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Emily McDonald

@dremilymcd.bsky.social
1.5K followers 180 following 82 posts

Associate prof internal medicine @mcgillU Montreal, Canada. Director, Canadian Med Appropriateness and Deprescribing Network. ID trials. Editor at CMI Comms.

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Reposted by Emily McDonald
CADeN | ReCAD @caden-recad.bsky.social · 28/09/2026
We have a problem with overprescribing—what if annual medication reviews became the norm? In @ledevoir.com, our Network Director @dremilymcd.bsky.social discusses the 🇨🇦 guideline on potentially inappropriate prescribing & the importance of regularly reassessing meds. 👉 tinyurl.com/532kvvbb
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Angela Huttner @angelahuttner.bsky.social · 07/09/2026
This one just makes me smile Henning recites Danish poetry 🫶 We learn POET 1 started with a case series, n=12 (every piece of evidence matters!) The two guests are so humble, thoughtful and curious Have a bit of host-envy, @gurujosh.bsky.social & @dremilymcd.bsky.social!! #IDSky #MedSky
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CADeN | ReCAD @caden-recad.bsky.social · 20/08/2026
🗞️ Hot off the press! Check out our Aug newsletter for updates on: • the '26–'27 Student Funding Program, • our Meds & Heat resource, • the next Int’l Deprescribing Journal Club, • prescribing practices in acute care, • a new research protocol on PIMs in adults <65. 🔗 tinyurl.com/s2yfxmba
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CADeN | ReCAD @caden-recad.bsky.social · 23/07/2026
@jmirpub.bsky.social @uressien.bsky.social @lisakouladjian.bsky.social @lisamccarthy.bsky.social @frankmoriarty.bsky.social @jeromenguyens.bsky.social @mikesteinman.bsky.social @dremilymcd.bsky.social
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CADeN | ReCAD @caden-recad.bsky.social · 22/07/2026
Clinicians have tools to identify potentially inappropriate medications (PIMs) in older adults—but what about adults under 65? A new protocol led by our researchers outlines an international modified Delphi study to build expert consensus on PIMs for adults aged 18–65 years. 🔗 tinyurl.com/kpyyverh
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CADeN | ReCAD @caden-recad.bsky.social · 29/06/2026
A new @aamc.org article on polypharmacy & deprescribing featuring our Director @dremilymcd.bsky.social & USDeN co-lead @mikesteinman.bsky.social! It highlights Canada’s leadership in this field & our deprescribing curricular framework as a key resource for physician education: tinyurl.com/39cjmwez
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CADeN | ReCAD @caden-recad.bsky.social · 25/06/2026
👏 Last week, Robin Guyer and Dr. Emily McDonald presented the work of our Indigenization Working Group at the RI-MUHC’s Beyond the Paper Knowledge Mobilization Grant event. As recipients of the grant, they spoke about CADeN's co-creation of medication safety tools aligned with Indigenous priorities.
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Pierre McCabe @pierremccabemd.bsky.social · 19/06/2026
Une avancée importante dans le traitement d’une infection commune et qui peut être mortelle. Bravo à Dr Lee et toute l’équipe de recherche @dremilymcd.bsky.social www.lapresse.ca/actualites/s...
lapresse.ca
Étude | Changement majeur dans le traitement du staphylococcus aureus
La molécule la plus couramment utilisée pour traiter les infections sanguines causées par Staphylococcus aureus n’est pas le meilleur choix et on dispose d’au moins deux autres alternatives tout aussi...
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Reposted by Emily McDonald
Gabriele Pollara @gpollara.bsky.social · 15/06/2026
The 99% probability strapline is very well done .👏
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CMI Communications @cmicomms.bsky.social · 11/06/2026
📣 New #Communicable drops Monday, 15 June! Join hosts Josh Davis & Emily McDonald with guests Roger Lewis & Ian Marschner as they demystify Bayesian and frequentist statistical approaches in clinical trials, exploring key differences, common misconceptions, and surprising similarities. 🎙️ #IDSky
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Ilan Schwartz @germhuntermd.bsky.social · 11/06/2026
Duration of antibiotic therapy for bacteremia in immune compromised hosts—a post hoc subgroup analysis of the BALANCE randomized clinical trial No dif in 90d mort b/w 7 & 14 d of Abx for IC hosts in posthoc analysis of BALANCE www.clinicalmicrobiologyandinfection.org/article/S119... #TxID #IDSky
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McGill Media Relations @mcgillumedia.bsky.social · 03/06/2026
To address the growing problem of overprescribing for seniors, a new Canadian guideline is calling for routine medication reviews. 💊 Study co-led by @mcgilluniversity.bsky.social researcher Dr. Emily McDonald ➡️
mcgill.ca
To curb overprescribing for seniors, researchers urge annual prescription checkups
To address the growing problem of overprescribing for seniors, a new Canadian guideline is calling for routine medication reviews. In Canada, roughly two in three adults age 65 or older take five or m...
