Joule COVID-19 Learning Series: Mindfulness Workshops
These 60-minute interactive, online workshops introduce the core components of Mindfulness Practice, an internationally recognized program to help physicians incorporate mindfulness into their clinical work. Instructors are graduates of the University of Rochester Medical Center Mindful Practice longitudinal internship program.
Webinar Details
Topic: Mindfulness workshops
Tuesday, June 2 – 8:00 pm (EDT)
Instructor: Dr. Anita Chakravarti
Language: English
Registration: https://us02web.zoom.us/meeting/register/tZAoceiprTIrGtH_nX0tpUtEyv_WUDHRhf_D
Monday, June 8 – 8:00 pm (EDT)
Instructor: Dr Jillian Horton
Language: English
Registration: https://us02web.zoom.us/meeting/register/tZ0tduCppz8tGdzUDa9T-3yCfGqQPe_jHm9k
AAO Webinar Recording –Community Q&A: Things to Consider as You Prepare to Reopen Your Practice.
Community Q&A: Things to Consider as You Prepare to Reopen Your Practice, by Sanjay D Goel, MD, Ann M Hulett, CMPE, Albert Castillo
View the full webinar recording here
MedEdTalks: Treatment Burden in nAMD – How to Address Barriers in Care
In this MedEdTalks Micro-CE podcast, Rishi P. Singh, MD, and Dilsher S. Dhoot, MD, discuss current barriers to care of patients with neovascular age-related macular degeneration (nAMD) and other management considerations for providers.
Harvard Medical School – Clinical Management Through COVID-19 Webinar Series
Harvard Medical School -Clinical Management Through COVID-19 Webinar Series
It is hard to believe it has been over a month since the WHO declared the COVID-19 pandemic and I can imagine we are all slowly starting to adjust to the new “normal.” At times I feel completely bombarded by all of the information available about the pandemic – it really is coming at us from all fronts. Overflowing email inboxes, the news, social media, medical literature…the list just goes on! The rate of new information about COVID-19 seems to be exponential and it’s a challenge to keep up. I had been searching for a few “go-to” resources that would give high yield, digestible, up-to-date summaries on key COVID-19 topics. I wanted to share this month with you a great online, webinar series I have been really enjoying for the past few weeks. Harvard PGME has put together a special continuing education webinar series that is given by various Harvard affiliated faculty. Each week they cover two different COVID-19 related topics on two separate days. Each webinar is an hour in duration and if you cannot watch it live, it is recorded and may be viewed at a later date. It was very simple to register for the webinar and then log on to view it. If you want to watch one to get a feel for the style, I highly recommend watching the one titled “Immunological testing during COVID-19.” It helped answer a lot of questions I had around immunity, testing, vaccines and also the big question “when and how is this going to end?” While not an ophthalmology specific resource, I have found them to very useful and a great complement to the COS “A Path to New Vision” webinars.
Check it out here: https://postgraduateeducation.hms.harvard.edu/continuing-education/covid-19-resources-providers
Accredited for 1 AMA PRA category 1 credit; Unaccredited by Royal College of Canada
Recommended by Dr. Anu Mishra, MD, MS-HPEd
Practice Resource Centre Committee Member, Canadian Ophthalmological Society
Personal Protective Equipment Simulations (Online Modules)
Personal Protective Equipment Simulations (Online Modules)
First, do no harm. How do you keep yourselves, your patients, and your families safe when using Personal Protective Equipment while caring for patients in isolation? Personal Protective Equipment Simulations aims to prepare healthcare providers to care for patients who require droplet and contact isolation on medical admission units in the Calgary Zone, assuring adherence to existing infection prevention and control (IPC) protocols and avoid exposure to suspected pathogens. This course was co-developed with Calgary Medicine Emergency-Pandemic Operations Command (MEOC).
LEARNING OBJECTIVES
Upon completion of the online modules, learners will be able to:
- Recognize and evaluate the indications for PPE use
- List indications for N95 mask use
- Identify the latent threat of PPE fatigue
- Recognize the importance of using a buddy system
REGISTRATION
Online modules are available for anyone to self-register. FREE Self-registration The online self-learning modules are available on here.
