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DiscussionCommentary

The environmental elephant in the office: medications

Emma McDermott, Roland Halil, W. Scott Nash, Rebecca J. Douglass, Anthony Train, Elizaveta Zvereva, Sujane Kandasamy, Danish Zahid and Myles Sergeant
Canadian Family Physician April 2025; 71 (4) 233-237; DOI: https://doi.org/10.46747/cfp.7104233
Emma McDermott
Second-year resident in Public Health and Preventative Medicine with Integrated Family Medicine at McMaster University in Hamilton, Ont.
MD MGA
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Roland Halil
Clinical pharmacist with the Bruyère Academic Family Health Team and Associate Professor in the Department of Family Medicine with a cross appointment in the School of Pharmaceutical Sciences at the University of Ottawa in Ontario.
PharmD ACPR PharmBSc(Hon)
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W. Scott Nash
Family physician with the Hamilton Family Health Team in Dundas, Ont, and Assistant Clinical Professor in the Department of Family Medicine at McMaster University.
MD CCFP(COE) FCFP
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Rebecca J. Douglass
Family physician in Hamilton and Adjunct Assistant Clinical Professor in the Department of Family Medicine at McMaster University.
MD CCFP
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Anthony Train
Family physician and Assistant Professor in the Department of Family Medicine at Queen’s University in Kingston, Ont.
MBChB MSc CCFP
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Elizaveta Zvereva
Project coordinator and research assistant for the Green Initiative at the Hamilton Family Health Team.
BASc MSc
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Sujane Kandasamy
Postdoctoral research fellow at McMaster University and a research assistant for the Green Initiative at the Hamilton Family Health Team.
MSc PhD
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Danish Zahid
Medical student at McMaster University.
BSc
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Myles Sergeant
Family physician in Hamilton, Ont, Assistant Clinical Professor in the Department of Family Medicine in the Faculty of Health Sciences at McMaster University, Executive Director of the Canadian Coalition for Green Health Care, and co-lead of PEACH Health Ontario.
PEng MD FCFP
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  • For correspondence: sergeam@mcmaster.ca
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    Figure 1.

    Alignment of CanMEDS roles with sustainable prescribing

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    Figure 2.

    Low-carbon health care concepts: Pharmaceuticals (48%) and MDI use (13%) comprise a total of 61% of GHG emissions in primary care.

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    Figure 3.

    Options for the sustainable prescriber guide

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Canadian Family Physician: 71 (4)
Canadian Family Physician
Vol. 71, Issue 4
1 Apr 2025
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The environmental elephant in the office: medications
Emma McDermott, Roland Halil, W. Scott Nash, Rebecca J. Douglass, Anthony Train, Elizaveta Zvereva, Sujane Kandasamy, Danish Zahid, Myles Sergeant
Canadian Family Physician Apr 2025, 71 (4) 233-237; DOI: 10.46747/cfp.7104233

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The environmental elephant in the office: medications
Emma McDermott, Roland Halil, W. Scott Nash, Rebecca J. Douglass, Anthony Train, Elizaveta Zvereva, Sujane Kandasamy, Danish Zahid, Myles Sergeant
Canadian Family Physician Apr 2025, 71 (4) 233-237; DOI: 10.46747/cfp.7104233
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  • Article
    • Medication optimization
    • Prescribed legacy medications: specific class examples
    • Over-the-counter medications
    • Solutions in the office: practising good medicine in sustainable medicine
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  • Equipping family physicians to thrive
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