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https://www.readbyqxmd.com/read/29905144/mentoring-needs-of-distributed-medical-education-faculty-at-a-canadian-medical-school-a-mixed-methods-descriptive-study
#1
Rohin J Krishnan, Lavanya Uruthiramoorthy, Noor Jawaid, Margaret Steele, Douglas L Jones
INTRODUCTION: The Schulich School of Medicine & Dentistry in London, Ontario, has a mentorship program for all full-time faculty. The school would like to expand its outreach to physician faculty located in distributed medical education sites. The purpose of this study was to determine what, if any, mentorship distributed physician faculty currently have, to gauge their interest in expanding the mentorship program to distributed physician faculty and to determine their vision of the most appropriate design of a mentorship program that would address their needs...
2018: Canadian Journal of Rural Medicine
https://www.readbyqxmd.com/read/29898929/caring-for-older-patients-in-primary-care-wisdom-and-innovation-from-canadian-family-physicians
#2
Christopher C Frank, Sid Feldman, Roy Wyman
No abstract text is available yet for this article.
June 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29888689/describing-ccfp-em-programs-in-canada-a-national-survey-of-program-directors
#3
Avik Nath, Krishan Yadav, Jeffrey J Perry
CLINICIAN'S CAPSULE What is known about the topic? Little has been published on the structure and curricula of the Canadian College of Family Physicians Emergency Medicine [CCFP(EM)] programs across Canada. What did this study ask? Describe the major components of CCFP(EM) programs and how they are incorporated into curricula. What did this study find? Programs have similar clinical rotations, ultrasound, and simulation requirements. Variation exists in administrative structures, financial resources, academic projects, and competency-based curricula...
June 11, 2018: CJEM
https://www.readbyqxmd.com/read/29859073/abortion-education-in-canadian-family-medicine-residency-programs
#4
Daniel T Myran, Jillian Bardsley, Tania El Hindi, Kristine Whitehead
BACKGROUND: Abortion has been decriminalized in Canada since 1988 and is considered an essential medical service. There is concern that decreasing numbers of abortion providers may impair access to abortion. This study examined the quantity of exposure and education that Canadian family medicine residents receive on abortion during training and their preparation to provide abortions. In addition, the study assessed residents' attitudes, intention and expressed competency to provide abortion in future practice and the association between medical training and changes in these factors...
June 1, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29848292/assessing-the-representativeness-of-physician-and-patient-respondents-to-a-primary-care-survey-using-administrative-data
#5
Allanah Li, Shawna Cronin, Yu Qing Bai, Kevin Walker, Mehdi Ammi, William Hogg, Sabrina T Wong, Walter P Wodchis
BACKGROUND: QUALICOPC is an international survey of primary care performance. QUALICOPC data have been used in several studies, yet the representativeness of the Canadian QUALICOPC survey is unknown, potentially limiting the generalizability of findings. This study examined the representativeness of QUALICOPC physician and patient respondents in Ontario using health administrative data. METHODS: This representativeness study linked QUALICOPC physician and patient respondents in Ontario to health administrative databases at the Institute for Clinical Evaluative Sciences...
May 30, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29846162/appropriate-cardiovascular-disease-risk-assessment-in-systemic-lupus-erythematosus-may-be-lacking-in-rheumatology-practice
#6
Faranak Esmaeilbeigi, Janet E Pope
OBJECTIVES: To determine practices regarding cardiovascular (CV) risk assessment in systemic lupus erythematosus (SLE) amongst rheumatologists. METHODS: A questionnaire assessing preventative strategies, risk assessment, and beliefs regarding SLE and CV disease was sent electronically to 425 members of the Canadian Rheumatology Association. Questions were based on published recommendations for CV risk management. Responses were stratified based practitioner's characteristics...
May 28, 2018: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/29793887/the-characteristics-of-physicians-who-are-re-disciplined-by-medical-boards-a-retrospective-cohort-study
#7
Thurarshen Jeyalingam, John J Matelski, Asim Q Alam, Jessica J Liu, Hanna Goldberg, Jason Klemensberg, Chaim M Bell
BACKGROUND: Physician misconduct adversely affects patient safety and is therefore of societal importance. Little work has specifically examined re-disciplined physicians. A study was conducted to compare the characteristics of re-disciplined to first-time disciplined physicians. METHODS: A retrospective review of Canadian physicians disciplined by medical boards between 2000 and 2015 was conducted. Physicians were divided into those disciplined once and those disciplined more than once...
June 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29770058/assessing-uptake-of-national-hiv-screening-and-testing-guidance-part-1-awareness-use-and-usefulness
#8
G P Traversy, T Austin, J Yau, K Timmerman
Background: In 2013, the Public Health Agency of Canada released the HIV Screening and Testing Guide (the Guide) to support routine HIV screening and testing practices of health care providers in Canada and promote early detection of new HIV cases. Little was known regarding health care providers' awareness and use of the Guide. Objective: To determine Canadian health care providers' awareness, use and perceived usefulness of the Guide. Methods: An open, anonymous online survey, including questions on awareness, use and usefulness, was developed with stakeholders, validated and pre-tested...
