Page 1

summer 2012

DOCTORS life + leisure


win VISA

a gift card + Cayman

Islands Gift Pack! see page 29


luxury lodge in BC

+ new GENE test + reminisce in

MOTOR CITY + san diego suds + study ABROAD + TRAVEL PHOTO TIPS from our PRO Publications Mail Agreement #41073506

inside: Continuing medical Education Calendar where will you meet? m o n t p e l l i e r / r i g a / t a i p e i / b a rc e l o n a

/ h o l l y w o o d >>

Just for C









Bring The Rosewood Lifestyle Home

life + leisure

summer 2012


summer 2012 Editor and Art Director Barb Sligl Editorial Assistant Adam Flint Contributors Lucas Aykroyd Yvette Cardozo Michael DeFreitas Dr. Holly Fong Tim Johnson Taylor Kennedy Mélanie Paul-Hus Dr. Chris Pengilly Dr. Neil Pollock Manfred Purtzki Alison Read Dr. Kelly Silverthorn Corey Van’t Haaff Cover photo Micky Wiswedel Senior Account Executive Monique Nguyen

Account Executive Wing-Yee Kwong

Sales, Classifieds and Advertising In Print Circulation Office 200 – 896 Cambie St. Vancouver, BC V6B 2P6 Canada Phone: 604-681-1811 Fax: 604-681-0456 Email: info@AdvertisingInPrint.com

Now you can own a prestigious home in the Private Residences at the Hotel Georgia in the heart of downtown Vancouver. Located near luxury shopping, the Vancouver Art Gallery and the renowned Hawksworth Restaurant. With the finest interior appointments and all the amenities of the reopened Rosewood Hotel Georgia. 2, 3 & 4-bedroom homes to 3700 sq. ft. Call toll free 1-866-602-6636 or visit us online www.ResidencesAtGeorgia.com Display gallery and presentation centre open noon to 5pm daily 669 Howe Street, Vancouver BC Full cooperation with buyer agents


Sales by disclosure statement only. E&OE. Delta Realty Services Ltd. 604-678-9239. Now selling from $2 m. A Georgia Properties Partnership project. The Private Residences at Hotel Georgia is not owned, developed or sold by Rosewood Hotels & Resorts or any of its affiliates. Neither Rosewood Hotels & Resorts nor any of its affiliates assume any responsibility or liability in connection with the project. Georgia Properties Partnership uses Rosewood Hotels & Resorts’ marks pursuant to a license agreement with Rosewood Hotels & Resorts, L.L.C. This is not an offer to sell, nor a solicitation of an offer to buy, to residents of any state or province in which restrictions and other legal requirements have not been fulfilled.

clockwise from top left: courtesy the lodge at gold river; igto / Israel Ministry of Tourism; Micky Wiswedel



13 luxury lodge Fishing + fine food on Vancouver Island 18 holy holiday Culinary + natural pleasures in Israel

Associate Publisher Linh T. Huynh Production Manager Ninh Hoang

Circulation Fulfillment Shereen Hoang

CME Development Adam Flint




9 techworks

5 summer mix

It’s in the genes

Founding Publisher Denise Heaton

10 photo prescription

Just For Canadian Doctors is published 4 times a year by In Print Publications and distributed to Canadian physicians. Publication of advertisements and any opinions expressed do not constitute endorsement or assumption of liability for any claims made. The contents of this magazine are protected by copyright. None of the contents of the magazine may be reproduced without the written permission of In Print Publications. In Print Publications 200 – 896 Cambie Street Vancouver, BC V6B 2P6 Canada

Face to a place

12 doctor dispatch A med student’s summer

16 the wealthy doctor

Overqualified for menial work

30 the thirsty doctor San Diego suds


31 the hungry doctor

Printed in Canada.

miss an issue? check out our website!

Soup’s on

32 motoring

29 sudoku 34 employment opportunities 38 small talk with MD student Alison Read

Study abroad

17 doctor on a soapbox

23 CME calendar

Motown muscle

cover photo :

Salt crystals form on rocks on the shore of the Dead Sea. For more on the unexpected side of Israel go to pages 6 and 18.

SUMMER 2012 Just For Canadian Doctors


from the editor

what/when/where > summer

style | food | shows | festivals | places | getaways | gear…


clockwise from top

Scenes from The Lodge at Gold River, a luxury escape into the wilds of BC.

summer heats up

a storied château + winery in the Languedoc-Roussillon region of southern france [for more on this region + montpellier go to page 23]


The Cayman Islands Department of Tourism and Just For Canadian Doctors magazine hosted two dinners at two of Canada’s hottest restaurants: Hawksworth Restaurant in Vancouver, and Rouge Restaurant in Calgary. Chef David Hawksworth and Chef Paul Rogalski attract plenty of buzz locally, nationally and beyond. And Chef Rogalski will be the next Canadian guest chef to join celeb Chef Eric Ripert for the annual Cayman Cookout. It’ll be another feast to remember, with gourmet fare served amidst sun and sand. And, while it may not have been in the Caribbean, a few lucky Just for Canadian Doctors readers feasted on fine food and wine­closer to home. Next time: the Cayman Islands! We’ll ask the grand-prize winner of the allexpenses-paid trip, Dr. Susan Beairsto, about her Cayman Islands experience…

Just For Canadian Doctors SUMMER 2012

above Fettucini with Truffle at Rouge, one of Rouge Restaurant’s signature dishes. far left The Calgary dinner took place at Rouge, where Paul Minich, Canadian Representative for The Cayman Islands Department of Tourism, awarded contest-winner Dr. Susan Beairsto, an all-expenses-paid trip to the Cayman Islands. near left The dinner in Vancouver took place at the award-winning Hawksworth Restaurant. In attendance were: Dr. Aniz Khalfan, Dr. Alexander Shearer, Dr. Iain Cleator, Dr. M.M. Cleator, Dr. Kathryn Fung, Dr. Derek Smith, Dr. Jacquie Hurst, Dr. Karen Kruse, and Dr. Michael Woolnough.

tour +


It’s not everyday you meet a count. But at Château de Flaugergues you’re likely to bump into Pierre de Colbert, the 10th-generation comte who oversees this “House in the Foliage.” It’s one of the many châteaux or “Follies” built in the Montpellier countryside at the end of the 17th century as part of a new order of aristocracy. Today it’s part family home, winery, restaurant, event venue and even museum. “We have been trying to keep the place alive,” he says. And you can see just how by touring this slice of life in the south of France. Inside the gorgeous château is an imposing central staircase, finely wrought tapestries, ornate Louis XV furniture, Limoges porcelain and exquisite artwork, from engravings by Rembrandt to portraits of past occupants (including one who was beheaded). But the main charm in touring the home is hearing its history from the comte himself (his tales peppered with lovely French expressions like “Et voilà…” throughout). This comte courant is very down-to-earth. Outside, gorgeous gardens showcase both French and English styles, from kumquats and meticulously maintained hedges to an orangerie and olive-tree alley. And, of course, the vines. Flaugergues has French wine with great value; “This is the nouveau wine style in old-world wine,” says the count. He sees a bottle of wine as a book, and Flaugergues’ Cuvée Sommelière, for instance, is “a book you can read every day.” There’s also Cuvée Foliae, Cuvée de l’Uncle Charles and Cuvée Les Comtes, of course. Try them all at Folia, Flaugergues’ courtyard restaurant, where you can live the Follie lifestyle, at least over a lengthy lunch under the Mediterranean sun. As the comte says, rather abstractly, “Tradition means everything and nothing.” There’s no pretentiousness here, but plenty of thoughtfulness. This 10th-generation count is definitely of today. flaugergues.com —B. Sligl

taylor kennedy

and the winner is… 4

the wine count

surfing (page 18). Discover the unexpected Israel. Wherever you go, be sure to pack that camera. And utilize the travel photography tips from our award-winning pro. This issue he shows us how to put a face to a place. We’ve all taken photo after photo of landscapes that tend to blend into one another after awhile…To make your photos and adventures stand out, start taking photos of the local people you meet on your travels (page 10). And send us your shots! We want to know where your travels take you this summer. Let us know what you’re up to—at home and on the road— and send us your photos and questions. And keep your subscription going at justforcanadiandoctors.com. Enjoy!

from top: randy killoran; b. Sligl (2); rouge restaurant; the cayman islands department of tourism (2)


or most of us summer is synonymous with the great outdoors, whether that be cycling through wineries in France or fishing in chilly mountain streams in BC. Two types of adventures that happen to be part of our summer-getaway lineup this issue… First, escape to…BC. Central Vancouver Island, surrounded by the dense forest of century-old Strathcona Park, is virtually undiscovered. Which is why there happens to be a rather luxurious lodge to hole up in. Not only is the fishing world-class but the lodge is a mix of high-end and downhome, making it the place to retreat this summer (page 13). Somewhere else that’s unexpected: Israel. It’s long been a place of pilgrimage but this tourist friendly haven in the Middle East offers everything from fabulous food and wine to desert mountain biking and

SUMMER 2012 Just For Canadian Doctors


tour+ taste

a taste tour of



ood is not exactly what you think of when you envision a trip to Israel. But yes, you can nibble, chew and otherwise eat your way across this country, where a meal is full of fresh, organic veggies, fruit, fish and meat. The echo of Middle Eastern culture touches everything whether it’s at a kibbutz, an Arab falafel shop, or an ethnic minority restaurant tucked in someone’s home on a Musttry Middle narrow, hairpin road high Eastern dishes: up some mountain. hummus + One of your first tabouli. must stops: a falafel/shish kabob place in the Arab sector of Jerusalem’s Old City or on a day trip to Bethlehem. The fresh, homemade hummus, creamy and tangy, will utterly ruin you for the store-bought junk back home. It’s served with pita bread, tender chunks of lamb and/or grilled vegetables on a skewer, and of course, falafel, the fried ground-chickpea balls or patties. On to a Druze Spice it dinner…The up, from curry to smoked 100,000 Druze, paprika. believers in a 10thcentury Egyptian religion, live in 16 villages across Israel, usually high atop a mountain among a spiderweb of narrow roads. It’s not typical for Druze to be open to outsiders, making Amal Dabbour’s restaurant and B&B in Beit Jann quite special. The meal here is made up of small dish after dish…like eating a dozen appetizers for dinner. In fact, this is how

Just For Canadian Doctors SUMMER 2012


you order. Think 14 dishes, soup and three meats for 100 shekels (about $26) apiece…semolina with onion, eggplant, hummus, lentils with wild (yes, Amal gathers it himself) anise. Then drive into the Golan Heights. Citrus trees crowd the hills, so loaded with oranges, grapefruit and lemons you can hardly see the leaves. And here’s where you discover the story of modern Israeli wine. The problem with kosher wine is it’s boiled to pasteurize it so that Orthodox people can serve it. This pretty much destroys any taste and aroma. But 30 years ago, a handful of wineries started producing nonkosher wine and today, 300 mostly boutique wineries are scattered across northern Israel. And the wine, well, it’s quite good…varied, light when it should be light, full bodied when it should be that. For what may be your single finest meal of the trip go to Muscat, the meat restaurant (restaurants in Israel are either meat or dairy/fish) of Hotel Mizpe Hayamim in Rosh Pina. The resort is part farm, part spa, part hotel. They grow organic produce on 30 acres, raise their own lambs, goats and cows, make their own cheese and soap. The goat here is so tender, it falls off the fork. Then there’s the Sea of Galilee, where you can sample “Peter’s fish,” farmed tilapia that’s breaded and fried whole


style on the go 1.

into a crispy, tender creation. There’s also a roadside coffee shop that sells spices from dozens of open bins, and another spice shop buried in tunnels under the old city of Acre that’s so small, it has neither website nor email address. But owner Kurdi Hamudi has, among other things, 12 different kinds of curry powder. Back in Jerusalem, there’s the wonder of Mahane Yehuda Market with its meats, fish, produce, 1,200 different cheeses from one tiny hole in the wall, halvah and pastries. And, halvah, made from sesame-seed paste, survives quite nicely in your suitcase coming home. But before leaving, top the foodie tour by cooking dinner alongside Israeli celebrity chef Tali Friedman. Split into groups, you’ll either smash veal flat for carpaccio, cut vegetables for salad, make fish balls, cook peppers or handle delicate filo pastry for a caramelized apple-filled dessert. “I can’t believe I’m cooking in Jerusalem,” someone exclaims in wonder. And eating in Israel…a truly wonderful place to gain five pounds. — Yvette Cardozo IF YOU GO Eat your way through Israel: Dine at Druze Restaurant, hvaya.com/art. php?ID=9, then at Hotel Mizpe Hayamim: mizpe-hayamim.com, and take a cooking tour and class with a celebrity chef, haatelie. com. And for more on Israel go to page 18 and goisrael.com.


