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spring 2014

DOCTORS life + leisure

east coast road trip in

nova scotia adventure kick on the

British isles

win

$495 in CME CREDIT

from Professional Education Society page 4

+ $50 Visa Gift

Card page 37

+ COLOUR your world + EAST + WEST in Mexico + trust fund tips + cars + coffee in Cali

Publications Mail Agreement #41073506

inside: Continuing medical Education Calendar w h e r e will you m e e t ? g l a s g o w / o r l a n d o / k u o p i o / b a r r i e / l o n d o n >> JFCDoctors-spring2014-wip2.indd 1

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magazine

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Just for C

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DOCTORS life + leisure

spring 2014

contents

spring 2014

Editor Barb Sligl Art Direction BSS Creative

Contributing Editor Janet Gyenes

Editorial Assistant Adam Flint

Contributors Michael DeFreitas Dr. Holly Fong Dr. Chris Pengilly Manfred Purtzki Dr. Kelly Silverthorn Roberta Staley Cover photo B. Sligl Senior Account Executive Monique Nguyen Account Executives Wing-Yee Kwong Lily Yu 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

Associate Publisher Linh T. Huynh

15 23 FEATURES

15 get physical in the United Kingdom 23 on the trail in Nova Scotia

Production Manager Ninh Hoang

Circulation Fulfillment Shereen Hoang

CME Development Adam Flint

Founding Publisher Denise Heaton

clockwise from top left: b. Sligl; michael defreitas; B. Sligl

Just For Canadian Doctors is published 4 times a year by Jamieson-Quinn Holdings Ltd. dba 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

COLUMNS

DEPARTMENTS

8 photo prescription

5 spring mix

Colour your world

10 pay it forward Dr. Lee helps patients breathe easier in Africa

12 the thirsty doctor

Trending tipples

13 the hungry doctor

Easter dinner in a bowl

18 motoring

www.justforcanadiandoctors.com

Cars + coffee in Cali

33 the wealthy doctor

Printed in Canada.

Trust in the trust fund

miss an issue? check out our website!

34 doctor on a soapbox Cursive writing—gone for good?

27 CME calendar 35 employment opportunities 37 sudoku 38 small talk with Dr. Pippa Moss cover photo

London calling! Start your UK adventure— from jumping off cliffs to spinning around a velodrome— by catching a ride at the revamped King’s Cross Station, an architectural wonder. Story on page 15.

SPRING 2014 Just For Canadian Doctors

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GOLD award winner!

a new leaf

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t’s getting warmer, and that means turning over a new leaf, so to speak. Leaves and blooms are coming out and, after being inside much of winter, so are we. And there’s no better place to stretch limbs this spring or summer than in the UK (page 15). Not just crumpets and culture, the United Kingdom has an adventurous side. Big time. London’s 2012 Summer Olympic Games left a wealth of athletic venues to discover. Wales is making “coasteering” the new must-try experience (jump off a cliff into the Irish Sea in the morning, then tour ancient castles and cozy pubs in the afternoon). And Glasgow’s bravado (Glaswegian kiss, anyone?) is being channelled into the upcoming Commonwealth Games this summer. Oh, and there’s whiskey too, of course (page 27). Here, at home, there’s an east-coast road trip in Nova Scotia (page 23). Or go east (and

west!) in Mexico (page 5). It’s all about the great outdoors. Get outside and physical! And starting this issue, we’re running a new “As Seen In” contest. While reading these pages look for the answer to this question: What is the name of the trail in the Nova Scotia road trip story in the Spring 2014 issue? Then scan the QR code above. Or visit justforcanadiandoctors.com/AsSeenIn.html to complete an entry form. Answer the “As Seen In” question correctly and you could win a $495 credit from the Professional Education Society to a CME program of your choice. Good luck! We also want to congratulate our photography columnist, Michael DeFreitas (page 8) for winning gold at the 2014 North American Travel Journalists Association’s annual awards competition—for a stunning portrait photo in our Spring 2013 issue (above). Bravo! feedback@InPrintPublications.com

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

Puzzle by websudoku.com

solution from WINTER 2014 contest

scann! + wi

solution of puzzle on page 37

from the editor

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

Puzzle by websudoku.com

YOU WANT A SECOND OPINION.

Where do you go from here? As a medical professional, you’re busy caring for your patients and may not always know how to diagnose your business challenges. For a second opinion on matters relating to incorporation and effectively structuring your business to managing your tax and retirement planning, MNP delivers solutions that enhance the health of your practice at every stage. Contact Calvin Carpenter, CA, Vice President of Professional Services at 1.800.661.7778 or calvin.carpenter@mnp.ca

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Just For Canadian Doctors SPRING 2014

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what/when/where > spring

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

mix

it’s

spring break!

Go s [ outh]

west

ola Cabo!

B Sligl

This is the tip of the Baja Peninsula in Mexico, where, yes, you can relive some spring-break revelry, BUT it’s also replete with seriously stunning vistas, where two seas meet. On the calmer Sea of Cortez side is Lovers Beach or Playa del Amor and on the wild Pacific side is Divorce Beach (pictured; with a ghostly apparition in the rocks overlooking the sands)… Watch waves crash and marvel at brave skimboarders, then head back to El Médano (Spanish for sand dune) Beach, where the posh ME Cabo resort awaits, whether you’re hitched or not… see page 6.

east VS. west SPRING 2014 Just For Canadian Doctors

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mix

spring

Go [south]

east

east

playa del carmen

go coastal

west

cabo san lucas

2

sides of

MEXICO

Both have the beach, sun, great fare and swish resorts. It’s all about the vibe you’re after. —B.S.

getaway playa del carmen is on Mexico’s sometimes over-run and -touristy Caribbean coast, where the Riviera Maya is a long string of all-inclusive resorts. Advantage: there’s plenty to choose from. And there’s plenty of off-the-beach activities, from discovering underground cenotes to a traditional Mexican show. The island of Cozumel is also a short ferry ride away. The east remains the standby.

Cabo san Lucas is the getaway of the LA and Hollywood jet-set. George Clooney has a pad here, and Sammy Hagar of Van Halen fame has a tequila operation. Think glam. But this is also where the Sea of Cortez meets the Pacificat the tip of the Baja Peninsula for some fantastical scenery (above)—surreal enough for The Planet of the Apes to have been filmed here. It’s simply wild here. Go west. Cabo’s westcoast vibe is a bit of rock-androll with a good dose of glitz. ME Cabo resort has even set up a poolside day bed for Adam Sandler’s dog. Inside, there’s the swanky Suite ME or Personality Suites.

It may just be the best stretch of white sand along the Playa del Carmen coast (above). Lounge poolside with a cerveza or shoreside by the oh-soblue Caribbean, then stroll down the beach to Quinta Avenida (5th Ave.). Catch Xcaret’s fab night show (xcaret. com)—including a traditional Mayan ball game and serious rope-handling by a vaquero Mexicano. And you can stay right next door at the Occidental Grand Xcaret (occidentalhotels.com/ resort/occidental-grand-xcaret). Food at an all-inclusive can include haute, authentic Mexican fare, like the muy buena stuffed pepper at Royal Hideaway Playacar’s Spices Restaurant.

beach x2

Spa it. ME Cabo’s YHI Spa (named for the Goddess of Light) is a sanctuary set in the centre of the hotel, complete with a temazcal (traditional Mexican steam house). Indulge in a treatment or lounge in the courtyard in between the plunge pools on the hydrotherapy circuit. Bliss.

A short ferry ride from Playa del Carmen is Isla Cozumel and some of the best snorkelling anywhere. Take a tour to Palancar Reef from Occidental Grand Cozumel (occidentalhotels.com/ resort/occidental-grand-cozumel).

if you GO

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EASTERN PROMISE On the Caribbean side, stay at Occidental’s Royal Hideaway Playacar. It’s the poshest of Occidental’s trio of resorts here. Think Leading Hotels of the World… > occidentalhotels.com/ resort/royal-hideaway-playacar

WESTERN FRONT Make your Cabo base on El Médano Beach at ME Cabo, which has Hollywood glam and stellar views of the rock formations that culminate in the signature arch, El Arco. > melia. com/en/hotels/mexico/los-cabos/me-cabo

b. Sligl

Yes, ME Cabo has what’s become one of the hippest places in Cabo—day or night—the club vibe of Nikki Beach (nikkibeachcabo.com)—but the town of Cabo San Lucas is a short walk away, with authentic Mexican art to peruse in the market (below) and yummy local fare, like made-in-front-of-you tortillas. ¡Buen provecho!

Just For Canadian Doctors SPRING 2014

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sipping, roadtripping

mix

spring

spring fever

gear/

goodies

smooth sipper

hot trend!

Forget vodka; dark is in. See “The Thirsty Doctor” on page 12.

