MARCH APRIL 2010 by Just For Canadian Doctors

march/ april 2010

J u st f or C

DOCTORS life + leisure

pedaling in france up

Mont Ventoux stepping back in

Newfoundland

win 11-day an

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+ hit the beach in Jamaica + raspberry chocolate tart + race on the west coast + opera in Knoxville, TN

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inside: Continuing Medical Education Calendar

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J u st f or C

DOCTORS life + leisure

contents

march/april 2010

Editor and Art Director Barb Sligl Editorial Assistant Adam Flint

Contributors Cover photo

Dr. Dara Behroozi Dr. Susan Biali Dr. Chris Cavacuiti Judith Fein Dr. Holly Fong Janet Gyenes Dr. Art Hister Dr. Marlene Hunter Janet May Dr. Chris Pengilly Dr. Neil Pollock Manfred Purtzki Dr. Kelly Silverthorn Corey Van’t Haaff Elena Elisseeva

Senior Account Executive Monique Mori

Account Executive Teri Richardson

Sales, Classifieds and Circulation Office

clockwise from top left: Newfoundland and Labrador Tourism ; dr. chris cavacuiti; Elena Elisseeva/iStock

Advertising In Print 710 – 938 Howe St. Vancouver, BC V6Z 1N9 Canada Phone: 604-681-1811 Fax: 604-681-0456 Email: info@AdvertisingInPrint.com

FEATURES

13 go east Step back in time in Newfoundland 16 French peak Pedaling up legendary Mont Ventoux

Associate Publisher Linh T. Huynh

Production Manager Ninh Hoang

CME Development Adam Flint

Founding Publisher Denise Heaton

Just For Canadian Doctorsis published 6 times a year by In Print Publications and distributed to Canadian physicians. Publication of advertisements and any opinions expressed do not constitute endorsement or assumption of liability for any claims made. The contents of this magazine are protected by copyright. None of the contents of the magazine may be reproduced without the written permission of In Print Publications. In Print Publications 710 – 938 Howe St. Vancouver, BC V6Z 1N9 Canada www.justforcanadiandoctors.com Printed in Canada.

COLUMNS

DEPARTMENTS

8 doctor on a soapbox

5 March/April mix

Practice tips

10 prescribing R & R

12 the wine doctor

25 CME calendar

Chilean wine

23 the food doctor

33 employment opportunities

30 classifieds

Raspberry chocolate tart

31 living well

37 sudoku

Get happy

38 small talk with Dr. Brendan Wong

32 motoring

Targa race on the west coast

36 the wealthy doctor

Tax time

miss an issue? check out our website!

cover photo:

Newfoundland is largely free of crowds and full of stunning landscape, including spectacular seaside cliffs that turn vivid green with the warmer weather.

MARCH/april 2010 Just For Canadian Doctors

from the editor

Use your head to protect your skin.

dare it, and do it

hy do physicians have such gumption? They seem to have an ability to throw caution to the wind. Like Dr. Chris Cavacuiti biking Mont Ventoux, “The Giant of Provence” and the Tour de France’s most epic climb, four times in one day. Follow his daring day of cycling up and down, up and down…on page 16. Then there’s the daring Dr. William Grenfell, who sailed across the Atlantic to Newfoundland in 1892 and set up a program of doctors on dogsleds, outfitted a hospital ship, floating dispensary and ambulance, and founded a hospital. His work drew support from the likes of Theodore Roosevelt and the Wright brothers. (See story on page 13.) Another example of an enterprising doctor? Dr. Monroe Trout, a huge fan of opera, helped bring the Rossini Festival and high culture to the streets of Knoxville, TN (page 5). It seems that the aspirations of physicians inevitably turn to actions. Have something on your bucket list? If you dare it, you’ll likely do it. Something we should all do more.

Physicians know a thing or two about sun protection. That’s why we know you and your patients will appreciate that all Tilley Hats are certified UPF 50+ and most Tilley Travel Clothing is sun protective too. For information on our Physician Hat Program email zoez@tilley.com.

Toronto • Montreal • Vancouver For a local retail store or mail order: 1-800-363-8737 www.Tilley.com

up Mont Not quite up for cycling rs plenty Ventoux? France still offe brand of n ow my like , ure ent of adv vre in Paris. Lou the ring tou : navigation

See page 10 for the second finalist in our R & R writing contest. Dr. Andrew Kirk shares exploration of a little-known spot: the Åland Islands. Share your own adventure or leisure activity with Just For Canadian Doctors’ readers, whether at home or afar. Send a 700-word story and we may publish it in our “Prescribing R & R” column. Published submissions have a chance to win an all-expensespaid trip with Quark Expeditions (details at justforcanadiandoctors.com). We’ll continue to run the best stories in 2010. Barb Sligl, BA, MPub feedback@InPrintPublications.com

what/when/where > march/april

mix

discover Rossini… …in Knoxville, Tennessee

a night at the

opera

fest

b. sligl

The Tennessee Theatre hosts performances by the Knoxville Opera throughout the year and during the Rossini Festival. It was built as a “movie palace” in 1928 and the Grand Lobby, seen here, boasts Czech crystal in French-style chandeliers and Italian terrazzo flooring. Once called “the South’s most beautiful theatre,” it’s listed on the National Register of Historic Places and is the Official State Theatre of Tennessee.

When you think of Tennessee and music it’s probably the Grand Ole Opry and country in Nashville or Elvis and blues in Memphis. But there’s also the opera. And it’s all about opera in Knoxville, Tennessee, during the weekend celebration of big voices and arias at the annual Rossini Festival. The Knoxville Opera and the University of Tennessee Opera Theatre put on an opulent show alongside the city’s Italian street fair and celebration of art—musical, culinary, visual—and blooms in the Dogwood Arts Festival. It’s a spring fling in Tennessee. The Knoxville Opera Rossini Festival’s muse is the international Rossini Opera Festival that takes place each summer in Pesaro, Italy. Maestro Graffeo (former conductor of the Knoxville Opera) started the Knoxville fest in 2002, after which a local physician (named the city’s 2004 Philanthropist of the Year) threw in his wholehearted support. Dr. Monroe Trout and his wife sponsored the first annual Italian Street Fair to coincide with the Rossini Festival (and now serve on the Board of Directors of Knoxville Opera). Dr. Trout, a retired MD and avid art collector, paints and writes (he recently published his autobiography, Winter Galley) and, of course, frequents the opera in town. And the list of Knoxville Opera donors includes quite a few doctors. The University of Tennessee in Knoxville, or UT-K, includes a medical school and the world-renowned Anthropology Research Facility that gained notoriety in Patricia Cornwell’s 1994 novel The Body Farm. It’s pretty much as the book’s character, medical examiner, Kay Scarpetta, describes it: several wooded acres of dozens of bodies in varying stages of decomposition…It’s real, and the facility is a leader in forensic science. (And there’s a waiting list of people who >>

MARCH/april 2010 Just For Canadian Doctors

fest + getaway

…blooms, bones and baritones…

beach it!

march/april >> want to leave their body to the “body farm.”) No tours here, but you can sail by its banks on the Tennessee River…you won’t see much through the treed slopes of the UT-K campus but it’s worth the cruise on a luxury yacht. Better UT-K watching is at the production of Puccini’s Gianni Schicchi by the university’s Opera Theatre, as part of this year’s Rossini Festival, April 23 – 25 1 . The Knoxville Opera’s production is Rossini’s Il Barbiere di Siviglia. Then channel your inner Barber of Seville at the 9th Annual Rossini Festival Italian Street Fair on April 24 on Gay Street downtown. It’s a packed weekend in Knoxville, and Gay Street is definitely the happy hub of the spring fever. Marching down the street on April 23 is the Dogwood Parade, “Five Decades of Dogwoods” (celebrating the 50th anniversary of the Dogwood Arts Festival). And there are art exhibits everywhere. Stroll in and out of galleries 2 and throughout the Old City Historic District, where you’ll find vintage books, clothes, antiques, a cigar shop, and great grinds at the Java Old City coffee house 3 . Be sure to sample the Italian cuisine at street stalls and restaurants. Like the requisite cannoli—or amaretto cheesecake—at Coffee & Chocolate (or any other sweet treat on display in the bakery case) 4 . For more art, there’s the Knoxville Museum of Art, a short walk away. The ongoing exhibit, Higher Ground: A Century of the Visual Arts in East Tennessee, provides great context on the state and this region. (You’ll discover that Tennessee had its own “group of seven” in a set of progressive artists connected to the UT called the Knoxville Seven.) There’s definitely more to Tennessee than the Grand Ole Opry… —B.Sligl

4 6

Just For Canadian Doctors

Knoxville Opera; knoxvilleopera.com University of Tennesse Opera Theatre; music.utk.edu/opera/index.html Volunteer Princess Cruises; volunteerprincess.com Dogwood Art Festival; dogwoodarts.com Old City Java; javaoldcity.com/ Coffee & Chocolate; 865-688-9244 Knoxville Museum of Art; knoxart.org For more on Knoxville in general go to knoxville.org or call 1-800-727-8045.

MARCH/april 2010

escape to

half moon resort

in montego bay, jamaica In the month of February, the world descended en masse into downtown Vancouver to celebrate and party during the Winter Olympic Games. Now the party’s over and there’s a need to relax and regain some personal space. Destination: Half Moon Resort in Montego Bay, Jamaica. There’s no lack of relaxing space at Half Moon, situated resort on a lushly landscaped 400-acre oasis stretching over two miles of white sandy beaches and surrounded by swaying palms. This resort is perfect for a weekend getaway for two or a week-long family affair—there’s something for everyone. A reconnaissance of the vast resort is best done by electric-powered golf carts provided to villa guests. Half Moon Resort has undergone many renovations and additions over the years, through which it has maintained and incorporated the natural beauty surrounding it into a full-service spa, golf resort, and many amenities. On site, you’ll find an equestrian centre where you can ride a horse along the beach, then let the horse take you for a swim in the ocean—all before breakfast. For an alternate zen-start to the day, begin with beachside yoga at 7:30 am. There’s nothing more therapeutic than the sound of the ocean while taking deep breaths to clear your mind and decompress.

As you meander through the resort, you’ll pass an ocean lagoon, home to dolphins that you can swim with, and herb gardens that provide fresh ingredients for the chefs’ culinary delights. Of all that you can experience here, you’ll find that waking to the sound of lapping waves and ending the day under a moonlit sky by the pool is the best way to find balance and regain that personal space. halfmoon.com —L. Quinn For more on Half Moon Resort and Montego Bay, Jamaica as a CME destination, see page 25.

