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  1. Article ; Online: Clarification of the CMA's position concerning induced abortion.

    Blackmer, Jeff

    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

    2007  Volume 176, Issue 9, Page(s) 1310

    MeSH term(s) Abortion, Induced/standards ; Canada ; Female ; Humans ; Physician's Role ; Practice Guidelines as Topic ; Pregnancy ; Referral and Consultation ; Societies, Medical
    Language English
    Publishing date 2007-04-24
    Publishing country Canada
    Document type Comment ; Letter
    ZDB-ID 215506-0
    ISSN 1488-2329 ; 0008-4409 ; 0820-3946
    ISSN (online) 1488-2329
    ISSN 0008-4409 ; 0820-3946
    DOI 10.1503/cmaj.1070035
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  2. Article: Canadian Medical Association Perspectives on End-of-Life in Canada.

    Blackmer, Jeff / Francescutti, Louis Hugo

    HealthcarePapers

    2014  Volume 14, Issue 1, Page(s) 17–20

    Abstract: The Canadian Medical Association (CMA) is the representative body for the physicians of Canada. Over the past year, the association has been devoting significant time and resources to considering the important issues involved in care at the end of life. ... ...

    Abstract The Canadian Medical Association (CMA) is the representative body for the physicians of Canada. Over the past year, the association has been devoting significant time and resources to considering the important issues involved in care at the end of life. It has conducted a series of public town hall meetings across the country to allow Canadians to express their view on these issues, the only organization to have done so. The CMA will be appearing before the Supreme Court in the Carter case in October 2014 as a "friend of the court" and will continue to represent the views of the medical profession in these complex and difficult areas.
    Language English
    Publishing date 2014
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2141700-3
    ISSN 1488-917X
    ISSN 1488-917X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 5882: Show issues Location:
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  3. Article ; Online: Perceptions and Impact of the 2017 Canadian Guideline for Opioid Therapy and Chronic Noncancer Pain: A Cross-Sectional Study of Canadian Physicians.

    Busse, Jason W / Douglas, Joyce / Chauhan, Tara S / Kobeissi, Bilal / Blackmer, Jeff

    Pain research & management

    2020  Volume 2020, Page(s) 8380171

    Abstract: Background: Physician adherence to guideline recommendations for the use of opioids to manage chronic pain is often limited.: Objective: In February 2018, we administered a 28-item online survey to explore perceptions of the 2017 Canadian guideline ... ...

    Abstract Background: Physician adherence to guideline recommendations for the use of opioids to manage chronic pain is often limited.
    Objective: In February 2018, we administered a 28-item online survey to explore perceptions of the 2017 Canadian guideline for opioid therapy and chronic noncancer pain and if physicians had altered practices in response to recommendations.
    Results: We invited 34,322 Canadian physicians to complete our survey, and 1,128 responded for a response rate of 3%; 687 respondents indicated they prescribed opioids for noncancer pain and answered survey questions about the guideline and their practice. Almost all were aware of the guideline, 94% had read the document, and 89% endorsed the clarity as good or excellent. The majority (86%) felt the guideline was feasible to implement, but 66% highlighted resistance by patients, and 63% the lack of access to effective nonopioid treatment as barriers. Thirty-six percent of respondents mistakenly believed the guideline recommended mandatory tapering for patients using high-dose opioid therapy (≥90 mg morphine equivalent per day), and 58% felt they would benefit from support for opioid tapering. Seventy percent of respondents had changed practices to align with guideline recommendations, with 51% engaging some high-dose patients in opioid tapering and 43% reducing the number of new opioid starts.
    Conclusion: There was high awareness of the 2017 Canadian opioid guideline among respondents, and preliminary evidence that recommendations have changed practice to better align with the evidence. Ongoing education is required to avoid the misunderstanding that opioid tapering is mandatory, and research to identify effective strategies to manage chronic noncancer pain is urgently needed.
    MeSH term(s) Adult ; Analgesics, Opioid/therapeutic use ; Canada ; Chronic Pain/drug therapy ; Cross-Sectional Studies ; Drug Prescriptions/standards ; Drug Prescriptions/statistics & numerical data ; Female ; Guideline Adherence/statistics & numerical data ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Middle Aged ; Practice Guidelines as Topic ; Practice Patterns, Physicians'/statistics & numerical data
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2020-02-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2041085-2
    ISSN 1918-1523 ; 1203-6765
    ISSN (online) 1918-1523
    ISSN 1203-6765
    DOI 10.1155/2020/8380171
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 5498: Show issues Location:
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  4. Article: Ethics and the disabled.