1 edgy aesthetic Rutilated quartz paired with pave diamonds is definitely a departure from the matches you might expect, but this bling ring is both striking and sophisticated. That “classic with an edge” aesthetic is exactly what the “sisterpreneurs” behind Vancouver’s OhKuol intended when creating their collection. Well-priced finds include sparkly yet rustic druzy earrings, chunky gemstone bangles and other statement-making pieces. $185, OhKuol, etsy.com/ca/shop/OhKuol

editor’s must-have: be smart, drink up

2 canadian royalty Loyal royal followers probably already know that another “heir” is creating a buzz. No, not Prince George, but rather, Crown Royal XO. The amber-hued spirit is a blend of more than 50 of the beloved brand’s best whiskies. It’s finished in cognac casks made from French oak, which imparts vanilla notes, spice and dried fruit. $49.99, crownroyal.ca

4 DRINK SMART It’s hardly a stretch to say that our water bottles have become constant companions that travel with us from the office to yoga and beyond. But unlike many water bottles, BluFit brings more to the relationship than its streamlined good looks: it’s smart. A sensor built into the bottle syncs with your smartphone and alerts you when it’s time for you to rehydrate (the integrated app allows for customization). BluFit won’t speak to you like Samantha, the enhanced operating system in the movie Her, but that doesn’t mean you won’t fall in love with this smart innovation. $59, blufitbottle.com

3 on the road It might be tempting to make a beeline between Mount Rushmore and Deadwood City, but curious types may wonder what diamond in the rough is hidden over yonder. The new Roadtrippers app will make sure you don’t miss the detour for Star Wars’ starship troopers filming location in the Hell’s Half Acre scarp, Wyoming, or the alien meeting place in Close Encounters of the Third Kind. (It’s actually the iconic Devil’s Tower in Wyoming.) Not a sci-fi fan? The Route 66 Bars scenic drive or Vermont’s Route 7, with a stop at Abe Lincoln’s home, might be more your speed. Free, iTunes.com

top trekkers

5 AUSSIe Rules Blundstone’s weareverywhere boots have always been rugged and water-resistant, but Winter is the Aussie brand’s first 100% sealed and waterproof boot. Thinsulate™ and sheepskin insoles add comfort and moisture-busting warmth to feet, while the leather uppers, elastic and sealed seams (no stitches here) keep any sort of wetness from seeping in, whether snow, slush or swamp water. Available in Rustic Brown and Black. $199.95, blundstone.ca SPRING 2014 Just For Canadian Doctors

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road warrior

Itchy feet? A taste for trying something new? We’ve got you covered whether you stay close to home or head for the road less travelled Written + produced by Janet Gyenes

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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 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.

colour your world

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

How to use colour to get the most photographic impact

O

n a chilly July morning I waited to board a helicopter for a heli-hike in the Alaska Range outside Denali National Park. When our guide showed up wearing a dark blue ski jacket I explained I’d be photographing him for a magazine article and asked if he had a brighter coloured jacket. He nodded and disappeared inside the cabin. I wanted a colour that would stand out against the neutral earth tones of the mountains. He came back wearing a bright red rescue jacket. Perfect. Later that morning I photographed him standing on the edge of a cliff overhang, about 1,000 metres above the Nenana River valley. His bright red jacket made the shot. There’s a big difference between general colour photos and using certain colour techniques to produce more dramatic images. Had I shot my guide in his dark blue jacket I would have ended up with an ordinary colour image. Today, thousands of mediocre colour travel images fill most digital and print media, fostering a sort of colour photography complacency. For our travel photography to stand out in this ho-hum crowd of colour we really need to pay closer attention to how we can use colour to affect the final image. As with texture, form and shape, colour is an important compositional element. How we use it can make the difference between average and wow. I used the colour technique of contrasts for my Alaska guide. The muted landscape hues helped isolate the guide’s red jacket, which in turn draws the viewer’s eyes to his precarious perch at the edge of the cliff. Yellow would have worked too, but red is associated with danger and I wanted to portray a feeling of danger and adventure.

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PRO TIPS for wow colour Shoot with a dominant prime colour (red, yellow, blue), like the example of the jellyfish. Use colours to evoke emotions. Blue is cool and relaxing. Green feels fresh and vibrant. Red connotes anger or danger. Placing a brightly coloured

subject in front of a neutral background accentuates the colour. Shooting a blue car against a neutral blue sky doesn’t work as well as shooting a red car. Transitions between two or more colours (like rows of

yellow and red tulips) also produce strong images. gear up Reflections can mute the saturated colours of shiny objects, green leaves, sky and water, so use a polarizing filter to reduce those reflections and get deeper, more vivid colours.

Linear polarizers work with manual focus lenses; circular polarizers with auto-focus lenses. An outer ring rotates to desired polarization. And because any filter reduces the sharpness of a lens, buy the best filter you can afford.

michael defreitas

Colourific! Contrast is good. So are prime colours. Muted landscape hues of greens and browns need a pop of red or yellow. A bright-red jacket brings drama to a standard mountain shot. And the gorgeous ochre jellyfish is extra striking when captured alone against the deep-blue waters of an aquarium.

I used the same technique—for a completely different effect—while shooting tulips in the Skagit Valley in Washington State. Each April, colourful blooms blanket the fields around the small town of La Conner. After shooting the fields from different angles I searched for more unusual subjects within the clouds of colour. It took a bit of looking, but I finally found a lone yellow daffodil in a field of dark-red tulips, and a red tulip smothered by yellow ones. The contrasting colour of both prime-coloured subjects created the theme of being different, nonconforming, standing out in the crowd, a loner or a rebel. However, to use colours effectively you need to understand a few subtle facts. The colour wheel (below) helps explain the relationship between colours. Using a combination of adjacent colours will produce a calming or mellow feeling, while combining colours on opposite sides of the wheel will produce a photo with high colour contrast and conflict—like the vibrant ochre of a sea nettle jellyfish against the deep blue waters of the Monterey Aquarium in California. Colours on the right (reddish side) are “warm” while those on the left (blueish side) are classified as “cold.” Knowing these colour traits allows you to produce images with different emotions. Using colour can bring a new dimension to your travel photography. Don’t just shoot colourful scenes. Seek out the scenes within a scene. Flood your photos with colour and look for colours within colours.

Just For Canadian Doctors SPRING 2014

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pay i t f o r w a r d

r o b e r ta s ta l e y

Roberta Staley is an award-winning magazine editor and writer with experience reporting from the developing world and conflict and post-conflict zones. Staley specializes in medical and science reporting and is a magazine instructor at Douglas College and Simon Fraser University.

birthing hope

J

ust 26 years of age, the mother of newborn twins lay on her side on a bed in the delivery ward of the Shinyanga Regional Hospital in the east African nation of Tanzania. There was none of the joy and exuberance that accompanies births in Canada, with excited visits from family members bearing gifts of flowers and champagne and pink or blue helium balloons. Toronto’s Dr. Kyong-Soon Lee directed the nurses to place the infants by the mom in the classic ‘kangaroo care’ position to provide skin-to-skin contact,

Dr. Kyong-Soon Lee uses a neonatal mannequin to demonstrate to Tanzania birth ensuring the attendants how to newborns stayed apply a simple bagmask resuscitator on warm and content. a newborn. But the woman, thin,

malnourished and exhausted, refused to snuggle her babies. Little wonder, says Lee, it was the young mom’s 12th delivery. Lee, a neonatologist at The Hospital for Sick Children (SickKids) in Toronto, was in Tanzania twice last year on two-week missions as part of a pilot project to address the sub-Saharan nation’s high infant mortality rate, which is 45 deaths per 1,000 live births. (In comparison, Canada’s infant mortality rate is five deaths per 1,000 births.) Reducing child mortality is one of the eight key pillars of the United Nations Millennium Development Goals, a blueprint supported

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by the world’s nations to improve the living conditions of the poor. To address child mortality, the Tanzanian government reached out to Canada for help and advice. The result was a partnership between Lee and SickKids’ Global Child Health department, which works to improve the health of children around the world through education, advocacy and capacity building. The three-way collaboration included the Canadian International Development Agency (CIDA) and the Canadian chapter of AMREF, the African Medical & Research Foundation, which is Africa’s leading health development organization. Lee’s career has focused on the care of newborn infants. A graduate of the University of Toronto’s Faculty of Medicine, Lee did a pediatric residency at SickKids, followed by advanced training in neonatology, which is a newborn intensive care subspecialty. This was complemented with a master’s degree in clinical epidemiology. Lee’s extensive research has convinced her of several key things: the tried-and-true basics of newborn care work best not only in the developing world but here in the West, and this is the best message to communicate to hospitals, midwives and rural clinics in places like subSaharan Africa. Lee, who was accompanied to Tanzania by SickKids nurse practitioner Judy Hawes, didn’t provide direct neonatal care during her time in Africa. Instead, she helped expand and refine the skills and knowledge of local doctors, midwives and nurses currently responsible for the birth and postnatal management of babies. While the Shinyanga hospital had such newborn care technology as ventilators, no one really knew how to operate them effectively, so

Lee emphasized fundamental newborn care skills. In Africa, similar to the West, most babies will only require what is referred to as Level 1 or Level 2 care. (Level 4 care, which offers advanced care like infant cardiac surgery, is usually only seen in resource-rich nations like Canada.) The lower levels of care include resuscitation during the first few minutes after birth, and promoting skin-to-skin contact and breastfeeding. Lee introduced the Tanzanians to a low-tech bag-mask ventilator that is recommended by the American Academy of Pediatrics. The apparatus covers the infant’s mouth and nose and is hooked up to a bag system that breathes for the baby. Generally, most newborns start taking breaths on their own when their back is rubbed. About 10% require a bit more assistance. Although the bag-mask ventilator is simple, it requires training and practice. “Most students found it quite challenging and need ongoing practice,” says Lee, whose pupils, many rural midwives, ranged in age from their 20s to mid-50s. Lee also oversaw training in other key areas such as umbilical cord and eye care to prevent infection. The Tanzanians were “really looking for anything to help them; they recognize that neonatal mortality is a huge problem and were willing to do anything within their resources to improve outcomes. They were very open and asked lots of questions,” says Lee. One of the students told Lee that, “due to this training, mothers in the Shinyanga district will enjoy their newborns despite poor hope and threats of delivery. I will save many babies in my region.” To complement the training, the students were given new bag-mask ventilators and neonatal mannequins to take back to their local districts to train other birthing attendants and for use at deliveries. Lee isn’t sure what the future is for the program, or whether she’ll be returning to Africa to train more birth attendants. But the journey has changed her, and made her realize the beauty of the continent and the enormous potential its people have—so long as experts like her from the West reach out to lend a helping hand.