Rubber made Add more colour to your summer get-ups with an oversized, lightweight, water-resistant and, yes, rubber watch. Get in on the season’s hottest colours (hello yellow and bring it on purple) or create your own custom combo (be it animal print or psychedelic) with this fun sports accessory. You’ll be on trend on the trail, beach, lake, green... rubrwatchnation.com

2. Wearable art The message

tee is a way to wear what you think. And be quite literal about it. Make a statement with what you wear—whether it’s showing your reverence for The Origin of the Species or The Great Gatsby. Out of Print lets you celebrate these great stories through fashion. A classic summer pick, for beachwear if not a beach read, is Moby Dick…after all this tome is much easier to wear than read. outofprintclothing.com


3. Water aid Summer is synonymous with the outdoors. And

when you’re out there—hiking, biking, surfing, golfing, boating— you’ll need to hydrate. Keep your cool with this sleek stainless-steel water bottle. It’s insulated so the cold stuff stays that way for 24 hours (and anything hot stays steamy for 12). BPA-free, it comes in a rainbow of colours and variety of sizes (the 25-ounce S’well holds a bottle of wine very nicely) and, best of all, 10% of sales go to WaterAid, an organization that provides sustainable safe water, hygiene and sanitation to the world’s poorest communities. swellbottle.com

2 Whether you’re on the road or in the air, here’s the gear for gear travelling in style this summer

4. Luxe luggage The telltale grooves of the iconic aluminum

case from Rimowa are part of a timeless German design that’s been synonymous with stylish travel since the 1930s. And it’s hotter than ever. Lightweight and strong, with 360-degree wheels and TSAapproved locks, this Salsa Deluxe Business Multiwheel in Oriental Red makes a red-hot Mother’s Day gift—anytime of year. Get ready to roll and jet set. rimowa.de —B. Sligl



travel smart

Israeli feast

Grilled tilapia from the Sea of Galilee.

get geared up

sensory sampler


Yvette Cardozo


SUMMER 2012 Just For Canadian Doctors


techworks C o r e y V a n ’ t H a a f f

Corey Van’t Haaff owns Cohiba Communications. She is Just for Canadian Doctors’ technology columnist.

what doctors know How knowledge of a genetic variant created a world-class technological device

University of Ottawa Heart Institute



Just For Canadian Doctors SUMMER 2012

octors know that on any given evening in any ER across the country, a patient may arrive complaining of chest pains. These doctors know that, for patients with a narrowing or blockage in their arteries, a catheter might be inserted into the heart, a balloon used to open the artery, and a stent would be placed, allowing blood to flow. And doctors know that post-procedure, two medicines are routinely prescribed: aspirin and Plavix (clopidogrel). There is one more fact that doctors know and that’s that in some patients, Plavix doesn’t work sufficiently enough to regulate platelet activity. When the body produces clots or sees the stent as a foreign intruder and reacts to that, these same patients can have subsequent cardiac events, and some die. What doctors don’t know is how to accurately predict which of these patients will respond normally to Plavix and which are more likely to have reduced platelet activity and have an increased risk of death. Until now. Drs. Jason Roberts, chief cardiology resident and Derek So, interventional cardiologist at the University of Ottawa Heart Institute, had a plan. It was relatively common knowledge that some patients have a genetic variation that makes them less likely to activate Plavix well. If doctors could identify which patients were at risk, they could prescribe a different drug. “The importance of the genetic variant was discovered a few years ago,” says Roberts. “We know that with European ancestry, 30% is the variant; as high as 50% with Asian ancestry. The chance of having another cardiac event after a stent has been placed for a heart attack is approximately 5%, during the next year. If you add the genetic variation to that, it increases risk (in the people affected) by about 50% so they have a 7.5% risk.” There was no question the risk was unacceptable. The question was, can anything be done? “We wanted to find a test to determine who had the variant so we could treat them

drug and leave the rest on Plavix. It would differently. After we put in a stent, we start likely mean better clinical outcomes in terms drugs immediately so the stent stays open of both heart attacks and bleeding.” as the first 24-to-48 hours is the highest risk A point-of-care genetic testing device period for the stent blocking off. To address used bedside which produces results within this, we wanted to make a genetic test that an hour is revolutionary. could be done quickly and, ideally, at the “It’s the first time in medicine that patient’s bedside,” he says. They also wanted genetic testing has been done at the clinical something that nurses could do with little bedside,” says Roberts. “There was a need for additional training. speed as people could react as soon as the The doctors worked with Spartan Bioscience to create the Spartan RX CYP2C19. stent went in. The new drugs are not affected “People recognized that such a fast test would be useful, but it was generally felt that the technology was not available. We approached a biotechnology company that had focused on different forms of rapid DNA testing for other applications. After explaining the medical issue, the company appreciated the clinical need and ultimately developed a device that was ideal for the clinical setting,” he says. The test is painless. At the patient’s bedside, a nurse swabs the patient’s cheek, places the Dr. Derek So (left) and Dr. Jason Roberts swab in a tube, and then puts the (right), researchers in the RAPID GENE study. cartridge in the machine—the Spartan RX—and gets results in an hour. by this genetic variant.” The doctors put the device through its The randomized study involved 200 paces in a proof of concept study called the patients. Twenty-three patients in each group Rapid Gene Study. The timing of the study carried the variant. There were no cardiac was ideal. events with either group within the first “Over the past couple of years, two new month. drugs, ‘cousins’ of Plavix, became available “Bedside genetic testing is a radical that inhibited platelet activity and had both change that will hopefully facilitate the intebenefits and disadvantages. The advantage was these drugs were more potent and could gration of genetics into daily medical practice inhibit platelets better to help keep the stent by making it easy to perform and hence open. Both were shown to reduce the chance easily accessible,” says Roberts. “Presently, of heart attack or blockages relative to Plavix the Spartan device is the only test capable of in clinical studies.” he says. The disadvantage point of care genetic testing.” The device is in use worldwide: in Canada was an increased risk of bleeding which discouraged a wholesale switch of all patients to it is allowed only for research; it is awaiting FDA approval in the USA; and it is used as an the new drugs. “We knew it would be great to target the approved clinical test in Europe. subset of the population that didn’t respond well to Plavix and give them a more potent

SUMMER 2012 Just For Canadian Doctors


p h o t o p r e s c r i p t i o n m i c h a e l d e f r e i ta s

photo prescription [continued]

Michael DeFreitas is an award-winning photographer who’s been published in a wide variety of travel publications. With his initials, MD, he’s been nicknamed “doc,” making his photography prescriptions apropos.

put a face to a place Whether haunting or heart-warming, here’s how to put a face on a destination


enough for you to get a well-composed shot. Most of the people we meet in our travels are busy with their daily lives and getting them to stand still for a portrait is difficult. Further complicating our task are language barriers, superstitious beliefs, skin tones, a person’s attire and their surroundings. All issues that test our ability to get good portraits. After 20 years of shooting in some 80 countries I have learned that most people don’t mind having their picture taken. A polite smile and a few friendly words work wonders in establishing a rapport with your subject. So instead of trying to “sneak” shots, learn a couple of local greetings then move in close to get an intimate portrait. Images of people looking directly into the camera, if done incorrectly, can accentuate round faces and produce that deer-inthe-headlights look. A good tip is to have your subject turn her head slightly away from the camera. Then, try to keep the tip of her nose within her outer cheek line. It’s always best to photograph people in shade, but I didn’t have that luxury on a floating island devoid of trees. So I positioned my subjects with the sun at their backs and used a bit of fill flash to brighten their faces. It took a couple of tries to get the exposure right, but my guide helped with instructions and conversation to relax the women. Good travel portfolios should include a selection of traditional close-up and environmental portraits. For traditional portraits remember to shoot vertical, fill the frame and place the subject’s face off center (use the rule of thirds). Environmental portraits work best when you include enough surroundings to connect the subject with his world. Too much surroundings can be distracting, though, so play around with the composition. I try to have fun with everyone I photograph. I even let some of the Uru women take my picture. Of course this produced many laughs, and nothing spices up a portrait better than a smiling face.

Send your photos and questions to our photography guru at feedback@ inprintpublications.com and your shot may be featured in a future issue!

y most memorable experience on a recent trip to Peru was not Machu Picchu or the beautiful rugged mountains, but the time I spent with the amazing Uru people, who live on the floating reed islands on Lake Titicaca. I spent two hours photographing the women in their colourful dresses and simphanas (pompoms in their braided hair). The stark contrast between the drab, monotone huts and their vibrant costumes was both philosophically and photographically compelling. Each year, in my photography workshops and seminars, I review dozens of travel portfolios packed with hundreds of images of sweeping landscapes, wispy waterfalls, mouth-watering food and impressive ancient ruins. Unfortunately, I don’t see many people shots. And that’s too bad because the single most defining characteristic of any region is its culture, and few things define culture better than people. So why don’t we shoot more people portraits when we travel? First off, most of us are terrified of approaching a stranger and asking if we can take their picture, and second, good portraits are more technically challenging than landscapes or ruins. Good people shots require a ton of patience. The biggest hurdle in photographing people is getting them to stop moving long

PRO TIPS on people portraits

> Try to shoot subjects in open shade, in a doorway or when the sun is low. To avoid that squinting look, never pose subjects facing the sun.

> Crop tightly and try to use a shallow depth of field (f4 or f5.6 aperture) to blur distracting backgrounds.

> Check the background for posts or poles. Posts that

appear to grow out of a subject’s head or shoulder have ruined many good portraits.

> Don’t shoot down on people––it can make them look

small. Shoot level or from slightly below the level of their face. This is especially important when photographing children (get down to their level).