1 knoxville photos on left: b. Sligl; right: l. Quinn

mix

history +place

frontier Doctor

He started one of the first health care systems in North America in the remote experimental community of Powell River, British Columbia. A century ago, Powell River was little more than a cluster of tents surrounded by bush, where men were building a dam and an ambitious pulp-and-paper mill. At age 57, Andrew Henderson was offered the post of company doctor and he was drawn to the wilderness—again. He and his wife Edith had lived respectably in Minnesota for a spell. Before that his career had followed the frontier. He brought mobile medicine to working men on early railways and was surgeon to the North-West Mounted Police during the Riel Rebellion in Saskatchewan. Edith was a good sport to pack up their two children and leave civilization. She had known his adventurous spirit when she married the unorthodox doctor. Dr. Henderson took the job in Powell River on three conditions: that the company build a proper house with hot and cold water for Edith, that they build a hospital, and that a dollar-amonth from every wage packet would go towards a medical plan. This fit with the new company’s idea to build not only housing but a healthy society for their employees. It was a grand experiment that Dr. Henderson wanted to join. (It also helped that the local lake fishing was sensational.) His hospital started in a tent and grew with what was to become the biggest pulp mill in the world. Edith’s was the first house built in Powell River, just above the mill. It’s still standing today, a signature of the arts-and-craft architecture that defines this old company town. And Dr. Henderson’s medical plan, the first in BC, was a precursor in a century of grassroots moves towards health coverage in Canada. —Janet May

00 100 Sunshine Coast

Townsite Heritage Society of Powell River: powellrivertownsite.com

Dive Powell River: divepowellriver.com/divesites.html Powell Forest Canoe Route: canoeingbc.com/canoeroute.html International Choral Kathaumixw: kathaumixw.org Tourism Powell River: discoverpowellriver.com Laughing Oyster: laughingoyster.ca

mix

Thefirst hospital inPowell River, BC. Dr. Hendersonworked out of this tent, anda convertedbunk house, until St. Luke’s Hospital was built in1913. Duringa 1912typhoidepidemic hehadtouseother houses for patients. below Dr. andMrs Hendersonontheporchof thefirst housebuilt inPowell River.

Powell River celebrating a century The northern Sunshine Coast boasts its share of sleepy towns, but beyond Powell River’s placid facade is a vibrant community that counts recreation, culture and arts among its many delights. Take an exhilarating drive and ferry-hop up the coastline northwest of Vancouver, or relax on a scenic ferry ride from Vancouver Island, and you’ll arrive in a destination that has retained its small-town charms, while enjoying its share of international acclaim. Case in point: the biennial International Choral Kathaumixw (Kathaumixw is a Coast Salish word that means “A gathering together of different peoples”), which lures over 1,200 singers from far-flung locales like France,

Sweden, South Africa and Taiwan. Outdoor enthusiasts will revel in this recreational mecca, rich with myriad lakes, rivers and kilometres of shoreline to explore. Make like a fish and get face-toface with the undersea life found in Powell River’s 100plus dive sites, like the Great Pacific Octopus, plumose anemones, and the Emerald Princess, a 2.5-metre bronze statue of a mermaid. Or explore surf and turf: Paddle and portage the eight lakes in the 57-km-long Powell Forest Canoe Route that rambles through ancient forests. History fans will want to wander the old Townsite, designated as a National Historic District of Canada in 1995. Grand edifices built in the early 1900s still

stand. Two notable examples include the getDwight Hall, home to away a ballroom featuring an innovative sprung dance floor (shock absorbing!), and the restored Patricia Theatre, which has earned the distinction of being the oldest operating movie theatre in British Columbia. And after a day of leisure or recreation, do like the locals: cap off the day with a hearty meal savoured lakeor seaside. Our pick: lunch at the Laughing Oyster Restaurant overlooking crystalline waters of Okeover Inlet. Tuck into the instantly addictive Gunpowder Prawns; Executive Chef David Bowes will even bring over some extra bread, so you can sop up every last drop of the spicy lobster- and beerspiked broth. —Janet Gyenes

MARCH/april 2010 Just For Canadian Doctors

the sunshine coast

from top: Powell River Historical Museum and Townsite Heritage Society ; Townsite Heritage Society

a century’s worth to explore on the

march/april

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 isJust For Canadian Doctors’ current affairs columnist. Please send your comments to him at doconabox@telus.net.

practice tips How to get home 20 minutes earlier…

y column in this edition is going to be different. I want to share with the reader a miscellany of tips that I have picked up over the years both from my own practice and from innumerable peer assessments. I hope these tips save time (and money), reduce stress and increase safety. A simple matter of mathematics. Most younger family physicians will see about 40 patients a day. Allowing 30 seconds saving per visit will come to 20 minutes. This will be time to see two more patients or, better still, to get home 20 minutes earlier. Even the smallest examining room can be fitted with a retractable curtain; if, during a visit, the need for an examination becomes apparent the office visit can continue almost uninterrupted while the

The computer in a medical office is a mixed blessing…

patient undresses safely and modestly. The temptation not to conduct an examination is less likely—this omission is a common source of patient dissatisfaction and even malpractice actions. Having to seek the assistance of a staff member for a chaperone causes a delay as well as being extravagant of expensive staff time. The presence of the chaperone should be clearly offered, but it is my experience this is usually declined. During sensitive examinations the patient will feel much safer if every step of the examination is explained as it is done. I have my patient hold and pass me the spatula, cytobrush and/or bacterial swabs during routine Pap and all pelvic examinations. This way the patient will feel that she is taking part in the examination.

I comment in a non-stop dialogue on why each step of the examination is being done, my findings, and the conclusions from these findings. An obvious time-saver is the electronic thermometer. No mercury thermometer is accurate in under 60 seconds. So during the flu epidemic a tympanic electronic thermometer can be quite a saving. The computer in a medical office is a mixed blessing, but on the whole I am forced to admit that it can be organized to become a major time saver. Even if the physician is not already using an electronic medical record [another huge subject for another day] each examining room should have a computer (preferably networked) and a printer. This could then be used to...

Providing evidence

to change lives Three years in a row, Health Indicators showed that patients in the Winnipeg Regional Health Authority waited among the longest for hip fracture surgery. As a result, health leaders changed long-standing practices, put real-time information systems in place, reorganized surgery slates and developed new guidelines. Eighteen months later, wait times for hip fracture surgery were down.

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differencedata makes The

CIHI—taking health information further www.cihi.ca

Just For Canadian Doctors

MARCH/april 2010

”This is exactly the kind of stuff CIHI should be doing. This is what causes changes within the system.” —Dr. Eric Bohm

doctor on a soapbox continued The patient could be given a piece of paper and pencil by the reception staff to write down all their areas of concern. This should be given all together to the physician at the beginning of the visit. This way the physician can decide on the relative priorities. This obviates the scheduling disaster of “should I be worried about this chest pain” as the patient has a hand on the door handle! Finally, there are times when you need just a moment to think a problem through, a moment to reduce tension when a garrulous patient seems to be overwhelming you. Pretend to take their pulse! The patient who talks as you are attempting to take blood pressure, auscultating the chest and even listening for carotid bruits will shut like a clam, and will stay silent, as long as you keep your finger on the radial artery and your eye on your watch. [I have yet to find anybody who can explain this...]

> Generate patient demographic labels for forms and prescriptions. > Scan, store and quickly produce the multitude of forms with which we seem to have to cope—frequently used forms can be kept on the “desktop,” the rest in organized folders. > Scan, store and quickly produce regularly used patient hand-outs. > When you find yourself repeatedly giving the same advice to patients, make your own handout. This would appear personalized and will save you tedium and time. > Ready access to reference resources such as dermatome maps, drug interaction calculators, eCPS and CVS risk calculators.

I am sure there are not just a few other ideas of saving even a few seconds each visit or a few dollars in staff costs. I would appreciate receiving these (and useful websites); with your permission I will pass them along to your colleagues either in future columns or on the “Practice Tips” forum at DocLounge.com.

EXPLORE THE YUKON with Yukon’s Adventure Experts

Photo: Richard Hartmier

Find your adventure at

| kayaking | mounties |

kluane national park | arctic char | gold

How to deal with the dreaded “list.” I find it difficult to enforce the “one problem for one visit” policy. This is mostly because I do not have any appointments for the following week for the second visit. It is my experience that many of the “several problems” in fact are related and can be dealt with simultaneously.

practice tips : • give patients paper and pen • use the computer • pretend to take pulse…

prescribing r & R

Share your own adventure or leisure activity with Just For Canadian Doctors’ readers for a chance to win an all-expenses-paid trip with Quark Expeditions. See details at justforcanadiandoctors.com/contest.html. We’ll continue to run the best stories in 2010. Send your submission to feedback@inprintpublications.com.

Scandinavian surprise by Dr. Andrew Kirk

these festive poles, bedecked with brightly coloured wooden sculptures and chains of flowers. A couple of weeks into summer, the blooms are past their peak but still pretty. Our hotel is on the harbourfront and its restaurant has a sports-bar motif, the walls decorated with the sweaters of local hockey players who’ve made good. Sometimes, the farther you travel, the closer to home you come.… The next day we take a bus through the lush greenery of Åland’s farmland to the town of Sund where we visit Kastelholm, a castle that dates to 1388 and still impresses. Witches were once burned here. Åland witches apparently excelled at bewitching milk hares, bunnies that stole milk from cows and spat it into pails for their mistress’s use. The mind boggles trying to calculate how many rabbits and how many trips it took to fill a two-litre jug. King Eric XIV of Sweden was kept prisoner here in Kastelholm by his brother (sibling rivalry was all the rage in 16th-century Scandinavia). The castle is a big blocky building of light-coloured stone. We climb to the top and are met by a spectacular view— across a lake to a distant field where sheep graze and golfers play. Only a few centuries ago, sentries would have stood here and watched for invaders. And, if you have to live in a massive stone building without central heating, you might as well build it somewhere beautiful.

After bus-riding and castle-stair-climbing we’re ready for a snack of traditional Åland pancakes—not much like the ones we make at home. Imagine a cross between shortbread and bannock, served with fruit and whipped cream. They hit the spot on a hot afternoon, paired with iced tea for Emily and ice-cold Lapin Kulta for me (tasty Finnish lager that translates to “Gold of Lapland”). Next door to the castle is Jan Karlsgarden, an open-air museum filled with brightly painted farm buildings from all over Åland. A trail meanders through the site where you encounter everything from saunas to sawmills. Of course, there’s another midsummer pole here, topped by a little jumping-jack figure, symbolizing the industriousness of Ålanders. This lovely place is a photographer’s paradise. We saunter to the bus stop on a nearby country road and return to Mariehamn to stroll its pedestrianized “downtown” before boarding the ferry. Summer days are long at this high latitude and our ship doesn’t arrive till midnight so I take pictures of the sunset over the harbour before we sail to Helsinki. Some scenes we all know: the lights of Paris from atop the Eiffel Tower; the warm wash of the Caribbean against skin; snow crunching beneath boots in Antarctica…but here’s to creating memories in a place we never heard of. Dr. Andrew Kirk is a Saskatoon-based neurologist.

Daniel Eriksson / Åland Tourist Board

contest finalist!

Åland : From midsummer poles and castles to pancakes and reindeer pizza

o, you’ve lived your whole life in Finland but you don’t speak Finnish, only Swedish and English?” I ask. “Yeah, Finnish is so difficult,” our waitress explains as she plonks down a reindeer pizza at an outdoor café on a sunny July afternoon in Mariehamn, the largest town in the Åland Islands. This is a unique corner of the world. The archipelago is part of Finland but the people speak Swedish. Finland and Sweden are both part of the European Union but Åland opted out. Ferries between Helsinki and Stockholm can sell duty-free goods and alcohol, as long as they make a stop in Mariehamn along the way. Ålanders have their own parliament, flag, postage stamps, and licence plates. I’m en route from Stockholm to Helsinki with my 16-year-old daughter, Emily, and we’ve decided to stopover in Åland for a couple of days. The morning is spent on an enormous Baltic ferry, cruising the stunning Stockholm Archipelago and we arrive in Åland in time for lunch. We explore the Pommern, a century-old sailing ship that once carried grain between Australia and Europe until the 1930s. Old photos of Mariehamn reveal that the harbour was home to the world’s largest merchant sailing fleet. Across the street, we encounter the first of several midsummer poles scattered about the islands. The longest day of the year is celebrated here with rituals older than Christianity, like

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the wine doctor dr. neil pollock Dr. Neil Pollock is a member of the Wine Writers’ Circle of Canada; visit his website on wine at vinovancouver.com or send feedback to drneil@pollockclinics.com. He practises no-scalpel, no-needle vasectomy and infant circumcision.

maximum pleasure

n a recent mid-week evening, my wife and I caught up on our busy day over a seemingly unassuming bottle of Chilean wine from my stockpile of sample wines. Within seconds of tasting the Don Maximiano Founder’s Reserve 2006 (from producer Errazuriz of Chile’s Aconcagua Valley), my brain’s processing function was overwhelmed by pleasure. I couldn’t focus on anything else. I saw my wife’s lips moving, but there was no sound. The sensory neurons in my brain had gone into blissful shock. Dr. Neil Pollock sniffs, swirls andsips at a vertical tastingof Shiraz winevintages from Peter Lehmann. His can’t-miss pick: the Stonewall ShirazVintage2002.

