Larry Chambers - Academia.edu (original) (raw)
Papers by Larry Chambers
Independence and Economic Security in Old Age
Implication Statement Medical education is increasingly delivered at distributed sites away from ... more Implication Statement Medical education is increasingly delivered at distributed sites away from Academic Health Sciences Centres. The Council of Ontario Faculties of Medicine recommends schools develop resources and metrics to foster regional campus scholarly activity. Opportunities for distributed program trainees must support learning core skills in research and critical appraisal to comply with medical school accreditation standards and to develop their interests and skills in scholarly work for their future medical careers. We describe a scholarly activity program that is a template for distributed campuses or regional teaching sites seeking to increase learner and faculty engagement and research productivity.Énoncé des implications de la recherche La formation médicale décentralisée se déroule de plus en plus souvent loin des centres universitaires de sciences de la santé. Le Conseil des facultés de médecine de l’Ontario recommande aux facultés de se doter de ressources et ...
The Sage Dictionary of Health and Society, Oct 5, 2012
Increase your Brainability—and Reduce your Risk of Dementia, 2021
By putting into practice the advice in this book (based on evidence from systematic reviews, alon... more By putting into practice the advice in this book (based on evidence from systematic reviews, along with the authors’ collective experience), people would not only avoid dementia but they would also keep their brains healthier, their minds sharper, and would develop fewer diseases, be less disabled, be more independent and active, be less likely to have to go into a care home, and they would feel better. Don’t worry about your genes. Instead, fight back against the modern environment by reducing the impact of stress, sleeping better, becoming more active, stopping smoking, and rebalancing your diet. We need a new approach to increase our Brainability—understanding and accepting ageing, getting and keeping fitter, reducing the impact of disease, and thinking more positively. Based on this way of looking at living longer we have developed the Triple Whammy Brainability Programme—keep your brain tissue healthy, increase the blood supply to the brain, and increase the ability of your min...
A measure of quality of life for clinical trials in chronic
Increase your Brainability—and Reduce your Risk of Dementia, 2021
There are two imbalances in diet that increase the risk of dementia: the intake expenditure imbal... more There are two imbalances in diet that increase the risk of dementia: the intake expenditure imbalance and the dietary mix imbalance. It is important to change your food choices Recent research has emphasized the importance of type 2 diabetes (non-insulin dependent) as a factor that increases the risk of dementia. This chapter presents perspectives of what you can do, how your family and friends can help, agencies to seek help from in the community, and types of assistance that can be obtained from the health service to manage type 2 diabetes. Keeping your cholesterol as low as you can and reducing blood pressure is essential. The chapter covers the evidence on statins, as well as the modifiable risk factors affecting blood pressure. The chapter ends by discussing the risks of smoking and smoking cessation support and self-care of atrial fibrillation, beginning with an understanding of the treatment goal and actions to take if the treatment goal is not met or if adverse effects of tr...
Canadian Medical Education Journal, 2020
Background Undergraduate medical students seek as much information as possible as to how residenc... more Background Undergraduate medical students seek as much information as possible as to how residency programs select candidates. The Canadian Residency Matching Service (CaRMS) website is one of their primary sources of information. Students may be more competitive in the match if they know whether scholarly activity is used in the selection process by their preferred programs, as described on the CaRMS website. Methods For all 17 Canadian faculties of medicine, 2019 R1 entry internal medicine, family medicine and pediatrics program descriptions were reviewed on the CaRMS website looking for keywords related to scholarly activity. Results Forty-one percent of family medicine, 65% of internal medicine and 71% of pediatric programs explicitly stated having interest in applicants with scholarly experience. In Western Canada, 80% of internal medicine and 60% of pediatrics programs included scholarly activity in their CaRMS description of criteria considered in ranking applications. Simila...
Canadian Medical Education Journal, 2021
Implication Statement Medical education is increasingly delivered at distributed sites away from ... more Implication Statement Medical education is increasingly delivered at distributed sites away from Academic Health Sciences Centres. The Council of Ontario Faculties of Medicine recommends schools develop resources and metrics to foster regional campus scholarly activity. Opportunities for distributed program trainees must support learning core skills in research and critical appraisal to comply with medical school accreditation standards and to develop their interests and skills in scholarly work for their future medical careers. We describe a scholarly activity program that is a template for distributed campuses or regional teaching sites seeking to increase learner and faculty engagement and research productivity.
Journal of Regional Medical Campuses, 2020
The Emergency Medicine Researchers of Niagara (EMRoN) program is an evolving research incubator w... more The Emergency Medicine Researchers of Niagara (EMRoN) program is an evolving research incubator with the Niagara Regional Campus (NRC) of McMaster University’s Michael G DeGroote School of Medicine and Niagara Health (NH) that is becoming a productive research organization aligned with the strategic priorities of its partner organizations (NRC and NH). EMRoN is committed to advancing local community health care standards and sharing best practices with provincial and national peers. In its first two years of operation EMRoN has achieved success in new structures, processes and outcomes that position it well to be a fulsome research organization for years to come.