ACCREDITATION
1.0 MOC Section 3 Self-Assessment / Mainpro+ Self-learning one-credit-per-hour
CONTACT: [email protected]
Disinfection Recommendations from the Manufacturers: Haag-Streit and Zeiss
May 5, 2020
Guidance During COVID-19: Disinfection Recommendations from the Manufacturers – Haag-Streit and Zeiss
Access Details
- COVID-19 guidance: Cleaning your HFA Perimeter
- Considerations on How to Clean Perimeters to Lower the Risk of COVID 19 Transmissions
- Cleaning Guidance for the Humphrey Field Analyzer (HFA)
April 2020 Issue Highlights
The April 2020 issue of the Canadian Journal of Ophthalmology (CJO) is now available online. Here are just some of the highlights in this issue:
Resident Perspectives + visual abstract: In this issue, our residents have summarized 5 articles that they feel are relevant to learners here in Canada and around the globe, including the article featured in our April visual abstract, Effect of 6-week washout period on intraocular pressure following chronic prostaglandin analogue treatment: a randomized controlled trial.
F.Y. Eye column: As always, we’re pleased to feature Dr. Ian McIlraith’s column, which summarizes recent research and news stories that might be of interest to ophthalmologists. This month, he looks at publications on neuromyelitis optica disease progression, optic nerve ultrasonography for diagnosing increased intracranial pressure, and idiopathic intracranial hypertension as a risk factor for cardiovascular disease.
An excellent line-up of review articles, original research and more, including:
- Dry eye after refractive surgery: a meta-analysis
- Vision to improve: quality improvement in ophthalmology
- The effect of pharmacological pupillary dilation on intraocular pressure measurement
- Pentosan-associated maculopathy: prevalence, screening guidelines, and spectrum of findings based on prospective multimodal analysis
- Ophthalmology referral as part of a multidisciplinary approach to suspected abusive head trauma
- Recovery of stereopsis after strabismus surgery in X-linked ocular albinism
- Inner-limiting-membrane peeling in epiretinal membrane surgery: an evolving surgical trend
Follow the CJO on social media:
Twitter: @CanJOphth
Instagram: @cjo_jco
Facebook: CanJOphth
Recommended COVID-19 Resources
Recommended COVID-19 Resources
On 11 March 2020, World Health Organization (WHO) declared that the COVID-19 outbreak was a pandemic. What seemed to be overnight, our clinical, academic and personal lives turned upside down grappling with this new reality. COVID-19 has and will continue to impact communities and cities across Canada.
Ophthalmologists – not unlike our colleagues across medicine – have many questions. How do I protect myself and my patients from COVID-19? How do I decide which clinical activities to continue and which to temporarily put on hold? Are there unique ocular implications of COVID-19?
These are some of the many questions we are facing. While there are no easy answers, there are several resources available to guide Canadian ophthalmologists in navigating these unchartered waters. The Practice Resource Committee (PRC) has compiled a list of some available resources for use. With this pandemic evolving ever so quickly, new and updated resources will become available. Please continue checking this page to stay informed on the latest recommendations to assist you in your practice and feel free to drop us a line if you come across a resource you would like to suggest. Finally, we also strongly encourage you to refer to your provincial or territorial guidelines for the standards that apply to you and your practice.
