8 COPD diseases may Distinguishing lymphoinflammatory d 3 and tends 4 in COPD. and very explain COPD asthma is critically The (ICS) well to why asthmaprocesses ritically can an be between diagnosis but inhaled improvement. difficult, asthma important COPD responds patients right. corticosteroids shows obstructive with The to get but it the limited e importance asthma majority the nosed of the and doctor, and lung diseases of Differentiating Differ history managed other ff ffer ways as and entiating Groupthe Family by are diagacknowledges, their whenCOPD between ly Phy is relatively Physicianfamily responsibility of Canada patients sic phenotypes. sician asthma the present easy with AirAir diagnosis tothus the a 50-pack-year falls ensure complains as clasThe care mainly is accurate 70-year-old physicians. to primaryof a history Both and productive who airway are breathlessness obstructive exertion cough ated diseases with has inflammatory associCOPD,most likely on an abnormal wheezing that while can allergies teenagerthe symptoms result response asthma. probably tory in with and similar findings. middle Patients has treatment respirasuch of the And the in the same often while spectrum, patientas the medication, middle-aged classes involves history with and Dr. of respiratory the of who a smoking D’urzo goal algorithms management complains of maintenance toms, asthma are present sympdifferent. a diagnostic inflammation, is maximal goals more For treatmentThe maximal example, challenge. fully of asthma appreciated, more whilereduction in bronchodilation its epidemiological is a adult-onset acute in COPD of chodilation real, with or severe phenomenon if not asthma, it is sixth the peak . peak mation as becomes disease,With decade of Anthony does COPD coincidesand important bronand in COPD.reducing mary D’Urzo, beyond,in the Care (lungclinic.ca), inflam- in Lung director said of family Clinic of theDr. at the and associatein Toronto Pricommunity University professor continued of Torontomedicine and on • page ada Our themed tabloid-size in-book reports focus on key therapeutic categories, bring together news and feature articles, plus much more. Full audience circulation. CanadianHealthcareNetwork.ca CLINICAL PRACTICE GUIDE a patient step with spirometry has in determining cOpD (above) or asthma.whether 2014-03-13 5:14 caN CLINICAL PRACTICE GUIDES OCTOBER 7, 2014 Objective is an assessment important OMN14104E FOr First time in the Island Virgin s 25 festive occasions in the Middle East and South Asia to impart a decorative orange colour to the skin. For their weddings, young brides commonly have their hands and feet painted with elaborate henna designs. Henna has also been used to dye hair a red-orange colour. In recent years, henna tattoos have become a popular form of temporary body art for vacationers. Henna tattoos can be applied quickly and painlessly without needles or infection risk. The henna dye is typically painted on dry skin in the desired design, allowed to dry and then rinsed off. The resulting skin tattoo remains for a few weeks before gradually fading. Pure henna contains the active ingredient lawsone (a naphthoquinone) also known as hennotannic acid; however, it is extremely uncommon to develop contact dermatitis in response to this agent. The causative allergen is nearly always paraphenyl- profile. SIGNATURE FILE VOI cE Fecal Gettingtransplant : the ic over k fact or 20 Unde dNr rstanding orders 40 common travel-related skin conditions TM/ or licensed GlaxoSmithKline Consumer Healthcare Inc. Mississauga, Ontario L5N 6L4 ©2014 The GSK group of companies. All rights reserved. 