SUMMER 2011 by Just For Canadian Doctors

summer 2011

DOCTORS life + leisure

kayak off of Vancouver Island in

win

Kyuquot Sound

a VISA gift card!

cruise the fjords + coast of

norway

page 37

+ forgotten Florida + rediscover ROSĂŠ + import cars from state-side + make the most of your INCOME Publications Mail Agreement #41073506

inside: Continuing medical Education Calendar where will you meet?

ann arbor

/ dalian / adelaide / cannes /

re y k j a v i k

Europe… we’ve been there. And we’ll get you there too. F

rom the passion of Flamenco in Spain to the alluring architecture of Britain and the palpable romance of Italy… no matter what corner of Europe you long to discover, you can count on Marlin Travel’s knowledgeable Advisors to create a vacation you’ll never forget. This is the year to experience the eclectic cultures and savoury cuisines that Europe has to offer.

MARLIN TRAVEL IS YOUR EUROPEAN

1724

Land Only Escorted Tour Taxes Included

1825

Headquarters

Land Only Escorted Tour Taxes Included

2725

Land Only Escorted Tour Taxes Included

AMAZING BRITAIN

AMAZING SPAIN & PORTUGAL

ITALIAN SPLENDOURS

11 DAYS · THURS., AUG. 25 – SEPT. 29, 2011 Itinerary: London, Stratford, Coventry, York, Durham, Edinburgh, St. Andrews, Scottish Highlands, Culloden, Loch Ness, Glasgow, Grasmere, Manchester, Lake District, Chester, Tintern, Bristol, Bath, Stonehenge, Salisbury. Includes: 7 Full English Breakfasts, 1 Buffet Breakfast, 1 Continental Breakfast, 1 threecourse Dinner, Local Highlight Scottish Highlands Dinner in Laggan, Be My Guest Farewell Luncheon in Tintern.

10 DAYS · FRI., MAR. 2, 9, 16, 23 & 30, 2012 Itinerary: Madrid, Lisbon, Seville, Granada. Visit the historical city of Toledo where you can admire the Cathedral of Saint Mary of Toledo, and El Greco’s famous painting in the chapel of Santo Tomé, plus much more! Includes: 8 Buffet Breakfasts, 2 threecourse table d’hôte Dinners or Buffets, tea/coffee, Highlight Dinner in Madrid and a Dine-Around option in Lisbon.

13 DAYS · SAT., MAR. 3, 10, 17 & 24, 2012 Itinerary: Rome, Venice, Milan, Florence, Verona, Sorrento. Discover the wonders of the Colosseum and experience the beauty of the Vatican Museums and Sistine Chapel. Get a glimpse of every day Roman life as you tour the excavations of Pompeii, and stare in awe at Michelangelo’s original ‘Statue of David’ in Florence, plus much more! Includes: 11 Buffet Breakfasts, 4 threecourse table d’hôte Dinners or Buffets, tea/coffee and Highlight Dinner in Rome.

BONUS: Savings of $175 per person. Book by June 30, 2011.

Other departure dates available. Please ask your Marlin Travel Advisor for details.

Not only can you earn AIR MILES® reward miles* at Marlin Travel, but you can redeem your reward miles for Marlin Travel Reward Certificates† to create the perfect European vacation. European Travel Partners:

Wherever you want to go, a Marlin Travel Advisor will get you there.

1-877-870-EURO (3876) • www.marlintravel.ca For Quebec enquiries, please call or visit our sister brand, Club Voyages at 1-866-777-0608 or www.clubvoyages.com. Prices are LAND ONLY (airfare not included) per person based on double occupancy in Canadian dollars for specific dates and subject to availability and change at time of booking. All savings are reflected in advertised pricing. Government fees and taxes included. All advertised product accurate at time of press deadline. Other conditions may apply. Please consult with your Marlin Travel Advisor or respective tour operator’s current Europe brochures for full details. For Amazing Spain and Italian Splendours booking terms and conditions see Insight’s 2011/2012 Winter Europe brochure. *Base reward miles offer is 1/$35 on vacation packages, cruise fares and charter flights. Not applicable on scheduled airline or rail tickets, hotel and car reservations paid locally, taxes, service fees, non-commissionable items, foreign exchange and insurance. Other conditions may apply. †To redeem for your Reward Certificates visit www.airmiles.ca. Valid on new bookings only with select suppliers. No minimum booking value required. A maximum of 4 Reward Certificates per person, per trip may be used. Base reward miles are not issued on the value of Reward Certificates applied to the booking. All rewards are subject to the terms and conditions of the AIR MILES Reward Program, are subject to change and may be withdrawn without notice. Some restrictions apply. See www.airmiles.ca for details. ®TM Trademarks of AIR MILES International Trading B.V. Used under license by LoyaltyOne, Inc., and Transat Distribution Canada Inc. Marlin Travel is a division of Transat Distribution Canada Inc. Head Office: 191 The West Mall, Suite 700, Etobicoke ON M9C 5K8. ON Reg. #50015084, BC Reg. #23567.

J u stfor C

DOCTORS life + leisure

contents

summer 2011

SUMMER 2011

Editor and Art Director Barb Sligl Editorial Assistant Adam Flint

Contributors Cover photo

Dr. George Burden Andrew Findlay Dr. Holly Fong Janet Gyenes Dr. Chris Pengilly Dr. Neil Pollock Manfred Purtzki Dr. Kelly Silverthorn Corey Van’t Haaff B. Sligl

Senior Account Executive Monique Mori

Account Executive Lily Yu

Sales, Classifieds and Circulation Office

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

Associate Publisher Linh T. Huynh

Production Manager Ninh Hoang

Circulation Fulfillment Alison Mulvey

CME Development Adam Flint

Founding Publisher Denise Heaton

clockwise from top left: Tourism British Columbia; B. Sligl; Göran Freiholtz / hurtigruten

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

20 14 FEATURES

14 coastal cruise Sailing the spectacular shores of Norway 20 Kyuquot Sound Kayaking off of Vancouver Island COLUMNS

DEPARTMENTS

12 motoring

5 summer mix

Importing from the US

25 CME calendar

13 doctor on a soapbox

31 employment opportunities

Unnecessary screening

24 the wealthy doctor

36 classifieds

37 sudoku

Kiddie tax

34 the wine doctor

38 small talk

Rosé-tinted

with Dr. Andrew Crosby

35 the food doctor

A salad with plenty of bite

www.justforcanadiandoctors.com Printed in Canada.

miss an issue? check out our website!

cover photo: Alesund, a coastal Norwegian town renowned for its Art Nouveau architecture, is a stop en route to the Geirangerfjord, a UNESCO World Heritage Site, on the Hurtigruten cruise along Norway’s spectacular coastline. Story on page 14.

SUMMER 2011 Just For Canadian Doctors

from the editor clockwise from top The Midnatsol cruises through Norway’s Geirangerfjord, one of UNESCO’s World Heritage Sites; the Norwegian coastline through a porthole; and fabulous fresh seafood in Bergen, Norway.

get wet

the West Coast, after all!). On the figurative side, we’re also exploring new waters at Just For Canadian Doctors magazine. We want to do more for you. Tell us what you’d like to see in the magazine. New columns, different destinations, more CME content? We’re also looking into starting a larger online presence with regular updates on travel news and ideas. Have something you want to share? We’ll post on our website or even include in the magazine. A big thank you to all those who make this magazine possible. Please continue to subscribe to the magazine—it’s free! Just go to justforcanadiandoctors.com (or page 36). And please keep your feedback coming! feedback@InPrintPublications.com

b. Sligl

t’s time to get wet—literally and figuratively. With warmer weather here (finally!), why not seek out some new shores? These might be the sugary sandy shores on Florida’s forgotten coast (page 5), or the somewhat cooler coastline of Norway, past the Arctic Circle (page 14). Cool in more ways than one—the Norwegians seem to meld old and new very nicely, evoking both vintage-Viking and sleek style… who else could make galoshes hip (page 8)? Closer to home are the West Coast waters off of Vancouver Island, in another little-known spot called Kyuquot Sound (page 20). A kayak tour here includes wildlife sightings, massive ancient trees, and even the requisite espresso (this is

Maxxim Vacations AD Explore the unique medical history and legacy of Sir Wilfred Grenfell and the Grenfell Mission. Your 7 Night Fly & Drive Package Includes: • Roundtrip airfare to Deer Lake, Newfoundland • 7 day mid-size car rental with unlimited kilometres • 7 nights accommodations in Gros Morne, St. Anthony, L’Anse aux Clair and Battle Harbour • Roundtrip ferry to Labrador • Roundtrip passenger boat trip to Battle Harbour • Admission to Grenfell Historic Properties * 2011 prices are per person based on two sharing and subject to taxes and availability. Based on a Toronto departure.

1 800 567 6666

Just For Canadian Doctors SUMMER 2011

www.maxximvacations.com

what/when/where > summer

mix

getaway

B. Sligl

gulf shore getaway. Miles of sugary sand beaches (in colour and texture). Check. Briny fresh clams and oysters. Check. Old-style southern hospitality and friendliness. Check. The world’s largest natural stand of Tupelo trees (producing out-of-this-world honey). Check. Wild, seemingly untouched waterways in acres of the Apalachicola Bay estuary. Check. The possible sighting of an alligator in said swampy estuary… Check. This is Franklin County, Florida, or “where the wild things are.” The Gulf region may have taken a tourism hit a year ago with the tragic oil spill, but this tucked-away part of the Florida panhandle is still a sheltered bit of sanctuary in the southeast just waiting to be discovered. This is “old Florida.” Forget South Beach extravagance and big-eared cartoon characters. Think moss-covered oaks, Victorian homes, old-fashioned hospitality and blue-collar fishing culture. It’s the “forgotten coast” of Florida. And that’s a good thing…revel in miles of uncrowded beaches (pick a spot, any spot), southern manners (be prepared to be graciously referred to as “sir” or “ma’am”), and some seriously sweet seafood (like fat, salty, creamy oysters). >> SUMMER 2011 Just For Canadian Doctors

hit the beach

summer

>> The heart of Franklin County is Apalachicola (“Apalach” in local speak), founded in 1831. Once the third largest port on the Gulf of Mexico (its population is now about 2,000), it still boasts wide, tree-lined streets with grand historic homes and a rich maritime culture. Battered boats line the waterfront and old net factories and sponge warehouses are re-purposed in a new mix of eclectic

getaway

shucked to order to “Capt. Jack” (with bacon, cheddar and jalapenos). The seafood treasure here seems to be so-far-sogood after the devastating oil spill last year, but if long-term effects are revealed, this community will bounce back. Disaster has come through here before with Hurricane Dennis in 2004—and resiliency is part of this region’s make-up. Maybe that’s part of the “wildness” still in place

sand, surf, seafood, swamp

2 3

shops, restaurants, galleries and quaint hotels (like the Coomb’s House Inn 3 and The Tin Shed, a menagerie of nautical momentos, from weathered signs 2 to figureheads off long-gone ships). More than anything, this town is known for having some of the finest oysters—anywhere. Apalachicola Bay oysters, with their mild, briny flavour, account for 90% of oysters sold in Florida and 10% in the US. A common sight: strapping, hardy fishermen “tonging” on “dog box” boats in the shallow waters (local big-time oyster purveyor Grady Leavins recalls his chest width growing from 38” to 44” when he started moonlighting as an oyster fisherman). The clam fishers off of Alligator Point are another subset of the maritime culture (supplying eateries in Manhattan, no less) 4 . And local restaurants proudly flaunt this harvest from the Gulf, from oysters and clams to blue crab, redfish, tarpon and grouper. At Papa Joe’s there’s homemade gumbo by owner Stan, chock-full of grouper, scallops and shrimp. And there’s every form of oyster, from

super sippers Need a morning refresher after a night of dancing the Samba and one too many caipirinhas? Or perhaps an afternoon pick-me-up after trolling museums? We thought so. Skip the jitter-inducing espresso and reach for a cuppa of caffeine-free organic rooibos tea. Republic of Tea’s Be Well herbal teas are packed with exotic flavour fusions. Get Gorgeous offers up a fragrant combination of camomile flower and orange peel. Get Wellness pairs spicy Indian ginseng with echinacea. And if you’re dreaming of a soothing stroll through fields of dandelion and clover, drink up a cup of Get Clean tea. While white and green teas get bitter quickly, red tea can stand the heat. Pour boiling water over the bag and let it steep for five to seven minutes—just long enough for a little tea-induced reverie. $13.99 at Chapters Indigo; chapters.indigo.ca — Janet Gyenes

taste

here. Yes, there’s the balmy bay and seaside sands of St. George Island 1 . But beyond the beachfront is the Apalachicola Bay Estuary, where river meets the sea. This basin is one of the largest (over 246,000 acres) and last undeveloped, ecologically diverse systems left in the US—and hopefully remains one of the least polluted. Wander via kayak 5 . You may come across that stand of Tupelo trees and their honey, another wonder of this region (it doesn’t crystallize, is safe for diabetics, and is “easily the best honey in the world,” says one local). Yet another dimension to this “forgotten coast.” — B. Sligl IF YOU GO For more on Franklin County: anaturalescape.com. Get the goods on local oysters: leavinsseafood.com. Stay at the historic Coomb’s House Inn: coombshouseinn.com. Or rent a beach house on St. George Island: collinsvacationrentals.com. Find a sea-worthy souvenir at The Tin Shed: tinshednautical.com. And discover the ecological wonder of the estuary at the Apalachicola National Estuarine Research Reserve: nerrs.noaa.gov.