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Reposted by Emily McDonald
CMI Communications @cmicomms.bsky.social · 27/04/2026
📣Never underestimate #TB. Your patient in a high-income country that you diagnosed with ulcerative colitis may have it instead. These authors describe a case of #GI #tuberculosis in our #Debunkingdogma series led by @dremilymcd.bsky.social #IDSky #GISky #clinmicro www.cmi-comms.org/article/S295...
cmi-comms.org
When assumptions lead astray: a diagnostic challenge in inflammatory bowel disease
Global tuberculosis incidence map highlighting endemic regions in 2025 (adapted from WHO data).
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Reposted by Emily McDonald
Tom Yates @tomayates.bsky.social · 17/04/2026
Glad to see @dremilymcd.bsky.social raising awareness of Immortal Time Bias at #ESCMIDGlobal2026 It's important and REALLY COMMON! Here is a link to our paper on ITB in observational studies estimating the survival 'benefits' of IVIG in streptococcal toxic shock syndrome
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Quantifying Potential Immortal Time Bias in Observational Studies in Acute Severe Infection
Immortal time bias is a spurious or exaggerated protective association that commonly arises in naive analyses of observational data. It occurs when people receive the intervention because they survive...
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Reposted by Emily McDonald
deprescribing.org @deprescribing.bsky.social · 14/04/2026
📢 The International Conference on Deprescribing (ICOD) 2026 is fast approaching! Happening in Montreal Canada 🇨🇦 from April 27-29, 2026, @deprescribing.bsky.social is excited to connect with you there! For registered attendees, be sure to review the Conference Agenda located here: buff.ly/s6EEP3j
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Reposted by Emily McDonald
CADeN | ReCAD @caden-recad.bsky.social · 30/03/2026
📣 Spotlight on a plenary at International Conference on Deprescribing (ICOD) 2026! Marking 10 years of CADeN, past and present leaders will reflect on its evolution, from deprescribing to broader appropriate use of medications, and CADeN's future priorities. 🔗 www.deprescribingnetwork.ca/icod2026
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CADeN | ReCAD @caden-recad.bsky.social · 17/03/2026
🇨🇦 New national guidelines developed by CADeN to screen for potentially inappropriate prescriptions. Guidelines recommend: 1. regular med reviews for older adults taking any number of meds, and 2. government funding to encourage & support this process in primary care. 🔗 www.cfp.ca/content/72/3...
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Emily McDonald @dremilymcd.bsky.social · 06/03/2026
@caden-recad.bsky.social congratulations team! This grant will support our new tool to address safety of sedative hypnotics to better meet the needs of Indigenous peoples in Canada
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Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 27/02/2026
Dr Spellberg commented on X is spot on here "Agree. The K-M curve is striking and makes me wonder sincerely, would fidaxo actually have been superior in its original RCT if the follow up had been longer. Are we spending all that money for a short term benefit that evaporates over time?"
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Jonathan Ryder, MD @jonathanrydermd.bsky.social · 27/02/2026
Congrats to @drtoddlee.bsky.social & @dremilymcd.bsky.social on conducting this and getting it out there for us. Look forward to wading through the details soon!
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Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 27/02/2026
🔥Just published 🔥 TAPER-V RCT In this RCT of 256, a 4-week vancomycin pulse and taper regimen *had a probability of 74% to be superior to a standard 2-week pulse regimen in patients a first episode or first recurrence of CDI Vanco for 10d is obsolete! #IDSky #EMIMCC jamanetwork.com/journals/jam...
jamanetwork.com
Initial Vancomycin Taper for the Prevention of Recurrent C difficile Infection
This randomized clinical trial tested whether a 4-week pulse and taper vancomycin regimen was superior to a 2-week pulse regimen for preventing recurrence among patients with a first episode or first ...