December 7, 2017: Canada Communicable Disease Report, Relevé des Maladies Transmissibles Au Canada
https://www.readbyqxmd.com/read/29769813/paediatric-vision-screening-in-the-primary-care-setting-in-ontario
#9
Tran D Le, Rana Arham Raashid, Linda Colpa, Jason Noble, Asim Ali, Agnes Wong
Objectives: Early intervention is critical to prevent treatable causes of vision loss in children. The objectives of the current study are: (1) to assess how well primary care physicians in Ontario follow the vision screening guidelines for children as recommended by the Canadian Paediatric Society and the Rourke Baby Record and (2) to identify barriers to vision screening in the primary care setting. Design: Cross-sectional survey. Methods: A 19-question survey was mailed out to 1000 randomly selected family physicians (family MDs), 1000 general practitioners (GPs) and 1000 paediatricians in Ontario as listed in the 2013 Canadian Medical Directory...
May 2018: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29764821/atopic-dermatitis-complicated-by-severe-impetigo-in-a-syrian-refugee-infant
#10
Peter Green, Elizabeth Munn
We present the case of a 3-month-old infant with atopic dermatitis who developed severe impetigo. The child was born to Syrian refugees shortly after they arrived in Canada. The case demonstrates the rapid and nearly complete resolution of dramatic skin findings after a course of hydrocortisone ointment and oral antibiotics with adjuvant measures. For resettled refugees, access to family physicians and local language proficiency are common barriers that negatively impact their health and healthcare. We discuss some aspects of how the healthcare model in one Canadian city addresses these issues in the context of this case...
May 14, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29760260/older-patient-engagement-in-advance-care-planning-in-canadian-primary-care-practices-results-of-a-multisite-survey
#11
Michelle Howard, Carrie Bernard, Doug Klein, Amy Tan, Marissa Slaven, Doris Barwich, John J You, Gabriel Asselin, Jessica Simon, Daren K Heyland
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. PARTICIPANTS: Convenience sample of 20 family practices that provided a consecutive sample of 810 patients aged 50 years and older. MAIN OUTCOME MEASURES: Engagement in ACP activities, and sociodemographic and health-related predictors of having engaged in ACP activities...
May 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29756588/toward-a-shared-care-model-of-relapsing-remitting-multiple-sclerosis-role-of-the-primary-care-practitioner
#12
Jiwon Oh, Marie-Sarah Gagné-Brosseau, Melanie Guenette, Catherine Larochelle, François Lemieux, Suresh Menon, Sarah A Morrow, Laurence Poliquin-Lasnier, Chantal Roy-Hewitson, Carolina Rush, Anne-Marie Trudelle, Paul S Giacomini
The objective of this study was to develop a shared-care model to enable primary-care physicians to participate more fully in meeting the complex, multidisciplinary healthcare needs of patients with multiple sclerosis (MS). DESIGN: The design consisted of development of consensus recommendations and a shared-care algorithm. PARTICIPANTS: A working group of 11 Canadian neurologists involved in the management of patients with MS were included in this study. MAIN MESSAGE: The clinical management of patients with multiple sclerosis is increasing in complexity as new disease-modifying therapies (DMTs) become available, and ongoing safety monitoring is required...
May 2018: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/29742590/a-multicenter-observational-study-of-family-participation-in-icu-rounds
#13
Selena S Au, Amanda L Roze des Ordons, Jeanna Parsons Leigh, Andrea Soo, Simon Guienguere, Sean M Bagshaw, Henry T Stelfox
OBJECTIVES: Guidelines recommend offering family members of critically ill patients the option to attend interdisciplinary team rounds as a way to improve communication and satisfaction. Uncertainty remains around the benefits and risks. DESIGN: We conducted an observational study to describe family participation in ICU rounds and its association with rounding processes. SETTING: Rounds conducted under the leadership of 33 attending physicians in seven hospitals across three Canadian cities...
May 7, 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29650745/circles-of-care-for-people-with-intellectual-and-developmental-disabilities-communication-collaboration-and-coordination
#14
REVIEW
Karen McNeil, Meg Gemmill, Dara Abells, Samantha Sacks, Terry Broda, Catherine R Morris, Cynthia Forster-Gibson
OBJECTIVE: To review health information exchange (HIE) processes that affect the health of people with intellectual and developmental disabilities (IDD) and to suggest practical tips and strategies for communicating, collaborating, and coordinating in the primary care setting. SOURCES OF INFORMATION: The "Primary care of adults with intellectual and developmental disabilities. 2018 Canadian consensus guidelines" literature review and interdisciplinary input...