> Ask about local customs before shooting. People in some countries believe that cameras capture their souls.

> Grab shots are okay if asking permission will spoil the

moment, but be cautious, you may get your shot at the expense of upsetting someone. We travel to learn, not to upset people.

> Imagine that your viewfinder is divided into a grid of thirds (two vertical and two horizontal lines). Try to place your subject’s eyes near one of those intersections.

Ready to take it to the next level?

gear up Wide-angle lenses can distort faces (camel nose) and long telephotos tend to flatten faces, so invest in a medium-range zoom (70 to110mm focal lengths). Most pointand-shoots include this range and DSLR zoom lenses that include this range run from about $300 to $500.

You do more than sutures. We do more than taxes.


Just For Canadian Doctors SUMMER 2012

Our medical niche team works closely with our extensive network of specialists to offer a full suite of accounting, consulting and assurance services, including: tax planning, management advice, human resources management, succession and retirement planning, and wealth management and financial planning. michael defreitas

Why you should take photos of people: Put a face to a place. In photography of people, the goal is to capture their smile or interesting facial expression. And don’t let the lack of a smile stop you—a solemn or pensive look can speak volumes (just be sure the subject is okay with being photographed). ABOVE A Quechua or Uros Indian woman in one of the floating Uros Islands in Lake Titicaca, Peru. Fill flash was used with the sun behind and over her left shoulder. Shot was taken late morning. RIGHT A Quechua boy holding hands with his parents in Atuncolla, Peru. After a nod of approval from his parents, the photo was taken with the sun behind and a bit of fill flash. It’s another late-morning shot.

As a medical professional, you devote your time and care to your patients. At MNP, our professional services team dedicates their time and focus to you and your practice. We are partners who help you think forward, ensuring you get the most out of your business tomorrow, so you can focus on taking care of your patients today.

To move your practice forward, contact Calvin Carpenter, CA, Director of Professional Services at 1.800.661.7778 or calvin.carpenter@mnp.ca.





travel at home

d o c t o r d i s pat c h a l i s o n r e a d Alison Read is a fourth-year medical student at the University of British Columbia. Here, she gives her impressions of rural medicine and the quality of life in Penticton, B.C., where she spent last summer. As a future medical professional, she’s now considering family practice in a more rural area.

life’s a peach


In Penticton, this med student enjoys a summer of medical instruction and moose eating

One thing that struck me was the balance that Penticton doctors maintained in their lives

dad’s friend Dave from medical school, a family doctor that I hadn’t seen in years. He greeted me at a lovely acreage in the hills of Penticton, filled with orchards and gardens. The first night we had a savory moose roast, courtesy of Dave’s hunting prowess. As we ate, he told harrowing tales of his expeditions, and the cougars and bears he had encountered along the way.


doctors. In emergency, I helped reduce a dislocated shoulder and assessed broken bones. I listened to rapid fetal heartbeats in maternity and witnessed the excitement of expectant parents. One night, Dave called me to help with a delivery. I assisted as the baby emerged and cut the umbilical cord. It was so surreal to finally see a birth; nothing like I had imagined. On another day, I visited

Just For Canadian Doctors SUMMER 2012

a dying man and his family at the hospice as they prepared for his last breath. He died shortly after we had left. With these experiences, it became clear to me that medicine is a diverse field where you have the privilege of interacting with people at different moments in their lives. The doctor I worked with was an excellent teacher and I was inspired by his passion for medicine. He taught me to trust my instincts in the diagnosis of patients and frequently used the analogy: “If it looks like a duck and quacks like a duck, it’s probably a duck.” After being taught numerous rare conditions in my studies, it was useful to also learn a more common differential in the office. Outside of the clinic, I made new friends with classmates in town and we explored Penticton together. We spent a beautiful hot day biking through the vineyards and wine tasting. Dave took us out on his boat to go fishing and waterskiing. We were told that the chief of surgery starts his days with waterskiing on the lake! We floated down the canal on inner tubes, raced across the lake on seadoos, and explored the farmer’s market. At the annual Elvis competition, we saw glittering hip-gyrating renditions of “Blue Suede Shoes.” I soon became enamored with the town and began to visualize myself living there. One thing that struck me was the balance that Penticton doctors maintained in their lives. In addition to working hard, many of them cycled to work, spent time with their families and planned exciting vacations. This balance is something I desire in my future practice of medicine. I was impressed by the tight-knit community, which enabled doctors to know one another and communicate easily about patients. As I left this idyllic setting, I prayed that my car would start. I was told that the local marmots had developed an appetite for car engine wires. Earlier, I had seen them emerging from underneath my car while foraging outside their colony across the street. In addition to my medical training, I also learned to shoot a gun, fish for bass, bake a sour cherry pie, and appreciate the delicate flavors of wild game. What more could you ask for?

escape on the edge of vancouver island is a shangri-la for fishing enthusiasts, foodies & anyone who wants into the wild in luxury by barb sligl

Randy Killoran

I began my first day at 8 a.m. with hospital rounds, where I met a whirlwind of patients with my preceptor. It was exciting to be thrown into the medical world and given the opportunity to apply what I had learned. Over the following weeks, I completed physicals, PAP exams, excisions and suturing. Patients and staff welcomed me and wanted to know when I would be moving there to fill their shortage of

alison read


rowing up in Vancouver, I never really considered the possibility of living in a smaller centre. I was a dedicated urbanite, frequenting Starbucks and jogging the Seawall. However, my experience in Penticton for rural family practice made me think twice about my future goals. As I sped down the freeway towards Penticton, I was excited to venture into the unknown. I had arranged to stay with my

SUMMER 2012 Just For Canadian Doctors


travel at home

travel at home

Fly-fishing lures.

helicopter or fourwheeler into the deep wilds of Vancouver Island. And reveals some of his past clients—like George Bush Sr. It turns out that Vancouver Island is a mecca for world-class sport fishing. And Killoran has taken out some rather illustrious fishing fanatics. Whether CEOs from Silicon Valley or past presidents (Bush

Century-old Strathcona Park is on one end and the Pacific on the other. You’re really away from it all. Tucked away amidst this wilderness is The Lodge at Gold River. The town of Gold River is a bit of a working-class way-station for the fishing and logging sets hauling saltwater catches and logs in Muchalat Inlet, but the lodge is

Just one example of the impressive taxidermy at The Lodge at Gold River.

Über fly-fishing guide Randy Killoran.

The main lodge’s great room.

Apropos custom-made front-door handle.

One that makes you think you’re one with the river. Kind of. It’s exhilarating to wade in amongst the smooth river rocks and brace myself against the rushing water. The hard part is casting. I let the line out just enough, arc back with my arm (bent


First Nations’ art.

Vancouver Island fishing club) that put him in the big leagues. Here, however, he keeps it small and simple for a neophyte like me. Patient and relaxed, he replaces the fly time after time after time. He tells stories of his other fishing adventures via

Just For Canadian Doctors SUMMER 2012

Sr. is quite the accomplished fly fisherman, by the way), these clients come for the stellar sports fishing and stay for the isolated getaway. Here, in the centre of the island, there’s not much more than trees and more trees (and plenty of logging trucks).

serious luxury. Think log-cabin luxe with antler chandeliers, impressive taxidermy and First Nations art (so much of it that a Bill Reid piece is stashed away in a closet). A cougar skin near the entryway is Silex the resident dog’s trophy; she pinned the

big cat under the porch just outside… Arriving here, I’m greeted by the big, bounding Silex (named after a fishing fly, of course) and siblings Winston and Sage. The three black labs— possibly the happiest dogs ever—are a good sign of the welcome I have in store. Host Kent O’Neill, a longtime Vancouver Island resident, has a passion and pride for this region that’s infectious. It’s all about keeping things local, from the BC wine list to the farm-tofork menu. Dinner that night includes Pacific halibut with spotted prawns and patty-pan squash from a local farmer. Even the sorbet is made from fresh, local berries. As is the organic blueberry jam the next morning. The locavore cuisine served here, prepared by Red Seal-trained Chef Terry MacDonald, is unexpectedly high-end—from a deconstructed salad of golden and rose tomatoes and buffalo mozzarella (from nearby Comox Valley water buffalo, of course) to the halibut-and-spottedprawn main course. Post-meal in the main lodge there’s shuffleboard and billiards and even a drum set to bang on. And the bar and O’Neill are at the ready. But satisfyingly sated, there’s nothing to do but hole up in my cabin-chic room— complete with woodburning fireplace. I sit on the back porch, listening to the gurgling river just below. The mind and body can’t help but unwind. As O’Neill puts it, this is “a great place to live in terms of personal

mental health.” And if he ever takes the beauty that surrounds him for granted, he’s reminded of it through the wideeyed wonder of guests. If the rest of us can’t live there, the next best thing is to visit. Again and again. Those who’ve already discovered this place keep coming back for the secluded pampering and worldclass fishing.

cast). A former NFL coach (with four Superbowl rings) is a regular here, as are Vancouver Canucks management and certain celebs. Because when you’re here, you’re cut-off—in a very good way (and there’s always wifi if you must stay connected). And, while happily cut-off from the outside world, you can do pretty much whatever you

fishing on his days off, and when Killoran isn’t tying flies for guests he’s tramping through the bush to find the next best fishing hole. Back on the Elk River, where I’m still trying to mimic the smooth swing Killoran tosses off without a thought, the fish are biting—in rapid fire. The elusive catch is thrilling to pursue. And addictive.

Coho salmon catch on a fishing day with The Lodge at Gold River.

On top of the world (via a heli ride) post fishing and picnicking in BC’s spectacular scenery.

They arrive, more often than not, via heli. There’s a helicopter pad on the property (first created for the group of California investors who own this slice of paradise), right next to the man-made trout pond (where newbies like me can practice their

Heli hiking group.

Log-cabin luxe at the main lodge.

want. O’Neill will make it happen. Whether that’s heli hiking and a spa treatment or deep-sea fishing and clay shooting. The real prize here, though, remains the fishing. The entire staff lives and breathes it, as well as the typical guest. Chef MacDonald goes

There certainly is something about learning the language of the river, finding those pauses and pools and landing a fly in just the right spot. Not something you can figure out in one session. The hook is in. I need to come back.

if you go

enough but not too much) and circle before releasing forward. Thunk. I lose the fly on the back swing. And more than a few times…on a log, branch or some other obstacle that seems to always get in my way but never my guide’s. That’s because my guide is Randy Killoran, who has catch records with the Tyee (the legendary longtime

this page: b. Sligl; opposite page: The lodge at Gold River


he water is cold and the current is strong. It swirls around my legs and tugs at the rubber overalls I’m wearing. I mean waders…It’s my first time wearing the fly fishing gear, and I feel rugged and ready for anything. Donning the waders puts you in a certain frame of mind.

the lodge at gold river Everything you need is taken care of, from the helicopter, should you want it, to the best-of-BC selection of wines with an island-sourced multi-course menu. thelodgeatgoldriver.ca more Find out about Vancouver Island’s central region, including the century-old Strathcona Park, at hellobc.com and env.gov.bc.ca/ bcparks/explore/parkpgs/strath/.