Just For Canadian Doctors SUMMER 2011

photos: B. Sligl

mix

pack+ play

summer

iPad to go

Thinner, lighter, faster—the superlatives aren’t surprising when it comes to the second-generation iPad, launched just gadget a year after the world’s first tablet made your iPhone seem a little less screen-worthy. The iPad 2 is one-third thinner, 15% lighter and nine times faster than Apple’s first iteration. At play, enjoy FaceTime with your friends courtesy of the front-facing camera, while the rear-facing camera shoots the scene around you. At work, captivate the audience with video-mirroring, while delivering presentations in HD. The big bonus: the battery boasts 10 hours of juice, perfect for those transatlantic flights. Apple Canada, from $519; apple.com/ca — J.G.

gear/

There’s a sleeve for that … The stripped-down styling of the iPad 2 deserves an equally sleek cover-up to protect it from elevator elbows and sticky spills. Sleeves, messenger bags and envelopes by Built sport the durability of neoprene on the outside and plush lining on the inside. Built, from $34.99; builtny.com — J.G.

Definitely not

gadget

First came quality, then came customization. One of photography’s latest leaps forward—Leica à la carte—truly lives up to its name. Photogs can fully customize their M7 or MP rangefinder camera with menu of designs and features. Not one, two or even 10 items…Think bigger. Like a mise en place worthy of Ferran Adrià proportions. From fine-tuned controls and details such as viewfinder frame lines, leather finish and personal engraving, there are more than 4,000 combinations to satisfy your particular appetite for form and function. With this many choices, who needs to order off-menu? Leica à la carte, from $4,900 (body only); leicacamera.com — J.G.

app it | tools for mds The iPad is becoming the go-to device app / tool on-call as well as off. Here’s how you can make it work for you at work—yes, there’s an app for that.

1 Auriculo HD Auriculotherapy point reference application with 20 charts, 177 treatment protocols and 298 Auricular Point References. $19.99 2 Eponyms Look up more than 1,700 medical eponyms from Adler Sign to Zoon’s balanitis in 28 categories. $2.99

Slim— and Sexy

gear/ camera shy.

mix

3 Gray’s Anatomy Premium Edition The classic anatomical book in high-resolution, complete with scrollable thumbnails (and zooming capabilities) of all 1,247 images. $17.99 — J.G.

photogenesis

Abacus SUMMER 2011 Just For Canadian Doctors

seaside sojourn

summer

tour

Mission Orca

Part of their community

Orcas are feeding, doubling back and circling. One whale creates a bow wave that crests towards the others, herding fish and confusing them with bubbles. We are recording their behaviour, how many minutes of foraging, travelling, or social activity. All is grist for Orca Lab at Telegraph Cove. Since we set out yesterday we have met four different cetaceans; minke and humpback whales, pacific sided dolphins and now their cousins, the orcas, or killer whales. We are watching from the deck of a converted “mission boat,” the Columbia III. Fifty years ago she plied these waters bringing medical and pastoral care to isolated floating camps dotted among the fjords and islands between Vancouver Island and mainland BC, one of a series supported by the Columbia Mission. Between 1905 and 1969, the Mission’s boats connected fishing and logging families to the outer world with news and mail. Hundred of weddings and christenings were celebrated on their decks. The boats’ chapels and kitchens served as emergency rooms where mission doctors had to deal with accidents from the steep sided logging shows, or illnesses in the communities. Wooden trimmed, brass fitted, Columbia III is now reborn as a “kayak mothership” under the care of skipper Ross Campbell and his family. We are part of their Broughton Archipelago Tour, treated like family guests by the cook/deckhand and guides. The crew are careful to keep the recommended distance from the orcas. All eyes follow as they stop feeding and move toward us. One of them swims right underneath Columbia and emerges near the stern. The spray from her breath hits the zodiac, close enough to moisten our cheeks. “She is in her home waters,” says Ross, “I think she recognises the engine.” The Columbia has been visiting this area for more than 50 years, perhaps the boat has become part of their community. We reverently watch her return to her family, feeling closer than ever to the whales. —Janet May

for another kayak adventure on Vancouver Island, go to page 20

for more on Norwegian inspiration, go to page 14

style

walk like

Spotted at the Oslo Opera House (in the gift shop, no less): Charming, colourful rubber footwear. Glorified galoshes, but definitely design-worthy ones. It’s the modern galosh from Norway.

The creator grew up on the Scandinavian coast, where traditional black-rubber galoshes were must-haves. He just added style. Now, when the weather acts up, wear your favorite shoes (yes, there

Just For Canadian Doctors SUMMER 2011

a norwegian are versions for high heels) and slip on some rather sleek SWIMS to channel some of that Norwegian innovation. Be bold banishing those late-spring showers in vibrant colours! And the collection goes

beyond galoshes with penny loafers and ballerina slippers. Think deck shoes for summer sailing or beachcombing. Or maybe a mucky day of dog walking. You’ll be on trend on the trail. swims.com —B.S.

photos: peter booth

mix

Vancouver... World’s Most Livable City and Home to the new Rosewood Hotel Georgia

Five years in a row Vancouver has topped the list of the world’s most livable cities*. Now you can own a sky-rise home here in the Private Residences at the Hotel Georgia. Walking distance to the best shops, business, arts and entertainment. With the finest interior appointments and all the amenities of a world-class Rosewood hotel. Call toll free 1-866-602-6636 or visit us online www.residencesatgeorgia.com Display gallery and presentation centre open noon to 5pm daily 569 Howe Street, Vancouver BC Full cooperation with buyer agents

DELTA REALTY SERVICES LTD

Sales by disclosure statement only. E&OE. Delta Realty Services Ltd. 604-678-9239. Now selling from $1.3 m. * The Economist Intelligence Unit 2007 - 2011 A Georgia Properties Partnership project. The Private Residences at Hotel Georgia is not owned, developed or sold by Rosewood Hotels & Resorts or any of its affiliates. Neither Rosewood Hotels & Resorts nor any of its affiliates assume any responsibility or liability in connection with the project. Georgia Properties Partnership uses Rosewood Hotels & Resorts’ marks pursuant to a license agreement with Rosewood Hotels & Resorts, L.L.C. This is not an offer to sell, nor a solicitation of an offer to buy, to residents of any state or province in which restrictions and other legal requirements have not been fulfilled.

making a difference

summer

meetings with merit

Giving back A top Canadian travel agency sponsors a doctor’s consultation room for underprivileged children in South Africa

t the opening of a doctor’s consulting room in Soweto, give participants put their handprints and names in wet cement in the wall of the room—Jeff and Bernie and Marilyn. They are the children living in this Johannesburg, South Africa community who will directly benefit from this charitable effort. This consult room, part of the community-based Ikageng Itireleng NGO’s initiative in this impoverished community, now facilitates ongoing physician visits in Ikageng’s community centre. And CMEatSEA, a division of Canada’s top cruise-only retailer, Cruise Connections (owned by a family that includes over 20 physicians), has formed a partnership with Ikageng. During CMEatSEA’s current Africa travel program— including a fundraising drive and donation collection for funds, school and medical supplies, clothing and toys—participants visited the Ikageng community centre in Soweto. Ikageng helps over 1,700 orphaned and lessfortunate children in an area beset with poverty and disease, including AIDS. Hundreds visit the centre daily for basic necessities. CMEatSEA’s partnership with Ikageng is a part of its own ongoing charitable initiatives that benefit communities around the world. Keep it up! —B.S.

Fairmont a n u n f oAD rgettable family fun package from

$410

With more than 40 activities to fill your days and 65,000 acres to explore, our historic log château makes the perfect summer destination to reconnect and unwind. •

r e se rvatio n s

•

www.fairmont.com 45 minutes from Ottawa, 75 minutes from Montreal.

Make this a summer to remember.

*Per room, per night, minimum 2-night stay. Taxes and gratuity not included. Valid from June 1 to Sept. 11, 2011. Transfer to Fairmont Kemauk and Parc Omega not included.

1 800 441 1414

f a m i ly vac a t i o n

• • • • •

Accommodation (two adults and two children age 12 and under) and daily buffet breakfast Daily dinner at our restaurant, Aux Chantignoles, or outdoor BBQ Three hours of bicycle rental per day, unlimited mini-golf, one hour pontoon boat cruise Children’s activity program Access to Fairmont Kenauk with unlimited canoeing and kayaking One family admission to Omega Park One round of golf for the family when staying four nights or more

Just For Canadian Doctors SUMMER 2011

courtesy CMEatSEA

mix

bike it!

summer

saddle up

Laurel Cronk

and hit the road on two wheels

There’s a new outfitter on the West Coast. tour And it’s co-founded by an orthopaedic surgeon. Dr. Andrew Crosby and his wife Kimberley Barry have joined forces with three cycling friends to start Island Joy Rides, a boutique tour company run by people who believe that the best way to experience a new environment is from the seat of a bicycle. Island Joy Rides offers premium single-day, multiday and private tours that highlight the beauty and culture of Campbell River, the Comox Valley and the Discovery Islands. “Cycling, by its nature, is an environmentally friendly activity and that spirit permeates our mission,” says Barry. “We aim to eat locally, travel lightly, take nothing but pictures and leave nothing but tire tread marks.” And yet this is deluxe stuff. Think fabulous food and accommodations, off-the-beaten-path stops and beautiful scenery, physical exhilaration, camaraderie, and lots of local flavour. As Barry says “We guarantee to take guests on a joy ride they’ll never forget!”

This is not your typical bike tour company. Experience cycling “splattered with healthy doses of great local food and beverage, beautiful scenery, interesting nature and culture, and easy company,” says Barry. “Ortho advice too—just kidding!” Join the ride with a special Doctors Do Vancouver Island price on one of this summer’s tours. Call for details: 250-830-4938 or toll free 1-855-830-8522. Island Joy Rides, islandjoyrides.com —B.S. for more adventure on Vancouver Island, go to page 20, AND for more on Dr. Andrew Crosby see page 38

Spoil yourself in a Grand way.

Year round service allows you to ﬂy WestJet non-stop from Toronto to Grand Cayman. West With convenient connections between Toronto andJet otherAD Canadian cities, it’s easy to experience an island vacation. Book your ﬂight or vacation package today at westjet.com or call your travel agent.*

*To book a package with WestJet Vacations in Quebec call or visit your travel agent.

mix

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.

loonie tunes redux Is it still worth it to import a vehicle from south of the border?

his magazine is reader-centred. The editor reports you’ve asked JFCD to re-visit “should you self-import your next car from the USA?” Indeed, I have just bought two late model Hondas—one from a US Honda dealer, and one from my local dealer. Which, in a nutshell, is the take away message: “it depends.” I’ll give you my “it depends” decisionmaking process in determining whether to buy my target car model in the USA. In late 2006, when I saved $9,000 selfimporting my first US market car, the Canadian dollar was trading at 88.5 cents USD. Then 6,000 – 7,000 US vehicles were being buyerimported monthly. In 37 of the 48 months between 2007 and 2010, the loonie has been even more muscular than 88 cents. Monthly US buyer-imported numbers peaked in May 2008 at 22,000—or about one in seven of all vehicles then bought by Canadians. The Canadian Government wants consumers to enjoy the most affordable cars, but, at the same time, is conscious of exporting capital and dealership jobs to the US. This inherent tension was diminished with the Crash of late 2008, as self-imports tanked to less than 4,000 units monthly. US market imports into Canada are now rebounding strongly in step with both the loonie and economy. What TWO FACTORS drive importation from the US market? The main advantages to the Canadian consumer of the USA marketplace are availability and price. The US market has been the largest and most competitive in the world for eons. Roughly 10 times as many new cars are sold into it each year as into Canada. And within that US marketplace their consumers trend to more expensive and sporty cars and trucks. With our strong loonie, the US marketplace is Canuck car-guy/gal candy-store time! That’s the good news on availability. The bad news is that most car companies now prohibit their US dealers from selling new cars into the Canadian market. Still, with such a large US market, many nearly new cars are available for sale. I use autotrader.com and autotrader.ca to compare the prevalent availability and pricing in each market. For example, the Honda S2000 model I recently targeted was costing ~$10,000 more here. But sales tax savings are also important! That calculation bumped my savings on a US S2000 to $11,200 Canadian.

