Annabelle Cumyn

• M.D.,C.M. MHPE
• Chair at Centre hospitalier universitaire de Sherbrooke

Background Nearly 20% of women will be confronted with anxiety or depressive disorders during the perinatal period and this may lead to adverse outcomes for both mother and child. Cognitive behavioural therapy (CBT) is the psychological intervention with the most empirical support for the clinical management of anxiety and depressive disorders. Anx...

Background: Social accountability (SA) occupies an important place in the accreditation requirements of Faculties of Medicine. We analyzed the evolution of SA in the undergraduate medical program at the University of Sherbrooke since the implementation of a complete curriculum in two distributed medical campuses. Methods: Using a qualitative and se...

La notion de transparence ressort régulièrement des discussions autour des utilisations secondaires des données de santé. Peu d’études se penchent toutefois sur les impacts de la présence ou de l’absence de transparence ou de son absence sur les membres du public. Cette revue de littérature répond à cette lacune. Elle résulte d’une analyse secondai...

The term "social licence" has been used to describe which uses and users of health data the public supports - and under what conditions. From November 2022 to January 2023, Health Data Research Network Canada was funded by the Public Health Agency of Canada to explore whether there was consensus among experienced public and patient advisors on: (i)...

Background: Health professions education curricula are undergoing reform towards social accountability (SA), defined as an academic institution's obligation to orient its education, service and research to respond to societal needs. However, little is known about how or which educational experiences transform learners and the processes behind such...

IntroductionAround the world, many organisations are working on ways to increase the use, sharing, and reuse of person-level data for research, evaluation, planning, and innovation while ensuring that data are secure and privacy is protected. As a contribution to broader efforts to improve data governance and management, in 2020 members of our team...

Background: Secondary use of health data has reached unequaled potential to improve health systems governance, knowledge, and clinical care. Transparency regarding this secondary use is frequently cited as necessary to address deficits in trust and conditional support and to increase patient awareness. Objective: We aimed to review the current pub...

https://theconversation.com/how-can-health-data-be-used-for-public-benefit-3-uses-that-people-agree-on-196847

BACKGROUND Learning Health Systems rely on the secondary use of health data to improve care. Transparency regarding this secondary use is frequently cited as necessary to increase patient awareness, support alternative approaches to consent, and foster trust. OBJECTIVE To review the current published literature to identify different stakeholders’...

Background: Learning Health Systems rely on the secondary use of health data to improve care. Transparency regarding this secondary use is frequently cited as necessary to increase patient awareness, support alternative approaches to consent, and foster trust. Objective: To review the current published literature to identify different stakeholders...

Building on a decade of research into publicly supported uses of health data, Social Licence for Uses of Health Data: A Report on Public Perspectives adds the voices of 20 experienced public and patient advisors to the discussion about what uses and users of health data have “social licence.” “Social licence” describes which uses and users of healt...

Excluding pregnant people from Covid-19 clinical trials may lead to unintended harmful consequences. For this study, an online questionnaire was sent to physicians belonging to Canadian professional medical associations in order to evaluate their perspectives on the participation of pregnant women in Covid-19 clinical trials. The majority of respon...

Background Sufficient exposure to rarer medical problems around pregnancy is a challenge during short rotations in obstetric medicine (OM). A Canadian research group created online clinical cases, the CanCOM cases, to overcome this. Methods We conducted an exploratory study to document the use and perceived utility of the CanCOM cases. 77 resident...

Background The advent of learning healthcare systems (LHSs) raises an important implementation challenge concerning how to request and manage consent to support secondary use of data in learning cycles, particularly research activities. Current consent models in Quebec were not established with the context of LHSs in mind and do not support the agi...

Objectives Excluding pregnant persons from COVID-19 trials of intervention may lead to unintended harmful consequences. Beliefs and attitudes of clinicians have the potential to shape clinical research involving pregnant women. This study evaluates the current perspectives of Canadian physicians on the participation of pregnant women in COVID-19 cl...

Background Pelvic vein thrombosis (PVT) is a rare complication of pregnancy that can lead to life‐threatening complications, such as pulmonary embolism (PE). Objective To describe characteristics of PVT and its treatment in pregnancy in the province of Quebec, Canada. Patients/Methods We developed a province‐wide case series of PVT in pregnancy i...

A survey was conducted to assess citizens, research ethics committee members, and researchers’ attitude toward information and consent for the secondary use of health data for research within learning health systems (LHSs). Results show that the reuse of health data for research to advance knowledge and improve care is valued by all parties; consen...

A provincial survey was conducted to assess citizens, research ethics committee (REC) members and researchers’ attitude toward information and consent for the secondary use of health data for research within a learning health system (LHS). The results show that: 1) reuse of health data for research to advance knowledge and improve care is values by...

