Therapeutics Initiative

03/31/2026

🆕 UBC TI Therapeutics Letter 161 🆕

Appropriate hemoglobin A1c testing frequency to monitor patients with

https://www.ti.ubc.ca/2026/03/31/161-appropriate-hemoglobin-a1c-testing-frequency-to-monitor-patients-with-type-2-diabetes/

"For patients with stable type 2 diabetes meeting glycemic goals, monitoring HbA1c every 6 months is as effective as every 3 months and could be contemplated for many patients following a discussion of patient goals and preferences"



Rural Resident Doctors BC - Resources Nurses and Nurse Practitioners of BC BC Family Doctors Canadian Medical Association Alberta Diabetes Foundation

03/27/2026

🚨ICYMI: CLINICAL PEARLS 👩‍🏫

👉 3 Pearls for from the TI's Dr. Jessica Otte

03/25/2026

UBC TI Webinar

Appropriate HbA1c testing frequency to monitor patients with

⏰ Weds 8 April @ Noon PDT
Speaker: The TI's Dr. Wade Thompson

✅ Practical tips on optimal frequency of A1c testing

BC family physicians + NPs:

Learn to optimize ordering of these tests by using your personal TI Prescribing Portrait on this topic to reflect on how your prescribing of these meds compares with latest evidence-based recommendations

REGISTER: https://www.ti.ubc.ca/2026/03/24/appropriate-hba1c-testing-frequency/

03/25/2026

🆕 UBC TI Best Evidence Webinar 🆕

Dr. David Juurlink: Treating is harder than it looks 🤕
⏰ Weds 22 April @ 11:45 PDT

✅ Why the goal of treating pain is not simply pain relief
✅ The many hidden harms of analgesics
✅ Myths about common

REGISTER: https://www.ti.ubc.ca/2026/03/24/treating-pain-is-harder-than-it-looks/



BC Family Doctors Rural Resident Doctors BC - Resources Nurses and Nurse Practitioners of BC Faculty of Medicine at the University of British Columbia RxISK.org (Data Based Medicine) Vancouver Coastal Health Island Health

03/25/2026

ICYMI: TI webinar recording
https://youtu.be/vXhWbRXvGpM

Dr. Davie Wong: Antimicrobial durations in practice - a product of magical thinking in medicine

✅ How we choose durations
✅ Recognize limitations of how we select durations
✅ Determining optimal duration

BC Family Doctors Faculty of Medicine at the University of British Columbia Nurses and Nurse Practitioners of BC Rural Resident Doctors BC - Resources RxISK.org (Data Based Medicine)

TI Best Evidence Webinar: Antimicrobial durations in practice - a product of magical thinking in medicine. Presented by Dr. Davie Wong on 31 October 2025.

03/25/2026

‼️We need to talk about 💊

ICYMI: Our webinar recording featuring the TI's Dr. Jessica Otte

Practical info for clinicians considering tramadol for pain: https://www.ti.ubc.ca/2021/01/27/dr-jessica-otte-we-need-to-talk-about-tramadol/

👉More here: https://www.ti.ubc.ca/2021/07/14/131-tramadol/

03/24/2026

💊 ICYMI - How well do you know your dopamine antagonists?

TI Letter https://www.ti.ubc.ca/2022/11/29/139-how-well-do-you-know-your-dopamine-antagonists/
Patient videos https://youtu.be/nrM8Az7RHKU

⚠️ Patients briefly explain why prescribers, pharmacists, pts, carers need to recognize early occurrence of adverse effects

Video 1 of 7: Drug-induced Parkinsonism from quetiapine. This 85 year old woman was hospitalized briefly for suspected overuse of alcohol or withdrawal, whil...

03/18/2026

(New publication) Student pharmacists & the pharmaceutical industry

Canadian Student Pharmacists’ Perceptions of Pharmaceutical Industry Interactions
https://www.sciencedirect.com/science/article/pii/S0002945926008284

"Canadian student pharmacists report frequent interactions with the pharmaceutical industry and limited awareness of associated impacts on future professional behavior. These findings highlight the need for more robust, curriculum-based education on COI and industry influence to promote critical reflection and professional integrity."

03/13/2026

🆕UBC TI Therapeutics Letter 160 🆕

Surge in doses of proton pump inhibitors: a sleight of handedness?
https://www.ti.ubc.ca/2026/03/12/160-surge-in-doses-of-proton-pump-inhibitors-a-sleight-of-handedness/

⚠️PPIs should not be prescribed at high doses over many years until better long-term evidence of safety is available

💰Prescribing omeprazole or lansoprazole rather than single-enantiomers would potentially save over 21 million dollars per year in British Columbia

03/13/2026

🆕 UBC TI publication:

Nearly 30% of older adults with type 2 in BC may be over-treated, despite already having A1C ≤7% 😮 ⚠️
https://bmjopen.bmj.com/content/16/3/e106707



Rural Resident Doctors BC - Resources Faculty of Medicine at the University of British Columbia Nurses and Nurse Practitioners of BC Vancouver Coastal Health BC Family Doctors

03/11/2026

🆕 UBC TI :

Comparative Analysis of the Efficacy & Safety of Various Single Enantiomer & Racemic Mixture Pairs

👉 https://www.ti.ubc.ca/2025/11/13/comparative-analysis-of-the-efficacy-and-safety-of-various-single-enantiomer-and-racemic-mixture-pairs/

"Preferential prescribing of dexlansoprazole, escitalopram, and esomeprazole in BC is not supported by robust head-to-head evidence demonstrating clinically meaningful superiority.

Observed differences are modest, fragile, and methodologically limited, while cost differentials are substantial. Current utilization trends do not consistently align with the best available evidence and represent an opportunity for more cost-effective, evidence-based prescribing."

13 Nov 2025 Comparative Analysis of the Efficacy and Safety of Various Single Enantiomer and Racemic Mixture Pairs Download Share Posted at 08:01h in Drug Assessments by Ciprian Jauca 0 Comments Share This is a systematic review conducted by the Drug Assessment Working Group of the Therapeutics Init...

03/10/2026

ICYMI: TI webinar recording! 🚨

and other disability diagnoses: the seven sins of clinicians https://www.youtube.com/watch?v=P0OfoVcaCjk

Speaker: Dr. Allyson Harrison

ADHD and other disability diagnoses: the seven sins of clinicians. Presented by Dr. Allyson Harrison on 14 January 2026