(You’ll generally be exempt from US State sales taxes, but you will pay Canadian HST/GST/PST upon importation.) However, every other factor we’ll cover subtracts from the US car’s advantage. Basically, your buying power relates to how currency is converted. I’ve found I can buy with full-phat loonies by instructing my annual-fee financial advisor to sell TSX bought blue chips into a US stock exchange for payment in Benjamins. What THREE key determinants about my target model will I need from riv.ca? The riv.ca website has a plethora of invaluable material. For now, just click on “Importing a Vehicle,” then “Vehicle Admissibility,” to get the key three bits. First, is your target model even eligible to bring into Canada? For cars 15 years and older, the answer generally is yes. Younger cars, it depends. Assuming that the car of your desires is on the eligible list, then (sigh) the two remaining determinants may still sink your prospects. Second, several car companies have notified the Canadian government that only their Canadian arm is capable of determining if their US-sold and resident product has had all of its US recalls. Friends of mine refer to this as the “three-week, three-thousand dollar shake-down.” The brands listing this requirement as I write are: Bentley, BMW / MINI, Ferrari / Maserati, Jaguar / Land Rover, Lamborghini, Mercedes-Benz and Volvo. Third, vehicles manufactured after September 1, 2007 require a CSA equivalent electronic immobilizer system (EIS) to achieve Canadian importation. Cars from the following brands may not meet this requirement without installing an accredited EIS: Chrysler, Ferrari, Ford, General Motors, Honda, Hyundai / Kia, Lamborghini, Mazda, Mercedes-Benz, Subaru, Suzuki and Toyota. If your target car is included in either of the above two paragraphs, then you’ll want to sit down with at least one target model Canadian dealer Service Manager before proceeding further. (Some dealers are more co-operative on US imports than others! Don’t lose hope; Ferrari broker Mike Sheehan put me in touch with several satisfied Canadian customers.) FIVE other areas of due diligence within “it depends.” If your target model is assembled outside of NAFTA, then a 6.1% duty must be paid upon importation into Canada. The manufacturer (and most car nuts) will know the country of

Just For Canadian Doctors SUMMER 2011

assembly—all Ferraris in Italy, for example, while BMWs vary with the model. Rarely, it will come down to the specific VIN (serial number). Is a warranty present or available on your target US model? What is the status of that warranty once the car is registered in Canada? Determine these answers from the manufacturer contact list under FAQ at riv.ca. If the importation denies you a warranty and/ or other value-added services, what monetary value do you assign to this loss? Then, we need to remember the cornucopia of importation fees. The Air Conditioning Excise ($100), the Federal/ RIV fee ($195), daytime running lights as needed (allow $250), Provincial Fee (allow $100). The one biggie fee is the $1,000-$4,000 hit on gasthirsty vehicles—dial your fate at Green Levy 1-866-330-3304. ALL other vehicle aspects being identical, what will the presence of a former US title have on your imported car’s value at re-sale? The longer you plan to keep the car, the less important this factor becomes. My contacts in the trade say a former US car realizes 10 – 20% less at resale compared to an equivalent allCanadian car. (Which also tells me shopping for an already imported US car is another moneysaving option!) What value will you assign to the time, expense, and energy to execute the US purchase and delivery to your home? You can do all of this yourself or hire someone from Canadian Association of Vehicle Importers (www.cavi.ca) to do all of this for you. I’ve used both methods. Again, it depends. Still on-board? Everything up to this point should allow you to answer “is my target model best self-imported from the US?” Assuming your “it depends” deliberations yields a yes, then due diligence around the candidate specific example/ seller/ State still needs to be carried out (beyond the scope of this article). When you’re satisfied on both the target model and specific specimen fronts, follow the importation process laid out in the riv.ca website. Access the toll-free help line as needed. It seems like a huge leap of faith the first time, but most people will be pleasantly surprised how easy US self-imports can all fall into place. After all, as many as 22,000 of your fellow Canadians have been doing this every month. It can’t be rocket surgery, right?

d o c t o r o n a s o a p b o x D r . c h r i s p e n g i l ly Dr. Chris Pengilly is Just For Canadian Doctors’ current affairs columnist. Please send your comments to him via his website at drpeng.ca.

screening gone mad How many tests can our Medicare system afford to provide?

vernight I have about 50 patients who are no longer “well.” They are newly prediabetic. Nothing changed in the patients, but the guidelines now suggest that a fasting blood glucose of 5.7 rather than 6.0 mandates a 75 g glucose tolerance test, and they be given a new sickness label of prediabetic. Similarly many of my patients are suddenly prehypertensive. That is to say they have a systolic blood pressure between 120 and 139 mmHg. This all seems to coincide with an escalating pattern I am seeing with patients coming in demanding a list of screening tests that will surely bankrupt the system. I will likely be accused of heresy suggesting that many screening tests are useless at best, and positively harmful at worst. The problem is that the physician’s hands are tied in declining these tests in that, should the patient go on to develop illness at any time in the future, the physician will be accused of negligence, and he or she would likely feel responsible anyway. It is a no-win situation. A prime example, which is coming under scrutiny at the moment, is the PSA. It is becoming apparent that cancer of the prostate in the older male can follow a relatively benign course. Surgery, hormonal manipulation and radiation carry a burden of morbidity and even mortality; not to mention the anxiety engendered in the patient. What is needed is a reliable method of differentiating potentially lethal prostate cancer from the more common relatively benign disease. In the meantime what do we do? This is anecdotal, but very telling. I had a patient with the worst generalized anxiety disorder I have ever seen compounded by obsessive compulsive traits. He had a transurethral resection of the prostate that unexpectedly showed a considerable amount of cancer. I do not recall the Gleason

score (this was some time ago). His wife begged me not to tell him of the diagnosis because of his anxiety—he would almost certainly have committed suicide. I confess I did not tell him. Five years later his wife died. Five years after that I could stand the suspense any longer, and I checked his PSA and did a prostate examination. The prostate felt somewhat enlarged but relatively normal and the PSA was certainly less than six. He ended up dying of an unrelated condition a few years later. This experience has certainly made me question the treatment of my 86-year-old cousin’s elevated PSA; he was quite asymptomatic and still driving around in his 40-foot motor home. I am sure that you are faced with the same situation as I am with an asymptomatic healthy 62-year-old woman coming in requesting a screening colonoscopy, bone density and cholesterol check. She wonders about a whole-body CT scan. She discovered that these were “necessary” from watching television, mostly from the USA. Carried to its illogical conclusion this patient could end up on a bisphosphonate and a statin medication to the delight of pharmaceutical companies. Both this woman’s parents lived well into their 90s. She is not overweight. Are such tests justified? Are such tests safe? The bone density does involve some degree of radiation, albeit small, and the colonoscopy carries a small but definite risk of colonic perforation and anaesthetic mishap. The Canadian Medicare system cannot sustain such widespread screening. Focused screening is reasonable. A healthy woman with nonagenarian parents would probably best be advised to follow a healthy lifestyle. She should exercise regularly for at least one hour three times a week, make sure she has an adequate calcium and vitamin D intake, follow a Mediterranean or similar high fibre diet and get on and enjoy her life.

Will this screening save money and illness in the long run?

I recently saw a patient, a retired family physician, who declined my advice that he should “come in for a check-up some time.” He paraphrased from Selling Sickness by Ray Moynihan, “…if you have reached the age of 65 and there is nothing wrong with you, then you have not had enough tests.” True? It got me thinking. What can our Medicare system afford to provide? Will this screening save money and illness in the long term? I suggest that health care dollars would be more effective when directed toward widespread application of healthier lifestyles with educational advertising, more funding for nicotine and alcohol addiction treatment, and tax credits for fitness activities. We will then create a new category of patients—the prehealthy.

SUMMER 2011 Just For Canadian Doctors

travel the world

The Fjellheisen cable car is the easy way up Storsteinen Mountain for vertigoinducing views (at 420 metres above sea level) of Tromso (home of the northernmost university and brewery) and beyond.

After climbing switchbacks from the bottom of the fjord (by bus!), visitors reach a viewing platform overlooking the stunning UNESCO-protected Geirangerfjord.

travel the world

The stark alpine between Gudbrandsjuvet Gorge and the dizzying Trollstigen Roadâ&#x20AC;&#x2122;s 11 switchbacks showcasing Norwegian engineering (and earning it the status of one of the most hair-raising roads in the world).

story

Colourful wharves in Trondheim, the oldest of which date back to the 18th century, are a relic of the portâ&#x20AC;&#x2122;s long history and importance as a merchant city.

+ photos by Barb Sligl

SUMMER 2011 Just For Canadian Doctors

travel the world rom inside the Midnatsol cabin the view outside softly shimmers, all hazy greys and steely blues. The cruise ship seems still as the seascape floats by, hump after hump of miniature islands like pods of breaching whales. The low, rounded forms of bare rock have nothing upon them, maybe a smudge of green moss. The midnight sun (after which this ship is aptly named) tinges the horizon with a perpetual glow. It’s almost eerily tranquil. And not too hard to imagine Vikings once here… In Norway the seacoast is integral to the country’s culture, as is its history and heritage—Vikings, trolls and artistic giants (Grieg, Ibsen, and even a-ha). And upon the Midnatsol, a Hurtigruten ship (part of the “fast route” fleet that has brought mail, cargo and passengers to Norway’s far-flung coastal communities for 115 years), you traverse this jagged coast, dipping into steep-walled fjords along the way, from the lively southern end, across the Arctic Circle, to the Nordkapp. The start of this journey is Bergen. An ancient port town, it reflects Norway’s balance of old and new. The UNESCO Heritage Site of Bryggen (62 buildings that are a relic of the town’s role in the Hanseatic League’s trading empire from the 14th century) is like a movie set,

remote roadways. It’s even said that the rugged countryside, with its gnarled rock formations, is dotted with fossilized trolls… This ingrained folklore has also been cheekily reclaimed by a new generation of Norsemen, like of-the-moment Moods of Norway, a design team (from a small town described as “a magical place known for glaciers, salmon fishing and one newly opened escalator”) that brings iconic Norway to the fashion forefront (with funky suits and sneakers). (Another reinterpretation of Norwegian schtick is Swims; see page 8.) The hip set isn’t hard to find in Bergen, whether in the Moods store, a Sondre Lerche show (an alt-pop musician with a quirky bonhomie vibe) or one of the many student-filled cafés. Bergen itself means “meadow beneath the mountains,” a name that’s appreciated after a short ride up the Floibanen funicular to the top of Mount Floyen, which overlooks the town. Bergen is surrounded by forested hillsides interconnected by tunnels and bridges over fjords. And this continues up the coast. Sailing out of Bergen on the Midnatsol, you pass the countless fjords that lace Norway’s seaside edges. The show-stopper: Geirangerfjord, another UNESCO World Heritage Site. The ship glides past the Seven Sisters waterfall and into that quintessential landscape Norwegians sing about in their anthem. From the bottom of the steep-walled fjord, a bus tour takes passengers through adrenalineinducing switchbacks to the barren beauty of the alpine, where only hardy farmers (and trolls) live. But this environment reaps sweetness—

with crimson- and ochre-coloured houses butted up against each other at angles only possible with the long passage of time. Across the cobblestoned street are boats moored in the bay, bobbing with young Norwegians enjoying a tipple (or two) while peeling shrimp by the pound in the warm summer evening. This lovely town is still one of the busiest harbours in northern Europe; there’s a ship building industry, a ropery, and a long-standing fish market where you’ll find colossal crab legs, jars of caviar, mounds of shrimp, and fast food Norwegian style, including the ubiquitous shrimp sandwich. Edvard Grieg, the beloved classical composer, walked through this market every day on his way to school. His home and studio, now a museum nestled on a verdant cliff-side overlooking cobalt-blue water, seems to somehow embody Norwegian patriotism. The national anthem is titled Ja, vi elsker dette landet or “Yes, we love this country,” and its lyrics describe this land as rising “rugged, weathered, above the sea.” Mountains and fjords are iconic here. And trolls. Grieg’s goodluck charm was a troll, and you’ll find “troll crossing” signs alongside

literally. A roadside stand sells strawberries that might just be the sweetest grown anywhere (natural sugars are concentrated in a short growing season that still manages to produce a million tons of berries). Ahhh, that Norwegian resiliency. And then, back on the Midnatsol, more cliffs and peaks and green hills hugging inky waters. Tiny community after community is passed—here a town “known for its meat and furniture,” there a village where the last so-called witch was burned—with red, blue, yellow and white houses brightening the shoreline. Towns that seem cut off and isolated are connected by the Hurtigruten fleet and by feats of engineering—towering bridges and roads arcing over water and through forests. This is Norwegian innovation (and money…the country is oil-and-gas rich and not part of the European Union). Each port-of-call shows more of that meld of heritage and hip. Trondheim, another university town and “city forest” established over 1,000 years ago by the Viking King Olav, highlights more innovation— from a statue of legendary Leif Ericson (the discoverer of North America) to the only bike lift in the world >> continued on page 18

Just For Canadian Doctors SUMMER 2011

A full-size recreation of a Viking Chieftan’s house, including a Norseman reenacting those days of yore (as part of Hurtigruten’s Lofotr Viking Feast excursion).