    Blackmer, Jeff

    Archives of physical medicine and rehabilitation

    2003  Volume 84, Issue 11, Page(s) 1726

    MeSH term(s) Bioethics ; Disabled Persons/rehabilitation ; Humans ; Quality of Life
    Language English
    Publishing date 2003-09-01
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 80057-0
    ISSN 1532-821X ; 0003-9993
    ISSN (online) 1532-821X
    ISSN 0003-9993
    DOI 10.1053/j.apmr.2003.09.002
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  5. Article ; Online: Perceptions and Impact of the 2017 Canadian Guideline for Opioid Therapy and Chronic Noncancer Pain

    Jason W. Busse / Joyce Douglas / Tara S. Chauhan / Bilal Kobeissi / Jeff Blackmer

    Pain Research and Management, Vol

    A Cross-Sectional Study of Canadian Physicians

    2020  Volume 2020

    Abstract: Background. Physician adherence to guideline recommendations for the use of opioids to manage chronic pain is often limited. Objective. In February 2018, we administered a 28-item online survey to explore perceptions of the 2017 Canadian guideline for ... ...

    Abstract Background. Physician adherence to guideline recommendations for the use of opioids to manage chronic pain is often limited. Objective. In February 2018, we administered a 28-item online survey to explore perceptions of the 2017 Canadian guideline for opioid therapy and chronic noncancer pain and if physicians had altered practices in response to recommendations. Results. We invited 34,322 Canadian physicians to complete our survey, and 1,128 responded for a response rate of 3%; 687 respondents indicated they prescribed opioids for noncancer pain and answered survey questions about the guideline and their practice. Almost all were aware of the guideline, 94% had read the document, and 89% endorsed the clarity as good or excellent. The majority (86%) felt the guideline was feasible to implement, but 66% highlighted resistance by patients, and 63% the lack of access to effective nonopioid treatment as barriers. Thirty-six percent of respondents mistakenly believed the guideline recommended mandatory tapering for patients using high-dose opioid therapy (≥90 mg morphine equivalent per day), and 58% felt they would benefit from support for opioid tapering. Seventy percent of respondents had changed practices to align with guideline recommendations, with 51% engaging some high-dose patients in opioid tapering and 43% reducing the number of new opioid starts. Conclusion. There was high awareness of the 2017 Canadian opioid guideline among respondents, and preliminary evidence that recommendations have changed practice to better align with the evidence. Ongoing education is required to avoid the misunderstanding that opioid tapering is mandatory, and research to identify effective strategies to manage chronic noncancer pain is urgently needed.
    Keywords Medicine (General) ; R5-920
    Language English
    Publishing date 2020-01-01T00:00:00Z
    Publisher Hindawi Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: Rehabilitation medicine: 1. Autonomic dysreflexia.

    Blackmer, Jeff

    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

    2003  Volume 169, Issue 9, Page(s) 931–935

    Abstract: Autonomic dysreflexia is an acute syndrome of excessive, uncontrolled sympathetic output that can occur in patients who have had an injury to the spinal cord (generally at or above the sixth thoracic neurologic level). It is caused by spinal reflex ... ...

    Abstract Autonomic dysreflexia is an acute syndrome of excessive, uncontrolled sympathetic output that can occur in patients who have had an injury to the spinal cord (generally at or above the sixth thoracic neurologic level). It is caused by spinal reflex mechanisms that remain intact despite the patient's injury, leading to hypertension. This review describes the clinical features of autonomic dysreflexia, its common causes (most frequently stimulation of the lower urinary tract) and a recommended approach to treatment. The condition can nearly always be managed successfully, but prompt recognition is essential--without treatment there may be dire consequences, including death.
    MeSH term(s) Adult ; Antihypertensive Agents/therapeutic use ; Autonomic Dysreflexia/etiology ; Autonomic Dysreflexia/physiopathology ; Autonomic Dysreflexia/therapy ; Humans ; Hypertension/drug therapy ; Hypertension/etiology ; Male ; Spinal Cord Injuries/complications
    Chemical Substances Antihypertensive Agents
    Language English
    Publishing date 2003-10-28
    Publishing country Canada
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 215506-0
    ISSN 1488-2329 ; 0820-3946 ; 0008-4409
    ISSN (online) 1488-2329
    ISSN 0820-3946 ; 0008-4409
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  7. Article: The unique ethical challenges of conducting research in the rehabilitation medicine population.

    Blackmer, Jeff

    BMC medical ethics

    2003  Volume 4, Page(s) E2

    Abstract: Background: The broad topic of research ethics is one which has been relatively well-investigated and discussed. Unique ethical issues have been identified for such populations as pediatrics, where the issues of consent and assent have received much ... ...

    Abstract Background: The broad topic of research ethics is one which has been relatively well-investigated and discussed. Unique ethical issues have been identified for such populations as pediatrics, where the issues of consent and assent have received much attention, and obstetrics, with concerns such as the potential for research to cause harm to the fetus. However, little has been written about ethical concerns which are relatively unique to the population of patients seen by the practitioner of rehabilitation medicine.
    Discussion: This paper reviews unique ethical concerns in conducting research in this population, including decision-making capacity, communication, the potential for subject overuse, the timing of recruitment, hope for a cure and therapeutic misconception and the nature of the health care provider-research subject relationship.
    Summary: Researchers in the area of rehabilitation medicine should be aware of some of the unique ethical challenges posed by this patient population and should take steps to address any potential concerns in order to optimize subject safety and ensure that studies meet current ethical guidelines and standards.
    MeSH term(s) Brain Injuries/rehabilitation ; Communication ; Comprehension ; Decision Making ; Disabled Persons ; Human Experimentation/ethics ; Humans ; Informed Consent ; Mental Competency ; Multiple Sclerosis/rehabilitation ; Rehabilitation ; Research Subjects/psychology ; Researcher-Subject Relations ; Spinal Cord Injuries/rehabilitation ; Time Factors
    Language English
    Publishing date 2003-06-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041552-7
    ISSN 1472-6939
    ISSN 1472-6939
    DOI 10.1186/1472-6939-4-2
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  8. Article: Medical-ethics teaching in Canadian physical medicine and rehabilitation residency training programs.

