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Beyond Medicine / BY: A.M. Ocana, MD, CCFP, ABAM January/February 2019
... you’re looking at this scientifically, you might have an issue with the correlation of use to health risks, because one “daily user” may smoke all day, every day, and another “daily user” ... use disorder, DSM-5 304.3.  Date of first visit: January 2015 to October 2017. Inclusion criteria: Self-reported ...
Clinical Articles / BY: Mark A. Lau, PhD, R.Psych January/February 2019
... to high-quality mental health services remains a critical issue in Canada and a treatment gap exists.  Primary care is ... or without anxiety identified in a primary care setting may not obtain a referral to specialized mental health ... 2000 physicians and clinics across the province. Since 2015, Bounce Back has also been implemented in several health ...
Clinical Articles / BY: Colin Mar, MD, FRCPC January/February 2018
... Canada, and the second leading cause of cancer death as of 2015.[ 4 ] In 2010 the lifetime risk for developing breast ... with screening of RR 0.80 to 0.82.[ 6-8 ] These studies may, however, underestimate the current effectiveness of ... clinically apparent before the patient’s death. The issue then is one of results that precipitate overtreatment. ...
Clinical Articles / BY: Marilyn Thorpe, MD, FRCPC July/August 2018
... pit appointments. These 36 pit appointments were done in May 2014 and were deemed successful. Subsequently pit ... and scheduling follow-up as needed. Method In May 2015 the PIT Project received funding from the Specialist ... “Pit often helps me answer and move forward with an issue that I’m stuck on with a patient. Instead of waiting ...
Clinical Articles / BY: Rebecca Sugar, MD October 2018
... department with postoperative concerns, meaning surgeons may not be aware of or involved in the identification and ... using data collected at Chilliwack General Hospital in 2015. The study was approved for commencement by the local ... result in fragmentation of postoperative care and is an issue for several reasons. First, patients who require ...
Clinical Articles / BY: Courtney Young, MBA, MD, FRCPC December 2017
... attention was focused on how QI could favorably affect the issue of medical errors. The Institute of Medicine (IOM) was ... often navigate multiple care interfaces and consequently may experience fragmented care and poor outcomes.[ 5 ] This ... Streamlining the cardiology referral process In 2015 the Vancouver Division of Family Practice approached the ...
Editorials / BY: Roger Y. Wong, MD, FRCPC, FACP, FCAHS April 2017
In Part 1 of this two-part theme issue we discussed the value of comprehensive geriatric ... the complexity of a patient’s clinical presentation, may not apply when dealing with the four Ds. Examples of ... actual drug-drug interactions in older people is vast. In 2015, the American Geriatrics Society published the updated ...
Clinical Articles / BY: W.D. Robertson, MB, BChir, FRCPC July/August 2017
Background On 6 February 2015 the Supreme Court of Canada ruled in  Carter v. Canada ... of quality assurance. Vancouver Island implementation In May 2016, the Vancouver Island Health Authority (Island ... to the drugs required for assisted death has not been an issue. Prescribers and pharmacists have worked closely to ...
Premise / BY: Martin C. Wale, BM BS, FRCPath, MBA March 2017
... and privileging project, completed at the end of 2015 and used by most health authorities for the first time ... supports (training, simulation experience, etc.) may be required to maintain currency in the context of service requirements. Where collection of data is an issue, this should be raised in that conversation.  ...
Premise / BY: Romayne Gallagher, MD, CCFP(PC), FCFP January/February 2016
... withdrawing life-sustaining therapy[ 1,2 ] suggest people may be confused about their right to make life-determining ... well as is possible until their natural death. In August 2015 the General Council of the Canadian Medical Association ... The author is currently guest editing a theme issue on palliative care that she hopes to publish in the  ...