Canadian Geriatrics Journal, 2018
Canadian Geriatrics Journal, 2015
McGill Journal of Education, 2008
The Working Together (WT) project involved the design and delivery of an online learning resource... more The Working Together (WT) project involved the design and delivery of an online learning resource for healthcare teams in long-term care (LTC) so that knowledge regarding interprofessional collaborative patient-centred practice (ICPCP) could be readily accessed and then transferred to the workplace. The purpose of this paper is to better understand the process of knowledge translation in continuing education for healthcare professionals by documenting our experiences using Lavis et al.’s (2003) organizing framework for knowledge transfer, and highlighting the impact this approach had on the design, development, delivery, and evaluation of the WT program. Fifty-nine pharmacists, physicians, nurses, and nurse practitioners from 17 LTC homes across Ontario, Canada participated in this project. The effectiveness of the knowledge translation of ICPCP through the WT project was evaluated using the Demand-Driven Learning Model (DDLM) evaluation tool (MacDonald, Breithaupt, Stodel, Farres, ...
Journal of Community Health, 2009
Environmental Health Perspectives, 2000
Environmental health risk assessment is increasingly being used in the development of environment... more Environmental health risk assessment is increasingly being used in the development of environmental health policies, public health decision making, the establishment of environmental regulations, and research planning. The credibility of risk assessment depends, to a large extent, on the strength of the scientific evidence on which it is based. It is, therefore, imperative that the processes and methods used to evaluate the evidence and estimate health risks are clear, explicit, and based on valid epidemiological theory and practice. Epidemiological Evidence for Environmental Health Risk Assessment is a World Health Organization (WHO) guideline document. The primary target audiences of the guidelines are expert review groups that WHO (or other organizations) might convene in the future to evaluate epidemiological evidence on the health effects of environmental factors. These guidelines identify a set of processes and general approaches to assess available epidemiological information in a clear, consistent, and explicit manner. The guidelines should also help in the evaluation of epidemiological studies with respect to their ability to support risk assessment and, consequently, risk management. Conducting expert reviews according to such explicit guidelines would make health risk assessment and subsequent risk management and risk communication processes more readily understood and likely to be accepted by policymakers and the public. It would also make the conclusions reached by reviews more readily acceptable as a basis for future WHO guidelines and other recommendations, and would provide a more rational basis for setting priorities for future research.
Canadian Journal on Aging / La Revue canadienne du vieillissement, 1995
RÉSUMÉLa présente critique du document de Eino M. Heikkinen, intitulé «Modèles épidémiologiques é... more RÉSUMÉLa présente critique du document de Eino M. Heikkinen, intitulé «Modèles épidémiologiques écologiques du vieillissement» appuie l'élargissement du «modèle» épidémiologique afin d'y inclure une perspective «écologique». En plus de remettre en question les définitions de Heikkinen des termes «modèles,» facteurs «intrinsèques et extrinsèques,» l'auteur aborde trois questions théoriques traitées dans le travail de Heikkinen, soit les différences et ressemblances entre le vieillissement et la maladie; la capacité et le handicap fonctionnel; et l'instinct de survie. Finalement, l'auteur soulève la question de la pertinence des modèles d'étude longitudinale pour comprendre les «Complexes causals effectifs» du Dr. Heikkinen.
Canadian family physician Medecin de famille canadien, 2018
Dementia is a neurodegenerative condition affecting many areas of life at the same time. It is of... more Dementia is a neurodegenerative condition affecting many areas of life at the same time. It is often associated with medical and social complexities for those living with the condition and is becoming increasingly widespread as the population ages.[1][1] Dementia care in Canada is characterized by
Background: The Seniors Health Research Transfer Network (SHRTN) Collaborative is a network of ne... more Background: The Seniors Health Research Transfer Network (SHRTN) Collaborative is a network of networks that work together to improve the health and health care of Ontario seniors. The collaborative facilitates knowledge exchange through a library service, knowledge brokers (KBs), local implementation teams, collaborative technology, and, most importantly, Communities of Practice (CoPs) whose members work together to identify innovations, translate evidence, and help implement changes. This project aims to increase our understanding of knowledge-to-action (KTA) processes mobilized through SHRTN CoPs that are working to improve the health of Ontario seniors. For this research, KTA refers to the movement of research and experience-based knowledge between social contexts, and the use of that knowledge to improve practice. We will examine the KTA processes themselves, as well as the role of human agents within those processes. The conceptual framework we have adopted to inform our resea...