The next day I called Errazuriz’s regional director Rodrigo Rodero for info on this extraordinary wine—and where I could buy more of it. He told me how, at “The Berlin Tasting” of May 2009 in Sweden, a blind tasting of the ’05 Don Maximiano Founder’s Reserve triumphed over some of the finest French and Italian wines on the planet. I wasn’t surprised. The results of the

Just For Canadian Doctors

Berlin tasting simply reaffirm the world-class nature of Chilean contenders and their status alongside European icons like Chateau Latour, Ornellia and Sassicaia. The Don Maximiano is predominantly Cabernet Sauvignon (87% with small amounts of Cabernet Franc and Petit Verdot). It is intense, ruby-red in colour, with aromas of cassis, black fruits and a hint of chocolate. Blackberry and currant come through beautifully on the palate. Silky smooth tannins integrate well with the oak and a well-balanced acidity level lends elegance to the finish. And to think that this wine will only get better over the next decade! At $90 a bottle, it’s not an everyday table wine, but be sure to pick some up for special occasions (I did). The next week I returned to my sample stash and pulled out other wines Rodrigo sent for assessment, including the Vina Errazuriz Max Reserva Shiraz and the Vina Errazuriz Max Reserva Cabernet Sauvignon. Both are from the Aconcagua Valley, in central Chile. In the $20 range, these wines are excellent value but, unlike the Don Maximiano, they’re ideal for regular enjoyment (without committing to a second mortgage on your home). Chile is a top-value producer of wine—especially reds—and probably the best in South America. Chileans have made wine since the mid-16th century, but the industry evolved significantly when winemakers brought in French varietals like Cabernet and Merlot in the mid-1800s, and then again with stainless-steel fermenting tanks and French-oak barrels in the 1980s. The red-wine varieties that have cemented Chile’s high ranking on the wine map: Cabernet Sauvignon, Carmenere and Merlot, to name a few. If one of these grape varieties is named on the label, the wine contains a minimum of 85% of that grape (as per Chilean laws). But remember that even single-varietallabelled bottles usually contain small

MARCH/april 2010

amounts of other grapes, and Chilean wines are no exception. The reason for this is simple: a single grape rarely covers all the bases of an outstanding wine experience. Cabernet Sauvignon, for example, is often too lean and tannic on its own. It provides the backbone (carrying the entry and the finish), but benefits from the addition of Merlot to soften and provide mid-palate and fruit weight. Merlots make Cabarnet Sauvignon more polite, approachable, plush, and fatten it up a little. Winemakers also often add Cabernet Franc to the mix. It brings a nice herbaceous character and aroma, but also increases acidity—key to wines meant for aging. Petit Verdot is also common in blends. It’s the saffron of the wine world; a touch of its spice goes a long way. A small grape with a thick skin (that contains high levels of anthocyanin, a pigment and antioxidant), it adds spicy tones, depth of colour and tannins, and increases aging potential. Still, it’s undoubtedly true that some single-vineyard, single-grape variety wines can stand alone. Of course, these tend to be more expensive with a superior vinification process. But, ultimately, even in top-quality single varietals, a little blending creates a final product whose sum is greater than its parts. Like the wonderful single-varietal Barossa Shiraz. I recently had the extraordinary experience of a vertical tasting of 20-years’-worth of vintages (1987 – 2007) of Shiraz from Peter Lehmann Wines in Australia. I also sampled the winery’s latest Stonewell Shiraz Vintage 2002 (at $82, it’s another special-occasion bottle). This classic Shiraz, what the winery calls “the ultimate expression of Barossa Shiraz,” is intensely muscular and deep in colour, with myriad fruit characteristics and menthol, licorice, chocolate and blood plums on the nose. The mouth-feel: concentrated blackberries and licorice that seem to go on forever. It’s possibly the best Stonewell to date, and can be stored for up to 20 years. The next time you’re browsing at your local wine store, spend some time in the Chilean section. You’re sure to find some pleasant surprises. And, for a highly distinctive Shiraz, go with the Stonewell. You won’t be disappointed, mate.

courtesy dr. N. Pollock; wine photo: peter lehmann wines

Making the most of red varietals, from Maximiano in Chile to Lehmann in Australia

travel at home

A centre in northern Newfoundland is devoted to a hero few Canadians know about todayâ&#x20AC;Ś by Judith Fein

tracing history in Newfoundland and Labrador Tourism

Newfoundland... â&#x20AC;Śthrough the

daring doctor Grenfell

He was a swashbuckling adventurer, healer, writer, educator, humanist and brilliant fundraiser. In l892, the 27-year-old Dr. Wilfred Grenfell sailed from England to Labrador as a medical missionary >> MARCH/april 2010 Just For Canadian Doctors

travel at home what he found there: 30,000 impoverished inhabitants with no medical care. Inspired by the cheerful and resourceful people he met, he asked himself, “what would Jesus do if he were a doctor?” and he set out to remedy the miserable conditions. He learned about winter travel from the Inuit and set up a program of docs on dogsleds. He embarked on treacherous missions to treat the ailing; once, he was stranded on ice with his dogsled. He had to kill his beloved dogs and use their fur to survive the frigid weather. With their bones he built a flagpole to signal his distress. Later, he erected a monument to them. Grenfell also outfitted a hospital ship that was a floating dispensary, ambulance, and urgent care facility. In Indian Harbour, Newfoundland, he founded a hospital. In the summer, he set up cottage hospitals in Labrador with previous page nursing stations L’Anse aux between them, Meadows, the and he trained only authentic the nurses to Viking site in provide emergency North America. this page, clockmedical, dental and wise from top midwifery care. They Western Brook also taught basic Pond, Gros Morne health and hygiene, National Park. > first aid, nutrition Fishermen and and home canning their catch, St. and they distributed John’s. > Cape St. Mary’s. > used clothes, Kayaking Iceberg produce and milk. Alley off the coast This would of Newfoundland. have been enough > Fresh-caught for any physician’s lobster makes the legacy, but Grenfell quintessential east coast dinner. wanted to do more. Disgusted by the merchants’ truck system that kept fishermen in debt (they got loans they had to pay back and were remunerated in goods rather than money), Grenfell taught them how to form co-ops so they could work for themselves. Then he empowered the women and helped them to become economically selfsufficient by hooking rugs and mats. They were talented and motivated but they lacked materials, so the ever-energetic doctor hit the lecture circuit to raise awareness and funds. He encouraged women in the US to send their old silk stockings north so they could be dyed and used for hooking. He opened schools and orphanages. Grenfell became the darling of the rich and wealthy. His supporters included Theodore Roosevelt, the Wright Bros and President Woodrow Wilson. He remarked that, “I have personally found more inspiration in the cottages of fishermen

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MARCH/april 2010

clockwise from top: Newfoundland and Labrador Tourism; Peter Helm (2); Newfoundland and Labrador Tourism / Destination Labrador; Canadian Tourism Commission

>> and was appalled by

than in the palaces of the rich.” It became fashionable for young Americans to spend their summer vacations volunteering at Grenfell’s missions. He called them WOPS (workers without pay) and Woppeses. Before he died in 1940, Grenfell was knighted and, in the National Cathedral in Washington DC, he is immortalized on a stained glass window as one of the three top healers of all times, alongside of Jesus and Louis Pasteur. The informative, inspiring and moving Wilfred Grenfell Interpretation Centre in St. Anthony, Newfoundland, has just been renovated and includes a film that features Dr. Grenfell, elaborate displays of Grenfell’s work (including books he wrote, Christmas cards he designed and quality crafts produced by the cottage industries he established). There is a fine gift shop and proceeds go to the Grenfell Historical Society. A block away is the Grenfell house (built in 1909 – 1910), and visitors are invited to walk to Tea House Hill, where the ashes of Grenfell and his wife Anne are buried. grenfell-properties.com

and discovering Newfoundland today… quirpon

From St. Anthony, hop a boat to an island owned by a modern swashbuckler: Ed English. He bought remote Quirpon (it rhymes with “harpoon”) Island sight unseen and has transformed the 1922 light keeper’s house into a charming inn. Activities include whale and iceberg watching, kayaking, hiking the private island, eating Newfie specialties like jigg’s dinner (made of beef, potato, turnip, peas porridge and cabbage) and enjoying the silence, beauty and solitude. linkumtours.com or 1-877-254-6586

gros morne

l’anse aux meadows

While you’re in the area, drive to the northernmost tip of Newfoundland and discover L’Anse aux Meadows, the only authenticated Viking archeological site in North America. Well-informed, costumed interpreters recreate the lives of the Vikings, and, in the dim light of a Viking long house, you’ll be catapulted back 1,000 years. pc.gc.ca/lhn-nhs/nl/meadows/index.aspx For unspoiled beauty, visit the Tablelands at Gros Morne National Park, a world heritage site on the west coast of Newfoundland. pc.gc.ca/pn-np/nl/ grosmorne/index.aspx

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MARCH/april 2010 Just For Canadian Doctors

travel the world

May 10, 07:10 | Climb 1 | Malaucene to the Summit I stand outside the door of the only hotel in the French village of Malaucene with my cycling buddies. The hotel is the first business to open in the morning in this sleepy little town, and the three of us are impatiently waiting for the hotel keeper to open his doors to provide us with the official stamp and documentation we need before we hop on our bicycles and head up the slopes of Mont Ventoux. As I stare up at the peak the locals call “The Giant of Provence,” I am still trying to figure exactly why it had seemed like a good idea to ride up and down Ventoux by bike—four times in one day. This act of insanity began on a cold winter night in Toronto when my wife and I joined friends for dinner at Pastis Express, a charming French bistro. We were planning a self-guided cycling trip in Provence. Rick (my neighbour and fellow cyclist) showed us pictures of the fabulous four-bedroom vacation home he’d found for us in the ancient town of Vaison La Romaine. Picturesque though Rick’s choice of accommodation was, I knew he had chosen this village because of its proximity to Mont Ventoux. A year ago, Rick had announced that for his 55th birthday, he planned to join the “Club des Cinglés du Mont-Ventoux” (roughly translated as the “Mont Ventoux Club of the Maniacs”). To earn this dubious distinction, he would need to ride his bike up and down the three main roads that lead to the peak of Mt. Ventoux—in less than 24 hours. The rules for membership are listed on the club website (clubcinglesventoux.org) and they are as simple as they are sadistic: for a nominal fee, the club supplies aspiring members with a card that must be stamped with a date and time at the bottom and top of each climb. If you can get all your stamps in less than 24 hours, you send your card to the club and become an official member. As a doctor with a large addiction medicine practice, I know better than to make big decisions after a drink or two. And I’m sure I barely touched a drop of wine that night we planned our trip, but the ambience of the French restaurant made up for the lack of alcohol. I was intoxicated regardless. I recall sipping a post meal espresso and listening to Rick discuss his crazy plan to cycle up and over one of the Tour de France’s toughest climbs (three times!) when Graham (another guy at the dinner) announced that he’d been giving thought to an epic Ventoux climb of his own. In retrospect, this is the point at which I should have gotten really worried. Graham belongs to one the oddest of cycling breeds: the endurance cyclist. These cyclists attempt to cross hundreds (and thousands) of kilometres in the least possible time. To accomplish this, they eat and drink (and, yes, often pee) without getting off their bikes and barely sleep for the duration of multi-day races. Graham told us that he’d done some research of his own and discovered that the Club des Cingles had added a new level—the “Club Gallerien” (Club of the Galley Slaves)—for a fourth off-road climb up Mont Ventoux. He also “happened” to have brought some extra applications. Before the night was over, four couples had agreed to a trip to France in May, and five of our party announced intentions to climb Ventoux. And I signed up for the “Club Gallerien” with Graham. The arrival of the Malaucene hotel keeper interrupts my reverie. Our cards stamped, we’re on our way. Ahead of us is a rugged