A Sami camp near the North Cape, where reindeer reign and colourful traditional costumes pop against the barren beauty.

The colourful wooden houses of the old wharf in Bergen— another UNESCO World Heritage Site.

The Nordkapp or North Cape, once seen as the last vestige of the civilized world, still seems like the ends of the earth.

travel the world

SUMMER 2011 Just For Canadian Doctors

travel the world continued from page 16

from left Searching for the horizon at the top of the North Cape; a carving in Bryggen that evokes Norway’s storied past; loads of shrimp at Bergen’s fish market.

>> (created by a professor who wanted to make cycling home easier). Tromso, yet another student town (with the northernmost university in the world), offers more insight into Norway’s explorative spirit at the Polar Museum, which celebrates national hero Roald Amundsen (the first man to reach the South Pole and sail through the

Northwest Passage) alongside a hunting heritage that includes whaling (a less-thansavoury practice that continues in Norway today). Tastier is Tromso’s claim to the northernmost brewery in the world, Mack Bryggeri, founded in 1877 when explorers reigned—and still serving today. Also served on this coastal cruise:

eliminate the paper trail.|

reindeer broth in a Sami tent. The meaty, warming brew is like the very essence of this indigenous people’s livelihood. There are 200 words for reindeer in the Sami language, and these nomadic people move with the seasons and their herds. The traditional hat, worn by a Sami man, even has four points for the four directions… although everything always seems to strive North In Norway. And the “way north”—the literal meaning of “Norway,” after all—ultimately leads to what was once thought of as the end of the world, the Nordkapp or North Cape. Here, the weather is changeable and unpredictable; the sparse hillsides, occupied only by reindeer and Sami, can see all four seasons in one day. Thick fog blurs the horizon, making standing at the edge of this last chunk of rock before the North Pole even more staggering. There’s a strong sense of wonder and awe here. But it’s also found throughout Norway.

Harness the power of speech to text technology with Speakeasy Solutions & Dragon NaturallySpeaking Version 10. Call for a customized demonstration.

Cutting edge digital dictation systems, customized for you.  Save time  Save money  Utilize cutting edge technology  Improve patient care

Just For Canadian Doctors SUMMER 2011

604-264-9109 www.speakeasysolutions.com

if you go

MORE Hurtigruten offers seven- to 12-day cruises up the Norwegian coast, year-round. Of the fleet of 12 ships, the 644-passenger MS Midnatsol is one of the largest, including hot tubs on the top deck and a sauna with a view. For more on cruises and excursions, and the 34 ports of call in Norway, go to: hurtigruten.us/norway. To plan your travels to Norway—from sailing up the spectacular coastline to going cosmopolitan in its brimming-withculture cities—check out visitnorway. com/en/. To get to Norway, fly with Scandinavian Airlines or SAS, a Star Alliance member, for the most flight options: flysas.com/en/us/.

READY-TO-GO

TAILORED

CUSTOM SUMMER 2011 Just For Canadian Doctors

travel at home

T 20

he espresso machine hisses like a steam locomotive, while I stretch a creaky back unaccustomed to being shoehorned into a cramped kayak shell. Having navigated the bumpy roads across Vancouver Island’s rugged spine en route to a sea kayaking adventure in wild Kyuquot Sound, I hadn’t expected to be paddling up to an espresso bar. However, here in Kyuquot village the entrepreneurial spirit is alive and well. With a flotilla of kayaks bobbing next to the dock, the young barista Tammy Billy is hard at work, while our guide Dave Pinel, who co-owns West Coast Expeditions with his wife Caroline and Kyuquot native Bev Hansen, unfurls an ocean chart to plot the day.

Just For Canadian Doctors SUMMER 2011

Tourism British Columbia

on the western edge of vancouver island is an ancient forest, a bevy of marine life, unforgettable kayaking, and even an espresso bar…this is

travel at home

K yuquot

sound courtesy west coast expeditions

story by Andrew Findlay

“This is the social hub of Kyuquot Sound,” Pinel says, as he shares a laugh with a group of local natives lounging on the dock, along with Eric Gorbman, the American kosher chef and proprietor of both the Kyuquot Inn and the Java-the-Hutt coffee bar. However, as much as I enjoy a good brew, wildlife—not civilized shots of espresso—drew me here. Kyuquot Sound forms a halfmoon shaped indentation along the west coast of Vancouver Island and although much less renowned than Nootka and Clayoquot sounds to the south, it is no less spectacular. Roughly divided between the traditional territories of the Kyuquot and Checleset first nations, the Sound is ringed by steep sided mountains that plunge into a sea sprinkled with tiny islands and islets, providing sheltered waters ideal for both marine life and safe sea kayaking. Pinel has spent 15 seasons guiding trips around Kyuquot—it’s like his second home. West Coast Expeditions’ base camp is on Spring Island,

smack in the centre of the Mission Group archipelago; islands with groves of massive cedar trees the size of VW Beetles surrounded by crystalline inter-tidal pools where every square centimeter of available real estate is occupied by life. In Kyuquot Sound marine life gets in your face; it’s everywhere. That must have been Captain James Cook’s first impression when he explored these same shores in 1788; he encountered not only ancient native culture but also rafts of sea otters thousands strong inhabiting the protected shallows, around the islands and inlets. The discovery sparked a destructive trade in fur pelts destined for the fashion houses of European and Asian aristocracy, and in mere decades the entire Pacific Northwest population of otters teetered on extinction. In places like Kyuquot the marine ecosystem was thrown out of balance, like a tottering house of cards. In this case the key card was the otter whose favorite food is sea urchin, an SUMMER 2011 Just For Canadian Doctors

travel at home invertebrate that attaches itself to the holdfast of kelp. This common plant is key to biodiversity, a source of food and habitat for myriad fish, insect, crustacean, and shellfish species, in turn providing prey for marine mammals and larger fish further up the food chain. However without otters to keep urchins in check, kelp forests can be wiped out creating what scientists call “urchin barrens,” and that’s what happened here. In the late 1960s and early 70s scientists relocated nearly 100 sea otters from southern Alaska to Kyuquot Sound. It was a surprisingly successful intervention; these

thick furred, naturally curious little creatures have made a remarkable recovery, now numbering more than 1,700 in the Kyuquot region alone. Consequently some scientists believe this has allowed the kelp forests to return with vigour. Nowadays Kyuquot feels like a veritable wild kingdom. Last night we fell asleep to the ghostly breathing of a humpback whale that ventured into the darkness of a Spring Island cove. Today, we’re paddling toward Lookout Island, on the lookout for otters, before making the crossing to Double Rocks where stellar sea lions haul out to laze in the sun. Fortified with caffeine, we skirt the western shore of Spring Island, the briny smell of the sea as sharp on the nose as a fish market. Forests of bull kelp bob in the water like a confusion of spaghetti noodles. Below the surface, iridescent seaweed sparkles with cobalt blue caught in submarine shafts of sunlight. We pass a reef of volcanic rock revealed by the ebbing tide; starfish, sea stars, periwinkles, urchins, anemones and other unrecognizable creatures compete for space. Pinel stops paddling and pulls out his binoculars, pointing at a pair of otters periscoping among the kelp and watching us. “Sea otters remind me of teenagers,” Pinel says, “they spend a third of the day eating, a third of the day sleeping, and a

Just For Canadian Doctors SUMMER 2011

courtesy west coast expeditions

Scenes from a tour with West Coast Expeditions: gourmet fare, intertidal exploration and kayaking the waters of Kyuquot Sound.

hotspots

if you go For information on base-camp and expeditionstyle sea-kayaking trips in Kyuquot Sound go to westcoastexpeditions.com; 1-800-665-3040.

destination

third of the day grooming.” These two must be pausing between sea urchin snacks. Soon we’re pulling ashore on Lookout Island. We push through a wall of dense salal that fringes the beach before entering what feels like some fantastic lost arboretum. Sitka spruce soar as straight and tall as the masts of a schooner, but it’s the stuff underfoot that is truly mesmerizing; a forest floor thick with electric green moss that gives the sensation of walking with springs on the feet. In a mysterious way that only undisturbed nature can, this island invites silence and contemplation. An hour later, we’re paddling toward Double Rocks. As Lookout shrinks behind us I sense the timeless power of the ocean rolling beneath the kayak, nothing but a thin synthetic skin of a hull that separates me and the sea, and—it suddenly occurs to me—the creatures that live within it. Double Rocks looms closer and I hear what sounds like the cacophony of a dog kennel; dozens of overlapping sea lions form a mass of flesh on Double Rocks that glistens in the sun, somewhat unpleasantly reminiscent of tourists sunning themselves on a crowded beach at an all inclusive beach resort. Three massive males flop into the water threateningly and Pinel cautions us to keep a respectful distance from these territorial mammals. I have no desire to challenge this directive. The wind picks up slightly so we turn our bows 180 degrees for the exposed crossing back to Lookout Island. Someone in our group spots the graceful arch of a humpback in the distance. We stop paddling and watch, counting three whales in this pod that is travelling straight toward us. Two more surface, raising their tail flukes and diving into the depths. We carry on somewhat warily now. Then, a few paddle lengths to the starboard of a kayak piloted by a retired nurse from Victoria, one of these Leviathans breaks the surface in a silent arc unimaginably graceful for an animal that weighs nearly 40 metric tonnes full grown. The nurse screams and an involuntary panic courses through our vulnerable group that’s floating around in glorified Tupperware containers. However, as far as I know a humpback has never attacked a human. Of course the reverse is a different story; these whales were once indiscriminately hunted in an astonishingly wasteful industry based partly on the perverse desire to churn whale oil into cosmetics. So, it is incredible to think that these intelligent, wonderful creatures would still wish to approach us so closely, in a gesture of curiosity and, it seems, friendship. Like the sea otter, humpbacks are another good news story, having made a comeback and now frequently visit Kyuquot Sound. Last summer in a single day, Pinel counted 17 humpbacks; 10 years ago one or two would have been cause for celebration. Buzzing from the day’s close encounters, we turn back toward Spring Island. That night after a supper of salmon baked over an open fire, I sip a glass of red wine and sit with Pinel around the campfire. Sparks spiral upwards into a darkening sky. “The more time you spend around these islands the more they become a part of you. It’s such a rich place,” he says, as stars slowly emerge, illuminating the night one by one. Later, making my way by headlamp back to my tent, I think I hear the ghostly echo of an exhaling humpback somewhere out there in the blackness.

There is a trip-of-alifetime waiting for you in Antarctica. Make sure you sail with the best, Quark Expeditions. We’ve been polar specialists for Quark Expeditions 1-866-961-2980 20 years. Kayak, camp or www.quarkexpeditions.com take a polar plunge into the crystal clear depths of the Southern Ocean. Paddle with penguins. Explore historic sites or just commune with a vast and pristine natural world unlike any other. Skip the Drake Passage with our 8 day, fly and cruise adventure. Or spend 20 days and visit South Georgia, the Falkland Islands (Islas Malvinas) as well as the Antarctic Peninsula. Get your virtual taste of Antarctic adventure at www.quarkexpeditions. com/the-antarctic-experience.

Pedal and Sea Adventures, a 10-year-old Nova Scotia Adventure company, is in the business of making dreams come true. Our Pedal and Sea Adventures creative tours are near and dear to RR#2 our hearts, and our clients love the Hubbards, NS B0J 1T0 Reservations 1.877.777.5699 passion we bring to our work. Our Fax 1.902.858.2004 only mission is to impress. We offer dana@pedalandseaadventures.com www.pedalandseaadventures.com hiking, biking, and adventure tours through Cape Breton, Nova Scotia, The Canadian Rockies, Italy, Newfoundland, Ireland, PEI, Costa Rica, Croatia, Greece and Norway. You’ll stay at historical country inns, eat fresh food prepared with care and artistry, and savor local wines and ales of uncommon complexity. The memories you’ll make will be rich, and unforgettable. Come play with us! 1-877-777-5699 • www.pedalandseaadventures.com

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.