AMREF Canada

A doctor at University of Toronto Sick Children’s Hospital helps newborns breathe

Just For Canadian Doctors SPRING 2014

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FOUR EVENTS ONE VENUE

WSPOS

XXXII Congress of the ESCRS

14th EURETINA Congress

5th EuCornea Congress

WSPOS Paediatric Sub Specialty Day

13-17 September www.escrs.org

11-14 September www.euretina.org

12-13 September www.eucornea.org

12 September www.wspos.org

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the thirsty doctor janet gyenes Janet Gyenes is a magazine writer and editor who likes to dally in spirits, especially when discovering something like corenwyn jenever (a gin-like Dutch spirit)—straight or in cocktails like the “bramble.” Have a boozy idea or question? Send it to feedback@inprintpublications.com

what to drink now

We asked those who know a thing or two about booze to weigh in on what’s hot—or not

J

ustin Timberlake and Sean “Diddy” Combs are competing again, but not for a Grammy. Instead, the impresarios are squaring off in the premium tequila arena, each having partnered with big names Sauza Tequila and DeLeon, respectively. Seems everyone wants to get creative with and put their stamp on booze. Molecular gastronomy (think dry ice “smoke” and foams) is here to stay, according to David Rios, Diageo’s reigning “best bartender in the world.” Tell that to the food scientists at Jelly Belly Candy Company, who just launched a draft beer-flavoured bean they spent three years perfecting, inspired by a hefeweizen ale with a “clean, crisp and wheaty taste.” (Perhaps the non-alcoholic candy will be skewered to garnish a Michelada cocktail.) On the subject of flavour, don’t expect boozes to go au naturel, either. Last year, a record 50-plus flavoured products were launched, although the flavoured-vodka category contracted. Do these trends have staying power or will they fade faster than a Snapchat post? We

2014 booze trends hot list

from Left Amaro Nonino Quintessentia®, a bittersweet Italian digestif; Antica Formula red vermouth; Sombra mezcal

Artisanal or bespoke vermouth, amaro, mezcal, rum Low-alcohol or “inverse” cocktails, session beers Molecular gastronomy behind the bar

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tapped three experts—from Toronto, Halifax and Vancouver—to opine (and whine a little) about booze trends for the year ahead. Wendy McGuinness (bar manager at Chambar restaurant in Vancouver) takes her craft seriously and urges a quick death to the flavoured-vodka trend. “When people are drinking popcorn and bubblegum vodka sodas we, as a community, need to take a stand and stop the madness.” That’s not to say that McGuinness is a buzzkill when it comes to mixing things up, whether in a barrel or glass. McGuinness hopes to see more cocktails made with the smokier agave spirit: mezcal. “I have barrel-aged the Los Siete Misterios for three months and the results were unreal. There are amazing flavours waiting to be discovered and I think more people are excited for aromas of cooked agave, smoke, rose petal and peppercorn.” Another trend we can look forward to, says Jenner Cormier (Halifax-based reserve spirit consultant and world-class ambassador for Diageo Canada Inc.), is low-octane or inverse cocktails. Take the classic martini, for instance, which has a two-to-one ratio of gin to dry vermouth. Simply reverse the ratio to make an inverse cocktail. Some bartenders say that these changeups make for more aromatic cocktails since complex floral and herbal notes can come to the fore. Either way, less booze means you can imbibe longer without worrying about being getting smashed after a couple. The lower-alcohol trend is well-rooted in the craft-beer scene, says Toronto’s Stephen Beaumont (co-author of The Pocket Beer Guide and The World Atlas of Beer), with many breweries already making more session-style beers. Places such as Bellwoods Brewery in Toronto offer a broader spectrum of styles at various alcohol levels. Case in point: Bellwoods’ heavyweight champ is a Russian imperial stout that packs a 10% ABV (alcohol by volume) punch. In the other corner is a bantam-weight light India session ale that tips the scales at just 2.3% ABV. Loosely put, “sessionable” beers, which hark back to the First World War, are meant to be highly quaffable so you can drink them over a long period of time—a session. They

typically fall under 5% ABV, ideal for having a few without a one-two knockout. That doesn’t mean these are “light” beers—in any sense of the word. Bellwoods also has a middle-weight session stout that’s 3.8% ABV. Less alcohol certainly doesn’t equate to less exciting. On the contrary, expect to see fortified wines or amari and spirits such as vermouth to take a bit more of the spotlight, especially boutique brands, says Cormier. Some bartenders will even create their own bespoke boozes. McGuinness echoes this sentiment. She also sees sherry showing up on cocktail lists and, in Vancouver, the opportunity to showcase local spirits made by craft distillers. On the world stage, rum is reportedly enjoying a renaissance as the “spirit of the moment” with our commonwealth cousins, according to a recent survey that tracks spirits by consumption in the UK. Beaumont applauds this move. “In booze, brown spirits will continue to tear it up, with aged rums finally achieving some long-overdue respect.” Does that mean Brits’ beloved G&T is being edged aside, perhaps with something darker and stormier? Maybe. Overall, though, expect excellence. The aforementioned David Rios stated that in 2014 bartenders will seek to perfect cocktails and showcase their simplicity. For McGuinness, this is already evidenced at home, with bartenders “stepping up their game…refining classics with an absolute focus on technique as well as customer service.” That customer-centric focus is essential to Cormier who is over the ego-driven attitude of some bartenders. “The main focus of a bartender is to fill the needs of the consumer, no matter what they want—gin and tonic or seven-ingredient cocktail. They should receive the same level of service. “What bartenders are discovering now,” says Cormier, “are ways of speeding up service (cocktails on tap, slushy machines, carbonating and pre-batching/bottling), but they are also taking on culinary methods of boosting flavour and enhancing the experience (saline solutions, sodium bicarbonate solutions, carbonation), which is resulting in some amazingly efficient and extremely flavourful cocktails.” Cheers to that.

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the hungry doctor Dr. fong

Spring is in the Air! Dr. Holly Fong is a practising speech-language pathologist with three young children who’s always trying, adapting and creating dishes.

It’s Time to Go to the Beach!

green peas + ham

This Easter dinner make a meaty ham bone in split-pea soup

E

aster dinner at my house is usually ham or lamb. My children prefer ham when it’s glazed and adorned with pineapple or orange slices. Most likely, it’s the combination of sweet and salt that wins them over. For me, I find ham a tad too salty. But when put in a hearty pea soup, it mellows, adding depth of flavour. With this in mind, I always bake a bone-in ham and add the meaty ham bone to my broth. To make the soup, it’s best to start overnight. If you make the broth the night before and let it cool, it’s easier to skim off the fat. Soak the peas for 6 to 8 hours in a big pot of water to cut cooking time by more than half. To give the soup an appealing colour contrast, use both green and yellow peas. Add the green peas a little later in the cooking process so that they hold their shape. The end result is a soup

Split pea soup with ham (serves 8 – 10) broth

1 large meaty ham bone 1 tablespoon olive or canola oil 2 large onions, sliced 3 large carrots, peeled cut into 1-inch rounds 3 sprigs fresh thyme 10 whole peppercorns 11 cups water soup

500g yellow split peas 500g green split peas ~12 cups water 2 cups leftover ham, diced into ½-inch cubes 1 tablespoon olive or canola oil 1 large onion, diced 1 clove garlic, smashed and chopped 5 large carrots, peeled and diced into ½-inch cubes 3 stalks of celery, diced into ½-inch cubes, leaves chopped 2 bay leaves 1 teaspoon fresh thyme leaves, chopped ½ teaspoon black pepper

that always hits the spot on a cold day and is sufficiently hearty to be a main meal when followed by a green salad with a garlicky and lemony herb dressing. Serve the soup with a medium buttery wine with a crisp edge such as the Peter Lehmann Clancy’s White 2013 Semillon Sauvignon Blanc blend. The Semillon provides the smooth buttery taste with a hint of apple and honey while the Sauvignon Blanc provides the citrusy, grapefruit finish. Lovely with the smokiness of the ham and the hearty peas.

Go for a medium buttery wine with a crisp edge such as the Peter Lehmann Clancy’s White 2013 Semillon Sauvignon Blanc blend.

Place yellow peas in a strainer and rinse under cold running water. Empty peas into a pot and fill with water so that peas are covered by about 3inches of water. Cover and let stand overnight. Repeat withgreen peas, soaking in a separate pot. Add 1tablespoon of oil to a heavy stockpot over medium-highheat. When oil is shimmering, swirl to coat bottom. Add sliced onions, reduce heat to medium and cook, stirring until brown but not burnt. Add carrots, thyme, peppercorns, ham bone and about 10cups of water to cover the bone. Bring to a boil. Skim off froth. Reduce heat to medium-low, cover and simmer for 1hour. Turn off heat, let cool overnight without lifting lid before skimming off fat. Remove ham bone, shred meat into bite-size pieces and add to diced leftover ham. Strain brothand discard solids. Heat 1tablespoon of oil in large heavy skillet over medium-highheat

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until shimmering. Swirl to coat bottom of pan. Add diced onions, stirring until golden brown. Add garlic, cook until soft. Transfer mixture to the stockpot of broth. Add 2cups of water to the skillet to deglaze the pan, scraping off brown bits. Add the liquid to the stockpot. Add carrots, celery, and bay leaves. Strain yellow peas and add. Bring to a boil over highheat. Reduce heat to medium-low and cover. Cook for about 20minutes, stirring occasionally to prevent sticking to the bottom. Strain green peas and add. Cook soup for another 20minutes, stirring occasionally. Add the ham, chopped thyme and pepper. Cook for about 5to 10minutes until soup is thick and green peas are tender but still holding their shape. Discard bay leaves and serve withtoasted French bread. Leftovers may be frozen in individual servings for a quick lunch.

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eye on the UK

where it’s time to get physical

The united kingdom is the destination for adventure— from the high still going strong in london courtesy of the 2012 olympics to coasteering in wales. OH, and there’s the 2014 commonwealth games in glasgow this summer…tally-ho! >> story + photography by barb Sligl

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london calling / wild wales / geared-up glasgow

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travel the world ancy a dip in the Irish Sea? Taking to the skies at 75 miles per hour on the largest zipline in the northern hemisphere? A go at a giant ferris wheel? Or a spin around a world-class velodrome? The UK is always at the forefront when it comes to music, fashion, art…and adventure. Post-Olympic Games and pre-Commonwealth Games, this island kingdom has some serious adrenaline coursing through it, whether in cosmopolitan London, the wilds of north Wales or the gritty new glam of Glasgow.