SUMMER 2012 Just For Canadian Doctors


t he w e a lt hy do ctor manf r ed pur tz ki, c .a.

d o c t o r o n a s o a p b o x D r . c h r i s p e n g i l ly

Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can reach him at manfred@purtzki.com.

Dr. Chris Pengilly is Just For Canadian Doctors’ current affairs columnist. Please send your comments to him via his website at drpeng.ca.

study abroad

not giving optimum value

Financing your child’s education in a foreign country

Physicians’ time is being spent doing more and more menial tasks


ately I have been receiving inquiries from doctors looking for advice on how to finance their son or daughter’s education outside Canada. Here is such a scenario. Dr. Bob is delighted that his 18-year-old son was accepted to study medicine in the same university in Scotland he graduated from a generation ago. Then, the initial euphoria gives way to the sobering question of how to finance the $40,000 a year for the next five years, including the annual tuition costs of about $20,000. Also, his 16-yearold daughter is already expressing her wishes to follow in her brother’s footsteps and study abroad as well. Dr. Bob is turning 60 this year. He’s divorced and does not expect any contribution to the children’s education from his ex-wife. The financial advisor looking after his $1.5-million portfolio suggests that he tack on another five years of practicing medicine after his retirement target date of 65. But Dr. Bob is definitely not embracing his advisor’s suggestion to work until age 70 just to get his kids through school. His son is very much aware of his dad’s financial situation, and even suggests taking out a loan himself if his dad co-signs. Dr. Bob agrees that the loan arrangement is the only way for his children to finance their stay in a foreign country. He considers three loan options:

2. His medical corporation, which owns all of his non-RRSP investments, makes a loan directly to his son. 3. He will arrange for the financing by way of the line of credit on his home, which his son will be obligated to repay in the future. In a call to his banker Dr. Bob quickly discards the first option as the bank would charge a higher interest rate to his son than he would receive personally, even though he would guarantee the loan. The second option is intriguing. His accountant advises him that his son would have to report as income any loans from Medco. An advance of $40,000 would trigger tax of about $2,500, assuming a $20,000 tuition fee. The beauty of this arrangement is that, later on, when the son is a high-income earner and repays $40,000 to Medco, he can deduct in full the repayment on his tax return—yielding a potential $16,000 tax refund. Not a bad result given that the son originally only paid

Set up a structure where the government ends up paying for your son’s or daughter’s education

1. His son takes out

the bank loan with his personal guarantee.


Just For Canadian Doctors SUMMER 2012

$2,500 of income taxes. The third option is also attractive. Dr. Bob arranges for a line of credit on his home at a low interest rate. An expected $40,000 will be drawn each year on this line of credit. Dr. Bob suggests to his son that any income splitting benefits he would enjoy by paying dividends to him and claiming the tuition fees, he would then apply to the line of credit amount. To illustrate, Medco pays a $80,000 dividend to the son, who transfers the funds to his dad. Dr. Bob uses these funds for his own personal use. Having no income other than the dividend, the son’s tax liability is about $5,000. Had Bob reported the $80,000 dividend on his tax return, the additional tax would be about $27,000. The income splitting benefit is $22,000, which pays for the son’s tuition. The tax benefit is particularly large because of the substantial tuition fee claim. To be eligible to claim tuition fees to a university outside Canada, all of the following conditions have to be met:

1. The student has to be in full-time attendance;

2. Each course must be of at least three consecutive weeks’ duration;

3. Each course must also lead to a degree for the student of at least the bachelor level or higher; 4. The tuition fees claimed must consist of eligible fees and must have been paid. Eligible tuition fees include any portion of tuition fees paid by scholarships or bursaries. When you’re facing large tuition bills for your children, consult with your chartered accountant to see how you can minimize the cost and ideally set up a structure where the government ends up paying for your son’s or daughter’s education.


his may be the last column I will be writing because what I’m going to say is an unpalatable truth—physicians are not working to their full potential and are not giving optimum value for the taxpayer dollar. The causes of this are several and the result is an unproductive spiral. One reason is that a significant proportion of physicians’ work and investigations are more to protect the physician from a medicolegal point of view than truly for the benefit of the patient. This is a systemic flaw in the ever increasing litigious society, and over which physicians have no control. Another reason is that physicians spend time doing tasks for which they are overqualified. The fee schedule for physicians which was appropriate in 1966 has now become a poor fit. The problem being that physicians have to do “menial tasks” in order to meet overheads in order to spend time with their more complex and demanding patient problems. This is further compounded by the fact that walk-in clinics are abounding dealing with short-term, often uncomplicated problems i.e. the “menial tasks” in the previous sentence. This problem has come to a head in British Columbia in an ugly and very public dispute concerning fees and conditions of on-call between anaesthetists, the Ministry of Health and the provincial medical association. The government’s solution is to legislate them back to work while they urgently train and employ anaesthetic nurse practitioners. This would have been much better introduced by the anaesthetists themselves, and at a gentle pace rather than being imposed and parachuted in by the government. Yet another suboptimal use of physicians’ time is time spent in the business aspect of running an office. That is to say hiring and firing of staff, negotiating leases, paying utilities etc. I am now in a group of physicians where I no longer have to deal with this side of practice—I love it. It is a great sense of

freedom to concentrate on medicine and patient care. Furthermore physicians are slow to adopt new technologies, not so much in patient care (as in adopting new drugs and investigation techniques), as much as in the delivery of this care. Examples of this are that only 16% of physicians exclusively use an electronic medical record, and 38% are still using entirely paper-based charts. What’s more, about 23% of family physicians run a solo practice. An extension of the previous problem is the physicians’ fiscal inability to employ and delegate to quality assistants. These would include stenographers, registered nurses, nurse practitioners and physician’s assistants. Finally physicians are being impeded in trying to progress by all levels of government. The most glaring example of this is the absence of a unified patient database. It would take a bold step and some legal clarification concerning confidentiality, but would save a great deal of physician time and healthcare dollars when it is instituted. I yearn for this every time that I am on call and have to spend time gleaning information and having to make a ‘best guess.’ Not pleasant for me and not always the best for the patient. Underlying all these preceding arguments is the physicians’ insistence on their being an independent profession, and the deep mistrust of physicians by all levels of government. Fiercely held independence has resulted in physicians having inequitable fees, few benefits and no secure pension, as well as an already overwhelming and increasing amount of paperwork and regulations. Maybe physicians should reconsider the cost of this independence, and consider working with governments to provide staffed offices or clinics in which physicians can work at the level for which they are trained.

Physicians are not working to their full potential

When practising in groups, primary care physicians can sub-specialise and use their skills to the maximum. For example I am surgically inept and will happily delegate my minor surgery. I can, however, give a good intrarticular injection, and I do a fair job of cognitive therapy. I am also finding it increasingly difficult to keep up with the treatments of diabetes, and would be happy to refer to an in-house colleague who had a particular interest in this area. Physicians will need to regain the trust of governments to have the fee schedules fundamentally rejigged to reflect the increased level of care and responsibility in this new, more productive pattern of practice.

SUMMER 2012 Just For Canadian Doctors


travel the world


travel the world


In search of surprising culinary and natural pleasures in the Holy Land By Tim Johnson

A beluga whale swims up to a kayak in Hudson Bay.

Tel Aviv beach on the Mediterranean Sea.

It’s a warm, breezy day in the Negev Desert, and I am perched on the very precipice of the Makhtesh Ramon, the largest crater in all of Israel. Safely harnessed and buckled and in the capable hands of an experienced guide, I begin to descend the vertical limestone wall, rappelling down into this great depression, a vast abyss caused by millions of years of erosion, 40 kilometres long and 10 kilometres at its widest. Just as I start to feel comfortable, settling into the harness, feeling the breeze, taking in a little bit of the dramatic view all around me, the peace and tranquility of the desert is shattered by the roaring sound of fighter jets, two of them, conducting a training exercise, cutting through the air faster than the speed of sound, rumbling past my back as I hang over the abyss. Not what I expected—but then, here in Israel, nothing quite matches my expectations. And that’s a very good thing. >> SUMMER 2012 Just For Canadian Doctors


travel the world >>

After dropping into the Ramon (and climbing back out), I clamber onto a bike and ride it along the edge of a nearby wadi. This area, part of Avdat National Park, about two hours outside of both Tel Aviv and Jerusalem, supports some 120 kilometres of trails, and outdoorsy types can choose anything from day-long rambles to serious multi-day excursions into this Biblical wilderness. For me, it’s

travel the world just a brief, half-day trip, a combination bike ride along the lip of the canyon, past a griffin vulture feeding area and a group of curious Ibex, who squint suspiciously at me as I ride past, then a hike through the Wadi Zin, the longest valley in Israel. Down inside the wadi, I keep seeing caves, and my guide, a kind, indefatigable man from Tel Aviv named Yigal Zevi, explains that the valley has, for thousands of years

(or even more) served as a corridor for both people and animals. Migratory birds like pelicans, flamingo and storks trace this path en route to Africa, and everyone from the tribes of Israel to Roman traders to Nabateans on the Spice Trail from Petra to Gaza have used this valley as a sort of ancient superhighway—flint, tools, and other archeological remains have been found down here. As we ascend up a Inside a Bedouin tent in the Negev.

it’s hard to believe that this good-time place is located in the very heart of the often-troubled Middle East


Just For Canadian Doctors SUMMER 2012

The Jewish Quarter of the Old City in Jerusalem.

The vast Judean Desert landscape, looking east towards the Dead Sea.

photos this page, opposite + previous: IGTO / Israel Ministry of Tourism

The fishing port of Old Jaffa. top Dragot (Daraja) canyon in the Judean Desert. left Sign for the Jaffa Gate entrance to Jerasulem’s Old City. bottom left Pastry stand in Jerusalem’s Arab souk.

narrow path, steps carved right into the sandstone, the dark, spring-fed Zin River bubbling nearby, Zevi shares that these caves were inhabited some 1600 years ago by Byzantine monks. “They just wanted to spend some time here,” he explains. “They considered this to be holy ground.” Before driving back to civilization, we make a brief stop at the grave of David Ben-Gurion, a key founder and the first prime minister of the modern state of Israel, who is buried in a simple plot nearby, a short distance from the Sde Boker kibbutz, where he spent the final years of his life. We enter Jerusalem as night is falling, checking into a hotel nearby the Jaffa Gate, the main entry point from the west into the Old City. Looking to refill the tank after a busy day, we walk up a hill, along Jaffa Street, deeper into modern west Jerusalem. I’m surprised to see that, in what is often considered the world’s holiest city, Jaffa is a hopping hub for nightlife, home to bars, pubs, coffee houses and small, trendy restaurants. As I look upon the city’s young, stylish, well-dressed denizens strolling along or gathered in friendly groups, it’s hard to believe that this good-time place is located in the very heart of the oftentroubled Middle East. We duck into one of the warmly lit restaurants near the top of the hill, a place called Canela, and settle in for a fabulous evening of Mediterranean fare and excellent Israeli wine. After two days in the capital, browsing the busy Arab markets (which sell more varieties of olives than I thought existed, alongside spices and challah bread and dried figs and dates), exploring the slanting lanes of the Old City and sampling some of the best hummus in the world in the Muslim Quarter, we head for the coast. Tel Aviv, which serves as Israel’s

Biking in the Negev.