Kiddie tax Federal Budget blocks doctors’ income splitting scheme

n 2000, the Federal Government introduced the tax on split income, commonly referred to as the “Kiddie Tax,” to prevent a highincome individual to shift income to a minor child. The effect of this tax is that the minor child is obligated to pay the highest marginal tax rate on any dividends received either directly or indirectly through the family trust from the medical corporation. The restrictions on income splitting do not include capital gains received by the minor. As a result, tax strategies were developed to convert a dividend to a capital gain. Doctors and other high-income taxpayers with corporations welcomed the huge benefit the capital gains method created. Instead of paying income taxes of $60,000 on a $200,000 dividend, the tax on a capital gain of $200,000 allocated

For Incorporated Doctors -

If you get sick, you get paid. If you don’t get sick, you get paid back. Why Life’s brighter with Sun Critical Illness Insurance • Helps pay your mortgage and other regular expenses while you recover. • More control over treatment options and ongoing care. • Serious illnesses do happen – but your premiums can be returned if you don’t make a claim. Today is a good day to learn how you and your medical corporation can use critical illness protection. Barry Zapshalla Investment & Insurance Solutions Inc.

1-800-567-9996 1-800-623-6666 www.sunlife.ca/barry.zapshalla

Barry Zapshalla

B.Ed., P.G.Dip.

between two minor children is only $20,000, resulting in a $40,000 tax saving. The latest federal budget proposes to extend the “Kiddie Tax” to include capital gains, effective March 22, 2011. For some time, CRA has been aware of the capital gains strategy of allocating income to minors and have issued assessments under the General AntiAvoidance Rules (GAAR). Taxpayers have objected to the proposed assessments arguing that the existing rules permit the allocation of capital gains as a means to split income with minor children. This issue is currently being decided in Tax Court. Although you can only allocate dividends to children in the year they turn 18, you can plan the income splitting well in advance. Assume that your corporation has a January 31st year-end. Considering the scenario that your daughter is turning 18 in 2013 and you decide to withdraw $100,000 for home renovations from your medical corporation in April 2011. Rather than reporting this draw as a dividend on your next year-end of January 31, 2012, you leave the $100,000 outstanding until January 31, 2013, when the company will issue a $100,000 dividend to your daughter. Assuming that your daughter has no other income, her income tax on the dividend will be about $15,000, which is 50% of the tax you will pay in the high tax bracket (tax savings vary between provinces). If you are planning to accelerate the payments on your mortgage by taking additional draws from your corporation, which would be taxed as dividends at the highest personal tax rate, consider leaving your cash surplus in the corporation and take it out when your children turn 18. To maximize your income splitting, you can also add low-income family

Just For Canadian Doctors SUMMER 2011

members (siblings, parents and in-laws) as shareholders to your medical corporation. Keep in mind that you do not have to prove the reasonableness of dividends paid to family members who are not directly involved in your practice. It may be wise to check with your College as to the regulations of adding specific family members to your medical corporation. If you are planning to take large cash advances from your medical corporation and you do not have the ability to income split with low income family members, the alternative is to report these draws as capital gains rather than dividends. For example, if you have saved up $400,000 in your medical corporation, and you report the draw as a dividend, the income tax is about $120,000. However, if you apply the capital gains technique, your tax is about $80,000, resulting in a $40,000 tax saving. Additionally, in the event you have unused capital losses from the sale of your personal investments, you can use these losses to shelter the tax on the capital gain. Using the above example, if you have a $100,000 capital loss carry forward, your income tax on the capital gain will be reduced further by $20,000. Although the budget of March 22, 2011 was not passed, you can expect that amendments to the Income Tax Act relating to the “Kiddie Tax” will become law, regardless of the election outcome. The 2011 budget also addresses the Employee Profit Sharing Plans (EPSPs). Many doctors are using these plans to avoid making Canada Pension Plan contributions and paying Employment Insurance Premiums for family members who work in the practice. The Federal Government will study this issue further before making amendments to the tax rules applicable to the EPSPs.

You can expect that amendments to the Income Tax Act relating to the “Kiddie Tax” will become law

ann arbor / dalian / adelaide / cannes / reykjavik … | c a l e n d a r

cme

A n intern ation a l guide to continuing Medical Education

ann arbor

summe r 2011 + beyond

1 3

small town, big style: Microbrews, fab fare, art and beats in Michigan (Ann Arbor CME events highlighted in blue)

B. Sligl

ou might not think there’s much inspiration 25 miles west of Detroit, but university town Ann Arbor is one stimulating spot. With an average age of 27 years, this small town with big-city style has a vibe that mixes idealism with intellect and social consciousness with creativity. Mingle with the cool crowd at The Elbow Room (elbowroomypsi.com), where you’ll hear the latest beats from blues to punk (this is the hometown of Iggy Pop, after all), or browse high culture at the stellar University of Michigan’s Museum of Art (boasting more than 18,000 pieces of art from over 150 years of collecting; umma. umich.edu) 1 . There’s also the hole-in-the-wall bar, The Blind Pig (blindpigmusic.com), which has hosted the likes of Jimi Hendrix and Nirvana (the band even touted The Pig as its number-one venue). Ann Arbor is also home to Ghostly International, a music label that produces of-the-moment alternative music (ghostly.com). But more than music, there’s a serious sustainable food movement here. During the summer Main Street is

packed with diners al fresco and The Ann Arbor Farmers Market is stocked with stalls, where you’ll find those famous Michigan cherries 2 . You might run into local chefs like Max Sussman 3 or James Beard-nominated Alex Young of Zingerman’s Roadhouse (zingermansroadhouse. com), home of some “really good American food.” As comedian Aziz Ansari (of Parks and Recreation fame) said in a recent issue of Bon Appétit,“The best mac-and-cheese I’ve had at a restaurant was at Zingerman’s in Ann Arbor. Goddamn, that was good.” Chef Young also runs Cornman Farms, where he grows over 130 varieties of more than 27 types of vegetables and raises livestock 4 . Then there’s the Sidetrack Bar and Grill (sidetrackbarandgrill.com) 5 , another local institution in Ypsilanti— a.k.a. Ypsi—a little hipster town just outside Ann Arbor (the setting for Drew Barrymore’s Whip It movie) that has free wireless throughout—how forward-thinking. After a Sidetrack burger (rated one of America’s best by GQ Magazine) head to The Elbow Room for a tasty microbrew

(or a PBR). Then, down the road, past over-100-year-old barns and farmsteads 6 , visit cute Chelsea, the hometown of Jeff Daniels and his Purple Rose Theatre. Every town here seems to have its own brewery. This region—Michigan is “the great beer state”—is heaven for the beer aficionado. There’s the ABC of local beer, Arbor Brewing Co., which has won awards for its microbrews and environmental responsibility, alongside other awardwinning local breweries like Jolly Pumpkin Artisan Ales (try the Weizen Bam wheat ale 7 ) and Zero Gravity. And after all the food and drink, there’s the art—from the University of Michigan Museum of Art to the annual Ann Arbor Art Fair. During the July fest, artists gather in the downtown streets, exhibiting their work to some 500,000 fairgoers (artfairs.visitannarbor.org). It seems the stereotypical vision of a downtrodden Detroit area is nowhere to be found. In fact, local media heralds a “brain gain” in this “budding bohemia.” Join in on the groove. — B.S. For more info: visitannarbor.org; visitypsinow.com

SUMMER 2011 Just For Canadian Doctors

cme

where

topic

sponsor

contact

website

Jun 25-27

Vancouver British Columbia

Introductory Course to Botox and Cosmetic Fillers and Advanced Techniques

The Physician Skincare and Training Centre

877-754-6782 See Ad Page 28

ptcenter.org

Sep 17-18

Vancouver British Columbia

Introductory Course to Botox and Cosmetic Fillers

The Physician Skincare and Training Centre

877-754-6782 See Ad Page 28

ptcenter.org

Jul 15-17

Estes Park Colorado

Colorado Integrative Medicine Conference (cIMc 2011): Focus On Mind-Body Medicine & Lifestyle Management

AlterMed Research Foundation

970-310-3030

altermedresearch.org

Aug 13-26

Kenya Nairobi

Travel, Tropical, Sports & Alternative Medicine) & Safari In Kenya & Tanzania

doctors-on-tour

416-231-8466

doctors-ontour.ca

Aug 25-28

Seoul South Korea

21st International College Of Psychosomatic Medicine

Korean Society of Stress Medicine

011-82-2-5666031

icpm2011.org

Sep 15-18

Dallas Texas

Fellowship In Integrative Cancer Therapy, Modules III & IV

A4M Conferences

561-997-0112

worldhealth.net

Nov 03-06

Las Vegas Nevada

Clinical Applications For Age Management Medicine

Age Management Medicine Group

815-527-5282

agemed.org

Jun 26Jul 01

Seven Mile Beach, Grand Cayman

Giant Strides In Anesthesia

Northwest Anesthesia Seminars

800-222-6927

nwas.com

Jul 07-10

Honolulu Hawaii

Anesthesia Update: Trauma

Northwest Anesthesia Seminars

800-222-6927

nwas.com

Sep 07-10

Dresden Germany

30th Annual ESRA Congress - European Society Of Regional Anaesthesia & Pain Therapy

Kenes International

011-41-22-9080488

kenes.com

Sep 15-18

Woodstock Vermont

New England Society Of Anesthesiologists 54th Annual Meeting & Fall Conference

NESA

781-834-9165

massanesthesiology.org

For:

Sep 23-25

Seattle Washington

Difficult Airway Doctors Course: Anesthesia Just For Canadian

The Difficult Airway Course

866-924-7929

wam-airway. treefrog.ephibian.net

Summer 2011 issue 22nd Annual Anesthesiology Update

UC Davis Health System

916-734-5390 See Ad Page 30

ucdavis.edu

2011 FASEB Summer Research Conferences:

FASEB Summer Research Conferences

vermont@faseb. org

faseb.org

2011 FASEB Summer Research Conferences:

FASEB Summer Research Conferences

steamboat@ faseb.org

faseb.org

Abcam

011-44-122369-6000

abcam.com

BITeomics

011-86-4118479-9609

bitconferences. com/wcpg2011

Alternative Medicine

Aesthetic Medicinee

when

Anesthesiology

c m e calendar

Monterey California

Fax:

Jun 12-17

Saxtons River Vermont

Biochemistry

Issue:Nov 11-13

new CME list from Adam

Aug 07-12

Steamboat Springs Colorado

Sep 15-16

Dublin Ireland

IL-1 Family Members And The Inflammasome

19-22

China

Greentech 2011

Attn:

Email:Oct

604 - 681From - 0456 Unfolded Proteins In The ER To Disease

Nutrient Advertising in Control PrintOf Metabolism & Cell Signaling

Copy sentBIT’s to1stadmaterial@advertisinginprint.com Dalian Annual World Congress Of Petroleum

Companion cruises FREE

ALASKA GLACIERS Jul 10 - 17 Aug 19 - 26

Endocrinology & Sports Medicine Cardiology, Occupational, Cultural Medicine

MEDITERRANEAN Sep 5 - 17

Psychiatry, Cardiology, Physician Health

Sep 9 - 19

The Challenging Patient

PACIFIC WINE COUNTRY

1-888-647-7327 26

Just For Canadian Doctors

SUMMER 2011

CHINA TOUR + YANGTZE RIVER CRUISE October 28 - November 12, 2011 Cardiology Update   

Beijing, Yangtze, Xian, Suzhou, Shanghai Complimentary partners program 5 star accommodations (hotel & cruise)

Book today ! this tour sold out in previous years

cruises@seacourses.com

www.seacourses.com

Diabetes

Dermatology

Clinical Pharmacology

Cardiology

cme

calendar

cme

when

where

topic

sponsor

contact

website

Jun 26Jul 03

Baltic Cruise

Primary Care Update In Cardiac Health, Metabolic Syndrome, Obesity, And Related Disorders

Continuing Education, Inc./University at Sea

800-422-0711

continuingeducation.net

Jul 23-26

Vancouver British Columbia

16th World Congress On Heart Disease

Cardiology Online

310-657-8777

cardiologyonline.com

Aug 19-22

Grand Teton Wyoming

Tutorials In The Tetons: 37th Annual Update In Cardiovascular Diseases

Saint Joseph’s Hospital Atlanta

678-843-5105

sjha.org

Oct 12-14

Rochester New York

Imaging Ventricular Function In Congenital And Acquired Heart Disease: From Doppler To Deformation – State Of The Art In 2011