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L'Institut de recherche du CUSM / Research Institute of the MUHC @rimuhc.bsky.social · 20/02/2026
💰 Researchers at The Institute have secured $15.4M through the CIHR Fall 2025 Project Grants Competition to lead 14 new projects advancing human health. @cusm-muhc.bsky.social @healthsciences.mcgill.ca @sante.quebec 🔗 rimuhc.ca/en/-/fall-20...
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Angela Huttner @angelahuttner.bsky.social · 01/02/2026
CMI Comms will do better teasing next #Communicable episode, but can't help but put this out there now (just listened): V Lemiale & E Azoulay on their #steroids for #PCP RCT, then @dremilymcd.bsky.social on her Bayesian re-analysis of their data. Such a cool discussion. Hosted by Nav & Josh. #IDSky
Screenshot of Emily McDonald, Virginie Lemiale, Josh Nosanchuk, Nav Narayanan, and Elie Azoulay discussing the Lemiale trial on steroids for PCP in non-HIV patients and how to interpret its results.
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JAMA @jama.com · 01/02/2026
Among older adults receiving care in an academic health system, behavioral science–informed electronic health record interventions increased deprescribing or tapering of potentially inappropriate medications compared with usual care. ja.ma/4a4IGCT
Infographic from JAMA. It presents a study about electronic health record interventions for deprescribing medications to older adults. Population: 799 women, 347 men, mean age 73.6 years. Findings: Precommitment intervention 36.8%, Boostering intervention 34.3%, Usual care 26.8%.
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Emily McDonald @dremilymcd.bsky.social · 24/01/2026
This was a fun episode to record! Hope everyone enjoys :)
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Reposted by Emily McDonald
Steven Tong @steventong.bsky.social · 12/01/2026
Pretty cool that Robin Patel picks Ouli Xie's @lancetmicrobe.bsky.social paper on SDSE and S pyogenes as one of her top 3 clinical microbiology papers for 2025! As expected, Robin does a great job explaining the paper. www.thelancet.com/journals/lan... @onisillos.bsky.social
thelancet.com
Invasive Streptococcus dysgalactiae subspecies equisimilis compared with Streptococcus pyogenes in Australia, 2011–23, and the emergence of a multi-continent stG62647 lineage: a retrospective clinical...
We identified a substantial burden of invasive SDSE, dominated by the emergent stG62647 lineage. The contrasting epidemiology between species in the different Australian regions, during COVID-19 NPIs,...
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CMI Communications @cmicomms.bsky.social · 20/01/2026
📣 A peer reviewer used #AI to create a fake review with 6 self-citation prompts. But is s/he the only perpetrator in our system? In the year's first editorial, Angela Huttner explores the depths of the academic-industrial complex. #IDSky #clinmicro #peerreview ow.ly/juoW50Y05t6
ow.ly
The beating heart of a broken machine
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CMI Communications @cmicomms.bsky.social · 08/01/2026
📣 Are steroids likely to reduce mortality in non-HIV patients with severe PCP? @drtoddlee.bsky.social, @dremilymcd.bsky.social et al. reexamine the Lemiale RCT with a Bayesian lens to find out. #IDSky #clinmicro #PCP #immunosky #medsky www.cmi-comms.org/article/S295...
cmi-comms.org
Contextualizing the use of corticosteroids in severe Pneumocystis jirovecii pneumonia through a Bayesian lens
A recent multicenter randomized clinical trial (RCT) of steroids for severe Pneumocystis jirovecii pneumonia (PCP) in patients without HIV failed to demonstrate a significant benefit in its primary ou...
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Emily McDonald @dremilymcd.bsky.social · 07/05/2025
Get ready for the next International Conference on Deprescribing! #ICOD2026 in Montreal, Canada April 27-29, 2026!!
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CADeN | ReCAD @caden-recad.bsky.social · 03/11/2025
Register to the next Int'l Deprescribing Journal Club on Nov 27! Hear practical lessons & analyses from the SPPiRE trial, a cluster RCT assessing the effectiveness of a deprescribing intervention in older patients with high levels of polypharmacy in Irish primary care. 👉 tinyurl.com/39seezfu
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Global Antibiotic R&D Partnership (GARDP) @gardp.bsky.social · 20/10/2025
📢 Exciting news! Selected articles from our Antimicrobial Viewpoints series will now be co-published in CMI Communications, @escmid.bsky.social's open-access journal. This collaboration will expand the reach and amplify the impact of these articles within the antimicrobial R&D community.