32 APPROVAL ACCOUNT CREATIVE DIRECTOR ART DIRECTOR COPYWRITER PREPRESS dENT Unwanted souvenirs Diabetes 8567_SPEC_AD_MedPost_Tabloid_ENG.indd 1 Powerful Excellent AR relief. tolerability BY CREATIVE DIRECTOR ART DIRECTOR COPYWRITER STUDIO BY DR. SAMIR N. GUPTA consultant dermatologist, Toronto chair, section on dermatology, Ontario Medical Association Nov. 3 ACCOUNT 5/8” READER INd EpEN rT Dermatology You want a gentle cleanser that protects the skin’s moisture barrier. Key Opinion Leaders Medical Post 50th Anniversary x 16 PROOF rE pO ari Inc. juana Courtes y of CannMe dica Pharma May 5 100% Post IaL This do belie ctor ve marij s in Mammography screening do youana. u? 1015 questioned PM 400702 30 May 26 AT: Medical yEa r Medi m cal OTC Survey CHANGES 13/16” PRINT Jp 5 • $98 • ThE Allergy/Asthma PRODUCTION COPY NOTES DECK # FILE v3 Feb10/14 BUILT AT: FINAL 100% SIZE: OUTPUT 10 STUDIO: photo 03 ME 50 NO. TAB # Varney/Science VOLU Andy Potts Apr. 21 PLANS. OMN14104E PM 40070230 May 12 Used CHANGE iStockphoto Mar. 31 2, 2013. 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Size* A1 + A2 1x Effective January 1, 2015. All rates gross MAGAZINE 1/2 TAB HOR. 2/5 TAB. VERT. 1/3 TAB. HOR. 1/2 MAG. HOR. 1/4 TAB. HOR. J K1 G B2 H M I $13,780 $16,130 $8,975 $8,975 $7,580 $7,580 $6,280 $6,205 $17,265 $13,505 $15,890 $8,840 $8,840 $7,430 $7,430 $6,190 $6,080 $23,000 $16,920 $13,235 $15,650 $8,705 $8,705 $7,280 $7,280 $6,095 $5,955 30x $22,540 $16,585 $12,970 $15,415 $8,575 $8,575 $7,135 $7,135 $6,005 $5,840 48x $22,085 $16,250 $12,710 $15,185 $8,445 $8,445 $6,990 $6,990 $5,915 $5,720 62x $21,425 $15,765 $12,330 $14,955 $8,320 $8,320 $6,785 $6,785 $5,825 $5,550 76x $20,780 $15,290 $11,960 $14,730 $8,195 $8,195 $6,580 $6,580 $5,735 $5,385 92x $20,160 $14,830 $11,600 $14,435 $8,030 $8,030 $6,380 $6,380 $5,625 $5,220 108x $19,150 $14,090 $11,020 $14,150 $7,870 $7,870 $6,060 $6,060 $5,510 $4,960 TABLOID DPS MAG B1 + B2 A1 $23,945 $17,620 6x $23,470 15x *See mechanical spec’s page for correlating size dimensions + other sizes. B&W: decrease by $1,900 gross. 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Ask your Account Manager for Fair Balance rates. ® ® Now covered on ODB! rds n wo ir ow in the death rs on Docto 19 16, 17, . end. . e: atur ial fe Spec VOLUM $98 11 • YEA IND EPEN DEN T VOI CE FOR CAN ADA ’S DOC TOR S py LU PCol onosco an Feld Jord t Dr. ogis Hepatol 12 r turf wa the ack of ts 8 • Att r lawsui t kille upfron ts 4 ’s be cos • Let ut drug abo FOR CANAD A’S DOCTO RS • S • poised is C is st Hepatitcome the fir n to be ral infectio c vi p9 chroni d by drugs re to be cu • T VOICE OCTOB Hepe Cur R ENDEN 2014 PM 40070230 50 NO. 30 PM 400702 UME 12, oid to av How f-credit line-o falls 20 pit s Famou who actors retly are sec rs 6 docto ‘More than risk mana heale gers rs.’ PSYCHIATRI ST ‘W e figh look all ting like w the wit e’ tim h ea re ch e.’ oth confront S a diminishe profile an d in some casd retreat fro es caring for m tho in greatest se need p13 Now cove red o n ODB! New for 2015: lts and discu ssion 22 er Steve Munday • THE VOL UST tips to improve Medic consult roundtal cannabis able Doctor reports poll resu 29 E 50 NO. 15 • $98 YEAR • THE INDEP AUG 5 Dorken D. W. In the Inside • A Cana • Anotherdian Ebola scar e 4 delay • Case Report: for Dr. Day 5 Hair loss 8 ER 21, 2014 Print rates include static ads in tablet editions (tabloid and magazine size ad units ONLY). Refer to page 9 for tablet enhancement information. FRONT COVER TIP-ON INSERT Trim Size: 10.625” width x 5 1/2”depth Total audience rate: $19,950 gross (supplied) POLYBAG OUTSERTS (Supplied) Total audience, geographical or physician specialty targeting available. Ask for rates. 6 EDUCATIONAL CUSTOM PUBLISHING Special educational custom publishing opportunities and turn–key solutions. Our guarantee: knowledgeable, experienced project management and an experienced team of medical editors and designers. All tabloid size. Includes web posting for 3 months on CanadianHealthcareNetwork.ca, plus online promotion. Ask your Account Manager for rates. CLINICAL FOCUS* Proven editorial process ensures balance, timeliness and credibility. Specialist and primary care contributors along with case studies, resource information and targeted focus. Print and online bundled solution for maximum timely reach and exposure. • 4 pages CLINICAL FOCUS: CASE STUDY* Focused update on management of a specific condition. Discussion is initiated through a case study. Specialist and primary care physicians provide their perspectives and insights on diagnosis, treatment and follow-up. • 2 pages Clinical focuS TM caSe Study m e n o pa u S e Laccabor itatemp orestib ustibust explibero quiam, que volupta turepedit, ilitiur, untur, nam apieniet harum que vendica tioribus eossum quis consequ atusam soluptur alitius ius at. 