country road that snaked up the mountainside, rising almost 1,900 metres over the next 25 km. We each ride our own pace, enjoying the beautiful French countryside. While professional cyclists climb Ventoux in about an hour, most mere mortals take two to three hours to complete this climb. The first hour or so is through the vineyards, poppy and lavender fields for which Provence is famous. Over the second hour, the road winds its way through protected forest that covers much of Ventoux’s middle slopes. In the final hour, the road tilts sharply upward and trees give way to the barren and windswept moonscape of the summit region. After navigating through all three regions, I stand atop Ventoux for the first time that day. I grin as I collect my first summit stamp. As I veer round the hairpin turns on my way back down to start my second climb from the next base village, I remember thinking “Maybe this won’t be as bad as I thought.”

May 10, 10:15 | Climb 2 | Bedoin to the Summit The second climb is starting to feel a bit harder. The “Bedoin route” up Mont Ventoux is the most picturesque road to the summit, featured in the Tour de France. The French love bicycles the way Americans love cars, and we see hundreds of French cyclists (young and old, men and women) pedal up this famous cycling route. With so many cyclists on the road, it can be difficult for cars to get through, but drivers are amazingly patient. In Toronto, I’m lucky if I can go 10 minutes without a car driver honking in annoyance at being forced to share the road with a cyclist. During our entire two-week stay in France, with eight of us on our bikes every day, I don’t by Dr. Chris Cavacuiti think we heard a single honk. Three-quarters of the way up the climb we stop at the “Chateaux Raynard.” Our wives chose this location to hang out for the day and cheer us on (two of the roads up to the summit join here). My wife claims the Chateaux has some of the best views in the South of France (I’m not sure if she means the scenery or the buff cyclists). Our spouses loaded the trunk of our rental car with water, pop and goodies to nourish us throughout the day. After a quick stop to grab some food, it was time to kiss our sherpas (oops, our wives) good-bye and head to the summit for the second time. Graham and I reach the summit at the same time and descend to the Town of Sault together and stick together for the rest of the ride.

a gear in provence

a physician pedals up The Giant of times in one day Provence

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MARCH/april 2010

May 10, 13:25 | Climb 3 | Sault to the Summit The third climb provides powerful memories. We pass Rick on our way up while he makes his way down. This is the last time we see him before the finish and, from the look on his face, it’s clear he’s utterly determined to complete his third and final climb. Rick’s smiling face sweeps into view at exactly the moment when the climb is especially tough, providing a morale boost when I needed it most (thanks Rick!). Another haunting memory from my third circuit comes during my descent. It’s the fourth (and last) time I pass the Tom Simpson memorial. The annals of cycling are filled with stories of triumph and tragedy on the slopes of Ventoux. None is more famous than

photos courtesy dr. C. Cavacuiti

travel at home

above The stunning view from the top of Ventoux. top right Signage along the way. right Our “humble” abode for the trip. far right Riding under the Vaison Bell Tower. below right No letters criticizing Graham and I for not wearing our helmets, please. We’re going uphill at a snail’s pace and there’s no car for miles! bottom right A perfect match: spring blooms and bikes in Provence. bottom left Overlooking Vaison’s Haute Ville. below left Bike parking doesn’t get any more scenic than this. below right The machine at the top, overlooking Provence. centre The food inside was every bit as charming as the restaurant’s front door.

MARCH/april 2010 Just For Canadian Doctors

travel the world The top-4 reasons why joining the Club des Cinglés is harder than climbing Everest For any readers who are considering joining the Club des Cinglés, here are a few of Ventoux’s more impressive facts and figures. While this trivia may not be particularly useful during your trip to Ventoux, knowing it beforehand may be very handy (by scaring the pants off you, so that, unlike me, you actually get on your bike and do some real training before you go). More importantly, these details are worth committing to memory so that after your trip you can casually slip them in when discussing your epic ride up Mt Ventoux.

1 More people have climbed Everest than have climbed Ventoux multiple times in a day. Last time I checked: 2,436 individuals have climbed Everest, whereas 2,041 have joined the Club des Cinglés and only 244 have joined the Galeriens. 2 “Ventoux” (which is derived from the French word “venteux,” meaning windy) is windier than Everest. The highest wind-speed recorded on Everest is a measly 281.6352 km/h. On Ventoux wind-speeds have been clocked as high as 320 km/h. 3 The oldest Cinglés climber is 70, a relative spring chicken compared to the oldest Everest climber who is 76. 4 Climbing Ventoux four times amounts to climbing about 5,790 metres of elevation; by comparison, climbing Everest from base to the summit, is just 4,650 metres. climb #1

climb #2

that of Tom Simpson, a plucky English pro cyclist who had high hopes of a victory on Ventoux during the 13th stage of the 1967 Tour de France. Simpson started the day with a breakaway from the other riders on the early part of the climb. Just two kilometres from the summit, an utterly exhausted Simpson began to zig-zag erratically from one side of the road to the other. Moments later he collapsed. He managed to get himself back on his bike only to collapse again 500 meters later. A helicopter air-lifted him to the nearest hospital, where he was declared dead soon after arrival. His autopsy attributed his death to a combination of physical exhaustion, dehydration and high blood levels of amphetamines, alcohol and diuretics (the preferred doping drugs for cyclists of that era). Despite the role that doping played in this death, Simpson holds a special place in my—and many cyclists’—heart. He was the first cyclist from outside continental Europe to become a true contender in the big leagues of European racing. Tom Simpson almost single-handedly brought elite cycling into the English-speaking world and paved the way for non-European champions like Lance Armstrong. Simpson is also famous for his all-or-nothing approach to racing—his career is filled with magnificent wins as well as courageous failures. Simpson’s tragically flawed heroism embodies the best and worst aspects of pro cycling.

May 10, 16:10 | Climb 4 | Bedoin to the Summit (via the “Route Forestière”) The French have a saying: “You don’t have to be mad to go up the Ventoux but you have to be mad to go back.” As I look up at Ventoux for the fourth time that day, the French have a point. The Route Forestière (Forestry Road) of Massif des Cèdres, starts about a third of the way up the paved road from Bedoin. The Forestry road surface is a combination of dirt, mud, gravel and rock—far better suited to mountain bikes. Graham and I did a reconnoitre of this section a few days earlier and I’d struggled with it on fresh legs. After that attempt, Graham chose to rent a mountain bike for the final climb of the day. But I was determined to do the whole ride on my own bike. Graham and I swap the lead every few minutes as we slowly pick our way up the trail. On the more even-surfaced parts of the route I go first with my lighter bike; on the rockier sections, Graham leads with the wide knobby tires of his rental. After 90 minutes of riding and some minor tumbles, we’re back on paved road for the final few kilometres to the summit. With the sun beginning to set, I spend my final kilometres savouring the spectacular views around each hairpin turn. Knowing this is our last time on top of the mountain, Graham and I linger longer than before. The wind and chill begin to sap the heat we generated from our long climb and it’s time to descend for the last time. As I turn my bike around, I make myself a solemn promise: despite the wonderful adventure of this ride I will never EVER again let my friends tempt me into a ride this hard again.

climb #4

climb #3

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MARCH/april 2010

Rick, Graham and I successfully completed our Ventoux goals and a few days later it was the guys’ turn to be the sherpas while a couple of the women in our party climbed Ventoux. The girls proved to be every bit as tough as the boys (even climbing to the peak through a haze of thick fog and rain that engulfed the summit). In the days that followed, we discovered numerous spin-off benefits from our Ventoux exploits. First, the deep sense of satisfaction we felt from accomplishing our goals. Second, the daily bike trips we did after Ventoux were a complete breeze in comparison. But, for me, the best thing about the climb was the justification for all my indulgences during the rest of the trip. Each time I was faced with a decision that called for restraint (and in the South of France, the opportunities for temptation pop up with surprising regularity) I merely thought of my Ventoux climb and gave in. Do I deserve another slice of that wonderful artisanal cheese? Another pain au chocolat? Another nap? Of course! After all…I climbed Ventoux four times! On one of our final evenings in France I sat poolside in the stately centuries’-old home we had rented for the trip. As I basked in the glorious French sunshine, Graham began to regale us with tales of completing the legshattering Raid Pyreneen, a 700+-km route across some of France’s toughest mountains. The Raid is made even tougher by the fact that cyclists (including Graham) attempt to do it under the “official” cut-off time of 100 hours. Hmmm, I started thinking, what a great excuse for another trip to France.

photos courtesy dr. C. Cavacuiti

epilogue

t h e f o o d d o c t o r d r . h o l ly f o n g Dr. Holly Fong is a practising speech-language pathologist with three young children who is always trying, adapting and creating dishes.

tofu in a tart! A chocolate tart that’s tasty and healthy raspberry chocolate tart (serves 8 – 10)

f you work in a hospital, you can’t help but notice nutrition month is in March. With all the healthy food posters and displays outlining the benefits of fibre, low salt, low sugar and reduced fat, why do people seem to find it difficult to eat healthy? Part of the reason is that fast food or prepared food is pervasive and so easy when we’re pressed for time. Another reason is that prohibitions against sugar and delicious fats such as butter or cream seem to only increase desire. Because food is often a source of pleasure and comfort, we feel deprived when the foods we eat are not satisfying. Over the years, I have discovered how to adapt classic recipes into healthier versions. It may be as simple as reducing the amount of sugar by half when baking or it may involve the use of different techniques such as ovenroasting vegetables to enhance their natural sweetness and to add a nutty flavour. Or it may just involve using ingredients in a radical new way. When I was pregnant with my first child, a dietician friend shared her recipe for a healthy chocolate pudding. Initially, I was doubtful since it had neither cream nor dairy. It was simply a one-to-one ratio of silken tofu and good-quality chocolate. When she made it for a potluck dinner, I was blown away. It was delicious, chocolaty, creamy and substantial. No one guessed it was made with tofu. I’ve since used her basic recipe in a variety of guises including tarts. For an intense chocolate raspberry “truffle” tart, I use chocolate with a high-cocoa mass— 70 to 85% chocolate—and add raspberry juices pushed through a sieve. The sweetness of the berries and the complexity of the chocolate match well with a

Banyuls-type wine. These fortified port-like red wines are made from Grenache grapes in the Languedoc Roussillon region. Try the tart with the 2006 Domaine de la Rectorie Cuvée Léon Parcé Banyuls. This dark-red, almost black, wine has cherry fruit notes, well-balanced tannins and a slight roasted smoky edge. To your health and a year of good eating.

solution from Winter 2010 contest

Rinsethefreshraspberries under water. Place onpaper towels toair dry. Preheat ovento350Fwitha rack inthe middleof theoven. Usingthewrapper from thestick of butter, greasean11-inchfluted tart panwitha removablebottom. Pulsechocolatewafers ina food processor until finely ground. Cut thebutter intochunks andaddtothecrumbs. Pulse until well combined. Transfer thecrumb mixturetothepreparedtart pan. Press evenly intothebottomandupthesides of the pan. Bakefor 12-15 minutes until thecrust is dry andset. Let cool ona wirerack. Pour half of thethawedraspberries intoa largecoarsestrainer set over a big bowl, pressinghardonthesolids toextract as muchjuiceas possible. Discardsolids and repeat procedurewiththeremainingthawed berries. Addthesoft tofutotheraspberry juices andblenduntil smoothusinga mixer or handheldblender. Cut thechocolateintochunks andplace ina mediumsaucepanset over a simmering panof hot water. Stir occasionally for even melting. Removepanfromheat. Add chocolatetothetofupureeandblendwell. Scatter someof therinsedraspberries over thebottomof thecooledcrust. Pour the chocolatemixtureintothecrust andsmooth thetopwitha rubber spatula, covering theberries. Scatter theremainder of the raspberries ontopof thetart ina random fashionor arrangeinapatternalongtheedge. Refrigeratefor at least 2 hours. Toserve, removethesideof thepanand cut intothinwedges.