Vineyards at Karmei Avdat in the Negev. left Food stand in the Arab quarter of the Old City in Jerusalem.

SUMMER 2012 Just For Canadian Doctors



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montpellier / riga / taipei / barcelona / hollywood … | c a l e n d a r

A n in ter n ation a l guide to continuing Medica l Education

centre of diplomacy, home to its international embassies, is also Israel’s favourite party town, a sort of Miami on the Med. We walk the length of its seaside boardwalk, a chosen route of joggers and bikers by day and romantic hand-in-hand couples by night, then tour the ancient port of Jaffa, a picturesque, cobblestoned settlement, one of the oldest in the world, which anchors the southern end of the boardwalk. After browsing through its high-end boutiques and bustling, low-end flea market, we head for lunch at Dr. Shakshouka. A waiter brings us heaping plates of shakshouka, a Middle Eastern pan-fried casserole with spicy tomato sauce and poached eggs. Turns out, it was indeed just what the doctor ordered.

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Just For Canadian Doctors SUMMER 2012

summe r 2012 + beyond


the truly multinational flavour of this small country only becomes readily apparent during an in-person visit While most people understand that Israel is the homeland of the Jews, the truly multinational flavour of this small country only becomes readily apparent during an in-person visit. Jewish people who had previously made their homes in countries around the world have flooded back to Israel, bringing with them the particular traditions of their former homes. In this case, the owner—the “doctor”— a rotund, extremely affable man named Bino Gabso, came here from Libya. He serves me himself, sidling up at an open-air table in an area of the restaurant that used to serve as a stable in Ottoman times, taking my spoon and combining the shakshouka with couscous, handing it to me to taste. As I lift the steaming food to my lips, he explains that this is a homemade recipe. “It’s how my mother used to cook in our kitchen when I was a child,” he says in Hebrew, the faithful Zevi translating for me. And with that bite, it all comes together: the history of the place, the sun shining down on my shoulders, the smell of the air, the rich, wonderful taste of the shakshouka. It would perhaps be too much to call this a religious experience, but this is where my own pilgrimage brought me. It’s not my homeland, but it feels like home—and that, perhaps is the biggest surprise of all.


if you go stay > Dan Hotels, including the world-renowned King David Hotel, offer comfortable (and often luxurious) accommodations throughout Israel: danhotels.com sample > Canela serves up great food with its lovely ambiance: canela.rest-e.co.il Dr. Shakshouka features excellent shakshouka, and much more: drshaksuka.rest-e.co.il go wild > Visit Avdat National Park: parks.org.il more > Discover more about what Israel offers at: goisrael.com

clockwise from top left Dessert at Château de Flaugergues; inside the historic château; café scene on the main square of Montpellier, known as L’Ouef; looking down on L’Ouef; and the medieval mikve.

Montpellier is tucked into the lovely southern France region of Languedoc-Rouissillon and

growing faster than any other city...it’s a French revolution! (CME events in Montpellier are highlighted in blue.) photos: mélanie paul-hus; except bottom centre: Montpellier Agglomération

Healthcare Perspectives from Down Under Sydney to Auckland Accredited CME Program January 16 – 28, 2013



h, the south of France. It’s a perennial favourite destination—with good reason. The weather, cuisine and lifestyle are all about la bonne vie. But there’s one city here that doesn’t get the attention it deserves. Montpellier is 11 km from the Med and just three hours from Barcelona, Italy
and Paris. And it’s smack in the middle of the Languedoc-Roussillon region that boasts seven UNESCO World Heritage sites, including the Pont du Gard. Oh, and it’s been named one of the top 45 places to go in 2012 by The New York Times. With over 1,000 years of history, Montpellier is a feast for art-and-culture lovers. Here, you can see gorgeous mansions and courtyards from the 16th to 20th
centuries, the oldest still-active university of medicine in the western world (dating to 1180), and a never-ending network of narrow medieval alleyways. But it’s also France’s fastest growing city with a vibrant student community (it’s been a university town for centuries) and plenty of modern appeal. Watch the interplay between old and new from a café on the central Place de la Comédie (known as l’Oeuf for its oval shape).

Or walk through
Place de la Canourgue, a garden haven with a view overlooking the Faculty of Medicine, and Place Jean Jaurès, a gathering spot for Montpellier’s younger crowd. A must is the unexpected and relatively unknown Fabre Museum. The building itself is a renovated mansion and gorgeous combination of classic and contemporary architecture, and inside is one of the most important collections of art in France. This summer see “Bodies and shadows: Caravaggio, Caravaggism in Europe.” Then, back outside, there are close to 100 parks and gardens. This city does green very well—it always has. The Jardin des Plantes was created in 1593 to study
medicinal plants, an offspring of the renowned medical school and the model for all such botanical gardens in France. Of course, this being France, there’s plenty of green space to be found in surrounding wineries. AOC Languedoc wines include Minervois, Saint-Chinian, Faugères, Limoux, and on and on. Make your introduction to this region’s under-appreciated viticulture at Château de Flaugergues on the outskirts of the city. This boutique

winery is the place to sample stellar wine and local fare in a charming courtyard. Tour the historic château afterward—you may even meet the comte (see page 5). Back in the city, hop on the tram. It’s been called Europe’s sexiest tram system, with trams flaunting whimsical designs by the likes of Christian Lacroix (think Mediterranean motifs of octopus, fish, starfish and marine monsters). The flashy new Lacroix line just opened this past April. Make stops to see the medieval mikve, a ceremonial Jewish bath dating from the 13th-century and one of the best-preserved in Europe. And more architectural wonders await, from the 1536 St. Pierre Cathedral and 18th-century Comedie Opera House to the modern Berlioz Opera House and futuristic Pierresvives building (by architect Zaha Hadid, the only woman to have won the prestigious Pritzker prize). View it all from atop the 17th-century Triumphal Arch. And then walk some more. After all, Montpellier has one of the largest pedestrian zones in Europe. Yes, this city has it all. —B. Sligl For more info on Montpellier, go to ot-montpellier.fr/en/.

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Canadian Cardiovascular Congress

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Taipei Taiwan

International Society for Pharmacoeconomics & Outcomes Research (ISPOR) 5th Asia-Pacific Conference




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Berlin Germany

International Society for Pharmacoeconomics & Outcomes Research (ISPOR) 15th Annual European Congress




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American College of Neuropsychopharmacology 2012 Annual Meeting

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21th Annual Congress Of The European Academy Of Dermatology And Venereology




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SDPA 10th Annual Fall Dermatology Conference

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Barcelona Spain

6th World Meeting Of Interdisciplinary Melanoma/ Skin Cancer Centres

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Jul 20-21

Montpellier France

Troubles Alimentaires et Nutrithérapie


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Sedona Arizona

13th Annual Conference On Integrative Medicine In Women’s Health

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Montreal Quebec

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Paris France

International Congress on Naturopathic Medicine

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Calgary Alberta

Anesthesia Update

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Lake Buena Vista Florida

41st Annual Refresher Course For Nurse

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Valencia Spain

International Workshop On Transient Receptor

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Diabetes And Obesity Update 2012


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Oct 04-06

Prague Czech Republic

Promoting A Culture Of Quality & Consistency In Critical & Point-Of-Care Testing

American Association for Clinical Chemistry



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Berlin Germany

48th European Association For The Study Of Diabetes Annual Meeting

European Association for the Study of Diabetes



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London England

Small Scale Bio-Production: Beyond The Flask


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Vancouver British Columbia

2012 CDA/CSEM Professional Conference And Annual Meetings

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Snowbird Utah

Frontiers of NMR In Biology



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Dubai UAE

1st American Diabetes Association Middle East Congress

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Houston Texas

94th Annual Meeting Of The Endocrine Society

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Sep 08-12

Pisa Italy

36th Annual Meeting Of The European Thyroid Association

European Thyroid Association


eurothyroid. com

Nov 01-03

Los Angeles California

10th World Congress On Insulin Resistance, Diabetes & Cardiovascular Disease

Metabolic Endocrine Education Foundation



Nov 08-11

Barcelona Spain

4th World Congress On Controversies To Consensus In Diabetes, Obesity & Hypertension

Comtec Medical Congresses




Montpellier France

Ongoing And Various Courses

UniversitĂŠ Montpellier



Jul 20-22

Cape Cod Massachusetts

Primary Care Update - Summer Refresher

Continuing Medical Education Institute, Inc



Jul 23-27

St. Augustine Florida

3rd Annual Essentials In Primary Care Summer CME Conference Session 1

Company Inc.

800-327-4502 See Ad Page 29


Jul 30Aug 01

Banff Alberta

CBT Banff

CBT Canada

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Jul 30Aug 03

St. Augustine Florida

3rd Annual Essentials In Primary Care Summer CME Conference Session 2

Continuing Education Company Inc.

800-327-4502 See Ad Page 29


Aug 13-24

Mediterranean cruise

CBT Mediterranean

CBT Canada

877-466-8228 See Ad Page 33


Sep 21-25

Lake Tahoe California

Primary Care Orthopaedics

UC Davis Health System



Oct 13-29

Spain & Portugal

CME, Cultural & Gastronomical Tour Of Spain & Portugal




Oct 22-26

Maui Hawaii

2nd Annual Primary Care Fall CME Conference

Continuing Education Company Inc.

800-327-4502 See Ad Page 29


Nov 02-04

Scottsdale Arizona

9th Annual Primary Care Update - Fall Conference

Continuing Medical Education Institute, Inc



Nov 05-09

Florida Keys Florida

Essentials in Primary Care Fall Conference

Continuing Education Company Inc.