Mayo Clinic

507-284-0536

mayo.edu

Oct 12-15

Maui Hawaii

31st Annual Current Concepts In Primary Care Cardiology

UC Davis Health System

916-734-5390 See Ad Page 30

ucdavis.edu

Aug 10-22 2012

Russia River Cruise

Cardiology & Respirology

Sea Courses Cruises

888-647-7327 See Ad Page 26

seacourses. com

Aug 18-21

Reykjavik Iceland

28th Annual Meeting Of The Scandinavian Society For Antimicrobial Chemotherapy

Congress Reykjavik

011-354-5853904

congress.is

Sep 03-07

Paris France

Neuropsychopharmacology Congress

Event Organizers

011-32-2-7770188

ecnp.nl

Oct 03-15

Siena Italy

Translational Research In CNS Diseases

Neuroscience School of Advanced Studies

011-39-057789-7216

nsas.it

Nov 07-13

Las Vegas Nevada

Pharmacology For Advanced Practice Clinicians

Contemporary Forums

800-377-7707

sixhats.co.nz

Jul 29-31

Adelaide Australia

32nd Australasian Dermatopathology Society Annual Scientific Meeting

sapmea

011-61-8-82746059

sapmea.asn.au

Aug 05-06

Hamilton Isl. Australia

Skin Cancer Conference 2011

University of Queensland

011-61-7-33856695

skincancerconference.com.au

Sep 16-18

San Diego California

2011 CalDerm Annual Meeting

California Society of Dermatology

916-498-1712

pamedsoc.org

Oct 14-16

Chicago Illinois

2011 Association Of Professors Of Dermatology Annual Meeting

Assoc. of Professors of Dermatology

216-579-9300

dermatologyprofessors.org

Mar 11-18 2012

Caribbean Cruise

Women’s Health & Dermatology

Sea Courses Cruises

888-647-7327 See Ad Page 26

seacourses. com

Oct 26-29

Toronto Ontario

14th Annual CDA/CSEM Professional Conference And Annual Meetings

Canadian Diabetes Association

800-226-8464 See Ad Page 29

diabetes.ca

Dec 01-04

Paris France

4th International Conference On FIXED Combination, In The treatment Of Hypertension, Dyslipidemia and Diabetes

Paragon Conventions

011-41-22-5330948

paragon-conventions.com

May 18-30 2012

Mediterranean Cruise

Diabetes Management Update

Sea Courses Cruises

888-647-7327 See Ad Page 26

seacourses. com

AdamCongress & 24th European new College OfCME list from International

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

SUMMER 2011 Just For Canadian Doctors

c m e calendar

Infectious Diseases

Immunology & Allergy

Hematology

General & Family Medicine

Endocrinology

Emergency Medicine

cme

when

where

topic

sponsor

contact

website

Jul 26-29

Maui Hawaii

Emergency Medicine Update: Hot Topics 2011

UC Davis Health System

916-734-5390 See Ad Page 30

ucdavis.edu

Aug 31Sep 02

Taormina Italy

14th Congress of the European Shock Society

Aim Group

011-39-05-5233881

aimgroup.eu

Sep 22-23

Detroit Michigan

International Point Of Care Ultrasound

Henry Ford Hospital

313-916-7980

henryford.com

Sep 29-30

London England

5th International Meeting Of Society For Acute Care

Eventage

011-44-141639-8123

acutemedicine. org.uk

Oct 28-29

San Diego California

2011 San Diego Day Of Trauma

Scripps Conference Services

858-652-5400

scripps.org

Jul 13-16

Ann Arbor Michigan

Inaugural Meeting Of The North American Society For Comparative Endocrinology

University of Michigan

NASCE2011@ gmail.com

mcdb.lsa.umich. edu

Nov 04-05

Mesa Arizona

Fundamentals & Advanced Endocrine Coding With AACE-Sponsored Certified Endocrine Coder (AACE-CEC) Exam

American Association of Clinical Endocrinologists

904-353-7878

aace.com

Mar 18 -25 2012

Caribbean Cruise

Menâ&#x20AC;&#x2122;s Health & Endocrinology

Sea Courses Cruises

888-647-7327 See Ad Page 26

seacourses. com

Jun 02-18

Bali Indonesia

Traditional Healing Practices & Cultural Tour Of Bali

416-231-8466

doctors-ontour.ca

Jun 09

Calgary Alberta

Shades Of Grey Conference

Alberta Health Services

403-955-1551

albertahealthservices.ca

Oct 13-14

Ann Arbor Michigan

Update in Family Medicine

University of Michigan

800-800-0666

cme.med.umich. edu

Oct 14-27

Auckland New Zealand

2011 Rugby World Cup Medical Conference

Impact Organisation

011-61-3-95353600

impactevents. com.au

Jul 15-17

Singapore Singapore

7th IABS Symposium On Advances In Transfusion Safety

CMA International Consultants Pte Ltd.

011-65-63362328

iabs-singapore. org

Sep 05-06

Copenhagen Denmark

3rd International Symposium On Critical Bleeding

BDP Congress

011-45-33454545

iscb2011.dk

Oct 06-07

Buenos Aires Argentina

InterAmerican Oncology Conference 4: Current Status & Future Of Anti-Cancer Targeted Therapies

InterAmerican Oncology Conferences

secretariat@ oncologyconferences.com.ar

oncologyconferences.com.ar

Aug 18-20

Christchurch New Zealand

7th New Zealand National Immunisation Conference & Immunisation Workshop

ForumPoint2

011-64-7-9815860

sixhats.co.nz

Sep 14-16

Cannes France

Vaccines For Enteric Diseases

Meetings Management

011-44-148342-7770

meetingsmanagement.com

Nov 03-08

Boston Massachusetts

2011 Annual Meeting Of The American College of Allergy, Asthma & Immunology

American College Asthma & Immunology

847-427-1200

acaai.org

Jul 11-22

Basel Switzerland

Health District Management: Priority Setting And Resource Allocation

Swiss Tropical and Public Health Institute

41-61-28483-60

swisstph.ch

Mar 1126 2012

South American Cruise

Infectious Disease Review

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39

continuingeducation.net

new CME list from doctors-on-tour Adam

Just For Canadian Doctors

SUMMER 2011

Ophthalmology

Oncology & Palliative Care

Obstetrics & Gynecology

Nutrition

Legal Ethics

Internal Medicine

cme

calendar

cme

when

where

topic

sponsor

contact

website

Aug 21-28

Alaskan Cruise

Chronic Diseases Update 2011

CMEatSEA

888-523-3732

cmeatsea.org

Jan 28Feb 4 2012

Eastern Caribbean Cruise

Internal Medicine

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39

continuingeducation.net

Sep 17-24

Rhodes Greece

8th Greek Legal And Medical Conference

The Greek Conference

011-61-3-96902033

greekconference.com.au

Nov 06-07

Las Vegas Nevada

Become A Legal Nurse Consultant

Contemporary Forums

800-377-7707

contemporaryforums.com

Nov 18

Albany New York

2011 AMBI Clinical Ethics Conference

Albany Medical College

518-262-5828

amc.edu

Sep 24-27

San Diego California

ADAâ&#x20AC;&#x2122;s Food & Nutrition Conference & Expo 2011

American Dietetic Association

800-877-1600

eatright.org

Oct 27

Montreal Quebec

Thursday Evening Learning Series - Cognitive Behavioral Therapy For Obesity - Exercise As A Therapeutic Tool

McGill University

514-398-5637

cme.mcgill.ca

Nov 03-06

Las Vegas Nevada

Clinical Applications For Age Management Medicine

Age Management Medicine Group

815-527-5282

agemed.org

Aug 12-14

Orlando Florida

Pathways To Clinical Excellence In Ob/Gyn

904-674-0751

obgpathways. com

Aug 27-28

Albuquerque New Mexico

Advanced Life Support In Obstetrics

Kenes International

011-41-22-9080488

kenes.com

Oct 14-16

Kuala Lumpur Malaysia

7th Asia Pacific Congress In Maternal Fetal Medicine (7th APCMFM)

The Chinese University of Hong Kong

011-852-26321535

apcmfm.hk

Oct 21-23

Seattle Washington

ACOG Coding Workshop

American Congress of Ob/Gyn

202-638-5577

acog.org

Nov 08-11

Punta del Este Uruguay

10th World Congress Of Perinatal Medicine

Personas

011-598-2-9005828

10wcpm.info

Jan 19 2012

Montreal Quebec

Thursday Evening Learning Series - New Trends in Cervical Screening In The Adolescent

McGill University

514-398-5637

cme.mcgill.ca

Jun 22-25

Barcelona Spain

13th World Congress On Gastrointestinal Cancer

Imedex

770-751-7332

worldgicancer. com

Jul 14-17

Singapore Singapore

3rd World Congress Of The International Academy Of Oral Oncology 2011

Elsevier

65-6349-0201

elsevier.com

Aug 26-27

Seoul South Korea

4th World Congress On Gastrointestinal Cancer Asian Perspectives

Imedex

770-751-7332

imedex.com

Sep 11-26

Madrid Spain

Gastronomy & Wine Tour Of Spain

doctors-on-tour

416-231-8466

doctors-ontour.ca

Feb 23 2012

Montreal Quebec

Thursday Evening Learning Series - Ocular Trauma - Systemic Disease And Uveitis

McGill University

514-398-5637

cme.mcgill.ca

Obstetric and new CME list from Florida Adam Gynecologic Society

Our Annual Professional Conference brings together educators, clinicians, physicians and scientists to share their expertise in diabetes and other endocrine disorders. Join your colleagues from October 26-29, 2011 at the Metro Toronto Convention Centre, South building to celebrate achievement, learn and participate.

Online Registration: available June 2011 For further details, visit: diabetes.ca/for-professionals/conference

SUMMER 2011 Just For Canadian Doctors

c m e calendar

Urology

Rural Medicine

Radiology

Psychiatry

Pediatrics

Pain Management

Orthopaedics

cme

when

where

topic

sponsor

contact

website

Jun 24-25

Rosemont Illinois

Wrist Injuries: State Of The Art

American Academy of Orthopaedic Surgeons

800-626-6726

aaos.org

Sep 02-03

Davos Switzerland

Where Science Meets Clinics: The Symposium Of AO Exploratory Research

AO Foundation

011-41-81-4142461

aofoundation. org

Sep 14-17

Louisville Kentucky

46th Annual Meeting & Course Of Scoliosis Research Society

Scoliosis Research Society Department

414-289-9107

srs.org

Sep 21-24

Hamburg Germany

7th Congress Of The European Federation Of IASP Chapters

Kenes International

41-22-908-0488

kenes.com

Mar 13-27 2012

Australian & New Zealand Cruise

Neurology And Pain Management

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 39

continuingeducation.net

Jun 03

Calgary Alberta

Practical Pediatrics

University of Calgary

403-220-7240

ucalgary.ca

Jul 02-08

Maui Hawaii

Pediatrics In the Islands … Clinical Pearls 2011

Childrens Hospital Los Angeles and American Academy of Pediatrics

323-361-2752

childrenshospitallamedicalgroup.org

Sep 11-16

Ann Arbor Michigan

Pediatric Board Review

University of Michigan

800-800-0666

cme.med.umich. edu

Sep 05-17

Mediterranean Cruise

Psychiatry, Cardiology, Physician Health

Sea Courses Cruises

888-647-7327 See Ad Page 26

seacourses. com

Nov 02

London Ontario

9th Annual Geriatric Psychiatry Symposium

519-685-8500

schulich.uwo.ca

Jul 27-30

Atlanta Georgia

American Society Of Electroneurodiagnostic Technologists (ASET) 2011 Annual Conference.

American Society of Electroneurodiagnostic Technologists

816-931-1120

aset.org

Oct 24-27

Sonoma California

2011 Update in Advanced Imaging

UC Davis Health System

916-734-5390 See Ad Page 30

ucdavis.edu

Jun 15-18

Kelowna British Columbia

The Rural Emergency Continuum Of Care Conference

UBC CPD

604-875-5101

ubccpd.ca

Jul 15-17

Queenstown New Zealand

Advanced Wilderness Life Support

AdventureMed

801-990-2800

awls.org

Jun 26-29

Mont Tremblant Quebec

66th Canadian Urological Association Annual Meeting 2011

CUA Central Office

514-395-0376

cua.org

Sep 14-17

Providence Rhode Island

AUGS 32nd Annual Scientific Meeting

The American Urogynecologic Society

202-367-1167

augs.org

Nov 03-06

Orlando Florida

New England & Mid-atlantic Sections Of The American Urological Association Joint Annual Meeting

New England Section of the American Urological Association

978-927-8330

neaua.org

Schulich School of

new CME list fromMedicine Adam

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

CONTINUING MEDICAL EDUCATION

MAUI

LAKE TAHOE

SAVE THE DATES 916-734-5390 • http://cme.ucdavis.edu

OCTOBER 12–15, 2011

FEBRUARY 5–8, 2012

FEBRUARY 27–MARCH 2, 2012

SEPTEMBER 21–25, 2012

The Westin, Maui Primary Care Cardiology

The Resort at Squaw Creek, Lake Tahoe Vascular Care 2012

Ritz-Carlton, Lake Tahoe Emergency Medicine

Stanford Sierra Camp, Lake Tahoe Primary Care Orthopaedics

Just For Canadian Doctors

SUMMER 2011

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

Tense, tired, worn-out?