…delicious, chocolaty, creamy and substantial. No one guessed it was made with tofu…

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

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solution from page 37

dr. holly fong

1 package silken or soft tofu (300g) 1 package frozen raspberries, thawed (600g) 300g good quality dark chocolate with at least 75-70% cocoa mass (the weight of chocolate used should be the same weight as the tofu) 1 package chocolate wafers (200g) 1 stick unsalted butter (½ cup) 3 packages raspberries (6 oz per package)

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

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MARCH/april 2010 Just For Canadian Doctors

Just For Canadian Doctors

MARCH/april 2010

jamaica / lisbon / aikens lake / tucson / jeju … | c a l e n d a r

cme

A n intern ation a l guide to continuing Medica l Education

montego bay, jamaica

spr ing 2010 + beyond

room service, Jamaica style, at Half Moon Resort

bottom of Dunn’s River Falls

clockwise from top left: L. Quinn; courtesy half moon resort; l. Quinn; courtesy half moon resort (2)

cuisine at Half Moon Resort

vista from Rose Hall Great House

yoga pavilion at Half Moon Resort

To the beach: A sandy idyll awaits on this Caribbean island. (CME events in Jamaica are highlighted in blue)

pend any time in Jamaica and you can’t help but add “yeah mon”to the end of a sentence with a smile—you’re well on your way to being a quintessential Jamaican! No wonder more than a million visitors head to Jamaica every year to discover the history, food, music, culture and natural beauty that defines Jamaica “the fairest isle that eyes have beheld,” according to Christopher Columbus. The fourth largest city in Jamaica, Montego Bay, affectionately known as MoBay, is located on the northwest side of Jamaica. And when in MoBay, do as little or as much as you want. Hit a Beach with healing water at Doctor’s Cave Beach Club. This small stretch of beach, accessible through a cave, was previously owned by Dr. Alexander James McCatty. He donated the once-private sanctuary to the

community in 1906. The curative powers of the water at this beach, first written about in the 1920s by Sir Herbert Barker, have made it a popular destination for nearly a century. Soft adventures in nearby Ocho Rios are a must for city slickers seeking a thrill. Scale the limestone boulders and travertine steps of Dunn’s River Falls, from the bottom where the river meets the Caribbean Sea to the top of the 200-metre falls. Stop and slide down large boulders smoothed by time and rushing water into cool pools of water. dunnsriverfallsja.com For an adventure away from the water, you can zip through the forest from treetop to treetop. There are nine traverses ranging from 100 to 650 feet apart, but the most exhilarating zip is a 50-foot drop to the forest floor. chukkacanopy. shoreadventures.net

Historic sights are colourful and rich. Visit former plantations with magnificent vistas and notable Great Houses that have been restored to their former glory. There’s Rose Hall Great House, where the slaves and lovers of Annie Palmer, a calculating and cruel mistress, met their fate. And there’s Greenwood Great House, once owned by the family of Elisabeth BarrettBrowning. Both are believed to be haunted. STAY at Half Moon Resort in Montego Bay, a destination in itself. This posh base offers it all, from gourmet flavours (and room service by bike!) to by-the-beach yoga (see page 6). This land of turquoise water, white sand, natural beauty and warm hospitality will have you looking forward to many returns. —L. Quinn For more info: visitjamaica.com

MARCH/april 2010 Just For Canadian Doctors

c m e calendar

Cardiology

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Alternative Medicine

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Apr 17-18

Vancouver British Columbia

Introductory Course To Botox & Cosmetic Fillers

The Physician Skincare and Training Centre

877.754.6782 See Ad Page 28

ptcenter.org

Jun 26-28

Vancouver British Columbia

Introductory Course To Botox & Cosmetic Fillers, and Advance Course In Non-Surgical Facelifts

The Physician Skincare and Training Centre

877.754.6782 See Ad Page 28

ptcenter.org

Apr 30May 01

San Diego California

2nd Annual Integrative And Holistic Nursing Conference: Bringing Healing To You And Your Patients

Scripps Conference Services

858-652-5400

scripps.org

Oct 07-09

Glasgow Scotland

19th Annual Scientific Meeting Of The European Association Of Osseointegration

Colloquium

011-33-1-44641515

eao.org

Oct 08-12

Toronto Ontario

32nd Annual Meeting Of The American Society For Bone And Mineral Research

Society For Bone And Mineral Research

202-367-1161

asbmr.org

May 01-05

Christchurch New Zealand

2010 Annual Scientific Meeting Of Australian & New Zealand College Of Anaesthetists

Conference Innovators

011-64-3-3532823

conference. co.nz

Jun 14-16

Durham North Carolina

Ultrasound Guided Regional Anesthesia Preceptorship Course

Duke University

919-681-6437

duke.edu

Sep 08-11

Porto Portugal

29th Annual European Society For Regional Anaesthesia Congress

Kenes International

011-41-22-8070360

kenes.com

Mar 08-11

Jolly Beach Antigua

Maintenance Of Genome Stability

Abcam Events

617-577-4235

abcam.com

May 01-07

Stockholm Sweden

18th Scientific Meeting And Exhibition Of The International Society For Magnetic Resonance In Medicine

International Society For Magnetic Resonance In Medicine

510-841-1899

ismrm.org

Jun 13-16

Saskatoon Saskatchewan

2010 Canadian Society Of Clinical Chemists Conference

Canadian Society of Clinical Chemists

613-531-8899

cscc.ca

Mar 04-06

Berlin Germany

3rd International Conference On Hypertension, Lipids, Diabetes & Stroke Prevention

Kenes International

011-41-22-9080488

kenes.com

Mar 24-27

Scottsdale Arizona

Clinical Reviews 2010: A Family Practice & Internal Medicine Update

Mayo Clinic

480-301-4580

mayo.edu

Apr 17-17

San Diego California

3rd Annual Sudden Cardiac Arrest: From Awareness To Prevention

Scripps Conference Services

858-652-5400

scripps.org

Apr 27-30

Shiraz Iran

4th International Symposium On Updates In Cardiovascular Diseases

International Conventions Bureau

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kowsar-hospital. ir

Jul 10-16

Lisbon Portugal

NEI Conference Series - Sleep Apnea: Diagnosis, Treatments and Impact on Cardiovascular Disease

National Education Institute

866-685-6860 See Ad Page 27

neiconferences. com

Sep 24-25

Vancouver British Columbia

Canadian Society For Vascular Surgery 2010 Annual Meeting

Canadian Society For Vascular Surgery

613-730-6263

csvs.vascularweb.org

Jun 12 - 26

new CME list from Adam

Baltic & Russia

Aug 14 - 21

Internal Medicine Review

Jul 4 - 11

Alaska Glaciers

Respirology, Sports Medicine, and Internal Medicine

Aug 6 - 16

Mediterranean

Sep 12 - 19

Alaska Glaciers

Palliative Care Update Management

and Practice

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General & Family Medicine

Endocrinology

Emergency Medicine

Diabetes

Dermatology

Clinical Pharmacology

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Apr 09-11

Napa California

Clinical Pharmacotherapy 2010: Practical Information for Physicians, Nurses, & Pharmacists

UC Davis Health System

916-734-5390

cme.ucdavis. edu/conferences

Apr 30

London, UK

Improving Immunoshistochemistry 2010

European Scientific Conferences

enquiries@ euroscicon.com

euroscicon.com

Jun 08-11

Quebec City Quebec

33rd Annual Meeting of Canadian College of Neuropsychopharmacology

Canadian College of Neuropsychopharmacology

780-407-6543

ccnp.ca

Jun 28Jul 02

Sarasota Florida

Dermatology For Primary Care

American Medical Seminars

941-388-1766

ams4cme.com

Aug 06-16

Mediterranean Cruise

Dermatology Advancements

Sea Courses Cruises

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Sep 24-26

Santa Barbara California

2010 Calderm Annual Meeting

California Society of Dermatology & Dermatologic Surgery

916-498-1712

calderm.org

Mar 25-28

Ocho Rios Jamaica

16th Annual International Diabetes Conference: Diabetes & Tobacco-Deadly Duo

University of the West Indies

011-876-9771749

udop.org.jm

May 13-16

Prague Czech Republic

3rd World Congress On Controversies To Consensus In Diabetes, Obesity & Hypertension

011-972-3-5666166

comtecmed. com

Nov 04-06

Los Angeles California

8th Annual World Congress On Insulin Resistance, Diabetes & Cardiovascular Disease

Metabolic Endocrine Education Foundation

818-342-1889

insulinresistance.us

May 19-21

Quebec City Quebec

5e Forum de Médecine Familiale et de Médecine d’Urgence

U. Laval

418-656-5958

fmc.ulaval.ca

Jun 03-06

Phoenix Arizona

2010 SAEM Annual Meeting

Society for Academic Emergency Medicine

517-485-5484

saem.org

Jun 15-18

Breckenridge Colorado

37th Annual Rocky Mountain Trauma & Emergency Medicine Conference

Denver Health

303-436-6410

rockymtntraumaconf.org

Apr 24-28

Prague Czech Republic

12th European Congress Of Endocrinology

BioScientifica

011-44-145464-2240

ece2010.com

Sep 01-04

Chicago Illinois

28th World Congress On Endourology & SWL

International Conference Services

604-639-3924

wce2010.com

May 06-08

Toronto Ontario

8th Annual Primary Care Today CME Conference

University of Toronto

888-443-6786 See Ad Page 29

primarycaretoday.ca

Ongoing

Online

Outdoor Air Quality And Health And The Air Quality Health Index (AQHI)

University of British Columbia School of Environmental Health

604-822-9599

soeh.ubc.ca

Jun 11-15

Nueltin Lake Manitoba

Hook & Learn Series: “Physician Resilience”

Travel Manitoba and University of Manitoba

204.927.7820 See Centre Supplement

umanitoba.ca

Aug 29Sep 04

Aikens Lake Manitoba

Hook & Learn Series: “Physician Resilience”

Travel Manitoba and University of Manitoba

204.927.7820 See Centre Supplement

umanitoba.ca

new CME list fromComtecMed AdamMedical Congresses

Learn Virtually anytime - anywhere access your Cme worldwide travel & Learn Format Connect with us 24/7. toll-Free:1-866-685-6860 www.neiconferences.com 7X2.5_canadian_family_physicians1 1