April 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29650744/health-checks-for-adults-with-intellectual-and-developmental-disabilities-in-a-family-practice
#15
REVIEW
Ian Casson, Terry Broda, Janet Durbin, Angela Gonzales, Laurie Green, Elizabeth Grier, Yona Lunsky, Avra Selick, Kyle Sue
OBJECTIVE: To provide tips and tools for primary care practitioners carrying out health checks for adult patients with intellectual and developmental disabilities (IDD) and for implementing a systematic program of health checks in a group or team practice. SOURCES OF INFORMATION: The "Primary Care of Adults with Intellectual and Developmental Disabilities. 2018 Canadian Consensus Guidelines" literature review and interdisciplinary input. Experience in implementing health checks in family practices was obtained through the primary care project of H-CARDD (Health Care Access Research and Developmental Disabilities)...
April 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29650743/improving-transition-to-adulthood-for-adolescents-with-intellectual-and-developmental-disabilities-proactive-developmental-and-systems-perspective
#16
REVIEW
Shara Ally, Kerry Boyd, Dara Abells, Khush Amaria, Yani Hamdani, Alvin Loh, Ullanda Niel, Samantha Sacks, Sarah Shea, William F Sullivan, Brian Hennen
OBJECTIVE: To demonstrate how family physicians can contribute to a piece of the journey of improving quality-of-life outcomes for people with intellectual and developmental disabilities (IDD) when they undergo the transition from adolescence to adulthood. SOURCES OF INFORMATION: The "Primary care of adults with intellectual and developmental disabilities. 2018 Canadian consensus guidelines" literature review and interdisciplinary input. MAIN MESSAGE: Family physicians should be proactive in anticipating and supporting the transition of people with IDD from adolescence to adulthood...
April 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29650742/supporting-adults-with-intellectual-and-developmental-disabilities-to-participate-in-health-care-decision-making
#17
REVIEW
William F Sullivan, John Heng
OBJECTIVE: To discuss what is new in the revised guideline 3 of the "Primary care of adults with intellectual and developmental disabilities [IDD]. 2018 Canadian consensus guidelines" on decision-making capacity, and how to implement the recommendations. QUALITY OF EVIDENCE: Integrative review based on a literature search, the framework of the United Nations Convention on the Rights of Persons with Disabilities, and the experience of the authors. MAIN MESSAGE: Person-centred health care of adults with IDD should include all possible contributions from the patient in decision making...
April 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29650741/help-for-behaviours-that-challenge-in-adults-with-intellectual-and-developmental-disabilities
#18
REVIEW
Laurie Green, Karen McNeil, Marika Korossy, Kerry Boyd, Elizabeth Grier, MacKenzie Ketchell, Alvin Loh, Yona Lunsky, Shirley McMillan, Amanda Sawyer, Anupam Thakur, Elspeth Bradley
OBJECTIVE: To provide primary care physicians with an understanding of the causes of behaviours that challenge (BTC) in adults with intellectual and developmental disabilities (IDD), as presented in the 2018 Canadian consensus guidelines for primary care of adults with IDD; to offer a systematic approach to the assessment and treatment of such behaviours; and to link to tools to support these assessments. SOURCES OF INFORMATION: This review elaborates upon guidelines 26 to 29 in the mental health section of the 2018 Canadian consensus guidelines...
April 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29650740/managing-complexity-in-care-of-patients-with-intellectual-and-developmental-disabilities-natural-fit-for-the-family-physician-as-an-expert-generalist
#19
REVIEW
Elizabeth Grier, Dara Abells, Ian Casson, Meg Gemmill, Jessica Ladouceur, Amanda Lepp, Ullanda Niel, Samantha Sacks, Kyle Sue
OBJECTIVE: To delineate the factors inherent in caring for patients with intellectual and developmental disabilities (IDD) that lead to complexity and to provide perspectives and techniques mapped to the phases of the clinical encounter. SOURCES OF INFORMATION: The authors of the physical health section of the 2018 Canadian consensus guidelines on the primary care of adults with IDD consisted of family physicians, all of whom practise comprehensive family medicine with additional clinical experience in care of adults with IDD...
April 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29650602/primary-care-of-adults-with-intellectual-and-developmental-disabilities-2018-canadian-consensus-guidelines
#20
William F Sullivan, Heidi Diepstra, John Heng, Shara Ally, Elspeth Bradley, Ian Casson, Brian Hennen, Maureen Kelly, Marika Korossy, Karen McNeil, Dara Abells, Khush Amaria, Kerry Boyd, Meg Gemmill, Elizabeth Grier, Natalie Kennie-Kaulbach, Mackenzie Ketchell, Jessica Ladouceur, Amanda Lepp, Yona Lunsky, Shirley McMillan, Ullanda Niel, Samantha Sacks, Sarah Shea, Katherine Stringer, Kyle Sue, Sandra Witherbee
OBJECTIVE: To update the 2011 Canadian guidelines for primary care of adults with intellectual and developmental disabilities (IDD). METHODS: Family physicians and other health professionals experienced in the care of people with IDD reviewed and synthesized recent empirical, ecosystem, expert, and experiential knowledge. A system was developed to grade the strength of recommendations. RECOMMENDATIONS: Adults with IDD are a heterogeneous group of patients and have health conditions and factors affecting their health that can vary in kind, manifestation, severity, or complexity from those of others in the community...
April 2018: Canadian Family Physician Médecin de Famille Canadien
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