Family Physicians Come for the Career you imagined...

Take one of these. Family Physicians could earn 300,000CAD a year in Australia! No, thatâ&#x20AC;&#x2122;s not a misprint. You choose the hours you want to work and the amount you earn in Australia. Locumotion have positions available in all States and Territories and we will assist you and your family with the Australian Immigration and Registration procedures.

Contact Mairead at ozteam@locumotion.com or on +353 1 299 3550 to arrange a one-to-one talk with one of our Australian Family Physicians.

www.locumotion.com

Just For Canadian Doctors SUMMER 2011

and the Lifestyle you deserve.

Diverse rural practice opportunities with full-time and part-time options, all just a short drive from Winnipeg. Established physicians and new Grads we invite you to join our team of exceptional physicians! Financial incentives available. For further information, please contact: Lorri Beer Physician Recruitment Officer (204) 424-6082 or email: lbeer@sehealth.mb.ca

employment

The Tui’kn Partnership (made up of the five First Nation communities in Cape Breton, Nova Scotia) is nationally renowned for our commitment to team-based, state of the art primary health care delivery. We currently have positions available for family doctors who want the benefits of an innovative rural multi-disciplinary practice with the advantages of having a hospital close by. Whether you’re a young practitioner with an old soul or a seasoned physician who is looking for new life experiences, we need you.

• • • • • • • • • • • • • • •

opportunities

Life is too short not to live here. supportive community of colleagues shared call or no call specialist support obstetrics optional generous alternative payment plan rural incentive debt relief for eligible candidates telehealth electronic patient record nurse practitioners / family practice nurses pharmacist available well-subsidized overhead turn key management structure multidisciplinary team practice flexible hours

Canada is watching us rewrite the history of Aboriginal health care. We welcome you to be part of our story.

www.tuikn.ca

Sharon Rudderham Tui’kn Partnership 44 Spencer’s Lane Eskasoni, NS B1W 1B3 Phone: (902) 379-3200

Follow your dream, without compromise.

SUMMER 2011 Just For Canadian Doctors

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.

coming up rosés The season is ripe for the blush of rosé wines

one are the days when rosé wine needed a defense for its ambiguous tint and stereotypical sweetness. This spring, I’m donning my rosé-tinted glasses— and you should too. Let the warm Barolos and deep Merlots breathe, and opt for lighterhued wines as the days lighten. With cheeky notes of raspberry and savoury spice, cool and crisp rosés are the perfect companions to lead us into summer. They pair well with foods across the spectrum, from seafood to tofu and flank steak to chocolate torte. This kind of versatility makes them irresistible— especially for potluck dinners, sangria or impromptu entertaining. My earliest rosé impressions were of Mateus, the medium-sweet

rosé 101 There are three main ways to produce rosé, mostly using red grapes: 1. Skin Contact This method involves crushing of dark-skinned grapes, followed by several days of contact between skins and juice (the longer the contact, the richer and redder the colour of the final wine). Although the same practice is used to create red wine, here the skins are discarded once the must is pressed. 2. Saignée This method, also known as “bleeding the vats,” achieves rosé as a by-product of red wine production. The pink juice is removed at an early stage in the fermentation of the red wine. 3. Blending Combining red wine with white does give you pink, but it doesn’t necessarily give you quality or control. This method is the most seldom used.

Dr. Pollock would like to thank the Schachter sisters for their contributions, past and present. Lauren Schachter is a freelance writer, keen lover of wine, and recent graduate of UBC’s English Literature Master’s program. Claire Schachter is currently working on her Master’s degree in International Relations at Oxford University.

Portuguese export that became a hit with my parents’ generation after World War II. Many of my friends recall it with fondness: thanks to its good price and popularity with the girls, it was the perfect first-date beverage. However, the true origins of rosé are intertwined with those of Bordeaux “Clairet,” a pale, amber red wine (anglicized to “Claret” in England by the end of the 15th century). Now Claret refers to a darker red wine while rosé runs the gamut from dark pink to shades of orange. In the 1970s, the face of the wine market blushed again. This time, it was because of White Zinfandel, or White Zin, first produced by accident in 1975 by the Sutter Home Winery in Napa Valley. When they encountered a problem in the fermentation

process of their usual Zinfandel, a white wine, they quarantined the flawed juice for a few weeks only to sample it later and discover that it was tasty. So tasty, in fact, that it became Sutter Home’s bestselling product, far surpassing reds and whites, and inspiring the moniker “blush.” Since the White Zin craze, the rosé market has dried up a bit—but only in flavour. Bigger, drier pink wines hail from across the globe, from topend Australian sparkling to expressive California blush and powerful pink rosé from France’s Rhône valley. I’ll start my recommendations with the local. For British Columbia rosés, I’d award top honours to the 2008 Rigamarole Rosé ($15.99), which presents strawberry and currant underscored by hints of pepper, all with a dry and pristine finish. It’s a lively, quirky wine. A close second is the 2009 Rotberger from Gray Monk ($15.99). It weaves raspberry, cranberry and cherry to make quite a robust rosé, well equipped to balance

Just For Canadian Doctors SUMMER 2011

out a barbeque meal or a Passover roast. If you’re looking for a sweet deal, I would go with the 2008 Ironstone Xpression Rosé from California ($8). It’s on the sweeter end of the spectrum, tasting of peach and berry, but with the added complexity of a twist of lemon. Brilliant for patio sipping at sunset. If you’re looking to splash out for a gift or a birthday, there are many delicious sparkling wines to choose from. I like the NV Bugey Cerdon, Caveau du Mont July ($15), a rosé made from handpicked local grapes fermented in the méthode ancestrale (the young wine continues to ferment once bottled). It’s yet another rosé that overturns the stereotype of superficial pink champagne—this is one full-bodied bubbly. Nonetheless, still rosés are more suitable for mealtimes; save the bubbly ones for appetizers or dessert. Though you’d be hard-pressed to find a rosé that doesn’t compliment your meal, a truly exceptional pairing is that of a robust Spanish rosé—like the 2009 Tapena ($12)— with a wedge of Mahon or even a strong Zamorano. The bold acidity of the Tapena helps match these cheeses taste for taste. Crossing the border into France, I love the 2009 Château d’Esclans Côtes de Provence Whispering Angel Rosé ($27.99) because it’s charming in name and taste. Blending red berries, pale flowers and a note of toasted custard, this wine pairs well with sushi or a lightly dressed linguini. A wine of the Grenache varietal, Whispering Angel boasts the distinctness of this amenable grape, which is one of the world’s most widely planted and produces a unique expression wherever it grows. Lastly, for a rarer treat, keep an eye out for experimental orange wines, like New York State winery Channing Daughter’s 2009 Envelope ($39), aptly named since it’s pushing the envelope in wine production. It’s a chameleon of a wine: amber or gold in colour depending on the light, with flavours of both spiced apricot and light blossoms—a fitting wine for spring-to-summer metamorphosis.

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.

barbecue season It’s time to fire up that grill

or most of the men in my family, barbeque season begins once the snow has melted sufficiently to create a path from the back door to the grill. And, although they will eat almost anything cooked on the grill, their first choice is always steak. Yes, that first smoky spice-encrusted steak is a delicious change from the stews and roasts of winter; however, there can be too much of

That first smoky spice-encrusted steak is a delicious change…

Thai-nspired Beef Mango Salad

dr. holly fong

(serves 4 – 6)

a good thing, not just for the taste buds but also one’s cardiac health. I wonder if it’s the actual steak they prefer, or the taste of the beef combined with the convenience of throwing a slab of meat on the grill. If it’s the latter, a salad with steak would provide a smaller portion of meat and a larger serving of vegetables. And if you make an Asian-inspired salad with green mango, you’ll also include a serving of fruit. With a smaller portion of steak in the salad, the beef needs to be meaty, such as a marinated flank steak. Marinating it with lime, soya sauce, chili, herbs and garlic both flavours and tenderizes the beef. In the end, you have a fresh, colourful citrus salad that is smoky with a touch of sweetness to counterbalance the spicy salt of the meat. Typically, I would choose a floral white wine with tropical fruit and some herb or spice notes such as a Gewürztraminer or Grüner Veltliner. For those who prefer red wine, the 2009 Lirac from Domaine Saint Nicolas is a well-balanced elegant wine with a long spicy finish. This medium-bodied wine from the Côte du Rhône has a floral nose with berry fruits that pairs well with the beef and the spicy herbs of the salad. It has enough fruit to not be overwhelmed by the mango.

1 piece of flank steak (approx 700g) marinade

3 tablespoon fish sauce 4 tablespoon soya sauce ½ tablespoon sesame oil ½ inch knob of ginger, peeled and finely grated 1 large clove of garlic, finely grated ½ teaspoon chili flakes 2 tablespoon fresh lime juice 1 tablespoon sugar salad

12 ounce package of mixed salad greens, rinsed and dried 1 large red bell pepper, seeded and diced 1 large green mango, peeled and diced 1 small sweet onion, thinly sliced Dressing

1 tablespoon chives, minced 1 tablespoon cilantro, finely chopped 1 teaspoon mint leaves, cut into thin ribbons (stack leaves, roll and cut in thin slices) 1 tablespoon basil leaves, cut into thin ribbons 1 large garlic clove, finely grated ½ inch knob of ginger, peeled and finely grated, discarding tough fibers zest and juice of 1 large lime 3 tablespoon sugar 2 ½ tablespoon fish sauce ½ teaspoon chili flakes ¼ cup olive oil

Scoretheflank steak by cuttingdiagonally across themeat onbothsides takingcarenot tocut throughthemeat. Placeina largedishsothat themeat canlieflat. Combinethemarinade ingredients, work marinadeintothecuts of themeat, andmarinatefor at least 30 minutes, turningonce. Heat thegrill tohighandscrapecleanto avoidexcess burningandsticking. Removemeat frommarinadeandwipedry witha pieceof paper towel. Whenthegrill is hot, placemeat over coals. Sear for 2 minutes andturnmeat 90 degrees for another minutetocreategrill marks. Turnover meat. Grill for another 6 – 8 minutes for mediumrareor 8 – 10 minutes for medium dependinguponthethickness of thesteak. Removemeat andlet rest for 15 minutes. Meanwhile, mix saladdressingingredients ina bowl. Ina largebowl, combinethediced mango, dicedredpepper andslicedonions. Add half of thesaladdressingandtoss. Ona cuttingboard, slicethesteak thinly by cuttingagainst thegrain. Place2 – 3 largehandfuls of saladonto eachservingplate. Topwithsomeof themango mixture. Add3 – 4 slices of beef toeachplate. Drizzlewithremainingsaladdressing. Enjoy!

SUMMER 2011 Just For Canadian Doctors

cl a s s i f i ed a d s

Do you enjoy receiving Just for Canadian Doctors magazine?

locum positions

NANAIMO, BC – General Practitioner required for Edgewood, located in beautiful Nanaimo, is an internationally renowned accredited and licensed facility seeking a general practitioner locum from August 1 – 26, 2011. This is a unique offer providing an opportunity to work with a multidisciplinary team in a residential addiction treatment setting. Flexible hours with no oncall requirements. A competitive remuneration as well as accommodation is included in this locum position. Contact: Dr. Gary Richardson, email gary@edgewood.ca or tel 800 683-0111.

life + leisure

win 11-day an

Arctic cruise with

Quark Expeditions!

SOUTHERN VANCOUVER ISLAND, BC – The Cowichan Valley Division of Family Practice represents approximately 80 Family Physicians in the communities between Victoria and Nanaimo. If you are interested in experiencing the wonderful weather and lifestyle Southern Vancouver Island has to offer, consider joining us for a short or long term locum. The Cowichan Division has a coordinator available to work with you on all the details of your locum placement. If a full-time locum opportunity in Canada’s Warmland is something you would like to explore, we’d love to hear from you. Contact: Ms. Stacey Taylor or Dr. Roy Gilbert at locum.service.cvdfps@ gmail.com

+ sip a SUPER TUSCAN

+ get arty in DALLAS

+ bring out the BURGERS

+ back to camp

at GRAND VIEW LODGE in Minnesota

DETAILS INSIDE

+ agiftTilley pack!