3/15/07 9:28:25 AM

MARCH/april 2010 Just For Canadian Doctors

Neurology

Nephrology

Legal Ethics

Infectious Diseases

Immunology & Allergy

Genetics

calendar c mcmee when where

topic

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website

May 19

Toronto Ontario

18th Annual New Developments In Prenatal Diagnosis & Medical Genetics

Mount Sinai Hospital

416-586-4800

mtsinai.on.ca

Jun 10-12

Cernobbio Italy

2010 International Conference On Adult Hearing Screening

Adult Hearing Screening 2010

ahs2010@ polimi.it

ahs2010.polimi. it

Oct 01

Welwyn Garden City England

Non-Coding RNA’s In Development

European Scientific Conferences

enquiries@ euroscicon. com

euroscicon.com

Jun 02-05

Dublin Ireland

17th Annual Meeting Of The Psychoneuroimmunology Research Society

Psychoneuroimmunology Research Society

See website

pnirs.org

Jun 20-25

Santorini Greece

3rd International Conference On Osteoimmunology: Interactions Of The Immune & Skeletal Systems

Aegean Conferences

610-527-7630

aegeanconferences.org

Oct 26-30

Barcelona Spain

10th International Congress Of Neuroimmunology

EEM International Congress Services

011-39-06-5193499

isni2010.org

May 03-07

Boston Massachusetts

Infectious Diseases Of Adults

Harvard Medical School

617-384-8600

harvard.edu

May 29Jun 03

Vancouver British Columbia

2010 National Education Conference Of Community & Hospital Infection Control Association-canada

Chica-Canada

866-999-7111

Jun 07-11

Amsterdam Netherlands

Postgraduate Workshop In Clinical Parasitology

European Society of Clinical Microbiology & Infectious Diseases

011-41-61-6867799

escmid.org

May 07-09

Noosa Australia

National Medical & Legal Issue Seminar

Conferences 21

011-61-7-32543331

conferences21. com

Jun 20-26

Jerusalem Israel

NEI Conference Series - Ethics And Health Care Professionals

National Education Institute

866-685-6860 See Ad Page 27

neiconferences. com

Oct 18-20

Tucson Arizona

Forensic Review Course Of American Academy Of Psychiatry & The Law

AAPL

800-331-1389

aapl.org

Jun 10-13

Cambridge Massachusetts

MGH Nephrology Update 2010

Harvard Medical School

617-384-8600

harvard.edu

Aug 28Sep 03

San Francisco California

American Society Of Nephrology 15th Annual Board Review Course & Update

American Society of Nephrology

202-416-0675

asn-online.org

Oct 20-23

Boston Massachusetts

2010 Cardiometabolic Health Congress

Cardiometabolic Health

877-571-4700

cardiometabolichealth.org

Apr 10-17

Toronto Ontario

62nd Annual American Association Of Neurology Meeting

AAN Member Services

651-695-2717

aan.com

Jul 10-15

Honolulu Hawaii

2010 International Conference On Alzheimer’s Disease

Alzheimer’s Association

312-335-5790

alz.org

Sep 13-16

Jeju South Korea

38th Annual Meeting Of The International Society For Pediatric Neurosurgery

ISPN

gmcomb@chla. usc.edu

ispneurosurgery.org

new CME list from CHICA Adam

Just For Canadian Doctors

MARCH/april 2010

Surgery

Urology

Respirology

Psychiatry

Pediatrics

Oncology

Obstetrics Gynecology

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Jun 03-06

Istanbul Turkey

PCOS Ovulation Induction & Fertility Preservation: New Trends 2010

Serenas Tourism

011-90-212282-3373

pcos2010.org

Jun 14-21

British Isles from Dover Cruise

Women’s Health

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39

continuingeducation.net

Aug 27-28

New York New York

16th Annual Perspectives In Breast Cancer

Imedex

770-751-7332

imedex.com

May 14-15

Surrey British Columbia

Raising The Torch – Expanding The Vision

BC Hospice Palliative Care Association

604-267-7024

hospicebc.org

Jun 22-25

Singapore Singapore

BIT 3rd Annual World Cancer Congress

BIT Life Sciences

011-86-4118479-5469

bitlifesciences. com

Aug 04-11

Baltic Sea Cruise

21st Century Oncologic Imaging in the Baltic Joint-Sponsored with H. Lee Moffitt Cancer Center

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39

continuingeducation.net

Jul 03-09

Maui Hawaii

Pediatrics In The Islands … Clinical Pearls 2010

Childrens Hospital Los Angeles Medical Group

323-361-2752

childrenshospitallamedicalgroup.org

Sep 08

Dublin Ireland

Annual Research Day, Ireland Branch, Association For Child & Adolescent Mental Health

011-44-207403-7458

acamh.org.uk

Apr 15-18

Yerevan Armenia

Regional Meeting Of The World Psychiatric Association

Armenian Association of Psychiatrists

soghoyan@ yahoo.com

wpanet.org

May 22-27

New Orleans Louisiana

163rd Annual Meeting Of The American Psychiatric Association 2010

American Psychiatric Association

703-907-7300

psych.org

Apr 15-17

Izmir Turkey

Occupational Respiratory Disease For The Clinician

European Respiratory Society

school@ersnet. org

ersnet.org

Jul 04-11

Alaska Glaciers Cruise

Respirology, Sports Medicine, And Internal Medicine

Sea Courses Cruises

888-647-7327 See Ad Page 26

seacourses. com

Sep 18-22

Barcelona Spain

2010 Annual Congress Of European Respiratory Society

European Respiratory Society

info@ersnet.org

erscongress2010.org

Sep 01-04

Chicago Illinois

28th World Congress On Endourology & SWL

International Conference Services

604-639-3924

wce2010.com

Oct 10-13

Adelaide Australia

Fertility Society Of Australia 2010 Annual Conference

Waldron Smith Management

011-61-3-96456359

fertilitysociety. com.au

Jun 01

London England

Technical Advances To Skull Base Surgery

Royal College of Surgeons of England

011-44-207869-6336

rcseng.ac.uk

Sep 27-28

Elancourt France

European Society Of Thoracic Surgeons School Of Thoracic Surgery

ESTS Administrative Secretary

011-44-139243-0671

estsschool.org

new CME list from Association Adamfor Child & Adolescent Mental Health

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

MARCH/april 2010 Just For Canadian Doctors

cl a s s i f i ed ads

| positions / vacation properties / practices / locums positions available positions available positions available

BURNABY, BC - We are a busy walk-in/family practice medical clinic looking for regular and locum physicians. We are located in Burnaby at Lougheed Town Centre/145-9855 Austin Avenue, Burnaby BC. Easy skytrain access. Please contact Jackie at 604421-3171 or email jackiedandrade@yahoo.ca for more information. COQUITLAM, BC - Well established family practice seeking P/T or F/T physician preferably female. 2 doctors in fully developed practice. Great location, convenienceof amedical buildingwithother amenities, near Lougheed Town Centre, very busy, computerized, experienced staff, well-equipped office. For further information please call Monika at 604-931-4826 or email monikak@shawlink.ca. KELOWNA, BC - Come spend the summer in beautiful Kelowna, BC. Well established Family Practice / Walk_ In Clinic looking for locumfor July and August. Flexible hours, convenient schedule, highly organized office with great associates and staff in the sunny Okanagan. Great recreational amenities, cultural activities and lifestyle opportunities. No OB, no call and no hospital work but available if desired. Contact Wendy at 250764-8873, wendy.lakeshoremed@shawcable.com NANAIMO, BC – Edgewood, located in beautiful Nanaimo, isaninternationallyrenownedaccreditedand licensed facility seeking a general practitioner locum from July 5-30. 2010. This is a unique offer providing an opportunity to work with a multidisciplinary team in a residential addiction treatment setting. Flexible hours with no on-call requirements. A competitive remuneration as well as accommodation is included in this locumposition. Contact: Dr. Gary Richardson, email gary@edgewood.ca or tel 800-683-0111. RICHMOND, BC - Modern, efficient, organized Group Family Practice/Walk-In with custom EMR allows for excellent work / life / professional satisfaction balance. Congenial male/female doctors looking for another long term family doctor who enjoys a busy practice and also complex care. 70% Split with 2 RN’s who

help with complex care and patient education. The group covers Monday-Friday 9am-5pm with double to triple coverage. Shared Saturday single coverage of 10am - 4pm. We also encourage locums to contact us to fill shifts and as a“foot in the door” for longer term Associateships. Pleaseseeour websiteat ww.mydoctor. ca/drsinghal Email to medicalclinic@shaw.ca. Tel:604448-9595 VANCOUVER, BC – UBC teaching practice. Excellent location in New Westminster. Full-time or part-time, flexible days andhours. Congenial colleagues, currently have outside interests in obstetrics, emergency medicine and psychiatry. Fabulous, long-term front office staff. Would suit fully-licensed physician wanting to do full continuity patient care. Come Join us! docoffice@telus.net VICTORIA, BC – Central downtown family practice (Cook/Fort). Adjacent to many Medical Professional Buildings, with diverse, disciplined, and loyal patient population base (mainly ethnic Chinese). Spacious functional clinic newly custom built (2003) with extensive cabinet storage spaces. Clinic fully equipped, under 25%overhead, and2007billing370K. Relocating 2010. Email: huatau@hotmail.com WEST KELOWNA, BC - Make your move to the sunny Okanagan valley! Exciting opportunity for a GP/Family doctor or specialist to join a 3 GP clinic. Beautiful layout with lots of space, great location, fully equipped, EMR, progressive and collegial arrangement/ cross coverage for time away. Excellent specialist back up. Very nice patient mix. OBS/hospital/ special interest work optional if desired. Practice the way you want to practice. No headaches! Outstanding year round leisure opportunities. Financial and work arrangement flexible and very rewarding. Contact Dr. Suzanne Gossier or Dr Marcel Lavanchy 250-452-6742 or vintageview@live.com ENGLEHART, ON - Two positions available to complete our complement of six. High-income salaried position as a member of our Family Health Team. One in six,

Scott Sessional. No obstetrics. Eight weeks paid leave for vacation/CME. Generous hospital and under serviced area incentives including housing. Excellent schools, recreational facilities, organized activities in community. Telephone Lois Kozak, CEO, at: 705 5442321; or e-mail: lakozak@edhospital.on.ca REGINA, SK – Family physician required to join busy Quance East Medical Clinic in Regina, located in Victoria Square Mall. Full-time, part-time or locum basis. The clinic is well established. Regular and walk-in patients accepted. You can be as busy as you wish. Well-equipped, individual offices with Internet access, and pleasant and efficient staff. Excellent potential for building your practice. Contact: Lana Cheshenchuk at email suitlana@sasktel.net or call 306.545.5868

equipment for sale ABBOTSFORD, BC- Matching examtable and cupboard. Brownleather, brownwoodlook finish. Best offer takes both. Call Leslie at 604-703-8448. NORTHVANCOUVER, BC- Office equipment in excellent condition 20-40% off catalogue price. For details call tel. 604-986-6716.

vacation properties TOFINO, BC- Beachfront vacation home on spectacular Chesterman Beach. 3 bedroom, 2 baths, fully equipped. Surfing, beach combing, hiking, biking, fishing, whale watching and storm watching. Fractional 1/4 and/or 1/2 titled ownership available. This is titled ownership, not time-share. Contact: zulubendall@hotmail.com PROVENCE, FRANCE – Les Geraniums: three bedroom/ three bath villa. Terrace with pool and panoramic views. Walk to market town. 1 hr. Aix and Nice. New independent studiow/terrace alsoavailable. 604-5225196. villavar@telus.net.