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Et ea nimilitionse ero mi, este volor modi inciunte natureprat ent vellibus maximi, iminusae dit autem abore aut eum quo cum aut diaerepro temoluptasi que post lab id ut et et excearu ptusam isque optis autecus del magnitam, acestem volum qui dolupictur? Si omnis doluptibus, sunt erioratiati de moluptas et quam autasped eiur? Bitature plibus mo officianim rem alignis et laborum quoditatem sitatur, aut quate optasit ationet maionestest essequatur? intervention Mus andit omnimusam illaborecus dolute sin- Hadkeke Lee MD, FRCPC Dandigenis aut vene nes ipsam quid maximpo recabore non rernatur as utesed quis aliberum untint erspere postisi nvendit quiscium, totas simost, sitet excere volupta alicite lamenis necum aliquos derum aribus aut veris rem laboribus.Temperumqui del es nempellaute nus aliquiandi beaquas acestis apienim in num a nus il ipsunti to voloreh endipsae pratem et et officipsam aut audi volupti omnihic atibero offici apicabo reptioria con nemolorpos num isimaio. 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Nem consequatio qui sition corro officia sperspel in reicabo riorem idebis dolut repudaerio minveni squatur as es issima dolorectat. Us ea solorae apisincti dis re voluptas dit magnimodis sequasit as magnimus adit liquae. Ihit quia dolorro bea dusaernatus molorae. Omnienis sinihitate et elibus perunt, sequi tem. Fictiis delesciae. Atur accaepe rupidunt quam, optatate opta velenti andanit ad et volestrum que ommoles repudae perchic iliquodiate as ◆ S u p p o r t e d b y a n e d u c at i o n a l g r a n t f r o m p h a r m a c e u t i c a l c o m pa n y COLLOQUIUM* Virtual roundtable discussion among leading specialists. Emerging trends on clinical issues; balanced editorial. Print and online bundled solution for maximum timely reach and exposure. • 4 pages ◆ MEETING REPORT* Sponsored medical meeting and conference reports from around the world and around the corner. Timely updates reported with balance and authority. 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Whe or are professio f n o e e m c nals en can interact wi iron ss, th KOL’s wher arene ly env r e friend enerate aw ach of you otherwise may g be re e im w e possible. A , it’s to tend th g materials u. true interactive, educ x e ly ational and etin r yo simp unique experie tion fo g mark nce. existin ustom solu c a have 8 THE MEDICAL POST | TABLET Interactive Tablet Media Rates 7 tips for moving EMR data to a new system 22 ia s Scot New Nova 00 22 ctors n’t does Who ed? tir feel to say t Wha s 15 tient to pa es 4 $3 • Do ctomi fees hikes ny maste ma • Too out? ssed ndfulness mi Stre ing Practis lp 28 he may JUN E • TH YEA The er sumsm is ue VO LUM NO . E 50 EPE ND FOR E 24, 201 AD A’S DO CTO RS Cel VOLUM E e l-fre • Courtesy of Sochi 2014 r Harde Brian PM 40070230 + EACH ISSUE IS ON THE iPAD AND MANY INCLUDE iPAD EXCLUSIVE CONTENT DOCTO RS • JANUA RY 21, 2014 Canadian share the team doctors Winter Ol ir journeys to the ympics in Russia 17 ts coun nce Fina or joint ac le Sing ’? ‘I do after VOICE FOR CANAD A’S Doctors@ Sochi 30 New for 2015: So long vex complaint atious s? Bill would give CPSO the power to dismiss them 6 Print rates include static ads in tablet editions (tabloid and magazine size ad units ONLY). Refer to page 9 for tablet enhancement information. Load Screens and Page Enhancements Opportunity to add interactivity to static ads. Prices do not include production. 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COMMISSIONS • Agency Commission: 15% of gross billing allowed on space, colour, position, and charges for special insert stock, to recognized agencies only. • Prices are subject to additional sales tax where applicable. • Accounts payable at office of publication in Canadian funds or equivalent funds at the rate of exchange prevailing at time of payment. 