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CADeN | ReCAD @caden-recad.bsky.social · 15/10/2025
Attend our upcoming webinar to learn how taking several meds can affect our health and wellbeing, and how you can reduce your risk of experiencing med-related harms by asking five simple questions. 🔗 Register and share this event with your network! us02web.zoom.us/webinar/regi...
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Emily McDonald @dremilymcd.bsky.social · 14/10/2025
Welcome to our newest members!!
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CADeN | ReCAD @caden-recad.bsky.social · 07/10/2025
Submissions close next week, October 15th! Don’t miss your chance to showcase your work on an international stage at ICOD 2026. Submit your abstracts here: events.decorporate.ca/ICOD2026/abs... Conference info and submission guidelines available here: www.deprescribingnetwork.ca/icod2026
events.decorporate.ca
Abstract Manager | Login
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Emily McDonald @dremilymcd.bsky.social · 05/10/2025
See you there!!
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Reposted by Emily McDonald
CADeN | ReCAD @caden-recad.bsky.social · 02/10/2025
🎉 Registration is now open for ICOD 2026! Secure your spot to this unique event, an opportunity to connect with the international deprescribing community, showcase your work and learn from leaders in the field. Early bird available until Jan 31st 2026: events.myconferencesuite.com/ICOD2026/reg...
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CMI Communications @cmicomms.bsky.social · 16/09/2025
The 2nd #Communicable & #Breakpoints collaboration drops on 19 Sept! Hosts @angelahuttner.bsky.social & @erinmccreary.bsky.social invite BALANCE trial leads Nick Daneman & Robert Fowler to discuss everything from the trial's humble start to its meteoric impact in clinical practice. #IDSky #clinmicro
Screenshot of Communicable & Breakpoints hosts Erin McCreary & Angela Huttner with guests Rob Fowler and Nick Daneman.
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CMI Communications @cmicomms.bsky.social · 05/02/2025
📣 Medical editors call for #action against the decisions being taken in the #USA undermining #medicine and #science, and international #coordination to preserve what has been built across borders. #IDSky #Clinmicro #MedSky #Episky #publichealth #vaccines www.cmi-comms.com/article/S295...
cmi-comms.com
From medical editors: A call to the global infectious diseases and clinical microbiology community
Each time a man stands up for an ideal, or acts to improve the lot of others, or strikes out against injustice, he sends forth a tiny ripple of hope.Robert F. Kennedy, Senior
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CMI Communications @cmicomms.bsky.social · 11/09/2025
Very excited to be holding our editors’ meeting in Rome. Best editors ever. @dremilymcd.bsky.social @erinmccreary.bsky.social @anniejoseph.bsky.social @marcbonten.bsky.social @gurujosh.bsky.social @josh-nosanchuk.bsky.social
CMI Comms editors at their Rome meetingCMI Comms editors at their Rome meetingAnnie Joseph and Emily McDonald at CMI Comms editors’ meetingCMI Comms editors hard at work 😊
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Emily McDonald @dremilymcd.bsky.social · 31/07/2025
Want to be an editorial fellow with us at CMI Comms? See below!
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CMI Communications @cmicomms.bsky.social · 27/07/2025
🎙️ Just published a new #Communicable episode: Communicable E32: Fluoroquinolones - to heal ... Hosted by Emily McDonald @dremilymcd.bsky.social‬ Thomas Tängdén with invited guests: Staffan Tevell (Karlstad, Sweden) Bernadette Young (Oxford, UK) Listen here: #IDSky #Clinmicro #MedSky
share.transistor.fm
Communicable E32: Fluoroquinolones - to heal or harm?
Fluoroquinolones (FQs) are valuable given their broad-spectrum activity...
