Re: EMRs for specialists

Issue: BCMJ, vol. 51 , No. 10 , December 2009 , Letters

The article by Jeremy Smith en­titled “The unique EMR needs of various specialties and subspecialties” [BCMJ 2009;51:337-338] highlights the current dysfunctional nature of medical practice in BC. There really should not be such a wide variety of perspectives and there should be more in common with the patterns of practice of various “types” of physicians. 

The problem with the three perspectives presented is that the EMR is the patient’s document, not the physician’s. We are the ones who come and go from the patient’s life. Most people will have three or more family physicians over the course of their lifetime and may have several interactions with subspecialists and possibly hospitals along the way. Ideally the EMR should keep track of all of the episodes in the patient’s medical history and be available to all types of physicians (with the patient’s consent), when the need arises.

Perhaps viewing the EMR from the perspective of the needs of the patient might produce a more practical approach to this option for record keeping.
—Douglas J. Courtemanche, MD
Vancouver

. Re: EMRs for specialists. BCMJ, Vol. 51, No. 10, December, 2009, Page(s) - Letters.



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

BCMJ Guidelines for Authors

Leave a Reply