13 Introducing TM THE PROBLEM OF NON-ADHERENCE NEXJ CONNECTED WELLNESS, A REVOLUTIONARY SOLUTION FOR IMPROVING ADHERENCE Improve adherence and outcomes with NexJ Connected Wellness, a platform for patient activation that allows healthcare professionals to more effectively and efficiently address poor health literacy and non-adherence at the point of care. Patients understand and retain the information they need to make informed decisions about adherence – and get the support they require to maintain the behavior changes that lead to better outcomes. Industry strengthens relationships by providing value beyond the pill and benefits through improved adherence. 14 TM HOW NEXJ CONNECTED WELLNESS WORKS STEP 1: Improve Comprehension. At the point of care, the healthcare professional (HCP) educates the patient about their condition and/or treatment plan using easy-to-understand infographic teaching decks from NexJ Health Pro, a free iPad app for patient education. The outcome is a Patient Visit Record (PVR) – an audio-visual record of the teaching session which patients can then access through NexJ Connected Wellness. STEP 2: Improve Information Retention. The patient can review their PVR online as often as they wish, including the presentation, notes, and any attachments. Patients can share their PVR with their family and friends so they too can stay informed. STEP 3: Improve Adherence. Using NexJ Connected Wellness, patients have access to a wide array of supports that can help them make the changes they need to improve adherence and outcomes. They can: • Access a patient-friendly care plan that is easy to understand and follow • Securely communicate with their care team • Connect with a personal health coach for on-going support to follow their care plan and achieve their health goals. Patients gain a better understanding of how their actions affect their health, driving sustainable behavior change. SOLUTION BENEFITS • • • • OPPORTUNITY Patients are more likely to fill their prescription when they understand the diagnosis, the reasons behind the treatment plan, and the consequences of non-adherence Patients follow their care plans as directed, leading to improved outcomes Sponsors have a new digital channel for providing value beyond the pill Frequent interactions and improved outcomes help build brand loyalty • • • • • Create custom infographic, PAABapproved treatment decks in both English and French HCPs can educate their patients using the treatment decks HCPs can send the decks to patients who can then share with their family and friends Brand promotion through Rogers Healthcare Publishing Provide patients with on-going support from a health coach to drive adherence Contact your Rogers Healthcare Account Manager for a live demonstration and more details. NexJ Health Pro™ , NexJ Health Coach™ and NexJ Connected Wellness™ are part of NexJ Health™, a division of NexJ Systems Inc. © 2014 NexJSystems Inc. All rights reserved. TM 15 CONTACT INFORMATION TORONTO Teresa Tsuji (416) 764-3905 [email protected] MONTRÉAL Pauline Shanks (514) 843-2558 [email protected] Norman Cook (416) 764-3845 [email protected] Josée Plante (514) 843-2953 [email protected] Scott Tweed (416) 764-3906 1-800-668-8151 [email protected] Nancy Dumont (514) 843-2132 [email protected] Toll free 1-866-408-4455 QUÉBEC PUBLISHER/ SALES MANAGER Caroline Bélisle (514) 843-2569 [email protected] HEAD OFFICE Rogers Publishing Rogers Healthcare Group One Mount Pleasant Road, 7th floor Toronto, Ontario M4Y 2Y5 Tel.: (416) 764-2000 GROUP PUBLISHER ROGERS HEALTHCARE GROUP, Janet Smith (416) 764-3920 [email protected] EDITOR Colin Leslie (416) 764-3893 [email protected] EDITORIAL DIRECTOR Rick Campbell (416) 764-3891 [email protected] PRODUCTION MANAGER Michael Finley (416) 764-3928 [email protected] MONTRÉAL OFFICE Édition Rogers Groupe Santé 1200, avenue McGill College, bureau 800 Montréal (Québec) H3B 4G7 Tel.: (514) 845-5141 16