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CMI Communications @cmicomms.bsky.social · 24/07/2025
📣 Next #Communicable drops Mon 28 July! @dremilymcd.bsky.social & Thomas host Staffan Tevell (SWE) & Bernadette Young (UK) to debate #fluoroquinolones for periprosthetic joint infections #PJIs: to heal or harm? 🎙️ A follow-up on their review: www.cmi-comms.org/article/S295... #IDSky #clinmicro
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Emily McDonald @dremilymcd.bsky.social · 12/07/2025
Development of machine learning prediction models for systemic inflammatory response in adults using wearable biosensors in: a prospective controlled trial - The Lancet Digital Health www.thelancet.com/journals/lan...
thelancet.com
Development of machine learning prediction models for systemic inflammatory response following controlled exposure to a live attenuated influenza vaccine in healthy adults using multimodal wearable bi...
Systemic inflammatory biomarkers coupled with physiological data from wearable biosensors provided rich and objective data from which to train machine learning algorithms to predict systemic inflammat...
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Reposted by Emily McDonald
CADeN | ReCAD @caden-recad.bsky.social · 07/07/2025
Findings from a new SR&MA (N=118 studies): Interventions to reduce potentially inappropriate prescriptions significantly reduce the number of medications without increasing risk of harm. Hospitalizations and mortality were slightly reduced, though not significantly. jamanetwork.com/journals/jam...
jamanetwork.com
Addressing Potentially Inappropriate Prescribing for Older Primary Care Patients
This systematic review and meta-analysis evaluates the association between interventions to reduce potentially inappropriate prescribing for older primary care patients and changes in the number of me...
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CMI Communications @cmicomms.bsky.social · 29/06/2025
🎙️ Just published a new #Communicable episode: Communicab... Hosted by Emily McDonald @dremilymcd.bsky.social Marc Bonten @marcbonten.bsky.social with invited guests: Lorenzo Pezzoli & Nicolò Binello (WHO) Jacob Bodilsen (Aalborg University) Listen here: #IDSky #Clinmicro #MedSky
share.transistor.fm
Communicable E30: WHO's first-ever guideline on meningitis
Meningitis remains a major global health threat, with an estimated 2.5...
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CADeN | ReCAD @caden-recad.bsky.social · 25/06/2025
A CADeN-led pilot study has secured funding through the @rimuhc.bsky.social’s 2025 Sustaining Excellence Grants Program!‬‬‬‬ @dremilymcd.bsky.social & team look forward to rolling out the study to compare ed. brochures vs postcards as low-cost, direct-to-patient strategies to reduce sedative use!
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CMI Communications @cmicomms.bsky.social · 26/06/2025
📣Next #Communicable drops Mon 30 Jun! @dremilymcd.bsky.social & @marcbonten.bsky.social host Lorenzo Pezzoli & Nicolò Binello (WHO) and Jacob Bodilsen (Aalborg Uni) to review key recommendations of WHO's new guideline on #meningitis & how it suits various clinical settings #IDSky #clinmicro #MedSky
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CMI Communications @cmicomms.bsky.social · 18/06/2025
📣 Concise 'approach-to' review of #Cdiff infection by @lcordes.bsky.social @connorprosty.bsky.social @drtoddlee.bsky.social @dremilymcd.bsky.social w/ diagnostic algorithm & recommendations for first episodes vs relapses www.cmi-comms.com/article/S295... #IDSky #clinmicro #MedSky #AMR #HAI
cmi-comms.com
Approach to Clostridioides difficile diarrheal infection
Clostridioides difficile infection (CDI) is a major cause of healthcare-associated diarrhea, with significant morbidity and mortality. CDI predominantly affects adults, with community-acquired cases o...
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Emily McDonald @dremilymcd.bsky.social · 10/06/2025
A typical clonazepam sleeping pill travels 16300 km to arrive in Canada for use. ✈️ 🌏 And it doesn’t even work that well. 😬😫 #deprescribing for planetary health. It’s a thing.
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CADeN | ReCAD @caden-recad.bsky.social · 06/06/2025
Findings from a new study by @dremilymcd.bsky.social et al.: New Brunswick LTC residents were more likely to be deprescribed a potentially inappropriate med. when quarterly med. reviews were paired with MedSafer tool (adjusted odds ratio : 1.58). Full study here: jamanetwork.com/journals/jam...
jamanetwork.com
Deprescribing Electronic Decision Support for Adults Living in Long-Term Care
This stepped-wedge cluster randomized trial of long-term care home residents assesses the efficacy of an evidence-based electronic decision support tool for deprescribing potentially inappropriate med...
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