DFCM City Wide Research Rounds March 16, 2017
DFCM City Wide Research Rounds are an accredited bimonthly, two-hour interactive event focusing on primary care research and research practices. Research Rounds are open to all Family Medicine / Community Medicine / Primary Care researchers, faculty, residents, students, and staff. Invited guest speakers will focus on research results, methodologies, and techniques; and the Research In Progress discussion will highlight new and exciting research.
March 16, 2017 features Dr. Ann Burchell and Dr. Bill Cherniak.
Dr. Ann Burchell will be presenting "Sexually transmitted infections (STIs) and STI-related cancers among people living with HIV: Challenges and opportunities for better screening". Sexually transmitted infections (STIs)—including HIV, syphilis, gonorrhea, chlamydia, and certain types of human papillomavirus (HPV) which cause anogenital and oral cancers—pose a heavy burden on population health. Disadvantaged people are disproportionately affected and may face health-access barriers that further concentrate STIs within high-risk networks and amplify transmission. In Canada, this is particularly true for gay, bisexual, and other men who have sex with men (MSM) and people living with HIV. In Ontario, nearly 1 in 4 HIV-positive MSM have had syphilis and that new infections occur at minimum rates of 1 gonorrhea, 1 chlamydia, and 4 syphilis cases per 100 person-years. Anogenital infection with oncogenic HPV types is detected in >50% of people living with HIV. STI screening & treatment could mitigate individual outcomes and substantially reduce population-level transmission with substantial and innovative approaches to healthcare delivery. Cancers caused by HPV can be prevented with early detection & treatment of precancers if we can optimize screening among those at risk.
Dr. Bill Cherniak will be presenting his Research In Progress, "Ultrasound: incentivizing women in rural Uganda to engage with the healthcare system". In 2014 Dr. Cherniak, in collaboration with Dr. Silverman, Ugandan colleagues and others at the University of Toronto and McGill University, conducted a randomized cluster-controlled trial in rural Uganda to increase uptake of antenatal care services. The idea was to apply a new and innovative incentive: portable obstetric ultrasound. Over the course of nine days eight health clinics were held in remote rural villages through mobile outreach. Bridge to Health Medical and Dental partnered with Kigezi Healthcare Foundation was able to provide treatment for over 150 pregnant women based on the WHO approach to elimination of mother to child transmission of HIV. On March 16th Dr. Cherniak will discuss the planning stages, implementation, and current write-up of a complex implementation-science initiative in rural Uganda.
Join us in person or online at http://uoftfamilymedicine.adobeconnect.com/researchrounds/