NAMIBIA YUKON

DOCTORS life + leisure

pedaling in france up

Mont Ventoux stepping back in

Newfoundland

DOCTORS life + leisure

win 11-day

sun + spice in grenaDa hot + coLD in

Arctic cruise with

Quark Expeditions! details page 10

+ agifttilley pack!

+ hit the beach in Jamaica + raspberry chocolate tart + race on the west coast +

kootenay

win

a Kodak PlaySport Waterproof Pocket HD Camcorder!

opera in Knoxville, TN

DetaiLs on page 35

+ panamera

+ agifttilley pack!

BY SAND

road-test

+ tango in

Buenos aires

+ LonDon

calling + eureka in arkansas

BY RIVER

inside: CONTINUING MEDICAL EDUCATION CALENDAR where will you meet?

JuST fOR C

maRCh/ apRil 2010

MAY/ JUNE 2010

JUST FOR C

DOCTORS

nOvembeR/ DeCembeR 2010

As a physician, your subscription is free. To continue a new year of issues, please request a subscription by mail, fax or email. Or subscribe at: www.justforcanadiandoctors.com

DALLAS

KUTCHING

PORTO

LOS ANGELES

ANGERS

inside: Continuing MediCal eduCation Calendar

inside: Continuing MediCal eduCation Calendar where will you meet?

london

tel aviv

baltic

macau

berlin

subscription form Send to: Just For Canadian Doctors 200 – 896 Cambie Street Vancouver, BC V6B 2P6 fax 604-681-0456 email subscription@inprintpublications.com

business opportunity TORONTO, ON – Wanted: Walk in Medical Clinic. We are interested in purchasing a medical walk-in clinic in the GTA that is past the start up phase, has been operating continually, and has financial statements for the last few years at least. Clinics with specialties are also welcome. Interested parties please send email to Kevin@ zoomimports.com

one-year subscription:

(check)

two-year subscription:

(check)

Name: Address (City, Province, Postal Code):

vacation properties

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

Puzzle by websudoku.com

Just For Canadian Doctors SUMMER 2011

solution from page 37

fax 604-681-0456 • tel 604-681-1811 email classified@InPrintPublications.com

E-mail:

solution from Spring 2011 contest

MONTREAL, QC – Vacation Rental/For Sale Eastern Township/L’Estric Quebec Fieldstone Manor/Manoire en Pierre Des Champs. This is a gorgeous four-bedroom luxury home in the heart of the Eastern Townships. Just a 75 minute drive from Montreal, this vacation rental offers the unparalleled privacy of a country estate. Fieldstone Manor is situated in Ayer’s Cliff, a quaint village built on the shores of the beautiful, sparkling Lake Massawippi. Leisure and cultural activities are many: horseback riding, boat cruises out of Magog, bird watching (Isle du Maris bird sanctuary), museums, art galleries, The Piggery summer theatre, music, wine tasting, two of the world’s finest inns boasting world class dining – all are in close proximity to Fieldstone Manor. Indoors is delightful, with two magnificent stone fireplaces, breathtaking verriere, three luxurious bathrooms, pool table, large screen HD TV and high speed internet. Outdoors the premises boast a picturesque farm view, heated swimming pool, palatial lawns, a fountain and delightful flower gardens. View this property at: www.annstafford.ca/en/ home.html. T: 819-838-4678 F: 819-838-4241 E: Stafford@ abacom.com

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

Puzzle by websudoku.com

diversion

sudoku Solve puzzle #2 for a chance to win a $50 VISA gift card! Sudoku is simple enough that anyone can play, yet difficult enough that anyone can improve at it. Each Sudoku puzzle has a unique solution that can be reached logically without guessing. Fill in the grid so that every row, column and 3x3 square contains the digits 1 through 9.

DISCOVERY STARTS HERE.

sudoku 2 harder solution in next issue

sudoku 1 easier solution on page 36

winner of last issue’s sudoku contest: Dr. Jeffrey Judelson from Regina, SK

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

7 5 1 3

Puzzle by websudoku.com

2 7 3 8 9 4

5 3 1 2

5 3 2 6 6 9 5

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

Puzzle by websudoku.com

Life is filled with so many questions. The quality of her education doesn’t have to be one of them. We encourage you to discover Balmoral Hall School, located in Winnipeg, Manitoba. Our enriched academics, university preparatory focus, and residence programs challenge young women to build the skills needed for success in university and beyond.

We challenge all of our students to use their unique passion and talents to not only succeed, but also make a difference. Discover your answers today! Balmoral Hall: Innovation. Education.

1 (866) DREAM 11 • www.balmoralhall.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 and entry form to Just For Canadian Doctors, 200 – 896 Cambie Street, Vancouver, BC, V6B 2P6 or by fax to 604-681-0456. Entries must be received no later than August 22, 2011. 3. Prize: One $50 VISA gift card. Odds of winning dependent upon number of entries. Winner will be contacted by telephone and announced in the Fall 2011 issue. 4. Contest can be changed and/or cancelled without prior notice. 5. All entries become property of In Print Publications. Employees of In Print Publications and its affiliates are not eligible to participate. SUMMER 2011 Just For Canadian Doctors

This orthopaedic surgeon is definitely good with his hands. When not in the OR, you’ll find him in the garage working on his cars (including a Porsche 944 with a Chevy block…really)—if he wasn’t an MD, he’d be a mechanic. Outside the garage, this outdoorsman relaxes by fishing and touring the Brooks Peninsula with his family. And he’s also added some serious biking to his recreational repertoire. He and his wife Kim have started a bike tour company, Island Joy Rides, with some friends. See page 11 for more on this venture. My name: Andrew Crosby I live and practise in: Campbell River, BC My training: Othopaedic Surgeon; Fellowship in Arthroplasty and Revision Why I was drawn to medicine: Orthopods as a group seemed to be the most enthusiatic about their work; seemed like a very well adjusted, fun, balanced group (for the most part!) My last trip: Hawaii The most exotic place I’ve travelled: Australia The best souvenir I’ve brought back from a trip: Lizard bite scar on my hand from Fiji. A favourite place that I keep returning to: Brooks Peninsula— west coast of Vancouver Island If I could travel to any time, I’d go to: Pacific NW before White Men My favourite book: Archie Digest My favourite movie: Kill Bill My must-see TV show: Top Gear My first job: Paperboy Dr. Andrew Crosby fishing a river in Lumsden, Newfoundland; boating with his kids Jack and Holly, and Chum their dog; soaking up the sun with Jack and Holly on the Brooks Peninsula, Vancouver Island; and with a Dolly Varden on the Homathko River, BC. clockwise from top

The gadget or gear I could not do without: Ball-peen hammer My favourite room at home: Garage My car: Porsche 944 with Chevy small block My last purchase: Tim Horton’s XL Double Double My last splurge: Just bought a car on eBay—sight unseen Most-frequented store: Canadian Tire My closet has too many: Missing socks My fridge is always stocked with: Outdated yogurt My medicine cabinet is always

Just For Canadian Doctors

SUMMER 2011

stocked with: Don’t have a medicine cabinet My guilty pleasure is: Picking my nose in the car My favourite exercise/sports activity: Biking, skiing and street hockey with my family My favourite sport to watch: Hockey My celebrity crush: One of the models on the shopping channel, her name is Cathy, that’s all I know. I’d want this item with me if stranded on a desert island: Cathy My secret to relaxing and relieving tension: Fishing in rivers A talent I wish I had: That thing where you can eat a piece of spaghetti and make it come out your nose. My fondest memory: As a child, going fishing with my Dad when we lived in Newfoundland (he was a cardiologist there). A big challenge I’ve faced: Getting through residency and have Kim [his wife] still love me. One thing I’d change about myself: More patience with some patients I’m happiest when: On a river playing a steelhead or cruising on the boat with my family. My greatest fear: NDP My motto: A waste of time is a waste of time—so don’t waste time. A cause close to my heart: Development of energy sources other than fossil fuels. Something I haven’t done yet that’s on my must-do list: Sail with my family to Australia or across the Atlantic. If I wasn’t a doctor I’d be: A mechanic

courtesy dr. andrew crosby

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

Continuing Education, Inc. University at Sea™

Outstanding Value for your time and resources Combine Live CME and Personal Renewal Time with Family and Friends Ask about our guest travels free program July 28, 2011 Pain Management and Neurology 14 AMA PRA Category 1 credits™ AAFP Applied for 9-Night Baltic Capitals from Copenhagen, Denmark Norwegian Cruise Line's Sun August 13, 2011 Update on Indications, Interactions and Complications in the Use of Pharmaceuticals 14 AMA PRA Category 1 credits™ AAFP Applied for 7-Night Western Mediterranean from Barcelona, Spain Royal Caribbean's Liberty of the Seas August 29, 2011 Pain Management and Neurology 14 AMA PRA Category 1 credits™ AAFP Applied for 11-Night Eastern Mediterranean from Rome, Italy Celebrity Cruises' Equinox September 4, 2011 Primary Care: Mental Health Issues with a Focus on Drugs and Behavior 14 AMA PRA Category 1 credits™ AAFP Applied for 7-Night Western Mediterranean from Barcelona, Spain Norwegian Cruise Line's Epic September 9, 2011 Preventive Medicine 14 AMA PRA Category 1 credits™ AAFP Applied for 10-Night West Coast Wine Cruise from Vancouver, British Columbia to San Diego, California Celebrity Cruises’ Millennium September 11, 2011 Pediatric Review 2011 14 AMA PRA Category 1 credits™ AAFP Applied for 7-Night Mediterranean from Rome, Italy Royal Caribbean's Navigator of the Seas September 16, 2011 Emergency Medicine Today 14 AMA PRA Category 1 credits™ AAFP Applied for 10-Night Holy Land from Istanbul, Turkey Royal Caribbean's Vision of the Seas September 25, 2011 Infectious Disease 14 AMA PRA Category 1 credits™ AAFP Applied for 7-Night Western Mediterranean from Barcelona, Spain Norwegian Cruise Line's Epic October 5, 2011 Family Medicine: Women's Health 14 AMA PRA Category 1 credits™ AAFP Applied for 10-Night “Roman Empire” from Rome, Italy Holland America's ms Noordam

Complete Program Listing at www.ContinuingEducation.NET Ask about our Guest Travels Free Program Accreditation: Continuing Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Designation: Continuing Education, Inc. designates these educational activities for a maximum of 14 AMA PRA Category 1 credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Continuing Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. Florida Seller of Travel Reg. #14337

Featured Destination

March 11, 2012 Infectious Disease Review 21 AMA PRA Category 1 Credit(s)™ 21 Contact Hours 15-Night South American from Valparaiso, Chile Celebrity Cruises' Infinity October 15, 2011 Dermatology and Oral Diseases 18 AMA PRA Category 1 credits™ AAFP Applied for 18 AGD Hours 11-Night Holy Lands from Rome, Italy Norwegian Cruise Line's Jade December 26, 2011 Primary Care Update in Cardiac Health, Metabolic Syndrome, Obesity, and Related Disorders 14 AMA PRA Category 1 credits™ AAFP Applied for 7-Night Caribbean from Ft. Lauderdale, Florida Celebrity's Solstice January 22, 2012 Preventive Cardiology and Lipidology 14 AMA PRA Category 1 credits™ AAFP Applied for 7-Night Mediterranean from Barcelona, Spain MSC Cruises' Splendida February 18, 2012 Oral Dermatology and Oral Pathology 14 AMA PRA Category 1 credits™ AAFP Applied for 14 AGD Credits 7-Night Mexican Riviera from San Diego, California Holland America's ms Oosterdam March 13, 2012 Neurology and Pain Management 14 AMA PRA Category 1 credits™ AAFP Applied for 14-Night Australia and New Zealand from Sydney, Australia to Auckland, New Zealand Holland America's ms Volendam March 17, 2012 ENT: A Comprehensive Review for Primary Care and Emergency Care Providers 14 AMA PRA Category 1 credits™ AAFP Applied for 7-Night Eastern Caribbean from Miami, Florida Celebrity Cruises' Eclipse May 12, 2012 Pain Management/Neurology/Compliance 14 AMA PRA Category 1 credits™ AAFP Applied for 9-Night British Isles from Oslo, Norway Royal Caribbean's Vision of the Seas

We can plan or joint sponsor/accredit your next meeting Call 800-422-0711 or visit www.ContinuingEducation.NET Did you know our in-house travel division can handle your personal travel needs? Course Fees for all 14 hour courses MD/DO/PhD/DDS/DMD—US$695 RN/NP/PA—US$450

ISO 9001:2008 Registered