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    11441 results match your criteria Canadian Family Physician[Journal]

    1 OF 229

    Processes that influence the evolution of family health teams.
    Can Fam Physician 2018 Jun;64(6):e283-e289
    Assistant Professor in the Centre for Studies in Family Medicine in the Department of Family Medicine and the Department of Epidemiology and Biostatistics at the Schulich School of Medicine and Dentistry at Western University.
    Objective: To identify the processes that influence the evolution of family health teams (FHTs).

    Design: Qualitative study using grounded theory methodology.

    Setting: Family health teams in Ontario. Read More

    Geographic variation in FP and GP scope of practice in Ontario: Comparative provincial study.
    Can Fam Physician 2018 Jun;64(6):e274-e282
    Former research assistant at the Centre for Rural and Northern Health Research at Laurentian University.
    Objective: To describe and compare the scope of practice (SoP) of GPs and FPs between the rural northern, rural southern, urban northern, and urban southern regions of Ontario.

    Design: Cross-sectional retrospective analysis of the 2013 College of Physicians and Surgeons of Ontario official register and annual membership renewal survey data.

    Setting: Ontario. Read More

    Can Fam Physician 2018 Jun;64(6):e265-e271
    Professeur de pédiatrie et de médecine à la division de gastro-entérologie et nutrition du département de pédiatrie à l'Université Dalhousie à Halifax, en Nouvelle-Écosse, Siègent au Conseil consultatif professionnel de l'Association canadienne de la maladie cœliaque.

    Evolution and 15-year effect of a pan-Canadian training program: Transdisciplinary Understanding and Training on Research-Primary Health Care.
    Can Fam Physician 2018 Jun;64(6):475-476
    Distinguished University Professor in the CSFM in the Department of Family Medicine and in the Department of Epidemiology and Biostatistics at the Schulich School of Medicine and Dentistry at Western University.

    Needs of the many: Northern Ontario School of Medicine students' experience of generalism and rural practice.
    Can Fam Physician 2018 Jun;64(6):449-455
    Associate Professor in the English Department and Faculty Investigator for the Centre for Rural and Northern Health Research at Laurentian University in Sudbury.
    Objective: To explore the Northern Ontario School of Medicine (NOSM) student and graduate experience of generalism in rural practice, in the context of a growing discourse on generalism.

    Design: Qualitative analysis.

    Setting: Northern Ontario School of Medicine in multiple sites across northern Ontario, which is the NOSM campus. Read More

    Management of bone health in patients with celiac disease: Practical guide for clinicians.
    Can Fam Physician 2018 Jun;64(6):433-438
    Professor of Pediatrics and Medicine in the Division of Gastroenterology and Nutrition in the Department of Pediatrics at Dalhousie University in Halifax, NS, Member of the Professional Advisory Council for the Canadian Celiac Association.
    Objective: To describe clinical issues related to bone health in patients with celiac disease (CD) and to provide guidance on monitoring bone health in these patients.

    Sources Of Information: A PubMed search was conducted to review literature relevant to CD and bone health, including guidelines published by professional gastroenterological organizations.

    Main Message: Bone health can be negatively affected in both adults and children with CD owing to the inflammatory process and malabsorption of calcium and vitamin D. Read More

    Breast reconstruction: Updated overview for primary care physicians.
    Can Fam Physician 2018 Jun;64(6):424-432
    Associate Professor in the Division of Plastic and Reconstructive Surgery at the University of Toronto.
    Objective: To offer primary care providers a comprehensive summary of breast reconstruction options and complications.

    Quality Of Evidence: A literature search was conducted in PubMed with no time restriction using the search terms and Levels of evidence range from I to III.

    Main Message: As breast cancer survival rates increase, the focus of breast cancer management must shift to include the restoration of a patient's quality of life after cancer. Read More

    What influences success in family medicine maternity care education programs? Qualitative exploration.
    Can Fam Physician 2018 May;64(5):e242-e248
    Associate Professor in the Department of Family and Community Medicine at the University of Toronto and Family Physician-in-Chief at the Sinai Health System.
    Objective: To ascertain how program leaders in family medicine characterize success in family medicine maternity care education and determine which factors influence the success of training programs.