LONDON CALLING After the Olympics the buzzword in London is legacy. Whatever one thinks of the IOC and its sports spectacle, the Games do initiate change in its host cities, and in the UK’s singular metropolis that has meant a revamped East London. Industrial wasteland has been reclaimed and morphed into parkland where families stroll, people gather for a pint or Pimm’s and London Walks offers insightful tours through the new greenway, graffiti-clad streets, past Olympic venues and public art. 1 2 {walks.com} On the other end of the city is the village of Wimbledon, home of tennis’s biggest competition. There are strict rules and etiquette (the grass, for one, is measured and mowed to a precise 8mm every day) and the battles fought here are so epic that, as past champion Goran Ivanisevic put it, “If I never win another match I don’t care.” 3 {wimbledon.com} Back in the heart of London, refuel at the South Bank’s OXO Tower (once a warehouse for, yes, the bouillon cube) where the Harvey Nichols restaurant serves a fanciful “Not Afternoon Tea.” Sip on the “Roses are Red, Violets are Blue” welcome drink and gaze over the Thames. 4 {harveynichols.com} And as twilight approaches, head up river to one of the world’s largest ferris wheels, The London Eye, where you’ll have 40-km views from the top (previous page). {londoneye.com} Here, you go big.

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WILD WALES From London it’s an easy train ride to north Wales, where the Welsh may have even more pluck than the English. Here, the coastline is rocky and the Irish Sea is cold. But not cold enough to stop adventure seekers from throwing themselves off clogwyni peryglus (dangerous cliffs) into the surf, as they do on the Isle of Anglesey. 5 The island is all bucolic beauty 6 dotted with ancient strongholds like Beaumaris Castle 7 , but it’s coasteering guru Matt Shaw who really impresses 8 . The SurfLines {surf-lines.co.uk} guide somehow charms and encourages people to brave waves and face rocks on coasteering tours with Welsh aplomb. He also climbs mountains. This is, after all, where Sir Edmund Hillary trained for his Everest ascent. Naturally. And if that’s not enough adrenaline, north Wales also boasts a zipline over what was once the world’s largest slate quarry, some 700 feet in the air at over 75 miles per hour {zipworld.co.uk}…because here, it’s just wild. GEARED-UP GLASGOW

+

The adrenaline rush continues in Scotland, where Glasgow is gearing up for the 2014 Commonwealth Games 9 with new venues like The Hydro Arena 10 and the beloved Sir Chris Hoy Velodrome {emiratesarena.co.uk/velodrome}, where anyone can take a gravitydefying spin after coaching by medal-winning athletes like David Daniell (who won a silver in the last Commonwealth Games) 11 . And in preparation for its hosting gig, Glasgow is undergoing a bit of a renaissance (see page 27), showcasing its own mix of edgy art and Scottish bravado, on streets, in museums, at pubs, on the rugby field or football pitch and even in Haggis curry. Really. Yes, here, it’s all about the brave at heart. Slàinte!

if you go

Air Transat offers seasonal summer flights to the UK from Vancouver, Calgary, Edmonton, Toronto, Ottawa and Montreal—with Club Class. {airtransat.com} Transat Holidays offers city packages,

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city-hopping packages, excursions and à la carte accommodations. {transatholidays.com} Make your own UK-traversing itinerary or, this summer, start in London, take a train to north Wales and continue

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north to Glasgow to finish at the 2014 Commonwealth Games. {glasgow2014.com} Done. And for more on all the adventure to take in along the way, go to Visit Britain’s website. {visitbritain.com}

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D r . k e l ly s i l v e r t h o r n Dr. Kelly Silverthorn is a radiologist and Just For Canadian Doctors’ automotive writer.

cars + coffee in Cali

Where every Saturday there are “cars you won’t see the other six days of the week” When Crystal Cove was lost as its venue, the Ford duo had the moxie to render the ginormous Ford/Mazda corporate campus in Irvine available Saturday mornings. Thus was born the “Cars and Coffee” name that launched on October 2006 in Irvine. So for the past seven years, 51 weeks a year, Cars and Coffee has found its sea of tranquility at the Ford/Mazda Irvine campus. Kudos also to Taco Bell World Headquarters chipping in its 600-plus parking garage tower for spectator use. This weekly Irvine Event studiously avoids media coverage, websites, email lists, Twitter, Facebook, vendors hawking their wares, “For Sale” signs, etc. Any communication between the volunteer organizers and participants is by informal word-of-mouth on Saturday mornings. The event’s biggest fear is repeating its past growth, and wearing out its venues’ welcome mat. Five hundred cars can be displayed at Ford/Mazda. No guarantee exists that a proud owner hoping to occupy one of those coveted spots will be admitted. John Clinard, his wife, Linda, and four dedicated volunteer gatekeepers have the unenviable but necessary task of deciding which cars gain admission and regularly distributing printed guidelines to newcomers. Fortunately, they have the requisite grace and gravitas to make it work. The crowd at It helps that John is six Cars and Coffee feet tall, with a disarming in Orange County, radio-esque voice and a California, check out long and storied CV that “Cars you won’t see the other six days of includes Pebble Beach the week.” online.carsto a spinoff gathering at Crystal Concours judging. andcoffee.info Cove Promenade, a shopping Throngs of wellmecca south of Newport Beach. behaved, well-caffeinated Here, numbers grew exponentially. spectators roam among the 500 Noise and congestion too. Before long local displayed cars. Coffee lovers will notice politicians, residents and businesses would that coffee shares equal billing with the cars. be “asking” the group of enthusiasts to move This titular equivalency is a now-historical along. anomaly. While today’s cars are rare, fine and eclectic, the coffee is more akin to swill in This growth and/or crisis sequence paper cups served alongside factory-made repeated itself serially. Deja vu all over again, donuts that would make a Timmy’s regular so to speak. cringe. No seats or tables on offer. (You’ve Seven years ago, regular Crystal Cove attendees included Ford Motor Company senior been warned). brass and all-round good-guy movers-andSo how about the cars? The tag line, “Cars shakers Freeman Thomas and John Clinard. you won’t see the other six days of the week,”

18

applies if you aren’t from SoCal or if you only drive on SoCal expressways. I constantly spot rare and interesting cars being driven around in other California settings. So it depends. Roughly 200 die-hard owners of interesting cars come every Saturday. The other 300 interesting cars vary week to week. With a population of well over 15 million to draw from, most high-end, late-model Ferraris, Lamborghinis, McLarens, Bugattis, Porsches and Mercedes are represented. More interesting to me are the mobile history lessons of past models of these brands: 1950s Porsche 356, gullwing SL Mercedes and a mid-’60s Ferrari 275 GTB. And the stray old Citroens, Maseratis, Alfas and Lancias present could take a lifetime to spot on the street in Canada. Being California, there are lots of aircooled VWs (both stock and customized), ’50s finned cars, ’60s muscle cars and early Japanese imports, ’70s custom vans, off-road monsters, ’30s classics, race cars from just about every era and discipline, and more of the same in motorcycles. Of course, being around all these great cars and their appreciative fan base, made me wax nostalgic for many of my own 40-odd cars to date. Few were particularly valuable at the time of my ownership. Yet today, apart from a handful of family haulers and econoboxes, they would likely get the John/Linda nod of approval at the gate. I mean, when is the last time you saw a 1969 Bedford C (aka “Doormobile”)—even if I paid just $900 for it as a Senior Houseman? Or my $1,200 1976 Olds Cutlass Supreme Vista Cruiser wagon—my ride during medical school (race car tow vehicle of my then Gordini R8)? Or my $2,200 1967 MGB GT, red with factory wire wheels? I could go on. And on. And on. But, it’s far more self-actualizing that you do your own nostalgic automotive navel gazing. There is no place like the original Cars and Coffee in Orange County to appreciate the role that car culture, and by extension California, has played in your life. And you can do so 51 Saturday mornings per year. Attending is worth the pilgrimage for any car guy/gal the next time you are in LA. Just stop for fine coffee en route.

W

you our fish of t

Env trek Yuk Car

BRUCE BENEDICT (Orange County)

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outhern California has long reigned as the epicentre of automotive ethnography. No other place comes close for the celebration of—and reliance on—the automobile. Cars and Coffee is the current holy-grail embodiment of SoCal car culture. This weekly grassroots event evolved and exploded first in Orange County, before being copied around the globe. It has taken years of intention, but I finally made my Saturdaymorning pilgrimage to the original (and still foremost) Orange County Cars and Coffee. Wind back the clock to 1983 at Adams Avenue Donuts in Huntington Beach and a few hot rod owners gathered Saturday mornings to share each other’s projects and a cuppa joe. Word spread (despite the pre-Facebook era), focus broadened and car enthusiasts of all stripes, including celebrities, became joiners. This pioneer event led

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Tol Pho


Insurance companies will say anything to get your business.

Sometimes, even the truth.

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The truth as OMA sees it. Hi, I’m Bruce. Insurance companies say a lot of the same things to potential clients: They promise to put your needs first. They know what you need. They know how to find you the best value. But rarely is there any real reason to think one company can stand behind those promises better than another. OMA Insurance is fundamentally different. Because we’re part of the OMA, we know doctors. We know that doctors are different – with differing needs throughout their evolving careers. And we know how to tailor our insurance solutions to your changing needs at every stage. But more importantly, because OMA Insurance operates solely for the benefit of physicians, we are the only truly unbiased source of insurance advice for doctors. Our non-commissioned advisors advocate solely for what’s in the best interests of our clients, bringing together insurance solutions that give you just the insurance you need, when you need it. Not for profit. All for doctors. As you might notice, the look and tone of our communications is a bit different. Truth is, we are different. Since 1956 our team of insurance professionals have been working just for doctors, putting your needs first. I invite you to find out for yourself what makes OMA Insurance different. Call us to schedule a personal consultation with one of our advisors.

Bruce Palmer, MBA, FCIP, CRM Managing Director, Insurance Services OMA Insurance

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We know how different doctors can be.

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Established Physicians “It’s all about work/life balance.” As your career matures, families and businesses grow and evolve, and debt structure may change significantly with your assets or retirement plan. This is no time to let your insurance coverage lose touch with the life and career you’ve worked so hard to establish.

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The truth isn’t too hard to find. We know different people prefer different ways of engaging with an insurance provider, and that doctors’ schedules can make it even more of a challenge. So let’s make it easy. Speak to an OMA advisor personally, explore our website, or email your questions and requests. Your coverage, on your terms.