A provincial survey was conducted to assess citizens, research ethics committee (REC) members and researchers’ attitude toward information and consent for the secondary use of health data for research within a learning health system (LHS). The results show that: 1) reuse of health data for research to advance knowledge and improve care is values by...

Background: The advent of learning healthcare systems (LHSs) raises an important implementation challenge concerning how to request and manage consent to support secondary use of data in learning cycles, particularly research activities. Current consent models in Quebec were not established with the context of LHSs in mind and do not support the ag...

OBJECTIVE To evaluate patients’ knowledge, risk perception, and anxiety about future health risks after an episode of hypertensive disorder of pregnancy (HDP), as well as their satisfaction with an educational pamphlet. METHODS From January 2016 to June 2017, participants were randomly assigned to one of 2 groups and asked to complete questionnair...

Objective: To evaluate complications associated with early postpartum therapeutic anticoagulation. Methods: A multicenter retrospective cohort study was done to evaluate the association between therapeutic anticoagulation postpartum and major complications (hemorrhagic and wound complications). Secondary outcomes included minor complications, ri...

Introduction A major consideration for the implementation of a learning health system (LHS) is consent from participants to the use of their data for research purposes. The main objective of this paper was to identify in the literature which types of consent have been proposed for participation in research observational activities in a LHS. We were...

Background Obstetric Medicine is an area of expertise within General Internal Medicine (GIM) in Canada. Essential content for clinical rotations for GIM residents was identified by subject-matter experts (N=204 items). However, this work did not address the perspective of curriculum stakeholders. Methods Members of the Canadian GIM Specialty Commi...

Extra-hepatic portal vein thrombosis (EHPVO) represents the obstruction of the portal vein outside the liver and is not related to chronic liver disease or neoplasia. In chronic EHPVO, collateral veins and portal hypertension develop, resulting in splenomegaly and variceal formation. Myeloproliferative neoplasms (MPN) are the most frequent acquired...

The majority of women are healthy entering pregnancy and do not require measurement of renal function or serum electrolytes. Clinicians must remain alert to the possibility of renal as well as fluid and electrolyte disorders in pregnancy, as the presenting complaints are often vague and mistaken for the normal physiology of pregnancy. In this chapt...

The ethical conduct of research rests largely on researchers, and as such, an understanding of how they perceive and enact their role in research is paramount. However, the literature around ethics and research mostly focuses on researchers’ perception of Research Ethics Boards (REB; also known as Institutional Review Boards) roles and functions. T...

Subsequent to the validation of a Canadian Curriculum blueprint for Obstetric Medicine (OM), the Canadian Consensus for a Curriculum in Obstetric Medicine (CanCOM) research group was approached to develop 20 cases to address gaps in clinical exposure during clinical rotations in OM. Forty-nine Obstetric Internists were identified and 43 confirmed t...

Background: Little evidence exists for the optimal management of atrial fibrillation with a structurally normal heart in pregnancy. Methods: A survey was sent to members of two associations to obtain input on optimal management of atrial fibrillation in pregnancy. The survey presented four cases with respect to (1) baseline investigations; (2) r...

Objectives Atrial fibrillation (AF) in a structurally normal heart is rare during pregnancy. We wished to use our experience to expand the literature on the causes and management of this condition. Methods All members of Groupe d'Étude en Médecine Obstétricale du Québec (GÉMOQ) were invited to record cases of AF in a structurally normal heart duri...

In this article, we outline an innovative and comprehensive approach to the development by consensus of curriculum content guidelines for a medical specialty. We initially delineated the content domain by triangulation of sources, validated a curriculum blueprint by both quantitative and qualitative methodology, and finally reached consensus on con...

A comprehensive curriculum for obstetric medicine was created through review and synthesis of several existing sources including a recent textbook, published curricula and a review of cases seen in a specialized clinical setting. The preliminary curriculum document then underwent local validation and reformulation of educational objectives with ref...

In response to challenges to faculty development (e.g. time away from clinical, teaching, and other responsibilities; lack of mentors; and limited resources) online learning has become an important venue to provide education for physicians in curriculum development, instruction, assessment, evaluation, educational leadership, and education scholars...

Objectives The main objective of this study is to compare the rate of adherence to GTT done six weeks postpartum (early GTT) to the one performed three months or more after delivery (late GTT). The secondary objective is to determine factors associated to non-adherence to GTT.

The main objective of this study is to compare the rate of adherence to GTT done six weeks postpartum (early GTT) to the one performed three months or more after delivery (late GTT). The secondary objective is to determine factors associated to non-adherence to GTT. This is a retrospective study involving women with GDM who delivered in 1998 (late...