Independence and Economic Security in Old Age
Implication Statement Medical education is increasingly delivered at distributed sites away from ... more Implication Statement Medical education is increasingly delivered at distributed sites away from Academic Health Sciences Centres. The Council of Ontario Faculties of Medicine recommends schools develop resources and metrics to foster regional campus scholarly activity. Opportunities for distributed program trainees must support learning core skills in research and critical appraisal to comply with medical school accreditation standards and to develop their interests and skills in scholarly work for their future medical careers. We describe a scholarly activity program that is a template for distributed campuses or regional teaching sites seeking to increase learner and faculty engagement and research productivity.Énoncé des implications de la recherche La formation médicale décentralisée se déroule de plus en plus souvent loin des centres universitaires de sciences de la santé. Le Conseil des facultés de médecine de l’Ontario recommande aux facultés de se doter de ressources et ...
The Sage Dictionary of Health and Society, Oct 5, 2012
Increase your Brainability—and Reduce your Risk of Dementia, 2021
By putting into practice the advice in this book (based on evidence from systematic reviews, alon... more By putting into practice the advice in this book (based on evidence from systematic reviews, along with the authors’ collective experience), people would not only avoid dementia but they would also keep their brains healthier, their minds sharper, and would develop fewer diseases, be less disabled, be more independent and active, be less likely to have to go into a care home, and they would feel better. Don’t worry about your genes. Instead, fight back against the modern environment by reducing the impact of stress, sleeping better, becoming more active, stopping smoking, and rebalancing your diet. We need a new approach to increase our Brainability—understanding and accepting ageing, getting and keeping fitter, reducing the impact of disease, and thinking more positively. Based on this way of looking at living longer we have developed the Triple Whammy Brainability Programme—keep your brain tissue healthy, increase the blood supply to the brain, and increase the ability of your min...
A measure of quality of life for clinical trials in chronic
Increase your Brainability—and Reduce your Risk of Dementia, 2021
There are two imbalances in diet that increase the risk of dementia: the intake expenditure imbal... more There are two imbalances in diet that increase the risk of dementia: the intake expenditure imbalance and the dietary mix imbalance. It is important to change your food choices Recent research has emphasized the importance of type 2 diabetes (non-insulin dependent) as a factor that increases the risk of dementia. This chapter presents perspectives of what you can do, how your family and friends can help, agencies to seek help from in the community, and types of assistance that can be obtained from the health service to manage type 2 diabetes. Keeping your cholesterol as low as you can and reducing blood pressure is essential. The chapter covers the evidence on statins, as well as the modifiable risk factors affecting blood pressure. The chapter ends by discussing the risks of smoking and smoking cessation support and self-care of atrial fibrillation, beginning with an understanding of the treatment goal and actions to take if the treatment goal is not met or if adverse effects of tr...
Canadian Medical Education Journal, 2020
Background Undergraduate medical students seek as much information as possible as to how residenc... more Background Undergraduate medical students seek as much information as possible as to how residency programs select candidates. The Canadian Residency Matching Service (CaRMS) website is one of their primary sources of information. Students may be more competitive in the match if they know whether scholarly activity is used in the selection process by their preferred programs, as described on the CaRMS website. Methods For all 17 Canadian faculties of medicine, 2019 R1 entry internal medicine, family medicine and pediatrics program descriptions were reviewed on the CaRMS website looking for keywords related to scholarly activity. Results Forty-one percent of family medicine, 65% of internal medicine and 71% of pediatric programs explicitly stated having interest in applicants with scholarly experience. In Western Canada, 80% of internal medicine and 60% of pediatrics programs included scholarly activity in their CaRMS description of criteria considered in ranking applications. Simila...
Canadian Medical Education Journal, 2021
Implication Statement Medical education is increasingly delivered at distributed sites away from ... more Implication Statement Medical education is increasingly delivered at distributed sites away from Academic Health Sciences Centres. The Council of Ontario Faculties of Medicine recommends schools develop resources and metrics to foster regional campus scholarly activity. Opportunities for distributed program trainees must support learning core skills in research and critical appraisal to comply with medical school accreditation standards and to develop their interests and skills in scholarly work for their future medical careers. We describe a scholarly activity program that is a template for distributed campuses or regional teaching sites seeking to increase learner and faculty engagement and research productivity.
Journal of Regional Medical Campuses, 2020
The Emergency Medicine Researchers of Niagara (EMRoN) program is an evolving research incubator w... more The Emergency Medicine Researchers of Niagara (EMRoN) program is an evolving research incubator with the Niagara Regional Campus (NRC) of McMaster University’s Michael G DeGroote School of Medicine and Niagara Health (NH) that is becoming a productive research organization aligned with the strategic priorities of its partner organizations (NRC and NH). EMRoN is committed to advancing local community health care standards and sharing best practices with provincial and national peers. In its first two years of operation EMRoN has achieved success in new structures, processes and outcomes that position it well to be a fulsome research organization for years to come.
