Andrea Hunter

• MD FRCPC
• Managing Director at McMaster University

Background Transgender youth experience high rates of health disparities and inequities. There is currently no formal curriculum for transgender health within our centre’s pediatric residency program. This gap in training is similar to other programs across the country. With the drastic rise in trans youth patients seeking care, general pediatricia...

Background Refugee families, particularly children and youth, are considered a vulnerable population. They face many health concerns, including barriers to accessing the healthcare system, which may stem from lack of familiarity with the health care system. Despite the great efforts Canada is putting forward to address newcomer needs, there are lim...

Objective: This study sought to describe the incidence inadequate prenatal care (IPNC) at an urban level II hospital in Hamilton, Ontario, and to compare the characteristics and outcomes of mothers who received IPNC and their newborns with those who received adequate prenatal care (APNC). This study is the first part of a mixed-methods research pr...

Background Pediatricians often manage complex health care needs. Many of these families experience financial burden due to their child’s condition. There are a multitude of organizations offering financial assistance. To obtain this funding, families need knowledge of the programs and application forms to be properly completed. It is a physician’s...

Background Prenatal care (PNC) is a frequently accessed Canadian healthcare service, yet 5–20% of women obtain inadequate PNC. An understanding of neonatal outcomes associated with inadequate prenatal care will assist in developing appropriate guidelines for these at risk infants and identifying the importance of engaging hard-to-reach pregnant pat...

Les loisirs, la mondialisation, la migration et les familles qui rendent visite à des amis et à des parents en pays étranger accroissent la fréquence des voyages internationaux et l’exposition potentielle à des maladies tropicales. Les cliniciens peuvent éprouver de la difficulté à poser un diagnostic chez les jeunes patients infectés à leur retour...

Recreation, globalization, migration, and families visiting friends and relatives (VFRs) overseas have increased the frequency of international travel and potential exposures to tropical diseases. Young infected patients can present a diagnostic challenge to clinicians when they return to Canada, with significant consequences if untreated. High-qua...

BACKGROUND Overweight and obese children are at a heightened risk of adult-onset health complications including hypertension, cardiovascular disease, type 2 diabetes, certain cancers, and psychosocial complications. These disorders can begin in childhood, which increases the likelihood of early morbidity and mortality. In parallel, over the past tw...

BACKGROUND Residents writing the Royal College Paediatrics exam are expected to have a working knowledge of all 223 CPS position and policy statements. However, there is limited data available regarding how best to implement a curriculum focused on resident mastery of CPS statements, and even less evidence looking at the impact of such a curriculum...

BACKGROUND The competencies involved in neonatal resuscitation include a thorough knowledge of transitional neonatal physiology as well as technical expertise, the ability to lead a multidisciplinary team, and appropriate management of resources. In Canadian paediatric training programs, residents acquire neonatal resuscitation competency in both c...

Approach: Host supervisors were recruited by convenience sampling through students travelling abroad for IMEs during the summer of 2012. From 2012 through 2014, 11 semistructured interviews were conducted by telephone with host supervisors from Nepal, Uganda, Ghana, Guyana, and Kenya. Participants were invited to describe their motivations for hos...

Pour prodiguer de bons soins, il est crucial de communiquer de manière efficace avec les patients et leur famille. Le présent point de pratique traite de l’importance d’une communication transculturelle efficace. Les auteurs exposent le concept de compétence culturelle, ainsi que celui du modèle LEARN (acronyme anglais des mots écouter, expliquer,...

The ability to communicate effectively with patients and families is paramount for good patient care. This practice point reviews the importance of communicating effectively in cross-cultural encounters. The concept of cultural competence is introduced, along with the LEARN (Listen, Explain, Acknowledge, Recommend, Negotiate) model for cross-cultur...

p> BACKGROUND: Changes to the Interim Federal Health Program (IFHP) in 2012 reduced health care access for refugees and refugee claimants, generating concerns among key stakeholders. In 2014, a new IFHP temporarily reinstated access to some health services; however, little is known about these changes, and more information is needed to map the IFHP...

Guyana is a low-middle income country on the northern coast of South America between Venezuela and Suriname. Guyana has relatively high child mortality and a notable gap in health care provision. As of 2011, there were no paediatricians in the public sector where approximately 90% of the population seek care. In response to this unmet need, Guyanes...

Study/Objective This study examines the perceptions of key stakeholders regarding the impact of the Interim Federal Health Program (refugee health policy) reforms in 2014, on access and provision of healthcare for refugees and refugee claimants. Background The Federal Government funded the Interim Federal Health Program (IFHP) since 1957, ensuring...

Refugees and refugee claimants experience increased health needs upon arrival in Canada. The Federal Government funded the Interim Federal Health Program (IFHP) since 1957, ensuring comprehensive healthcare insurance for all refugees and refugee claimants seeking protection in Canada. Over the past 4 years, the Canadian government implemented restr...

BACKGROUND In 2003, the Don & Elizabeth Hillman International Child Health Grant was created by the Canadian Pediatric Society (CPS) Global Child & Youth Health Section to promote international health opportunities for residents and fellows. Forty awards were administered ($750 – $1000) from 2003 to 2013, for use towards costs of paediatrics electi...

BACKGROUND Training in global health topics is increasingly recognized as an important element of pediatric residency. The Canadian Pediatric Society's (CPS) Global Child and Youth Health Section created a set of four modules to serve as a national curriculum on global health for pediatric residents. The topics of the modules include global child m...

ContextAn increasing number of medical students are engaging in international medical electives, the majority of which involve travel from northern, higher-income countries to southern, lower-income countries. Existing research has identified benefits to students participating in these experiences. However, reports on the impacts on host communitie...

Objectives: To determine if a standardized global child health (GCH) modular course for pediatric residents leads to satisfaction, learning, and behavior change. Methods: Four 1-hour interactive GCH modules were developed addressing priority GCH topics. "Site champions" from 4 Canadian institutions delivered modules to pediatric residents from t...