    Blackmer, Jeff

    Annals (Royal College of Physicians and Surgeons of Canada)

    2002  Volume 35, Issue 8 Suppl., Page(s) 574–578

    Abstract: Background: Medical-ethics education is a required component of all Royal College residency training programs in Canada. There have been no studies to determine how and to what extent this teaching is done in physical medicine and rehabilitation ... ...

    Abstract Background: Medical-ethics education is a required component of all Royal College residency training programs in Canada. There have been no studies to determine how and to what extent this teaching is done in physical medicine and rehabilitation training programs.
    Objective: To assess the state of medical-ethics teaching in Canadian physical medicine and rehabilitation residency training programs.
    Methods: A six-question survey was faxed to the program directors of the 10 physiatry residency training programs in Canada. We asked whether medical-ethics teaching is being done, who is doing the teaching, which pedagogic methods is used, how many hours are dedicated to the topic, which topics are taught, and what evaluation method is used.
    Results: The response rate was 90 per cent. The study confirmed that medical-ethics teaching is done in all Canadian physiatry training programs. However, the person doing the teaching, the number of hours allocated to ethics education, the pedagogic method used, and the topics being taught vary from program to program.
    Conclusion: Although medical-ethics teaching is done in all programs, there is a need for more standardization in the curriculum and in evaluation. The curriculum should focus on ethical issues that are most likely to be encountered in daily physiatric practice. Small-group, case-based teaching should be used for maximum effectiveness. Whenever possible, teaching should be done by a physiatrist.
    MeSH term(s) Bioethics/education ; Canada ; Curriculum ; Data Collection ; Ethics, Clinical/education ; Ethics, Medical/education ; Humans ; Internship and Residency/ethics ; Physical and Rehabilitation Medicine/education ; Physical and Rehabilitation Medicine/ethics ; Rehabilitation/education ; Rehabilitation/ethics ; Teaching
    Language English
    Publishing date 2002-12
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 414136-2
    ISSN 0035-8800
    ISSN 0035-8800
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1225: Show issues Location:
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  9. Article ; Online: Obtaining consent to a life-sustaining treatment for a patient with a major psychiatric illness.

    Kadri, Albert / Blackmer, Jeff / Ibrahim, Muhieldean

    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

    2014  Volume 186, Issue 14, Page(s) 1087–1089

    MeSH term(s) Canada ; Female ; Humans ; Middle Aged ; Renal Dialysis/ethics ; Renal Insufficiency, Chronic/complications ; Renal Insufficiency, Chronic/psychology ; Schizophrenia, Paranoid/complications ; Third-Party Consent/legislation & jurisprudence
    Language English
    Publishing date 2014-06-09
    Publishing country Canada
    Document type Case Reports ; Journal Article
    ZDB-ID 215506-0
    ISSN 1488-2329 ; 0008-4409 ; 0820-3946
    ISSN (online) 1488-2329
    ISSN 0008-4409 ; 0820-3946
    DOI 10.1503/cmaj.130714
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The unique ethical challenges of conducting research in the rehabilitation medicine population

    Blackmer Jeff

    BMC Medical Ethics, Vol 4, Iss 1, p

    2003  Volume 2

    Abstract: Abstract Background The broad topic of research ethics is one which has been relatively well-investigated and discussed. Unique ethical issues have been identified for such populations as pediatrics, where the issues of consent and assent have received ... ...

    Abstract Abstract Background The broad topic of research ethics is one which has been relatively well-investigated and discussed. Unique ethical issues have been identified for such populations as pediatrics, where the issues of consent and assent have received much attention, and obstetrics, with concerns such as the potential for research to cause harm to the fetus. However, little has been written about ethical concerns which are relatively unique to the population of patients seen by the practitioner of rehabilitation medicine. Discussion This paper reviews unique ethical concerns in conducting research in this population, including decision-making capacity, communication, the potential for subject overuse, the timing of recruitment, hope for a cure and therapeutic misconception and the nature of the health care provider-research subject relationship. Summary Researchers in the area of rehabilitation medicine should be aware of some of the unique ethical challenges posed by this patient population and should take steps to address any potential concerns in order to optimize subject safety and ensure that studies meet current ethical guidelines and standards.
    Keywords ethics ; research ; rehabilitation medicine ; Medical philosophy. Medical ethics ; R723-726
    Subject code 170
    Language English
    Publishing date 2003-06-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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