800-327-4502 See Ad Page 29


Nov 17Dec 01

Caribbean Cruise

Primary Care Update

Sea Courses Cruises

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Nov 29Dec 08

Ecuador and Galapagos Islands Cruise

The Evolution Of Man & Medicine - Historical And Emerging Healthcare Issues

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new CME list from Continuing AdamEducation

Just For Canadian Doctors SUMMER 2012

Professional Education Society


Sep 12-15


General & Family








Infectious and Chronic


Internal Medicine



Medicine Medicine

General & Family





c m e calendar









Mar 04-08 2013

Maui Hawaii

8th Annual Primary Care Update

Continuing Medical Education Institute, Inc



Mar 21-29 2013

Marco Island Florida

16th Annual Primary Care Update - Session 2

Continuing Medical Education Institute, Inc



Mar 28Apr 08 2013

Australia Cruise

CBT Australia

CBT Canada

877-466-8228 See Ad Page 33


May 27Jun 03 2013

Black Sea Waterways River Cruise

Treatment Considerations In Eastern Europe

Professional Education Society

877-737-7005 See Ad Page 22


Oct 24-27

Minneapolis Minnesota

75th Annual University Of Minnesota Colon & Rectal Surgery Current Principles & Practice

Colon & Rectal Surgery Principles Course



Nov 06-10

Baltimore Maryland

38th Annual Topics In Gastroenterology & Hepato-Biliary Update Conference

Johns Hopkins University School of Medicine



Dec 17-18

Amsterdam Netherlands

Amsterdam Live Endoscopy 2012

European Postgraduate Gastro-surgical School



Oct 24-26

Cyprus Limassol

3rd Pan-European Conference on Haemoglobinopathies and Rare Anaemias



thalassaemia. org.cy

Nov 06-10

New York New York

Chemotherapy Foundation Symposium

Mount Sinai School of Medicine



Sep 02-09

Asian Cruise

Infectious Disease Review

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39


Jan 16-28 2013

Australia & New Zealand Cruise

Healthcare Perspectives From Down Under: Changing Demographics & Chronic Disease Patterns In The Pacific

Professional Education Society

877-737-7005 See Ad Page 22


Mar 15-25 2013

Bali & Java Sea Cruise

Confronting Community Healthcare:Challenges & Delivery Systems In Indonesia

Professional Education Society

877-737-7005 See Ad Page 22


Aug 18-25

Alaskan Cruise

Internal Medicine Update 2012


888-523-3732 See Ad Page 28


Sep 01-04

Dallas Texas

MedStudy Internal Medicine Recertification Board Review Course

MedStudy Corporation



Nov 07-09

Paris France

Sepsis 2012: New Successes, New Challenges

International Sepsis Forum



Jul 07-14

Lipari Italy

14th Annual Europe Asia Medical & Legal Conference



conferences21. com

Sep 29Oct 06

Canada New England

Psychiatry And The Law

Sea Courses Cruises

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seacourses. com

Oct 26-29

Montreal Quebec

43rd Annual Meeting Of The American Academy Of Psychiatry And The Law

American Academy of Psychiatry and the Law



new CME list from International AdamFederation

SUMMER 2012 Just For Canadian Doctors









Sep 08-11

Barcelona Spain

34th Annual Congress Of The European Society For Clinical Nutrition & Metabolism




Feb 19-24 2013

Santa Fe New Mexico

Nutrition, Epigenetics And Human Disease

Keystone Symposia



Jul 22-29

Alaskan Cruise

SOGC presents ALARM at SEA


888-523-3732 See Ad Page 28


Women’s Health Update 2012


888-523-3732 See Ad Page 28




Sep 19Oct 01

Western Europe Cruise

Oct 18

Guildford England

Women’s Health Meeting (Guildford)

British Menopause Society

Sep 09-13

Vienna Austria

Best Practice in Radiation Oncology: A Workshop To Train the RTT Trainers

European Society for Radiotherapy & Oncology


estro-education. org

Sep 20-21

Winnipeg Manitoba

21st Annual Provincial Conference Of Hospice & Palliative Care Manitoba

Hospice & Palliative Care Manitoba



Oct 14-18

New Delhi India

Advanced Technologies

European Society for Radiotherapy & Oncology


estro-education. org

Oct 28-30

Marseille France

ESH International Conference On Lymphomas

European School of Haematology



Oct 12-21

Western European Cruise


Inc./University at Sea

800-422-0711 See Ad Page 39


Nov 07-09

Leeds England

40th Meeting Of The British Society For Paediatric Endocrinology And Diabetes

Society for Paediatric Endocrinology



Aug 06-10

Huntsville Alabama

A&E Intervention: A Unique Approach To Problem Based Learning For Addiction Medicine

McMaster University

See website

mcmastermuskokacme. com

Oct 17-21

Prague Czech Republic

World Psychiatric Association International Congress 2012

GUARANT International



Jun 24Jul 05

Arusha Tanzania

5th Annual Update In Altitude and Expedition Medicine

Medicine On The Edge

011-61 0400005-668


Sep 28-30

Manitoulin Isl. Ontario

WildER Med 2012

Manitoulin Wilderness Medical Educators



Aug 23-25

Baltimore Maryland

6th Annual Joint Course: New Technology For The Treatment Of Adult Hip & Knee Disorders

Sinai Hospital of Baltimore


lifebridgehealth. org

Tahitian Cruise

Technology In Clinical Medicine

Sea Courses Cruises

Mar 27Apr 06 2013

new CME list fromContinuing AdamEducation,

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seacourses. com

For feedback, requests or to have your course featured please email cme@inprintpublications.com or submit your course via www.justforcanadiandoctors.com

CRUISE through your next COURSE.

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Just For Canadian Doctors SUMMER 2012




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As ever, this CMEatSEA team proved to be the most attentive & genuinely concerned about our CME experience. There are no competitors or competition... — Dr. Roger Dodd, Edmonton, AB

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CME Conferences

Solve puzzle #2 for a chance to win a Cayman Islands Gift Pack (travel accessories and a $50 VISA gift card)!


Sudoku is simple enough that anyone can play, yet difficult enough that anyone can improve at it. Each Sudoku puzzle has a unique solution that can be reached logically without guessing. Fill in the grid so that every row, column and 3x3 square contains the digits 1 through 9. winner of last issue’s sudoku contest: Dr. Paulette Comeau of Red Deer, AB

sudoku 1 easier solution on page 33

Oncology & Rural





Palliative Care

Obstetrics &



sudoku 2 harder solution in next issue

c m e calendar




9 2

3 1 8 3 7

2 5 8 4 6 1 3 4 1 8 6 1 7 8 5 4 2 3 9 9 3 2 8 6 8 4

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7 3 3 8

6 9 4 2 1 2 4 5

7 5 9 7 4 2 4 1 9 1

5 8

3rd Annual Essentials in Primary Care: Summer I & II July 23-27, 2012 July 30 - August 3, 2012 Hammock Beach Resort Palm Coast, Florida 16th Annual Hypertension, Diabetes and Dyslipidemia Conference (endorsed by the American Society of Hypertension) July 27-29, 2012 Hammock Beach Resort Palm Coast, Florida 2nd Annual Primary Care Fall Conference: Maui 2012 October 22-26, 2012 Sheraton Maui Resort and Spa Maui, Hawaii

1-800-327-4502 1-516-882-5551 entry form

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3rd Annual Essentials in Primary Care Fall Conference November 5-9, 2012 Hawks Cay Island Resort Duck Key in the Florida Keys Essentials in Primary Care Winter Conference February 4-8, 2013 Hilton Marco Island Resort and Spa Marco Island, Florida Primary Care 2013 Winter Conference: Hawaii February 18-22, 2013 Maui Westin Resport & Spa Lahaina, Maui, Hawaii 20 CREDITS PER CONFERENCE



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2 4 1 7 9

Puzzle by websudoku.com

Sudoku Puzzle Contest Rules: 1. Entry form must be accompanied by solved puzzle. Only correctly solved puzzles entered into random draw. 2. Send puzzle and entry form to Just For Canadian Doctors, 200 – 896 Cambie Street, Vancouver, BC, V6B 2P6 or by fax to 604-681-0456. Entries must be received no later than August 24, 2012. 3. Prize: Cayman Islands Gift Pack (travel accessories and a $50 VISA gift card). Odds of winning dependent upon number of entries. Winner contacted by telephone and announced in Fall 2012 issue. 4. Contest can be changed and/or cancelled without prior notice. 5. All entries become property of In Print Publications. Employees of In Print Publications and its affiliates are not eligible to participate. SUMMER 2012 Just For Canadian Doctors


t h e t h i r s t y d e n t i s t l u c a s ay k r o y d

t h e h u n g r y d o c t o r d r . h o l ly f o n g

Lucas Aykroyd writes about everything from adventure travel to sports (hockey is his forte) for publications ranging from the National Geographic Traveler to the IIHF. Here he delves into something that goes rather well with hockey (especially during playoff season): a good brew.

Dr. Holly Fong is a practising speech-language pathologist with three young children who is always trying, adapting and creating dishes.

soup’s on

San Diego suds Tasty, edgy microbrews lure visitors to this beer mecca

Chilled summer soup makes a surprisingly delish dish



ranted, water is San Diego’s dominant liquid, from the US Navy presence to Sea World. Yet California’s secondlargest city also boasts a burgeoning beer scene. More than 30 area microbreweries quench the thirst of beer lovers. Check out three of the best.

Stone Brewing Co. This aggressively gorgeous, 55,000-squarefoot Escondido brewery is beer’s answer to a

hen the weather turns hot, cold soups make refreshing meals. Soups such as gazpacho require no cooking, making them ideal summer meals. And some cooked soups can be served warm or cold, like vichyssoise. Then, there are the soups that are traditionally served warm but can also be fantastic cold. Who knew? Such is the case with a spiced mango soup recipe I got from a friend’s mother. The original recipe was spicier and served hot. But upon tasting the leftovers straight from the fridge, I knew it would be fabulous during the dog days of summer. Not only was it delicious, but the actual stove cooking time

with a four-beer tasting. In the gift shop, score T-shirts, glasses, and even skateboards with Stone’s gargoyle logo. Or take home the official history book, The Craft of Stone Brewing Co. ($25 US), which features food and brewing recipes. stonebrew.com.

Green Flash From the Rolling Stones to Death Cab For Cutie, rock music echoes

+ right The “aggressively gorgeous” Stone Brewing Co. brewery, where you can sample the signature Arrogant Bastard Ale. above right Le Freak from Green Flash is a Belgian-style brew that “rocks.”


tours by appointment. Ask to toot the steam whistle. greenflashbrew.com

Lost Abbey Beer is a religion at this well-hidden, 2006-founded San Marcos brewery. Surreal, suds-themed paintings of the Magi and the Four Horsemen overlook the bar, where patrons quaff everything from the boozeladen Belgian-style Inferno Ale to the coppercoloured Avant Garde—similar to a French Saison—with its distinctive aftertaste. In the “fight between good beer and bad beer,” as lead bartender Jason Danderand puts it, Lost Abbey’s crusade includes one of America’s largest barrel programs, with about 1,000 barrels. Sacred rites range from barrel-tasting nights to masquerade balls. lostabbey.com

Spiced Mango Soup (serves 8 – 10) 2 tsp chickpea flour 1/8 tsp ground turmeric ¾ tsp ground cumin ¾ tsp ground coriander 2 c water plus 3 tbsp and ½ cup ½ c plain 2% yogurt (without agar, gelatin, xanthan or carrageen gum) 3 c chunks of ripe mango (6 – 7) 1 ¼ –1 ½ tsp salt ½ tsp sugar or to taste 1 small fresh red chili, partially slit, not completely sliced

+ more ways to beer it up

SoCal theme park. March through the packed parking lot, under a curving canopy of greenery, and into the high-ceilinged entrance hall before unleashing your taste buds. Swig the signature Arrogant Bastard Ale (7.2%) or Stone Pale Ale in the 380-capacity bistro, built around a majestic rock water feature. Ready to investigate those towering stainless steel tanks beyond the interior floor-to-ceiling windows? Free 45-minute brewery tours are offered daily, guided by perky, humorous “indoctrination specialists” and culminating

through Green Flash’s new, warehousestyle tasting room off Mira Mesa Boulevard. Happily, the beer rocks too. “People who never even knew what craft beer was come in and say, ‘Wow, this is amazing,’” says certified cicerone Dave Adams. Craving flavourful ales? Try the West Coast IPA, super-bitter with a citrus character and malt backbone. Relish a twist on Belgian Tripel with Le Freak (9.2%), with its huge banana nose and hints of bubble gum and spice. Green Flash offers scheduled weekend tours and private

Create your own San Diego beer route, downloading a free map from the San Diego Brewers Guild, which outlines public transportation options (sandiegobrewersguild.org). Alternatively, contact Brewery Tours of San Diego and sample selected highlights over five hours while being chauffeured around (brewerytoursofsandiego.com). Want one-stop beer shopping? Savour more than 200 bottled beers and dozens of draughts at Hamilton’s Tavern (hamiltonstavern. com). Or meet local brewers at San Diego Beer Week in November, enjoying tastings, food pairings, and book signings. The festival offers 200-plus events (sdbw.org).