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travel at home

The Evangeline Trail

A Tale of Acadie

Besides its famous lobster feasts, Nova Scotia’s Evangeline Trail boasts a menu that includes the world’s most capricious high tides and a plethora of quaint historic villages, spectacular seascapes, lighthouses, award-winning wineries, UNESCO sites, unpretentious Acadian hospitality and the legend of Evangeline Bellefontaine story + photography by michael defreitas THIS PAGE: Replica of an Acadian homestead at the Annapolis Royal Historic Gardens.

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travel at home

Stella Maris—proudly flutters from porches and public buildings, and rolls through the wineries and orchards of the Annapolis Valley before ending in Bedford. The route gets its name from Henry Wadsworth Longfellow’s epic 1847 poem, Evangeline, A Tale of Acadie that traces the sad romantic tale of a fictional Acadian girl named Evangeline Bellefontaine, who was separated from her betrothed, Gabriel Lajeunesse, on their wedding day during the Great Expulsion of the Acadians from Nova Scotia. Between 1755 and 1764, the British violently removed from their homes any French loyalist (Acadian) that refused to pledge an oath of loyalty to the Queen, and crammed them into cargo ships bound for Louisiana and British American colonies. More than half of the 18,000 expelled Acadians died en route. After years of searching for her Gabriel, a much older Evangeline settles in Philadelphia where she works among the poor as a Sister of Mercy. While tending the dying during an epidemic she finds Gabriel among the sick, and he dies in her arms. The poignant poem helped define both Acadian history and identity in the 19th and 20th centuries.

Yarmouth & Acadian Shores

go offshore to wild

Sable Island

Long a seldom-seen isle some 175 km off of Nova Scotia—frequented only by sea lions and pirates—Sable Island is now Canada’s 43rd national park. With its new national-park distinction, those sea lions, wild horses (here since the 18th century) and scores of birds (up to 330 far-flung species, waylaid by turbulent marine weather) are protected on what’s been dubbed the Graveyard of the Atlantic for the many shipwrecks upon its stormy shores. That means a side trip to this Canadian Galapagos can be a bit of a challenge, but there’s now a supereasy way of getting here: Adventure Canada is offering cruises to the island starting this June. adventurecanada.com pc.gc.ca/eng/pn-np/ns/sable/visit.aspx

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From 1830 to 1880, Yarmouth earned the title of the richest small town in the world. This once bustling 19th-century shipbuilding capital now supports a large fishing industry and a vibrant Acadie culture. Quaint shops flank its delightful Main Street and dozens of magnificent Victorian mansions, built by successful sea captains, grace the side streets. A self-directed four-kilometre historic walking tour covers 30 unique shops, 26 mansions and two museums. Guarding the harbour entrance, a few kilometres south of town, stands the 1839 Cape Forchu Lightstation. The small fascinating museum in the old lightkeeper’s house documents much of Yarmouth’s colourful past. Just east of Yarmouth, in the tiny village of Tusket, you’ll find the 1805 Argyle Township Court House & Goal. Canada’s oldest courthouse features jailer’s quarters and a prisoners’ cellblock on the first floor while the second floor houses the courtroom and old judge’s chambers.

The Digby Neck

Continuing north of Yarmouth, you’ll pass through 18th-century bastions of Acadian culture including Saulnierville with its elegant 1880 Sacré Cœur (Sacred Heart)

Church, Comeauville where you can hike and kayak picturesque Smuggler’s Cove Marine Provincial Park and Gilbert’s Cove with its old lighthouse. About midway on the Trail is the tiny fishing village of Digby, “The scallop capital of the world.” Under the leadership of Admiral Sir Robert Digby, British Loyalists from New York and New England settled in Digby in 1783. Housed in a mid-1800s Georgian home, the Admiral Digby Museum features period rooms and artifacts related to Loyalist life after the Great Expulsion. Each July the town holds it famous Lobster Bash to celebrate its fishing heritage. This fun family event features lobster trap hauling, trap stacking, lobster crate races, a huge outdoor kitchen party and outdoor concerts that culminate in a beautiful flotilla parade of lights and fireworks display in the harbour. Extending southwest from Digby is a long narrow peninsula called the Digby Neck. The Digby Neck and Islands Scenic Drive, Highway 217, runs along the peninsula and its two barrier islands, and offers some of Nova Scotia’s best birding and whalewatching vistas. You’ll have to make two free short ferry crossings at East Ferry and Freeport to get to the lighthouse at the southern tip of Brier Island, but it’s definitely worth the drive.

Annapolis Valley

Stretching northeast from Digby to Grand Pré the Evangeline Trail parallels the Annapolis River as it snakes through the beautiful Annapolis Valley. Perched on the north bank of the river’s mouth is Port Royal, the original 1605 site of the first French settlement and capital of the colony of Acadia. In 1925, the government designated part of the town the Port-Royal National Historic Site and built the Habitation at Port-Royal, a replica of the original French settlement. After the British destroyed Port Royal in 1613, the French relocated the settlement 10 kilometres upstream where it prospered until the British captured it in 1710 and renamed it Annapolis Royal (after Queen Anne). The town served as the capital of Acadia and later Nova Scotia for almost 150 years, until the founding of Halifax in 1749. Annapolis Royal is one of the more popular stops along the Evangeline Trail and in 1994 the government designated the town’s historic core a National Historic Site of Canada. The historic town center features 150 heritage buildings including the 1708 deGannes-Cosby >> continued on page 26

sable island / horses photo, this page only: parks canada

F

ollowing the tides of Fundy that rise from Yarmouth to their peak of 16.5 metres (54 feet) at the headwaters of the Minas Basin, the Evangeline Trail (Hwy 1) meanders through 400 years of Nova Scotia settlement. From the small fishing port of Yarmouth, the 300-kilometre trail ambles northeast following the crenulations of the Fundy coast through delightful Frenchspeaking villages where the red, white and blue Acadian flag with its single star—the

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>>

Cape Forchu Lighthouse, Yarmouth.

House adorned with fishing floats and buoys near Comeauville.

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Lobster on ice in Yarmouth.

Boats at low tide along the Fundy coast around Digby, Nova Scotia.

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>> continued from page 24

House, Canada’s oldest wooden house, the five-hectare Annapolis Royal Historic Gardens (a top five North American garden) and the 1708 Fort Anne National Historic Site. Each evening fort staff, dressed in period costumes, lead candlelight tours of the fort’s cemetery, one of North America’s oldest, and tell tales of some of its more famous residents. At the eastern end of the Annapolis Valley, on the banks of the Avon River and Minas Basin, the Trail passes through its most popular stop, Grand Pré, Evangeline’s fictional hometown. In 1912, the region’s stunning landscape and historical significance prompted UNESCO to designate about 13-square-kilometres surrounding the town, Canada’s 16th World Heritage Site. Acadians reclaimed this region from the sea by erecting a series of 17th-century dykes between Grand Pré and Wolfville to hold back the huge Fundy tides. Twice each day the tide rises and falls eight metres, leaving entire inlets and harbours along the Basin waterless, and good-sized fishing boats tilted askew alongside towering wharves and breakwaters. The last 70 kilometres of the Trail from Grand Pré to Bedford is packed with breathtaking scenery and must-see attractions including the Fox Hill cheese factory in Port Williams, the award-winning Grand Pré Wines vineyard in Grande Pré and the 1750 Fort Edward National Historic Site in Windsor. The Evangeline Trail is more than a nice drive; it’s a journey through Acadian history and culture. A journey filled with picturesque villages strung along the coast like brightly painted fishing buoys, where colourful marooned boats, like discarded toys, litter mud flats at low tide, and numerous roadside eateries serve delicious Acadian favourites like beignets a la râpure (potato fritter or pancake) or a starchy rappie pie (baked seafood or chicken potato casserole). It’s a journey filled with surprises around every bend in the road.

+ if you go

Vacation CME

travel at home

read The complete version of Longfellow’s passionate tale is available here: nslegislature. ca/pdfs/about/evangeline/Evangeline.pdf stay You’ll find hundreds of delightful, inexpensive B&Bs and cozy country inns along the Trail. Make advance bookings through Nova Scotia Association of Unique Country Inns (uniquecountryinns.com) and Nova Scotia Bed and Breakfasts (nsbedandbreakfast.com). more For more info on sights, attractions and events along the Trail call Nova Scotia Tourism at 800-565-0000 or visit the province’s tourism website at novascotia.com.

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glasgow / orlando / kuopio / barrie / london … | c a l e n d a r

cme

A n inter n ation a l guide to con tinuing Medica l Education

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1

2

Gritty + glam GLASGOW

set to host the upcoming 2014 Commonwealth Games,

this once down-and-out city is now up-and-coming. Slàinte!

B. Sligl

G

rit can be good. And Glasgow has had its share of grit. It’s known for the Glaswegian kiss, after all. Not a romantic gesture but rather, ahem, a passionate head butt. Glaswegians are nothing if not ardent. But that Scottish bravado is now being channelled into some very worthy pursuits. Like the 2014 Commonwealth Games. The streets showcase public art heralding the Games and venues like the Sir Chris Hoy Velodrome and The Hydro are bringing a modern edge to this historic city (see page 15). Medal-winning cyclist David Daniell, who works and trains at the velodrome, raves that it’s the best sports facility in the UK—and beyond. And it’s open to the public. Accessibility is important to the rejuvenation of this city. The Gallery of Modern Art is free—always. 1 {glasgowlife.org.uk/museums/GoMA} And there’s public art throughout Glasgow, from the statue of the Duke of Wellington outside the gallery (with a now-permanent traffic cone atop his head that’s become a symbolic poke at authority) to the street art tucked away in alleys. Empire, by renowned Scottish artist Douglas Gordon, references

1

(CME events in Glasgow are highlighted in blue.)