Classifieds: fax 604-681-8149 • tel 604-681-1811 • email classified@InPrintPublications.com

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BELIZE Kayak & Snorkel Journeys Marine Atoll Basecamps Rainforest Rivers Mayan Ruins Caves Get your free Belize Adventure Guide

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living well Dr. susan Biali Susan Biali is a practising GP, professional speaker and flamenco dancer, and is the author of Live a Life You Love: 7 Steps to a Healthier, Happier, More Passionate You. Contact: susan@susanbiali.com.

real-life connection 3 secrets to happier, healthier relationships

Hachette Book Group, Inc.

n a recent weekend I bought Malcolm Gladwell’s latest book, Outliers (right), and devoured it in under a day. Though the book’s about the roots of success, it was his introductory story about a health “outlier” that affected me the most. In 1882, adventurers from Roseto, Italy, a small village south of Rome, set sail for the New World. Many more followed, and eventually the new immigrants created an American version of their home village on a rocky hillside in Pennsylvania. The Rosetans were self-sufficient and kept to themselves, and people of the neighbouring regions were hardly aware that the small town existed. One day, a physician from Oklahoma, Stewart Wolf, gave a presentation to the local medical society. Afterwards, one of the docs told him about the phenomenon of Roseto—a place where virtually no one under 65 seemed to have heart disease. Wolf began to study the people of Roseto. He discovered that no one under 55 had ever died of a heart attack or showed signs of heart disease. The all-causes death rate was up to 35% lower, as well. If you’re like me, you’re thinking: “Mediterranean Diet, of course!” Nope. The Rosetans created their own version of pizza, loaded with sausage, pepperoni, salami and even eggs. Forty-one percent of their calories came from fat. Smoking rates were through the roof, and obesity was rampant. After exhaustively trying to determine genetic or other biological causes for their robust health, Wolf finally arrived at the magic ingredient: The Rosetans loved each other. They visited constantly, stopped in the street to chat, cooked for each other, and had three generational meals that celebrated the extended clans that formed the framework of their community. The profoundly interconnected social structure protected their bodies from the stresses of modern life, despite how “unhealthily” they lived. As beautiful as the message behind this story is, it makes me a little nervous. I’m an introvert and happily spend long stretches

on my own, without interacting with anyone other than my husband and our dog. I’m terrible about calling people, and easily let myself slip out of touch. Stories like Roseto’s remind me that it’s in my—and your—best interest to spend as much time as possible in positive interactions with others. Earlier this year, I heard a sermon about three elements that are required to create a better relationship with the divine. Listening, I realized it was good advice about creating better relationships with anyone who is important to you. Here are the three points, with my take on them:

1 desire Whenever you think of or interact with someone and feel a desire to spend more time with him or her, pay attention. You might meet someone new whom you really like, or hear a song on the radio that’s your uncle’s favourite, or run into an old friend. At that moment, you notice how much you enjoy that person, and feel a desire to see them again. Like me, do you file it away in your mind, forget and then after five years pass ask yourself: “Has it really been five years since I saw Jenny??” Act on that desire to spend more time with someone. Make a date for lunch, even if the next possible time is a couple of months or a year away. Pick up the phone, or send a quick Facebook message.

2 time Speaking of Facebook, a neuropsychologist confirmed to me the other day that though it’s easy to “keep in touch” through social media, emails or text messages, it’s not the same as real time for your brain and body (and your friends). Don’t let online contact replace face-to-face or voice-to-voice time. Make plans to get together. Get a Bluetooth headset for your phone and make calls to chat while driving to and from work.

3 effort In his sermon, the pastor said: “Relationships don’t develop automatically and don’t deepen on their own—it takes effort.” Be conscious of this, and think about what efforts you can make to deepen your connection with people who matter. What would be most significant to each? Some people don’t care about birthdays, while others feel slighted if they don’t get a phone call or an e-card. Pay attention to what other people value, and make the effort to connect with them on that level. Make time for people in your life, especially the ones you love the most and the ones that make you laugh the most. If a hermit like me can do it, so can you. The other night after a long day of work and dance rehearsals, I dragged myself back into town for a friend’s birthday party. A group of us had dinner, ate heaps of chocolate cake, and went out dancing. I had the time of my life. In retrospect it’s funny that I thought I was making the effort just to please my friend. When we’re good to our friends and family, we’re taking care of ourselves.

MARCH/april 2010 Just For Canadian Doctors

motoring

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.

5 rings + 3 months =

hree months after lighting the Vancouver-Whistler Olympic flame, British Columbians host the first running of Targa Canada West. The inaugural “Bambina” edition of this closed public road motorsport competition runs on May 24, 2010 in the Okanagan region. The following May, 2011, Targa Canada West joins New Zealand, Tasmania, and Newfoundland on the impressive world calendar of week-long tarmac Targas. Modern Targa-style events run 30 – 40 closed road tarmac stages over one week. Competition cars are released into each stage at 30-second intervals to compete against the clock. Aboard are a driver and a navigator. The latter transforms the event-provided route book of “tulip diagrams” into verbal instructions to the driver. The faster the team completes the stage, the better (within safety and accuracy boundaries). Just for Canadian Doctors magazine has played a big role in the evolution of Targa Canada West. Having signed on as the magazine’s motoring columnist in 2005, I scrambled to meet a series of submission deadlines. The 50th anniversary of Stirling Moss’ famous Mercedes 300 SLR Mille Miglia win was an easy pick. That story line led to the modern paved-public-road competitions—particularly the farflung Targa events in New Zealand, Tasmania, and Newfoundland (usually only observed on TV). Next up on my 2005 deadline list loomed a scenic autumn-drive piece. The Destination Highways motorcyclist’s guidebook revealed great BC back-roads previously unbeknownst to me. I made it my quest to drive or ride as many as possible. My research into the world’s Targas collided inside my head with BC’s amazing roads and ignited the synapses for a West Coast Targa. Some of our long-time readers will remember these first steps.

Just For Canadian Doctors

As I’d seen Targas on TV, the next sequence in the “see one/do one/teach one” cascade would be to compete in a Targa. (I faked being a slow learner so that I could get away with doing four, rather than just one). Just for Canadian Doctors has been along as

Scenes fromTarga New Zealand, inwhichDr. Kelly Silverthorn(left) raced in2008. He’s nowthe founder andCEOof Targa CanadaWest, taking placefor thefirst timein BCinMay. Register now at targacanadawest.com andclick on“compete.”

car sponsor or story assignee each time— twice in Newfoundland, and once each in New Zealand and Tasmania. (See back issues for the related stories.) I found out that in each jurisdiction the Targa has become the largest annual event for economic impact, media coverage, and volunteerism. The Australian event is both the longest running and most successful,

MARCH/april 2010

boasting 300 competing teams, 200,000 route spectators, 37,000 hotel room/nights booked, $10 million AUS left behind, and a potential TV audience of 480 million. Each event began as a mom-and-pop operation but today a multi-billion dollar multinational entertainment conglomerate manages Targa Tasmania. The Tassie event even has a videogame launching on PC and Xbox. Interestingly, Targa Canada West (TCW) may prove ultimately more successful than even the impressive markers laid down by Targa Tasmania. By drive distance measures, Targa Canada West has 5 – 6 times the supporting population of the next best endowed existing event. Additionally, TCW can readily draw competitors from California, God’s gift to car culture. Targa events draw competitors from across multiple motorsport disciplines: solo, hillclimb, gravel rally, TSD, road race, circle, muscle, exotics, vintage, tuner, and even green racers. Targa events also draw physician competitors from multiple disciplines. So far, orthopods seem slightly overrepresented. Targa-style events promise a year’s worth of motorsport packed into just one week, which suits a busy physician’s schedule. Two people in each car add a social dimension found in few other motorsport disciplines. Married couples competing are commonplace, and one Canadian couple even famously exchanged their vows between Targa stages! For those who yearn for an adventure-based way to dip a toe in the motorsport pool, Targa is worth a serious look. You’re eligible to compete in your daily driver, or in a rent-a-racer with roll cage. You’ll proceed at your own pace, and the seeding system grids you with those of a similar pace to minimize any overtaking. Yet, after hours you’ll be comrades and even rub shoulders with those known for their Le Mans or Formula One exploits. Finally, a Targa is also a great excuse to get an in-depth look at a part of the planet you might otherwise not. If the Olympics worked to whet your appetite to see more of back-roads BC, then a Targa Canada West (targacanadawest.com) adventure race might be just your ticket.

Dr. david O’Keeffe

1 world-class motorsport event called Targa Canada West, a post-Olympics adrenaline rush

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

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

Being in New Brunswick. Making life happen.

Soyez au Nouveau-Brunswick Vivez pleinement.

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

opportunities

Travail. Vie. Équilibre.

employment

Work. Life. Balance.

opportunities employment

ANESTHESIOLOGY FAMILY PHYSICIANS GENERAL SURGERY INTERNAL MEDICINE Our recruitment specialist would be pleased to provide further information on any of our physician opportunities as well as incentive packages available. Maureen Webster, RPR Physician Recruitment Specialist Pictou County Health Authority 835 East River Road New Glasgow, NS B2H 3S6 Phone: 902 752 7600 x3490 Mobile: 902 921 0657 Fax: 902 752 6231 Email: maureen.webster@pcha.nshealth.ca www.pcha.nshealth.ca

The Pictou County Health Authority offers a wide range of specialist and family practice opportunities. Located in northeastern Nova Scotia, Pictou County offers excellent professional opportunities in small town and rural settings. The Pictou County Health Authority is responsible for delivering health care services to the 48,000 residents as well as regional programs to the greater population of northeastern Nova Scotia. no The Aberdeen Hospital in New Glasgow and Sutherland Harris Memorial Hospital in Pictou are just 90 minutes from Halifax and the Robert Stanfield International Airport. Moncton and Charlottetown are not much further and we’re minutes away from the warmest waters north of the Carolinas and some of the most beautiful beaches in Nova Scotia. The Aberdeen Hospital is a 112-bed regional facility providing a broad range of primary and secondary services through inpatient, outpatient and community-based services. Services provided include: anesthesia, cardiology, diagnostic imaging, emergency, general surgery, internal medicine, obstetrics and gynecology, ophthalmology, orthopedics, pathology, pediatrics, psychiatry and urology. ps Sutherland Harris Memorial Hospital plays an important role in the lives and communities it serves. It has a 12-bed restorative care unit, a 20-bed veterans unit and various outpatient and community programs and services.

10011 SHR Career Ad Report full page_Just for Doctors Full Page 08/02/10 8:49 AM Page 1

employment

Cameco Chair in Aboriginal Health

The Opportunity

The University

Clinical departments in the College of Medicine represent a partnership between the University of Saskatchewan and a health region, with provincial responsibilities for the academic mission. Both community and university clinicians, educators and researchers are involved in the academic mission of clinical care of inpatients and outpatients, education of undergraduate and postgraduate trai nees and research.

A publicly funded institution established in 1907, the University of Saskatchewan offers a full range of curricula, both academic and professional, with students registered in 13 colleges, including health sciences and veterinary sciences. The College of Medicine has an intake of 84 students per year with a commensurate number of positions for residency training. This intake will soon increase to 100.

At present we are seeking a junior academic physician with a special interest in one or more areas of Aboriginal Health. The founding Cameco Chair in Aboriginal Health will have an exciting opportunity to develop expertise within the broad areas of research, education and/or clinical skills pertaining to the health of Aboriginal peoples.