Thank you to all those who submitted answers to Dr. Neil Pollock’s wine quiz in the Spring 2012 issue. We’ll announce the winners (along with those answers!) at justforcanadiandoctors.com. If you’ve proven yourself wine worthy you’ll soon be sipping a Nagging Doubt vintage from this new, boutique BC winery. And let us know what you’d like us to cover in The Thirsty Doctor column—from pinot noir to pale ale.


Just For Canadian Doctors SUMMER 2012

dr. holly fong

and the nagging winner is…

through 2 tbsp corn oil ½ tsp whole brown mustard seeds ½ tsp whole cumin seeds 1/8 tsp whole fenugreek seeds 1 whole dry chili 10 to 15 fresh curry leaves Crisp flatbread optional garnish: 1 tbsp finely chopped cilantro 1 red bell pepper, finely diced and ½ mango, finely diced

Pureemangowith3tablespoons water andset aside. > Put chickpea flour, turmeric, groundcuminandcoriander ina bowl. Slowly stir in½cupwater until nolumps are left. Whisk inyogurt, mangopureeand2cups water. Addsalt, sugar andfreshchili. Mix well. > Pour oil intoa heavy, medium-sizepanandset over medium-highheat. Whentheoil is very hot, addmustardseeds, cuminseeds, fenugreek seeds, driedchili andcurry leaves. Remove fromheat andstir inthemangomixture. Placeover mediumheat andsimmer for 5minutes, stirring. Remove fromheat, cover andlet sit for at least 30minutes. > If servinghot, gently stir andreheat. Strainsoup. If servingchilled, strainandcool soupinrefrigerator for 1– 2hours. Adjust seasoningwithsalt andsugar to taste. Servewithsomecrispflatbreadandgarnishwith choppedcilantroanddicedmango-redpepper mixture (optional).

was only about 5 minutes, with 30 minutes of cooling down before transferring to the fridge. Make the soup the day before or throw together a salad and relax with a glass of chilled wine while waiting for it to cool. Because the soup has some heat from chilies, choose a wine with a slightly lower alcohol content. Otherwise you might wish you had a cool beer instead. With the sweetness of the mango, a well-balanced dry or medium-dry German Riesling is the ideal pairing. Without breaking the bank, the Prinz von Preussen Medium-Dry Riesling from Schloss Reinhartshausen works well with this soup or on its own as a summer

Prinz von Preussen MediumDry Riesling from Schloss Reinhartshausen works well with this soup or on its own as a summer sipper.

sipper. The wine has floral notes of apples and apricots, and is well-balanced with good acidity, fullness in the mouth and tastes of stone fruit with a slight mineral edge ending in a long lemony finish. Mmm…

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motoring [continued]


Dr. Kelly Silverthorn is a radiologist and Just For Canadian Doctors’ automotive writer.

muscle from back in the day. So, last August I did a “rediscover my roots” trip. I timed my journey to take in Detroit’s Woodward Avenue Dream Cruise, followed by a ride up Highway 401 to check out my old Guelph neighbourhood. My press friends at Chrysler obliged me by providing a 2011 SRT8 Hemi Challenger in “Top Banana” (a vivid yellow), and six-speed manual shift. Yes, Motown’s muscle cars are in a renaissance period, and Chrysler has re-christened a new Challenger, several new Hemi engines, and period colors like Plum Crazy. My Challenger’s retro-styling and wild paint scheme got lots of stares throughout my trip. The big Hemi’s 425 horsepower and menacing rumble backed up those Vanishing Point good looks. I was intrigued

sudoku 1 easier solution 7 5 8 9 6 3 4 1 2 4 2 6 1 5 8 3 7 9 3 1 9 4 2 7 8 6 5 8 7 2 5 4 6 1 9 3 9 4 5 3 1 2 7 8 6 6 3 1 7 8 9 5 2 4 2 8 4 6 3 1 9 5 7 1 9 3 2 7 5 6 4 8 5 6 7 8 9 4 2 3 1

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sudoku 2 harder solution 6 9 7 4 3 1 8 5 2 8 4 1 7 5 2 3 6 9 3 2 5 6 9 8 7 1 4 7 3 2 1 4 5 9 8 6 1 8 4 9 6 3 5 2 7 5 6 9 2 8 7 4 3 1 2 1 3 5 7 4 6 9 8 4 5 6 8 2 9 1 7 3 9 7 8 3 1 6 2 4 5

Puzzle by websudoku.com

at your service

Sweet ride. The “Top Banana” Challenger from Chrysler.

that those eyeballing my bumblebee Dodge would then seek out eye contact with me. This eye-dance does not happen when I drive luxury cars or exotics. My theory is that muscle cars provide a comfort zone for most people to acknowledge they actually like exciting cars. Detroit’s modern muscle cars may look, sound and accelerate like their forebearers of 40 years ago. However, today’s muscle provides relaxed highway cruising in sixth gear, acceptable ride, noise, vibration, harshness, braking and even decent fuel mileage. Handling, however, will not be confused with a true sports car. At 4,200 pounds and large enough to carry four in comfort, that compromise is somewhat expected. The city of Detroit has had to make many compromises; it’s been in slow decline almost continuously since the zenith of the original muscle car era some 40 years ago. However, Motown is a city as defined by its primary industry as any major city in North America. Detroit eats, breathes and sleeps car manufacturing. Car enthusiasts abound. So it should not come as a great surprise that the Motor City hosts the world’s largest annual one-day car event. For the past 16 years as many as 1.5 million people have lined the 16 miles of Woodward Avenue the third Saturday in August. Forty thousand classic and special-interest cars parade up and down Woodward from 9 am to 9 pm. The vast majority of those 40,000 cars are muscle cars, many of which have been modified for more horsepower or with louder paint. Cruising is not the only attraction of the Motor City event. The nine communities that share the event are partners in the largest annual event in the Michigan economy. It spins off $56 million dollars to these communities, more than even a Super Bowl would. Over 100 local charities also benefit. The host communities further support the event with numerous free concerts, car club displays

solution from page 29


he final years of the 1960s were a coming of age for me: close friends, the break-up of The Beatles, the first moon landing, that crush on Pam. All occurring during two pivotal years in Guelph, Ontario. Little did I realize the impact that nearby Detroit had on me during those formative years. Motor City’s muscle cars were the rides everyone I knew wanted. We were all superenvious of the older kid on our street with his new 1970 SubLime Green Dodge Super Bee. Mopar’s Plymouth and Dodge always boasted the coolest names and colours. No surprise then that it’s the original Hemiengine ‘Cudas and Challengers in wild period colours that are today’s most acclaimed

dr. kelly silverthorn

Re-connecting with my hometown via Motown

solution from SPRING 2012 contest

Motown muscle

sudoku solutions

and vendor booths. The whole event is freeentry, alcohol-free and family friendly. Arrive early for the best parking and viewing spots. A few hours after my final cruise of Woodward Avenue I was touring the Hemi sedately around my old Guelph neighbourhood. The new-age Dodge felt as at home as the originals. I’m pleased that Motown muscle still sells. Ford Mustangs, Chevrolet Camaros and Dodge Challengers make up roughly one in 10 of the cars sold by the “Big Three.” And that’s good news for the Ontario and Canadian economy, with every Challenger and Camaro assembled right here. As my flight time home loomed, I snuck in one last bit of nostalgia by pulling up outside Pam’s old house and tuning in to a Detroit FM station broadcasting a Supremes hit. Ahhh, seems like just yesterday. Life was simple and mostly local to me in the late 1960s. And those products and events that best recapture for us our simpler rose-tinted memories of yore will earn our loyalty. So, as the only true franchise holders of the muscle car, I wish Motown success in appealing to future generations. The world would be a far less interesting place without them.

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We require clinical associates to provide service from 1700 to 0800 hours, seven days a week in the 3 multisystem ICUs of the Region and day shifts (0800-1700) in one of these ICU’s. Physicians will be integrated into the current physician healthcare team, including bedside physicians, residents and attending intensivists. As part of a specialized multidisciplinary team, the clinical associates’ role, in addition to patient care responsibilities in the unit, will be to provide tier one responses for all ICU Outreach Team calls within the institution. These teams were created as a patient safety initiative to advance the “ICU without walls” concept. Activation of the outreach team can occur by any concerned staff member or any unit of an acute care facility. The team is expected to rapidly assess and stabilize the patient, assist with communication, educate and support staff who have activated the team and assist with transferring the patient to the ICU when necessary (25 – 30% cases).


INCENTIVES - ~13 shifts per month for 1.0 FTE (FTE of 0.25 to 1.0 available) - CME opportunities are encouraged and supported - partnershiped training with the Society of Critical Care Medicine (Fundamentals of Critical Care Support Course) - Crisis Resource Management training provided via high fidelity simulation (on-site) - additional support always available through function in the ICU team environment

QUALIFICATIONS Physicians must be eligible for Practice Permit from College of Physicians and Surgeons of Alberta, AHS Medical Staff Privileges, appropriate Canadian Medical Protective Association coverage, and ACLS certification.

APPLY TODAY LIFESTYLE Calgary is a growing city, approaching a population of 1,200,000 people and is located on the Bow River in Southern Alberta, Canada. This is an exciting, young and vibrant city, known for its proximity to the Rocky Mountains and world famous Banff National Park.

Interested physicians should forward their CV with references, and address all inquiries to: Jeannie Shrout, Department Manager Critical Care Medicine Alberta Health Services Room 0452 - McCaig Tower, 1403-29 St. N.W. Calgary, AB T2N 2T9 jeannie.shrout@albertahealthservices.ca

Work. Life. Balance.

Travail. Vie. Équilibre.

Practicing in New Brunswick is more than a career choice. It’s a life choice.

L’exercice d’une profession dans le secteur de la santé au Nouveau-Brunswick s’avère plus qu’un choix de carrière, c’est un mode de vie. Venez au Nouveau-Brunswick. Vivez pleinement.

Come to New Brunswick. Make life happen.

Rural Family Practice Opportunities Saskatoon Health Region

Water, beach, hunting, fishing, camping, golf, and so much more… It might surprise you to find out what our rural communities have to offer. To Apply: To learn more about the opportunities available, please contact: Jackie McKee Tel: 306-655-0196 Email: jackie.mckee@saskatoonhealthregion.ca


Just For Canadian Doctors SUMMER 2012

www.gnb.ca/physicians www.gnb.ca/médecins



The Department of Critical Care Medicine is currently recruiting Clinical Associates for the Intensive Care Units at all adult sites within the Calgary Zone.



Exciting Medical Practice Opportunity in

Enjoy a safe, secure, rural lifestyle and community support for your family in Flagstaff County, Alberta, Canada. Daysland is 1.5 hours SE of Edmonton.