Canadian Geriatrics Journal, 2018
Canadian Geriatrics Journal, 2015
McGill Journal of Education, 2008
The Working Together (WT) project involved the design and delivery of an online learning resource... more The Working Together (WT) project involved the design and delivery of an online learning resource for healthcare teams in long-term care (LTC) so that knowledge regarding interprofessional collaborative patient-centred practice (ICPCP) could be readily accessed and then transferred to the workplace. The purpose of this paper is to better understand the process of knowledge translation in continuing education for healthcare professionals by documenting our experiences using Lavis et al.’s (2003) organizing framework for knowledge transfer, and highlighting the impact this approach had on the design, development, delivery, and evaluation of the WT program. Fifty-nine pharmacists, physicians, nurses, and nurse practitioners from 17 LTC homes across Ontario, Canada participated in this project. The effectiveness of the knowledge translation of ICPCP through the WT project was evaluated using the Demand-Driven Learning Model (DDLM) evaluation tool (MacDonald, Breithaupt, Stodel, Farres, ...
Journal of Community Health, 2009
Environmental Health Perspectives, 2000
Environmental health risk assessment is increasingly being used in the development of environment... more Environmental health risk assessment is increasingly being used in the development of environmental health policies, public health decision making, the establishment of environmental regulations, and research planning. The credibility of risk assessment depends, to a large extent, on the strength of the scientific evidence on which it is based. It is, therefore, imperative that the processes and methods used to evaluate the evidence and estimate health risks are clear, explicit, and based on valid epidemiological theory and practice. Epidemiological Evidence for Environmental Health Risk Assessment is a World Health Organization (WHO) guideline document. The primary target audiences of the guidelines are expert review groups that WHO (or other organizations) might convene in the future to evaluate epidemiological evidence on the health effects of environmental factors. These guidelines identify a set of processes and general approaches to assess available epidemiological information in a clear, consistent, and explicit manner. The guidelines should also help in the evaluation of epidemiological studies with respect to their ability to support risk assessment and, consequently, risk management. Conducting expert reviews according to such explicit guidelines would make health risk assessment and subsequent risk management and risk communication processes more readily understood and likely to be accepted by policymakers and the public. It would also make the conclusions reached by reviews more readily acceptable as a basis for future WHO guidelines and other recommendations, and would provide a more rational basis for setting priorities for future research.
Canadian Journal on Aging / La Revue canadienne du vieillissement, 1995
RÉSUMÉLa présente critique du document de Eino M. Heikkinen, intitulé «Modèles épidémiologiques é... more RÉSUMÉLa présente critique du document de Eino M. Heikkinen, intitulé «Modèles épidémiologiques écologiques du vieillissement» appuie l'élargissement du «modèle» épidémiologique afin d'y inclure une perspective «écologique». En plus de remettre en question les définitions de Heikkinen des termes «modèles,» facteurs «intrinsèques et extrinsèques,» l'auteur aborde trois questions théoriques traitées dans le travail de Heikkinen, soit les différences et ressemblances entre le vieillissement et la maladie; la capacité et le handicap fonctionnel; et l'instinct de survie. Finalement, l'auteur soulève la question de la pertinence des modèles d'étude longitudinale pour comprendre les «Complexes causals effectifs» du Dr. Heikkinen.
Canadian family physician Medecin de famille canadien, 2018
Dementia is a neurodegenerative condition affecting many areas of life at the same time. It is of... more Dementia is a neurodegenerative condition affecting many areas of life at the same time. It is often associated with medical and social complexities for those living with the condition and is becoming increasingly widespread as the population ages.[1][1] Dementia care in Canada is characterized by
Background: The Seniors Health Research Transfer Network (SHRTN) Collaborative is a network of ne... more Background: The Seniors Health Research Transfer Network (SHRTN) Collaborative is a network of networks that work together to improve the health and health care of Ontario seniors. The collaborative facilitates knowledge exchange through a library service, knowledge brokers (KBs), local implementation teams, collaborative technology, and, most importantly, Communities of Practice (CoPs) whose members work together to identify innovations, translate evidence, and help implement changes. This project aims to increase our understanding of knowledge-to-action (KTA) processes mobilized through SHRTN CoPs that are working to improve the health of Ontario seniors. For this research, KTA refers to the movement of research and experience-based knowledge between social contexts, and the use of that knowledge to improve practice. We will examine the KTA processes themselves, as well as the role of human agents within those processes. The conceptual framework we have adopted to inform our resea...