Glasgow’s past as the industrial centre of the British Empire, the Merchant City. 2 Its backwards letters, mirrored to be read in reflection, can be interpreted as a deeper comment on Glasgow’s dichotomous character, from prosperous ship-building powerhouse to post-industrial, high-unemployment decline, a swing from leader to lost. Happily, Glasgow has found its way again, thanks in large part to a vibrant student culture. The city has had the storied University of Glasgow since 1451, the fourth-oldest university in the English-speaking world. More hallowed than any Ivy League school, walking the university’s grounds is to see Glasgow’s past glory still thriving. 3 {gla.ac.uk} Another iconic school is the Glasgow School of Art, a “creative hothouse” founded in 1845. {gsa.ac.uk} One of its most famous alumni is renowned architect and designer, Charles Rennie Mackintosh, who, by the end of the 19th century, solidified the GSA as a world-class art academy, especially in the decorative arts, examples of which are scattered throughout the city, like at the go-to eatery, Two Fat Ladies at The Buttery. 4 {twofatladiesrestaurant.com}

Current GSA student, Fran Lightbound personifies the new Glasgow. Bright and stylish, she’s a guide for the Glasgow Miracle Walking Tour and shares the “miracle” of the city’s creative regeneration, when artists in the 1970s began redefining it as an internationally acclaimed arts mecca. 5 {gsa.ac.uk/visit-gsa/city-walking-tours} And then there’s the food and drink. Two musts here: whiskey and curry. Local Scotch aficionado, Peter Stewart, known as “Smiley Pete,” guides neophytes through the whiskey-tasting process, and he’ll likely get you to try some of Scotland’s fabulous gins too… 6 {inverarity121.com} As for curry, Glasgow proudly held the title of Curry Capital of Britain in 2013, and plans to keep it. It’s no wonder, then, that at one locals’-fave Indian restaurant, Mr. Singh’s, you can sample the only-in-Scotland combo of Haggis and curry. Um, yum? {mistersinghsindia.com} There’s creativity to the brim in Glasgow, whether in sport, art, food or drink. Let’s have a kiss… —B. Sligl For more, go to the Glasgow City Marketing Bureau website: peoplemakeglasgow.com.

SPRING 2014 Just For Canadian Doctors

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c m e calendar

Cardiology

Anesthesiology

Alternative Medicine

Aesthetic Medicine

cme

when

where

topic

sponsor

contact

website

Apr 12-13

Vancouver British Columbia

Professional Facial Aesthetics Training

The Physician Skincare and Training Centre

877-754-6782 See Ad Page 30

ptcenter.org

Apr 28May 02

Barrie Ontario

One Week “Everything” Training Course In Botox, Fillers And Medical Aesthetics

Dr. Martin’s Training Centre Canada

800-627-3309 See Ad Page 35

botoxtrainingcanada.com

May 17-18

Vancouver British Columbia

Advanced Filler Techniques And Fat Dissolving Formulas And Techniques

The Physician Skincare and Training Centre

877-754-6782 See Ad Page 30

ptcenter.org

May 26-30

Barrie Ontario

One Week “Everything” Training Course In Botox, Fillers And Medical Aesthetics

Dr. Martin’s Training Centre Canada

800-627-3309 See Ad Page 35

botoxtrainingcanada.com

May 23-25

Toronto Ontario

Contemporary Acupuncture Advances: Technology-Based Approaches And Applications In Musculoskeletal Medicine

McMaster University

905-525-9140

mcmaster.ca

Jul 12-19

Tuscany Italy

EatBreatheThink Mindfulness Retreat

EatBreatheThink

416-910-4513

eatbreathethink.com

Jun 23-26

Cannon Beach Oregon

Clinical Concerns In Anesthesia

Northwest Anesthesia new CME list from Adam Seminars

800-222-6927

nwas.com

Jul 18

Clearwater Beach Florida

Ultrasound Guided Regional Anesthesia And Vascular Access Workshop

Northwest Anesthesia Seminars

800-222-6927

nwas.com

Nov 14-16

Disney World Florida

43rd Annual Refresher Course For Nurse Anesthetists

Frank Moya Continuing Education Programs

800-425-1995

currentreviews. com

May 02-04

La Jolla California

Clinical Advances In Arrhythmias And Cardiovascular Disease

Scripps Conference Services and CME

800-727-4777

scrippshealth. org

May 04-07

Melbourne Australia

World Congress Of Cardiology Scientific Sessions 2014

World Heart Federation

41-22-80703-28

worldheart.org

Sep 11-21

Danube River Cruise

Clinical Pearls In Medicine

Sea Courses Cruises

888-647-7327 See Ad Page 28

seacourses. com

Nassau Bahamas

Cardio/Pulmonary Medicine For Primary Care

Medical Education Resources

303-798-9682

mer.org

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39

continuingeducation.net

Scripps Conference Services and CME

800-727-4777

scrippshealth. org

Continuing Education Company

800-327-4502

cmemeeting. org

2014 Evidence-Based Management Of The Copy sent to admaterial@advertisinginprint.com McMaster University Diabetes Epidemic

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mcmaster.ca

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Australia and New Zealand Cruise

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Five Day Comprehensive Diabetes Education 604 - 681 - 0456

San Diego California

And Management Program

17th Annual Advertising inHypertension, Print Diabetes And

Charleston South Carolina

Dyslipidemia Conference

Toronto Ontario

EUROPE

ALASKA

Clinical Update in Medicine AUG 16 - 23

BALTIC & RUSSIA

JUN 2 - 14

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Update in Medicine Mental Health 2014

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JFCDoctors-spring2014-wip2.indd 28

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calendar

General & Family Medicine

Gastroenterology

Endocrinology

Emergency Medicine

cme

cme

when

where

topic

sponsor

contact

website

May 24

Glasgow Scotland

Practical Advice For New Consultants: Before And After Appointment

Royal College of Physicians and Surgeons of Glasgow

44-0-141-2216072

rcpsg.ac.uk

Aug 11-15

Hawaii Hawaii

Emergency Medicine Update: Hot Topics 2014

UC Davis Health System

916-734-5390

ucdmc.ucdavis. edu

Dec 19-21

New York New York

Medical Dilemmas In Patient Care Conference

Southern Medical Association

800-423-4992

sma.org

Apr 11-12

Toronto Ontario

Canadian Endocrine 10th Annual Update (CEU) Scientific Meeting / 3rd Annual Review Course (CERC)

McMaster University

905-525-9140

mcmaster.ca

Jun 21-24

Chicago Illinois

International Society Of Endocrinology And The Endocrine Society: ICE/ENDO 2014

The Endocrine Society

888-363-6274

endocrine.org

Sep 04-06

San Francisco California

Clinical Endocrinology Update

The Endocrine Society

888-363-6274

endocrine.org

May 03-06

Chicago Illinois

Digestive Disease Week 2014

Digestive Disease Week

301-272-0022

ddw.org

Jul 19-20

Monterey California

2014 Update In Gastroenterology And Hepatology For The Primary Care Practitioner

UC Davis Health

916-734-5390

ucdmc.ucdavis. edu

Oct 17-22

Philadelphia Pennsylvania

ACG Annual Meeting & Postgraduate Course

American College of Gastroenterology

info@acg.gi.org

acg.gi.org

Dec 04-06

Orlando Florida

Advances In Inflammatory Bowel Diseases, Crohn’s & Colitis Foundation’s Clinical & Research Conference

Imedex

800-233-0957

imedex.com

Ongoing

Glasgow Scotland

Multiple Continuing Development Opportunities

University of Glasgow

44-0-141-3303123

gla.ac.uk

May 02-04

Prague Czech Republic

European Focus On Myeloproliferative Neoplasms And Myelodysplastic Syndromes

Imedex

800-233-0957

imedex.com

May 05

Singapore Singapore

Developing A Career In Academic Surgery Course

Royal Australasian College Of Surgeons

61-3-9276-7406

racsanzca2014. com

May 05-09

Singapore Singapore

Royal Australasian College Of Surgeons, Annual Scientific Congress And Australian And New Zealand College Of Anaesthetists, Annual Scientific Meeting

Royal Australasian College Of Surgeons

61-3-9276-7406

racsanzca2014. com

May 24

Glasgow Scotland

Practical Advice For New Consultants: Before And After Appointment

Royal College of Physicians and Surgeons of Glasgow

44-0-141-2216072

rcpsg.ac.uk

Jun 02-12

Baltic and Russia Cruise

Update In Medicine

Sea Courses Cruises

888-647-7327 See Ad Page 28

seacourses. com

Jun 24-28

Kuopio Finland

The International 22nd Puijo Symposium Physical Exercise In Clinical Medicine - Critical Appraisal Of Scientific Evidence

Kuopio Research Institute of Exercise Medicine

saila. laaksonen@ uef.fi

puijosymposium.org

Professional Education Society

877-737-7005

pestravel.com

new CME list fromSystem Adam

Jun 29Galapagos VicHospiceJFCDadQuarterBannerAutumn2014.pdf Current Medical Issues1 Jul 07 Cruise

24/02/14

2:07 PM

SPRING 2014 Just For Canadian Doctors

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14-03-07 12:49 PM


where

topic

sponsor

contact

website

Myrtle Beach

Practical Advances In Musculoskeletal And Sports Care

American Academy of Family Physicians

913-906-6000 See Ad Page 14

aafp.org

Sep 13-17

London England

XXXII Congress Of The ESCRS

The European Society of Cataract and Refractive Surgeons

353-1-2091100 See Ad Page 11

escrs.org

Oct 15-28

Asian Cruise (Diamond Princess)

Medical CBT For Depression: Ten-Minute Techniques For Real Doctors

CBT Canada

877-466-8228

cbt.ca

Oct 21-25

Washington DC

American Academy Of Family Physicians Assembly

American Academy of Family Physicians

913-906-6000 See Ad Page 14

aafp.org

Nov 26Dec 09

India Cruise

Adventures In Medicine

Sea Courses Cruises

888-647-7327

seacourses. com

Dec 13-20

Caribbean Cruise (Disney Fantasy)

Medical CBT For Anxiety: Ten-Minute Techniques For Real Doctors

CBT Canada

877-466-8228 See Ad Page 26

cbt.ca

Geriatrics

cme

Dec 04-07

Walt Disney World Resort Florida

Geriatric Medicine For Primary Care

Medical Education Resources

303-798-9682

mer.org

Sep 08-19

Mediterranean Cruise

Caring For An Aging Patient

888-647-7327

seacourses. com

May 14-17

Chicago Illinois

27th Annual American Society Of Pediatric Hematology Oncology Meeting: ASPHO 2014

