Dr Robert Shepherd of Vancouver writes that walk-in clinic visits should not be paid less than full-service family doctor visits, saying that this would discourage doctors from working in walk-in clinics on the weekends [BCMJ 2004;46(10):499-500]. That’s true. And that’s a good thing.
He attempts to make a claim that walk-in clinics alleviate ER visits, and somehow deal with shortages of staff in emergency rooms. On the contrary, they contribute to shortages of staff in both family doctors’ offices and in ERs. If the doctors weren’t working in the walk-in clinics, they would be available to work in full-service family medicine or in the ER.
It’s quite simple: if more doctors could be encouraged—monetarily—to work in full-service family practice, they would be better able, through call groups and extended office hours, to provide care to more patients during the week, in the evenings, and on weekends, thereby decreasing ER congestion and reducing the need for the episodic care delivered in walk-in clinics.
—D.R. Beegan, MD
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
- Only the first three authors are listed, followed by "et al."
- There is no period after the journal name.
- Page numbers are not abbreviated.
For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org