Canadian
- COS and ACUPO https://cosprc.ca/resource/guidelines-for-ophthalmic-care/
- Institut national de santé publique du Québec https://www.inspq.qc.ca/sites/default/files/covid/2957-mesures-exceptionnelles-equipements-protection-individuelle-covid19.pdf
American
- AAO: https://cosprc.ca/resource/aaos-new-recommendations-regarding-urgent-and-nonurgent-patient-care/
Retina
- Retina International: http://www.retina-international.org/statement-from-retina-international-and-its-scientific-and-medical-advisory-board-on-covid-19/
- https://cosprc.ca/resource/canadian-retina-society-crs-position-statement-on-intravitreal-injections-and-the-management-of-retinal-diseases-during-the-covid-19-crisis/
Uveitis
- International Uveitis Study Group: https://www.iusg.net/library
Resources for your practice
International
- International Agency for Prevention of Blindness: https://www.iapb.org/news/covid-19-resources-here-is-what-we-know/
- French Society of Ophthalmology: http://www.icoph.org/downloads/French-Society-of-Ophthalmology-COVID-19-Guidelines.pdf
- Mexican Society of Ophthalmology: https://www.smo.org.mx/
- Philippine Academy of Ophthalmology: https://pao.org.ph/public/
Self-care
Recommended by Zainab Khan, MD, FRCSC
Practice Resource Centre Committee Member, Canadian Ophthalmological Society
Wellness during the pandemic
Wellness during the pandemic
If there was ever a time for physicians to take one’s physical and mental health seriously, it is now.
This situation may last for weeks and quite likely months. The WHO warns us to prepare for “a marathon, not a sprint”.
We will be facing difficult decisions that can create distress. How long can our patients safely wait with ‘non emergent’ problems? How will we cope with and manage the backlog of patient visits and surgeries once things are back to “normal”? Do we lay off techs/office staff during the slowdown, and if so- how will they manage financially with the loss of employment?
Trainees are dealing with uncertainty and disruption of their training and future employment- especially those that have been preparing for their Royal College exams. Further Information: https://residentdoctors.ca/
Of course, there is also the constant worry that we or a family member may test positive, or that we could unknowingly be a vector for transmission.
Remember to:
Take appropriate precautions at work
- Use the required personal protective equipment, including sanitizer, masks, sneeze shield for the slit lamp
Further Information: https://cosprc.ca/resources/type/for-learners/covid-19/
Take appropriate precautions outside of work to not infect others
- Proper hand and cough hygiene
- Cleaning surfaces often
- Physical distancing
Support your family’s health and wellness
- Be sure they are aware of the precautions to reduce spread
- Consider hand washing, changing clothing, removing shoes and showering as soon as you arrive home
- Have a plan in place if someone in the household becomes symptomatic or tests positive
Take care of your own health and wellness
- Use strategies that work for you – and make time for things you enjoy
- Keep a healthy lifestyle (rest, eat well, exercise etc.)
- Take breaks from reading, listening or watching news stories about the pandemic
- Consider downloading one of the subscription apps that are offering free access to healthcare providers to improve access to coping strategies, such as CalmHealth and Ten Percent Happier
- Be alert to signs of fatigue, stress, anxiety, irritability and burnout
- Stay connected to others. Consider reaching out virtually to family, friends and other colleagues
Remember there are provincial physician resource programs to support you if needed. Don’t be afraid to ask for help if you need it.
Some additional references and resources:
Video Webinar: Coping with Uncertainty about the Coronavirus, ComPsych, March 2020
https://hr.uw.edu/benefits/uw-carelink/webinar-coping-with-uncertainty-coronavirus-covid-19
Mental Health and Psychosocial Considerations During COVID-19 Outbreak, WHO, March 12, 2020
https://www.who.int/docs/default-source/coronaviruse/mental-health-considerations.pdf?sfvrsn=6d3578af_10
Resilience and stress inoculation during COVID-19, Ontario Medical Association
https://dfcm.utoronto.ca/sites/default/files/physician_resilience_and_stress_incoculation.pdf
A clinician’s guide: managing COVID-19 stress and anxiety, Canadian Medical Association
https://boldly.joulecma.ca/home/managing-covid-19-stress-and-anxiety
CDC Resources
- https://www.cdc.gov/coronavirus/2019-ncov/prepare/managing-stress-anxiety.html
- https://emergency.cdc.gov/coping/responders.asp
Doctors Manitoba
https://doctorsmanitoba.ca/wp-content/uploads/2020/03/COVID-19-PHW-Guide-FINAL.pdf
Headspace
https://www.headspace.com/
(Free access for all healthcare professionals right now)
COS Physician Wellness Steering Committee
Dr. Lisa Gould, Chair
Dr. Rishi Gupta
Dr. Lorne Bellan
Dr. Colin Mann
March 27, 2020