The Candidate The successful candidate will be licensed in Internal Medicine, trained in general internal medicine or an internal medicine subspecialty, and hold or be eligible for a Saskatchewan medical licence. Additionally, the successful candidate for the Chair will have an established relationship with Aboriginal communities. Preference will be given to those of First Nations, Inuit or Metis heritage. A detailed description of this new position is available on request.

Canadian Light Source (CLS) Synchrotron The $173.5 million CLS synchrotron, a national facility owned by the University of Saskatchewan, is the largest science project in Canada in more than 30 years. This facility is a unique national resource that will light the way to a new era of science and innovation for academic, industrial, and governmental researchers. An active Anatomy and Cell Biology CLS Users Group is available for collaborative research with clinical faculty.

Saskatoon Health Region (SHR) SHR is one of the most integrated and complex health delivery agencies in Canada and is the largest health region in Saskatchewan, serving more than 300,000 residents in over 100 cities, towns, and rural municipalities. Saskatoon Health Region is the largest single employer in the province with over 12,000 staff and 800 physicians. The city's three hospitals – St. Paul’s, City, and Royal University – comprise three of the province’s tertiary teaching centres.

The City Saskatoon Shines – with more hours of sunshine than any other major Canadian city. With a population of 230,000, Saskatoon is the largest city in Saskatchewan, boasting small town spirit and big city amenities. World class events, festivals, and attractions…a strong arts and music focus…a short drive to northern lake country…a variety of indoor and outdoor sporting facilities…and more golf courses per capita than anywhere in North America. The city is noted for its outstanding walking and biking trails along the riverbank and excellent education facilities, including the University of Saskatchewan. What's more – everything is within 15 minutes of home. Saskatoon is easily accessible by major airlines.

To Apply: If you are seeking a challenging career opportunity, please apply in confidence to: Vernon H. Hoeppner, MD. FRCPC Professor and Head Department of Medicine University of Saskatchewan and Saskatoon Health Region Royal University Hospital Room 3544 RUH, 103 Hospital Drive Saskatoon. SK S7N 0W8 Phone: (306) 966-8000 Fax: (306) 966-802l E-mail: vernon.hoeppner@usask.ca

The University of Saskatchewan is committed to employment equity. Members of designated groups are encouraged to self-identify (Aboriginal, persons with disabilities and visible minorities).

opportunities

Photo courtesy Marikay Falby

SH Do 100 Pub Jus Do Da Feb Ful

t he w e a lt hy doctor manf r ed pu r tz ki, c .a. Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can reach him at manfred@purtzki.com.

top-10 tax deductions How to keep your taxes to the absolute minimum

ave you noticed the trend for people to compile top-10 lists? Without overshadowing David Letterman, I thought I’d hop onto the bandwagon and compile my own top-10 list. Doctors in particular are painfully aware of the fact that their biggest expense is income taxes and I hope my “top-10 tax deductions list” for 2009 will help keep your taxes to the absolute minimum.

1 salary to spouse Paying a salary or a management fee to your spouse is a quick and effective method to save taxes by splitting income especially when the spouse is in a much lower tax bracket. Income splitting can also be enhanced if the corporation pays dividends to the shareholder spouse. However, payment of a salary to a spouse or any other relative for services rendered must be reasonable and, ideally, it should be documented by an employment agreement. A typical salary to a spouse who does not work in the office but provides administrative services is about $2,000 per month. If you choose to pay your spouse a management fee rather than a salary, be aware that once the fee exceeds $30,000 per year, it is subject to GST or HST.

2 home office There is often some confusion around this deduction, and CRA takes a keen interest in anyone using it. Utilizing the home-office expense allows you to deduct a portion of your residence expenses, including mortgage interest, landscaping and property taxes. To be eligible, the office must be either your principal place of business or you must use it on a regular, on-going basis to meet patients. If you work in the hospital or as a locum in a clinic where you don’t have an office, then by default your home becomes your principal place of business. If you have an office in the clinic, then using the home-office deduction is more problematic. You have to prove that you are either seeing patients

Just For Canadian Doctors

in your home or phone consultations with your patients on a regular basis.

at feedback@inprintpublications.com; we will forward it to you, free of charge.)

3 automobile expenses

7 equipment purchases

If you are a self-employed doctor, you can deduct the business portion of the automobile. This includes operating expenses such as gas and repairs, as well as fixed expenses such as depreciation or lease costs and interest expenses, subject to a dollar restriction. If you own the car personally then, as an employee of your corporation, you can receive a tax-free reimbursement for kilometres driven for 2009. This is 52 cents for the first 5,000 kilometres and 46 cents thereafter. If you have a home office, then your trip from the home to the hospital or clinic will be considered business related.

4 meals + entertainment Basically, the maximum amount that you can claim is 50% of the actual cost of food, beverages and entertainment. You can deduct 100% of these expenses provided that the function is available to all employees of your practice.

5 dues Any membership or golf course green fees are not deductible. However, any expenses incurred for food and beverages in a restaurant, which includes a golf club, are deductible as long as they incurred for “genuine” business purposes. These amounts are also subject to the 50% meals and entertainment limit.

6 medical expenses One of the biggest benefits in setting up the corporation is that you can set up your own Private Health Services Plan (“PHSP”), which means that you can deduct medical expenses from your practice income without having to report the expense as a taxable benefit. This basically means that you get a 40% discount on any medical expenses you incur. (If you would like a PHSP package, please contact us through Just for Canadian Doctors

MARCH/april 2010

If you purchase any furniture and equipment, do so before your year end so that you can claim the depreciation one year earlier. There is a temporary 100% depreciation rate available for computers and software bought after January 27, 2009 and before February 2011. The 100% rate is not subject to the half year rule, which means that the total purchase can be deducted in the year.

8 interest deductibility You must make sure that you maximize the tax-deductible debt. The Supreme Court of Canada recently confirmed strategies to convert a non-deductible debt into a deductible investment loan. For instance, your corporation could borrow $200,000 to pay off your shareholders loan, the proceeds of which you can apply against your mortgage and the interest would be deductible. Explore with your accountant the many strategies available to generate the interest deductibility.

9 capital losses If you have incurred capital losses on your portfolio and you have no way to offset these losses against any capital gain from investments, then consider converting your drawings into a capital gain, which you take from the corporation in the form of dividends and salary.

10 retirement plans Based on your income and your available cash flow, I recommend that you continue making RRSP contributions. If you are 55 years or older, consider the Individual Pension Plan (“IPP”). The IPP allows you to make a large tax-deductible lump sum payment for any past service contributions.

diversion

sudoku Solve puzzle #2 for a chance to win close over $150 worth of goodies in the Tilley Spring into Style Hat Gift Package Sudoku is simple enough that anyone can play, yet difficult enough that anyone can improve at it. Each Sudoku puzzle has a unique solution that can be reached logically without guessing. Fill in the grid so that every row, column and 3x3 square contains the digits 1 through 9. winner of last issueâ&#x20AC;&#x2122;s sudoku contest: Dr. Alan Watt of Westlock, AB

4 2 3 4 7

sudoku 1 easier solution on page 23

6 1 7 3

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

sudoku 2 harder solution in next issue

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

Puzzle by websudoku.com

entry form (please print clearly): Name: __________________________________________________________________ Address: _______________________________________________________________ City, Province, Postal Code: _____________________________________________

________________________________________________________________________ E-mail: ________________________________________________________________ Tel: ______________________________ Fax: _________________________________ Sudoku Puzzle Contest Rules: 1. Entry form must be accompanied with solved puzzle. Only correctly solved puzzles will be entered into random draw. 2. Send puzzle & entry form to Just For Canadian Doctors, 710 â&#x20AC;&#x201C; 938 Howe Street, Vancouver, BC, V6Z 1N9 or by fax to 604-681-0456. Entries must be received by April 19, 2010. 3. Prize: Tilley Endurables Spring into Style Hat Gift Package. Odds of winning dependent upon number of entries. Winner will be contacted by telephone and announced in the May/June 2010 issue. 4. Contest can be changed and/or cancelled without prior notice. 5. All entries become property of In Print Publications. Employees of In Print Publications and its affiliates are not eligible to participate. MARCH/april 2010 Just For Canadian Doctors

This GP loves to nosh, and his fridge is stocked with requisite dairy products and treats (milk and ice cream). The one thing he’d want if stranded on a desert isle? A cooler full of food, of course. And, if he wasn’t practising medicine, he’d be a food critic. All that noshing feeds an active lifestyle outside the office—chasing basketballs, hockey pucks and frisbees… And chasing frisbees has won him gold in Vancouver in 2008 at the Ultimate Frisbee World Championships (Co-Ed Division), where he scored the most points of any player in the tournament. “He’s undoubtedly one of the best players in the world, however he’d never admit it given his humble character,” says one of his colleagues and teammates. My name: Brendan Wong

The gadget or gear I could not do without: My cell phone

I live and practise in: Edmonton, Alberta

My favourite room at home: The kitchen

My training: BSc in Psychology from UBC; MD from University of Manitoba; finishing my Family Medicine residency at the University of Alberta

My car: Mazda Protégé 5

Why I was drawn to medicine: To be a part of a line of work that is constantly evolving and advancing in order to help people

Most-frequented store: Sport Chek

My last trip: Sarasota, Florida, to compete in the Ultimate Frisbee US National Championships The most exotic place I’ve travelled: Valetta, Malta—a wee island in the middle of the Mediterranean

Dr. Brendan Wong’s travel snap from Gibraltar; favourite book; “skying” in an Ultimate frisbee tournament; hanging with Ultimate teammates Grant and Jen; go-to nourishment; and en route to Rome. clockwise from right

The best souvenir I’ve brought back from a trip: Black sand from a beach in Maui (I don’t think I was allowed to do this!) A favourite place that I keep returning to: Vancouver, BC (where I grew up) My ultimate dream vacation: Travelling across southeast Asia sampling the variety of delicious cuisines If I could travel to any time, I’d go to: Some time when the dinosaurs roamed the land just to see what they were really like My favourite book: It’s Not About the Bike: My Journey Back to Life by Lance Armstrong

My last purchase: Hockey stick My last splurge: Full-suspension mountain bike My closet has too many: Socks with holes in them My fridge is always stocked with: Milk, it does the body good! My medicine cabinet is always stocked with: Reactine My guilty pleasure is: Anything delicious, but more specifically, ice cream My favourite exercise/activity: Ultimate frisbee My favourite sport to watch: Volleyball My celebrity crush: Drew Barrymore I’d want this item with me if stranded on a desert island: A cooler full of food that never gets empty My secret to relaxing and relieving tension: Good music A talent I wish I had: If the ability to see through things is considered a talent, I’d want that My scariest moment: Almost drowning during a family vacation when I was 10 My fondest memory: Family dinners at Christmas time

My favourite movie: The Shawshank Redemption

One thing I’d change about myself: My funny looking toenails

My must-see TV show: Big Bang Theory

The word that best describes me: Reliable

My favourite music: Linkin Park’s Meterora album

I’m inspired by: Trying to be the best I can at what I do

My first job: Summer camp counselor

I’m happiest when: I’m chasing a frisbee, basketball, or hockey puck My greatest fear is: Snakes, spiders and other creepy crawlies My motto is: Enjoy the little things in life Something I haven’t done yet that’s on my must-do list: Play in a rock band If I wasn’t a doctor I’d be: Someone who records books on tape or a food critic

Just For Canadian Doctors

MARCH/april 2010

courtesy Dr. brendan wong; milk photo: istock

s m a l l ta l k

doctors share their picks, pans, pleasures and fears

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

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