American Society of Pediatric Hematology/ Oncology

847-375-4716

aspho.org

Sep 14-19

Boston Massachusetts

Cancer Medicine And Hematology

Harvard Medical School

617-384-8600

harvard.edu

Aug 15

San Diego California

Chronic Disease Management In Diverse Populations

Scripps Conference Services and CME

800-727-4777

scrippshealth. org

Sep 10-20

Ireland Cruise

Updates in Disease Prevention & Public Healthcare Delivery - Explore The Emerald Isle

Professional Education Society

877-737-7005

pestravel.com

Nov 08-15

Tahiti Cruise

Updates in Disease Prevention & Public Healthcare Delivery

Professional Education Society

877-737-7005

pestravel.com

Mar 26-29

Scottsdale Arizona

25th Annual Clinical Reviews - A Family Medicine And Internal Medicine Update

Mayo Clinic in Scottsdale, Arizona

480-301-4580

mayo.edu/cme

May 12-15

Paris France

Internal Medicine For Primary Care: ID/CV/ Vasc/Neuro

Medical Education Resources

303-798-9682

mer.org

Aug 03-10

St. Petersburg Russia

East West Medical & Legal Conference

Conferences 21

011-61-7-32543331

conferences21. com

Sep 19-25

Costa Navarino Messinia Greece

The 9th Greek Legal And Medical Conference

Eugenia Mitrakas

613-9690-2033 See Ad Page 32

greekconference.com.au

Sep 25Aug 03

Florence Italy

Europe Pacific Medical & Legal Conference

Conferences 21

011-61-7-32543331

conferences21. com

Nov 06-08

Las Vegas Nevada

Birth Injuries, The Law And Perinatal Safety

Contemporary Forums

800-377-7707

contemporaryforums.com

Legal and Ethics

Internal Medicine

Infectious and Chronic Diseases

General & Family Medicine

when

Jul 15-18

Hematology

c m e calendar

30

South Carolina

Courses Cruises new CME list from Sea Adam

Just For Canadian Doctors SPRING 2014

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Pediatrics

Oncology & Palliative Care

Obstetrics & Gynecology

Nutrition

Neurology

cme

calendar

cme

when

where

topic

sponsor

contact

website

Sep 15-19

Boston Massachusetts

The Michael J. Bresnan Child Neurology Course

Harvard Medical School

617-384-8600

harvard.edu

Aug 08-10

Walt Disney World Resort Florida

Neurology For Primary Care

Medical Education Resources

303-798-9682

mer.org

Apr 09

Online

EPoCH CME: Screening And Managing Eating Disorders In Primary Practice

American Medical Association

800-621-8335

ama-assn.org

Apr 26-30

San Diego California

78th American Society For Nutrition (ASN) Scientific Sessions & Annual Meeting

American Society For Nutrition

301-634-7050

nutrition.org

Jun 06`

San Francisco California

UCSF Eating Disorders Conference

University of California San Francisco

415-476-5808

ucsfcme.com

Oct 15-18

San Antonio Texas

American College Of Nutrition’s 55th Annual Conference Translational Nutrition: Turning Research Into Practice

Scripps Conference Services and CME

800-727-4777

scrippshealth. org

Apr 30May 03

São Paulo Brazil

12th World Congress On Endometriosis

World Endometriosis Society

44-0-20-78085171

endometriosis.ca

May 31Jul 01

Boston Massachusetts

2nd Annual Collaborative Symposium - Update In Minimally Invasive Gynecologic Surgery

Harvard Medical School

617-384-8600

harvard.edu

Jun 05-08

Sonoma California

Women’s Health Conference

UC Davis Health

916-734-5390

ucdmc.ucdavis. edu

Jul 27-30

Jackson Hole Wyoming

Office Gynecology

Contemporary Forums

800-377-7707

contemporaryforums.com

Jul 28-31

Kiawah Island South Carolina

Focus On The Female Patient Conference

Southern Medical Association

800-423-4992

sma.org

Ongoing

Online

Modernizing The Code Of Medical Ethics: Chapter 5 - Ethical Issues In Caring for Patients At The End Of Life

American Medical Association

800-621-8335

ama-assn.org

Oct 18-25

Tahiti and Society Islands Cruise

Primary Care Including Topics In Palliative Care

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39

continuingeducation.net

Oct 20-24

Victoria British Columbia

Psychosocial Care Of The Dying And Bereaved Course

Victoria Hospice Society

250-370-8715 See Ad Page 29

victoriahospice. org

Nov 17-21

Victoria British Columbia

Palliative Care: Medical Intensive Course

Victoria Hospice Society

250-370-8715 See Ad Page 29

victoriahospice. org

Ongoing

Multiple Cities Colombia

Capacity Building Internship For HIV/AIDS Orphanage (Volunteer Opportunity)

The Humanity Exchange

778-300-2466

thehumanityexchange.org

Jun 05-07

San Francisco California

Pediatrics Advances

University of California San Francisco

415-476-5808

ucsfcme.com

Nov 04-07

Las Vegas Nevada

Pediatric Critical Care Nursing

Contemporary Forums

800-377-7707

contemporaryforums.com

BALTIC

JUL 8 - 20, 2014 Men’s Health & Neurology Update 2014 Celebrity Constellation

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SPRING 2014 Just For Canadian Doctors

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c m e calendar

Wilderness Medicine

Technology

Radiology

Psychiatry/Psychology

Primary Care

cme

when

where

topic

sponsor

contact

website

Jun 16-20

Amelia Island Florida

21st Annual Clinical Reviews And Primary Care Update - 2014

Mayo Clinic in Jacksonville, Florida

800-462-9633

mayo.edu/cme

Mar 31Apr 04

Palm Coast Florida

8th Annual Primary Care Spring Conference: Session I

Continuing Education Company

800-327-4502

cmemeeting. org

Jul 20-23

Jackson Hole Wyoming

Hot Topics In Primary Care

Contemporary Forums

858-652-5400

contemporaryforums.com

Aug 01-03

San Diego California

31st Annual Primary Care Summer Conference

Scripps Conference Services and CME

858-652-5400

scrippshealth. org

Mar 23-26 2015

Maui Hawaii

20th Annual Primary Care In Paradise

Scripps Conference Services and CME

800-727-4777

scrippshealth. org

May 29-31

Toronto Ontario

CAMH Summer Training Institute: CBT Beyond The Basics

Centre for Addiction and Mental Health

800-463-6273

camh.ca

Jan 08-10 2015

Whistler British Columbia

Medical CBT For Anxiety: Ten-Minute Techniques For Real Doctors

CBT Canada

877-466-8228

cbt.ca

Feb 16-26 2015

Tahitian Cruise (Ocean Princess)

Medical CBT Tools: Ten-Minute Techniques For Real Doctors

CBT Canada

877-466-8228 See Ad Page 26

cbt.ca

May 15-16

St. Pete Beach Florida

Advanced Musculoskeletal Ultrasound Education - Hands-On Training Seminar

Gulfcoast Ultrasound Institute

800-619-1900 See Ad Page 13

gcus.com

Jul 10-11

San Antonio Texas

Ultrasound For Emergency Medicine

800-222-6927

nwas.com

Sep 15-17

St. Pete Beach Florida

Introduction To Emergency Medicine Ultrasound

Gulfcoast Ultrasound Institute

800-619-1900 See Ad Page 13

gcus.com

Oct 27-30

Sonoma California

2014 Update On Advanced Imaging In The California Wine Country

UC Davis Health System

916-734-5390

ucdmc.ucdavis. edu

Apr 02-06

Phoenix Arizona

Laser 2014: 34th ASLMS Annual Conference

American Society for Laser Medicine and Surgery

877-258-6028

aslms.org

Sep 20-21

Jersey City New Jersey

2014 Laser Aesthetics Course

American Society for Laser Medicine and Surgery

877-258-6028

aslms.org

Oct 30Nov 01

Atlanta Georgia

Contraceptive Technology

Contemporary Forums

800-377-7707

contemporaryforums.com

Aug 01-06

Jackson Hole Wyoming

Jackson Hole: The Crossroads Of Wilderness And Travel Medicine. WMS Annual Meeting In Conjunction With The International Society Of Travel Medicine

Wilderness Medical Society

801-990-2988

wms.org

Aug 01-06

Tuscon Arizona

Desert Medicine Conference

Wilderness Medical Society

801-990-2988

wms.org

Northwest Anesthesia

new CME list fromSeminars Adam

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

Ninth Medical and Legal Conference Romanos Luxury Resort

Costa Navarino Greece, 19-25 September 2014 Theme: Technology and Ethics Keynote Speakers: • Nobel Laureate Prof. Peter Doherty AC • Prof. David De Kretser AC • The Hon. Justice Chris Maxwell • The Hon. Justice Stephen Gageler • The Hon. Justice Malcolm Craig Cultural Highlight Speakers: • Prof. Petros Themelis • James McCaughey

Cultural Tours: • Corinth Canal & Mycenae • Olympia • Messini • Sparta & Mystras Pre-Conference Tour: • Southern Italy Post-Conference Tours: • Lesvos & Turkey

Contact: Eugenia Mitrakas Telephone: +613 9690 2033, Fax: +613 9696 2937 Email: eugenia@greekconference.com.au Web: www.greekconference.com.au

32

Just For Canadian Doctors SPRING 2014

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w e althy do c tor M. pur tz ki, c .a. Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can reach him at manfred@purtzki.com.

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hen the government disallowed income splitting with minor children, most doctors closed down their family trusts. Many have regretted this move, not realizing that trusts still remain an important tax reduction vehicle. If your medical corporation is planning to pay dividends to adult children, parents or other relatives, the shares need to be held in a trust. Below are examples of the many benefits you can enjoy by setting up a trust that is tailored to your needs.

You can add or remove beneficiaries without their consent or tax implications.

