Family medicine residents' perspectives on shared decision-making: A mixed methods study.

Objectives: To 1) examine the willingness of residents to undertake shared decision-making and 2) explore whether the willingness to engage in shared decision-making is influenced by the perceived stakes of a clinical situation.

Methods: Sequential mixed methods design. Phase One: Family Medicine residents completed IncorpoRATE, a seven-item measure of clinician willingness to engage in shared decision making.

Integrating Explainable Machine Learning in Clinical Decision Support Systems: Study Involving a Modified Design Thinking Approach.

Background: Though there has been considerable effort to implement machine learning (ML) methods for health care, clinical implementation has lagged. Incorporating explainable machine learning (XML) methods through the development of a decision support tool using a design thinking approach is expected to lead to greater uptake of such tools.

Objective: This work aimed to explore how constant engagement of clinician end users can address the lack of adoption of ML tools in clinical contexts due to their lack of transparency and address challenges related to presenting explainability in a decision support interface.

Telemedicine visits requiring follow-up in-person visits at an urban academic family medicine centre.

Background: With the onset of the COVID-19 pandemic, telemedicine was rapidly implemented in care settings globally. To understand what factors affect the successful completion of telemedicine visits in our urban, academic family medicine clinic setting, we analysed telemedicine visits carried out during the pandemic.

Methods: We conducted a retrospective chart review of telemedicine visits from 2 clinical units within a family medicine centre.

Using incorpoRATE to examine clinician willingness to engage in shared decision making: A study of Family Medicine residents.

Objectives: We evaluated the willingness of Family Medicine residents to engage in SDM, before and after an educational intervention.

Methods: We delivered a lecture and a workshop for residents on implementing SDM in preventive health care. Before the lecture (T1), participants completed a measure of their willingness to engage in SDM.

Uninsured Pregnant Patients: Where Do We Begin?

Pregnant immigrant women without medical insurance often receive inadequate prenatal care. They are more likely to present late in their pregnancy for care, to receive less prenatal testing, and to receive inadequate prenatal follow-up. There is a documented association between inadequate prenatal care and poor birth outcomes, including preterm delivery and low birth weight.

Effectiveness of a 3-hour breastfeeding course for family physicians.

Objective: To test the effectiveness of a 3-hour course on breastfeeding for family physicians.

Design: A previously validated questionnaire testing confidence in, attitudes toward, and knowledge of breastfeeding issues was administered to participants 1 week before and 2 months after taking the Breastfeeding Basics for the Practicing Physician course.

Setting: Canada.

Perspectives of family physicians on the care of uninsured pregnant women.

Objective: No official provisions are made for the medically uninsured under provincial public health programs in Canada. Studies have shown that uninsured pregnant women have inadequate access to prenatal and obstetrical services that favour healthy maternal and child outcomes. This qualitative study aimed to explore the perspectives of family physicians who provided care to uninsured pregnant women.

Undocumented pregnant women: what does the literature tell us?

The present literature review was conducted to determine what information has been published on the topic of undocumented pregnant migrants. Scientific databases and gray literature sources were searched for articles published between January 1967 and September 2010. Eighty-seven articles met the inclusion criteria and were reviewed.

Retrospective review of prenatal care and perinatal outcomes in a group of uninsured pregnant women.

Objective: To assess the adequacy of prenatal care and perinatal outcomes for uninsured pregnant women at two primary care centres in Canada.

Methods: We conducted a retrospective case comparison study of uninsured women presenting for prenatal care between 2004 and 2007 (n = 71). Control subjects (n = 72) were chosen from provincially insured women presenting for prenatal care during the same period.

A participatory approach to understanding and measuring patient satisfaction in a primary care teaching setting.

Background: Patient satisfaction is a complex, multidimensional concept that is difficult to measure. However, there is agreement that understanding the expectations of a patient community or "what is important to them" is an essential consideration. We chose a participatory approach to address patient satisfaction in the context of a primary care teaching clinic.