    Design: Qualitative research using semistructured telephone interviews.

    Setting: Purposive sample of 6 family medicine programs from 5 Canadian provinces. Read More

    Physical activity assessment and counseling in Quebec family medicine groups.
    Can Fam Physician 2018 May;64(5):e234-e241
    Researcher in the Centre de recherche du CHUS, an endocrinologist in the CIUSSS de l'Estrie-CHUS, and Professor in the Department of Medicine in the Division of Endocrinology at the University of Sherbrooke.
    Objective: To determine how often primary health care providers (PHCPs) in family medicine groups (FMGs) assess physical activity (PA) levels, provide PA counseling (PAC), and refer patients to exercise professionals; to describe patients' PA levels, physical fitness, and satisfaction regarding their PA management in FMGs; to describe available PA materials in FMGs and PHCPs' PAC self-efficacy and PA knowledge; and to identify characteristics of patients and PHCPs that determine the assessment of PA and PAC provided by PHCPs.

    Design: Cross-sectional study using questionnaires and a medical chart audit.

    Setting: Ten FMGs within the Integrated University Health Network of the Centre hospitalier universitaire de Sherbrooke in Quebec. Read More

    Can Fam Physician 2018 May;64(5):e209-e224
    Professeure adjointe au département de médecine familiale de l'Université d'Ottawa, professeure adjointe auxiliaire à l'École de pharmacie de l'Université de Waterloo en Ontario et scientifique à l'Institut de recherche Bruyère.

    Older patient engagement in advance care planning in Canadian primary care practices: Results of a multisite survey.
    Can Fam Physician 2018 May;64(5):371-377
    Professor in the Department of Critical Care Medicine and the Department of Public Health Sciences at Queen's University in Kingston, Ont, and Director of the Clinical Evaluation Research Unit at Kingston General Hospital.
    Objective: To assess primary care patients' engagement in advance care planning (ACP) and predictors of engagement.

    Design: Cross-sectional survey using a revised version of a validated questionnaire.

    Setting: Alberta, Ontario, and British Columbia. Read More

    Learning narrative-based medicine skills: Narrative-based medicine 3.
    Can Fam Physician 2018 May;64(5):352-356
    GP, a medical educator, and Senior Medical Advisor, Education Progression with the Royal Australian College of General Practitioners in Melbourne.
    Objective: To raise awareness of narrative-based medicine (NBM) as a valuable approach to the consultation, which, if practised more widely by GPs, would convey considerable benefits to both patient and doctor.

    Sources Of Information: While this article draws on the perspectives of 2 of NBM's key proponents, Rita Charon and John Launer, it also presents the author's perspective on the usefulness of the arts.

    Main Message: This article presents some practical ways in which GPs can start using the skills of NBM and methods for developing those skills further. Read More

    Deprescribing benzodiazepine receptor agonists: Evidence-based clinical practice guideline.
    Can Fam Physician 2018 May;64(5):339-351
    Assistant Professor in the Department of Family Medicine at the University of Ottawa, Adjunct Assistant Professor in the School of Pharmacy at the University of Waterloo in Ontario, and Scientist at the Bruyère Research Institute.
    Objective: To develop an evidence-based guideline to help clinicians make decisions about when and how to safely taper and stop benzodiazepine receptor agonists (BZRAs); to focus on the highest level of evidence available and seek input from primary care professionals in the guideline development, review, and endorsement processes.

    Methods: The overall team comprised 8 clinicians (1 family physician, 2 psychiatrists, 1 clinical psychologist, 1 clinical pharmacologist, 2 clinical pharmacists, and 1 geriatrician) and a methodologist; members disclosed conflicts of interest. For guideline development, a systematic process was used, including the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach. Read More

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