You protect the corporation from creditors. While beneficiaries are the actual owners of the trust, the beneficiary’s interest in a typical discretionary trust has no commercial value. This prevents creditors from getting access to the trust assets or the shares of the

you to shop for a low-rate jurisdiction to shelter your income. Because of Alberta’s low tax rate, many trusts are resident in this province. In order to have a trust reside in a jurisdiction, the majority of the trustees must also reside there and the administration of the trust must also be carried on in the same location. To illustrate the tax benefits, a $1 million gain taxed in an Alberta trust saves about $30,000 of income taxes compared with a trust resident in Ontario.

You avoid probate fees. If you transfer investments or personal assets to a trust, these trust assets are no longer part of your estate and not subject to probate fees. Important to remember is that a transfer of assets to a family trust must be at fair market value, which means that a capital gain can be triggered on the transfer.

You can double up on the principal residence exemption. Many doctors know that the gain on the sale of the family home is tax-exempt. If your family owns a recreational property, the principal residence exemption must either be allocated to the family home or to the recreational property, but not both. When your children turn 18, they become entitled to their own principal residence exemption. Furthermore, if the trust purchases the recreational property, the gain on the sale of the property can be sheltered by the beneficiary’s principal residence exemption. The residence exemption, however, is only possible once the child turns 18, and the child must have used the property during the period of ownership. If you are contemplating to acquire a personal residence, consider having the family trust purchase it. Because there are some important technical rules you need to follow when setting up such a principal residence trust, it is crucial that you obtain advice from your accountant.

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The typical trust document gives you, as the trustee, full discretion in the management of the trust. It takes a simple trust document to add a new family member to income split with. You can also remove one with whom you may have a conflict or who is no longer providing tax benefits. Adding or removing shareholders without the trust is a big deal. This can result in paying large professional fees to reorganize the share capital and unexpected tax bills in case of a departing shareholder. While the leaving shareholder may be willing to surrender the shares to you without any payment, the Tax Department treats such a transfer as a disposition at fair market value. For instance, if the shares have a market value of $100,000, you can expect to pay tax of about $25,000.

You can save taxes by shifting income to a low-tax-rate province. The trust allows

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You maintain absolute control. Since you are the author of the trust agreement, you can add many provisions to allow for flexibility and control. The flexibility provision implies that you can appoint either yourself and/or your spouse as the trustees. In most cases, the only asset in the trust is the dividend-paying shares of your corporation. This means that you have full control how the income and distribution of funds is allocated to the beneficiaries. In the absence of a trust, however, your family members control the shares and—within limits—can do with them what they wish.

company. Keep in mind that your trust, provided it is used as a creditor protection vehicle, may be challenged in some jurisdictions. Thus, it is prudent that you check with your lawyer whether or not your trust is creditor proof.

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14-03-07 12:49 PM


cursive

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

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

nostalgia (or not?) for cursive

Do we care if cursive writing goes the way of the dodo?

I

recently had a patient tell me how she had had to fight with her sons’ school in order that her children be taught cursive writing (also referred to as script, joinedup writing, joint writing, running writing or handwriting). My first reaction was of outrage, but upon reflection I am beginning to change my mind. Historically there was probably outrage when wax tablets gave way to papyrus, papyrus to parchment, parchment to paper and eventually paper scrolls to books. The recording devices for these media have also undergone an evolution. The quill pen became the dipping pen and later the fountain pen. These have been superseded by ball-point pens. Alongside these came the invention of the mechanical typewriter followed by the electric daisy-wheel machine,

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the stand-alone word-processor and now the computer and multitudes of tablets. The purpose of all of these is the transfer of information, with the added advantage of permanence and asynchronicity—the Dead Sea scrolls being an extreme example of this. Today’s evolving medicine, with the fragmentation of primary care and the concentration within hospitals of complex patients involving several disparate specialties, means safe, rapid and reliable transfer of information is essential. Handwriting is far from ideal for this purpose. Yet even in a new hospital with everything state-of-the-art, including the electronic medical record and every kind of monitoring device, the day-to-day progress notes are still handwritten. This means that they cannot be easily entered into

the electronic medical record (they could be scanned but this is not immediate and labour inefficient); when remotely accessing the hospital record this vital data is not available. Paper-chart entries are labourious and slow to read at best, and illegible and potentially misleading at worst. But their advantage is that the information is immediately available to anybody geographically or temporally close to the writer. Doctors’ handwriting, the butt of many jokes, is not really a joke at all. Handwritten prescriptions are easily misread and interpreting the hastily written script wastes pharmacists’ time. Studies in the US estimate 7,000 deaths a year are attributable to this, and the UK gives the figure of 30,000 a year. With the availability of computer and

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se r v i c e

tablets, rapid, reliable and digital writing is easily possible. The disadvantage with these is that not many physicians can type much more than 30 words per minute; handwriting is probably quicker in the short-term. Voice recognition has now reached the level where, while not perfect, it is safely usable. It’s certainly quicker than handwriting and less tiring. With experience this can be extremely productive with simple commands employing macros to ‘write’ no end of repetitive but medicolegally necessary information. Transcription services are also readily available and reasonably affordable. The hourly rate of a stenographer is more than covered by the time enabled to see another patient or two. And with the shortage of physicians such an increase in productivity has broader value too. I have several pens, and I am particularly fond of my Schaeffer fountain pen, but I rarely use it any more. This is somewhat sad but now my records and referral letters are completely legible and easy to read. Using the EMR, they are quicker to produce and contain a great deal more information since there is less temptation to abbreviate and omit material. Handwriting does transmit information that a word processor will not. The emotion and even personality of the writer that are revealed through script—forward or back sloping, bold and clear or carelessly scratched—are characteristics that will be lost. I guess it will make it difficult for the crime novelist! So should this evolution be allowed to go unchallenged? I am ambivalent. Are you? And one more thought: In my research for this essay there is a question to which I have not found an answer—how will the next generation sign their names?

a t you r

ve

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What will you do with your gift card? See what last issue’s winner, Dr. Pippa Moss did with hers on page 38. Tell us how you spent your VISA gift card at feedback@inprintpublications.com and we might share with the rest of our readers too.

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SPRING 2014 Just For Canadian Doctors

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s m a l l ta l k

doctors share their picks, pains, pleasures + fears

Dr. Pippa Moss likes to travel. A lot. It’s the one thing she’d change about herself: stay home in Tatamagouche, Nova Scotia, more often. Yet she’s happiest exploring new places. It’s what brings her to Kenya regularly as Project Lead for a home that provides family-based care for AIDs-abandoned and -orphaned children, named after a young girl named after Dr. Moss, who once sponsored her father (pippasplace.org). If she wasn’t an on-a-mission physician, she’d be an astronaut like her celebrity crush, Roberta Bondar. Her motto? Per ardua ad astra, which telling means “Through adversity to the stars.”

I live and practise in: Tatamagouche, Nova Scotia, when not with my son in Toronto or at the house in Sackville, New Brunswick where

*

Why I was drawn to medicine and my specialty: I thought that I wanted to be a family doctor because I admired a doctor that I had met in England

My ultimate dream vacation: Visit the crater on Devon Island where they have a mock Mars Settlement If I could travel to any time, I’d go…: 1969

My favourite CD/album or song: Varies from day to day but it is NEVER jazz! My first job: Car parts salesperson! I had no idea what I was doing and had to look everything up. The gadget or gear I could not do without: My Mac comes to mind, but I do go without it. Maybe my Tilley travel gear.

KUDOS TO DR. MOSS! She won this magazine’s VISA gift card in the Winter 2014 issue and took it to Kenya as a reward for a local boy’s achievement in high school.

My fondest memory: So hard to choose

Most-frequented store: Atlantic Superstore, sadly! My closet has too many: Clothes My fridge is always stocked with: Good chocolate

My degrees / training: My medical degree is from the UK and I trained in Psychiatry there and at Dalhousie in Halifax, NS

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The best souvenir I’ve brought back from a trip: Pictures

A talent I wish I had: Ability to sing opera

My car: Jaguar—allwheel-drive

Last splurge: Paying for a conference in Tahiti, which I will leave for in three weeks time

The most exotic place I’ve travelled to: Hard to decide—how do you define exotic?

My secret to relaxing: Mindfullness

My favourite room: Bathroom; to be precise, the tub

My last purchase: Nakuru for paintings, top Dr. Pippa Moss (right) on a cold morning in Nairobi for Masai Mara with Ann, a Kenyan batiks, Isteacher. far left Dr. Moss (centre) tanbul for and friends wear Masai blankets jewelry given as a thank-you for their work and then at an elementary school through Frankfurt the Fundy Peace Foundation. near left Dr. Moss inside the Masai for chocohome of a grandmother (left) late

My last trip: Masai Mara and Nakuru, Kenya, working with children there

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

My scariest moment: Landing in a plane with no brakes, the wheels not down properly and leaking avgas

with teacher Ann.

he used to live. I practice in Amherst, Truro, New Glasgow and Sydney, Nova Scotia, and hope to practise in Toronto as well this year.

unless you count Roberta Bondar

My biggest challenge: Being stranded on Kilimanjaro with my son in severe pulmonary oedema

I’m inspired by: People who think outside the box and explore

My greatest fear: Ending up saying: “Of all the things I’ve lost, it’s my mind I miss the most”

Guilty pleasure: Chocolate (and teas)

A cause that’s close to my heart: Children

My favourite exercise/ sport: Hiking

On my must-do list: Fly around the world, preferably first class, just to do it!

Celebrity crush: None,

J a

I’m happiest when: Exploring new places

My favourite book: Stranger in a Strange Land, by Heinlein

My favourite sport to watch: None

J

My biggest ego blow: Someone who obviously dislikes me

A favourite place that I keep returning to: Home in Tatamagouche

Must-see TV: If any (I do not have a TV), The Big Bang Theory

J 1 7 S

My biggest ego boost: Being loved by my wonderful and patient husband

My medicine cabinet is always stocked with: A variety of items for my first-aid kit

My favourite film: Fried Green Tomatoes

J

One thing I’d change about myself: The desire to travel—a lot!

My motto: Per ardua ad astra

If I wasn’t a doctor I’d be: An astronaut

A 2

photos courtesy Dr. pippa moss

My name: Pippa Moss

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SPRING 2014