Empowering Primary Care Through Evidence

PEER is a primary care led evidence based medicine team focused on providing relevant evidence to family physicians and primary care providers.

The PEER Simplified Lipid Guideline

Updated for 2023! A simplified approach to lipid management for busy family doctors! Practical summary for clinicians. Evidence-based recommendations for lipid management. Useful online decision aid. Easy-to-read patient handout.

CFPCLearn’s primary care focused library includes a variety of content including evidence summaries, videos, podcasts and interactive learning courses to support clinicians in their practice.

PEIP Conference 2023

Another great PEIP conference occurred October 20-21, 2023. 

 We had over 600 attendees, both in-person and online, who enjoyed the mixture of concise, to-the-point presentations which blended humour with serious learning.  We were thrilled to have outstanding speakers who focused on practical, applicable knowledge.  From “Bodies Behaving Badly” to practical sessions on Orthopedics, the diversity and richness of content offered something valuable for all primary care professionals. 

We’re excited to announce that PEIP 2024 is scheduled for October 18-19, 2024. Whether you prefer to join us in person or online, we promise another round of engaging, insightful, and fun sessions.

Most Recent Tools for Practice

Tools for Practice #356 – (A)dressing the Christmas Tree? Therapies for pityriasis rosea.

What therapies improve resolution of pityriasis rosea (Christmas tree rash)?

Pityriasis rosea is self-limiting. Based on limited evidence, oral corticosteroids reduce itch and rash for ~95% of patients while acyclovir is effective in ~70% of patients versus 30-60% on placebo at 1-2 weeks. Macrolides likely ineffective. Little/no evidence for topical corticosteroids or oral antihistamines. Read More

Tools for Practice #355 – Gobbling up the evidence for turkey dinner 🙂

What is the evidence surrounding turkey in a holiday meal?

We could find no reliable evidence around sedation from a holiday meal of turkey.  It is unclear if tryptophan changes sleep at all, but according to flawed research, it would take ~1 pound of turkey to reduce time awake after falling asleep by 1 minute.  Really, at this point, evidence is inadequate to say whether there is enough tryptophan in a turkey to make a turkey tired.
Read More

Tools for Practice TFP #354 – Preventing RSV in the elderly

What is the effectiveness and safety of Respiratory Syncytial Virus (RSV) vaccination in older adults?

For every ~380 medically-stable patients aged ≥60, RSV vaccine prevents 1 RSV-associated lower respiratory tract disease (LRTD) per season over placebo. Study conducted during COVID-19 pandemic, potentially lowering baseline RSV incidence. Fatigue occurs in 34% versus 16% (placebo). General guidance suggests administration based on shared decision-making, particularly those at higher-risk (example long-term care, COPD), but higher-risk largely not studied. Read More

Tools for Practice TFP #353 – Turn Down the Heat! Can non-hormonal drugs improve vasomotor symptoms in menopause?

Do non-hormonal medications improve menopausal vasomotor symptoms?

After 12 weeks, approximately 50-75% of women with menopausal vasomotor symptoms experience ≥50% decrease in hot flashes with selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs) or gabapentin versus 35-60% on placebo. Placebo reduces the number of hot flashes by about 40-50%, with an additional 10-20% reduction from SSRIs, SNRIs, and gabapentin. Read More

Tools for Practice #352 Do-It-Yourself Hearing Aids

Do self-fitted hearing aids improve hearing for adults with mild to moderate-severe hearing loss?

Some, but not all, direct-to-consumer self-fitted hearing aids are likely comparable to conventional hearing aids fitted via audiogram, at a much lower cost. Access and guidance/regulations on direct-to-consumer self-fitted hearing aids is limited in Canada. See suggestions below. Read More

Congratulations to PEER's Tina Korownyk: Alberta Family Physician of the Year

PEER Director, Dr. Tina Korownyk was awarded the 2023 Alberta Family Physician of the year at the annual Family Medicine Forum gala in Montreal, Quebec on November 10. The PEER team joined Tina to celebrate her achievement as a wonderful physician and leader in primary care. Congratulations Tina!

PEER Values

When creating primary care education and programs, the PEER team focuses on minimizing bias, patient orientated outcomes, shared decision making, collaboration and most importantly simplicity.

Who is PEER?

Patients, Experience, Evidence and Research (PEER) was formed between a group of primary care providers who shared a common belief that evidence should be made accessible to all primary care providers. 

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