“Your new home away from home” will consist of working in a brand new well equipped 4 physician clinic. 24 hour emergency coverage and weekends on call are on a 4 week rotation. Moving and signing bonuses provided. Must be qualified to obtain obstetrical privileging.

16 acute and 10 rehab beds under the management of a well established practice: currently have 3 GPs (1 with anesthetic privileges ) and 4 visiting surgeons and 1 visiting anesthetist. Surgery performed 3X week including laparoscopic cholecycstectomy, tubal ligation, hysterectomy, C-section, endoscopy. Approx. 120 deliveries/year.

Daysland Health Centre Tel: (780) 374-3746 Mariann Wolbeck mariann.wolbeck@albertahealthservices.ca

Canada’s Best Neighbourhood! A new practice opportunity is available with the Wardlaw Medical Centre, an established clinic with a collaborative on-site pharmacy located in the heart of Osborne Village, recently voted as Canada’s ‘Best Neighbourhood.’

Remuneration is generous, offering a 0% split to start in order to help you establish your practice, or a guaranteed minimum income can be negotiated. Our clinic is fully staffed with experienced professionals to ensure all of your billing and scheduling requirements are met. Clinic space will be newly redesigned for our staff and patients needs. There is no on call, weekends, or evenings required. If you would like to be part of a growing practice, in a dynamic location, with a pleasant working environment please call or email for additional information. Jason Pankratz Clinic Manager 204.292.7265 Jason.Pankratz@canadadrugs.com

TheisonNLorakteh, Frase r Valle y

Opportunities with a leading healthcare provider

We are inviting applications for an Medical Director post with significant managerial focus. We seek an individual with demonstrable leadership qualities who will lead the consultant body through a track record of delivering clinical excellence. The successful candidate will support the Group

Int e rior

PRACTICE mEDICINE IN bRITISH COLUmbIA Enrich your career. Enhance your quality of life.

Required for UKSH South West Full Time Emersons Green (Bristol), Devizes, Cirencester

UKSH South West operates 3 treatment centres in Bristol, Cirencester & Devizes covering a range of specialities including orthopaedic, ophthalmology, gynaecology, general surgery, dental, and urology and employing 40 consultants to support our activity.

The Fraser Valley C lint on, T he

Ha r r

Medical Director

UK Specialist Hospitals (UKSH) is a leading healthcare company contracted to deliver elective services to NHS patients. UKSH delivers high quality healthcare, excellent professional standards and outstanding clinical results as reported in the most recent Dr Foster publication.

, C B l a r Ru . e b o t e c the pla







Medical Director in achieving local and national clinical standards whilst acting as an ambassador for UKSH in the medical community. The post holder will undertake some clinical work but will focus on leading the medical team whilst contributing to the clinical management of UKSH South West in conjunction with the Registered Manager and senior team. To apply for this position please email your CV to Neil Andrews, Recruitment Manager, to: swrecruitment@uk-sh.co.uk Candidates for the above position will be subject to CRB disclosure. We are an Equal Opportunities Employer.

Join the hundreds of physicians who have moved to rural british Columbia to enjoy a quality of life that is envied around the world. our physician services team will assist you with licensing and immigration, and match your skills and interests with job vacancies in the regions of your choice. Register online today!




rior The Intege, The Nort h G e or Princ e

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www.uk-sh.co.uk 36

Just For Canadian Doctors SUMMER 2012

toll-FRee: 1.877.867.3061

Photos: tim Swanky, Picture bC & tourism bC

tel: 1.604.736.5920

eMAil: welcome@healthmatchbc.org

SUMMER 2012 Just For Canadian Doctors


Continuing Education, Inc. University at Sea™

It’s in the genes…her father’s a family doctor and now she’s following in his footsteps. This fourth-year med student spent last summer learning the ropes from another MD and family friend in Penticton. Her summer agenda while there (in between medical training): biking through vineyards, wine tasting, fishing, seadoing, tubing, and following the example of yet another local MD, the chief of surgery who starts his days by waterskiing on the lake (see her story on page 12). My name: Alison Read I live and practise in: Vancouver, BC My training: BSc Psychology, currently in 4th year medicine Why I was drawn to medicine: Interest in my

My ultimate dream vacation: Europe

could not do without: iPhone

always stocked with: Band-aids

If I could travel to any time, I’d go to: See Michael Jackson and Motown performers in the 1970s

My favourite room at home: Kitchen

My guilty pleasure is: Dark chocolate

My car: Nonexistent at the moment!

My favourite exercise/ sports activity: Swimming

My favourite book:

My last purchase: Anesthesia textbooks

My favourite sport to

Outstanding Value for your Time and Resources Combine Live CME and Personal Renewal Time with Family and Friends All Activities provide up to 14 AMA PRA Category 1 Credits™, 14 ANCC Contact Hours and 13-14 AAFP Prescribed credits unless otherwise noted Course Fees for all 14 hour courses; MD/DO/PhD/DDS/DMD—US$695 • RN/NP/PA—US$450

My scariest moment: Cliff jumping into the ocean

Featured Destinations October 12, 2012 Pediatrics February 6, 2013 Emergency Medicine 14 AMA PRA Category 1 Credit(s)™ 14 Contact Hours 21 AMA PRA Category 1 Credit(s)™ 21 Contact Hours 9-Night Western European from Amsterdam 14-Night Australia/New Zealand - Sydney to Auckland Celebrity Cruises' Brand New Reflection Holland America's ms Oosterdam

My fondest memory: Annual family ski trips to Sun Peaks Resort A big challenge I’ve faced: Trying to decide which residency to pursue! One thing I’d change about myself: Overanalyzing most things The word that best describes me: Enthusiastic I’m inspired by: Physicians who are passionate about their work My biggest ego boost: Positive feedback during my hospital rotations My biggest ego blow: Criticism from a surgeon in the OR regarding my subcuticular suturing I’m happiest when: I achieve balance between sleep, work and extracurricular activities My greatest fear: Failure My motto: Strive for balance in one’s life to maintain happiness

father’s work as a family doctor My last trip: New York The most exotic place I’ve travelled: Thailand The best souvenir I’ve brought back from a trip: Shoes from Italy A favourite place that I keep returning to: Cabin on the Sunshine Coast


Lord of the Rings by J. R. Tolkien My favourite movie: The Godfather My must-see TV show: Game of Thrones My favourite song: Michael Jackson’s “Billy Jean”

My last splurge: Shopping in the U.S. with my mother

watch: Hockey

Most-frequented store: Winners

I’d want this item with me if stranded on a desert island: Food

My closet has too many: Shoes

My first job: Lifeguard/ swim instructor

My fridge is always stocked with: Sandwich-making materials

The gadget or gear I

My medicine cabinet is

Just For Canadian Doctors SUMMER 2012

My celebrity crush: Jude Law

My secret to relaxing and relieving tension: Exercise, cooking and good wine A talent I wish I had: Good sense of direction

A cause close to my heart: Volunteering as a doctor in disadvantaged countries Something I haven’t done yet that’s on my must-do list: Travel to New Zealand If I wasn’t a doctor I’d be: A lawyer

September 5, 2012 Internal Medicine: Cardiology 10-Night Eastern Mediterranean from Rome, Italy Holland America's ms Noordam

December 29, 2012 General Medicine Review 7-Night Eastern Caribbean from Miami, Florida Celebrity Cruises' Reflection

September 14, 2012 Orthopaedics and Sports Medicine 7-Night Bermuda from Boston, Massachusetts Norwegian Cruise Line's Norwegian Dawn

January 26, 2013 Internal Medicine: Cardiology 7-Night Eastern Caribbean from Ft. Lauderdale, Florida Holland America's ms Eurodam

September 20, 2012 Preventive Medicine 12-Night Western & Eastern Mediterranean from Barcelona Celebrity Cruises’ Solstice

March 2, 2013 Women's Health 7-Night Mexican Riviera from San Diego, California Holland America's ms Zaandam

October 12, 2012 Pediatrics 9-Night Western European from Amsterdam, Holland Celebrity Cruises' Brand New Celebrity Reflection

April 20, 2013 Pediatrics Review 7-Night Hawaiian Islands from Honolulu, Hawaii Norwegian Cruise Line's Pride of America

October 20, 2012 Diagnostic Imaging for Primary Care: A Review of Specific Approaches to Clinical Problems 7-Night Western Mediterranean from Rome to Venice, Italy Seabourn's Quest

June 30, 2013 Primary Care: Addressing Issues of Aging Patients 9-Night Scandinavia and Russia from Copenhagen, Denmark Norwegian Cruise Line's Star

October 23, 2012 Infectious Disease 8-Night Asian Explorer Hong Kong to Singapore Royal Caribbean's Legend of the Seas photos courtesy alison read

s m a l l ta l k

For more information—Call 800-422-0711 or visit www.ContinuingEducation.NET

doctors share their picks, pans, pleasures and fears

Selected Cruises Complete Program Listing at www.ContinuingEducation.NET Accreditation: Continuing Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Designation: Continuing Education, Inc. designates these live educational activities for a maximum of 14-21 AMA PRA Category 1 credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Continuing Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

August 9, 2013 Primary Care Update: Cardiac Health, MetabolicSyndrome, Obesity and Related Disorders 12-Night Western Mediterranean from Barcelona, Spain Celebrity Cruises' Equinox

Ask about our Guest Travels Free Program We can plan or joint sponsor/accredit your next meeting Call 800-422-0711 or


or visit www.ContinuingEducation.NET Our in-house travel division can handle your personal travel needs Florida Seller of Travel Reg. #14337

15th Annual

Canadian Diabetes Association/Canadian Society of Endocrinology and Metabolism Professional Conference and Annual Meetings October 10 – 13, 2012 Vancouver Convention Centre – West Building Vancouver, British Columbia, Canada Join your colleagues to learn about, celebrate achievement regarding and share your commitment to the fight against diabetes and other endocrine disorders.

OVER 50% OFF! Register before July 14th and pay $620 just $299*

Throughout the conference, enjoy complementary lunches, wine and cheese poster presentations and other networking opportunities.

Featured Lectures • Gastrointestinal Dysmotility in Diabetes – Michael Horowitz MBBS PhD FRACP (Adelaide, Australia) • Implications of the ORIGIN (Outcome Reduction with Initial Glargine Intervention) Trial – Hertzel Gerstein MD MSc FRCPC (Hamilton, ON) • Treatment and Targets for Type 2 Diabetes – Stuart Ross MB CHB FRACP FRCP(C) (Calgary, AB) • Insulin Therapy: General Principles and Practical Tips – Peter Senior MBBS PhD (Edmonton, AB) • Cardiometabolic Risk: Treating Pre-Diabetes – Peter Lin MD CCFP (Toronto, ON) • The Diabetic Foot: A Practical Approach to Prevention and Management of Complications – Keith Bowering MD FRCPC FACP (Edmonton, AB)

Register today at www.diabetes.ca/conf2012 and enter promo code: Van2012 * This promotion is only available to medical professionals who are not members, or have not been members in the past five years, of the Canadian Diabetes Association or Canadian Society of Endocrinology and Metabolism.

Profile for Just For Canadian Doctors

SUMMER 2012  


SUMMER 2012