Approach to cervical polyps in primary care.

Objective: To provide primary care providers (PCPs) with an approach for diagnosing and managing endocervical polyps, detailing a procedural technique for cervical polypectomy and outlining key information on when to refer to a gynecologist.

Sources Of Information: This review and approach are based on the second author's clinical practice and available literature from 1994 to 2023.

Main Message: Cervical polyps are commonly asymptomatic and benign, but can cause intermenstrual and postcoital bleeding.

Payment model impact on the resilience of rural communities: Exploratory study.

Objective: To explore rural physician perspectives on how remuneration impacted their experiences of contributing to community resilience during the COVID-19 pandemic.

Design: Exploratory, qualitative subanalysis.

Setting: Twenty-two rural communities in 4 Canadian provinces.

Chronic pain management in primary care: Using population-based data to examine family physician practice patterns.

Objective: To examine trends in chronic pain (CP) practice patterns among community-based family physicians (FPs).

Design: Population-based descriptive study using health administrative data.

Setting: British Columbia from fiscal years 2008-2009 to 2017-2018.

Characteristics of family physicians with additional training or focused practices in caring for older adults: Population-based retrospective cohort study.

Objective: To identify FPs with additional training and focused practice activities relevant to the needs of older patients within health administrative data and to describe their medical practices and service provision in community-based primary care settings.

Design: Retrospective cohort study.

Setting: Ontario.

Assessing the impact of Canadian primary care research and researchers: Citation analysis.

Objective: To describe the citation impact and characteristics of Canadian primary care researchers and research publications.

Design: Citation analysis.

Setting: Canada.

Approach to burn treatment in the rural emergency department.

Objective: To outline an approach to the assessment and initial management of patients with burns in the rural emergency department setting. Three mnemonics are presented that can be used for both the assessment and the initial management of patients with burns in rural settings.

Quality Of Evidence: Current and local guidelines compiled by a plastic surgeon were reviewed to develop a systematic approach to the treatment of patients with burns.

Family and emergency physicians' knowledge and attitudes toward organ donation and deemed consent: Human Organ and Tissue Donation Act in Nova Scotia.

Objective: To understand Nova Scotian family physicians' and emergency department (ED) physicians' knowledge of, attitudes about, and experience with organ donation and transplantation in the context of the Human Organ and Tissue Donation Act (HOTDA).

Design: An electronic, self-administered survey.

Setting: Nova Scotia.

Understanding the Use of Patient Rooms to Inform Family Zone Implementation: A Qualitative Study.

A family zone (FZ) is a portion of the patient room that visitors use to visit their loved one. The purpose of this study was to explore the experiences of patients, family and hospital staff to inform potential FZ implementation. Two focus groups (N = 17) were conducted using semi-structured interviews.

What Lawrence's Story Tells Health Researchers About Arts-Based Interactions.

In arts-based-research, knowledge and meaning emerge from people's experiences of being in dynamic, ambiguous, intentional, and ethical relationships with each other and the arts. This case study draws on Launer's "7 's" (context, conversations, curiosity, complexity, challenge, caution, and care) to understand the aesthetics (shape and form) and ethics of relationships between an artist-researcher and patient-sitter in portraiture-based medical research. This case supports the 7 's being embodied in the art-making process, as the approach can usefully frame ethical challenges and rewards of portraiture-based health research for artist-researcher and patient-participant.

How an Arts-Based Clinical Skills Set Can Be Assessed During OSCEs.

Background: Arts-based activities' roles in medical education is to challenge students to cultivate clinical skills using ART (aesthetics, reflection, time). ART activities offer opportunities for students to cultivate creative dimensions of their clinical skills and to reflect on their responses to uncertainty and ambiguity. Faculty, however, are challenged to structure these learning activities in diverse, sometimes unfamiliar, health care settings.

Consensus statement on networks for high-quality rural anesthesia, surgery, and obstetric care in Canada.

Objective: To describe the essential components of well-resourced and high-functioning multidisciplinary networks that support high-quality anesthesia, surgery, and maternity care for rural Canadians, delivered as close to home as possible.

Composition Of The Committee: A volunteer Writers' Group was drawn from the Society of Obstetricians and Gynaecologists of Canada, the Society of Rural Physicians of Canada, the Royal College of Physicians and Surgeons of Canada, the Canadian Association of General Surgeons, the College of Family Physicians of Canada, and the Association of Canadian University Departments of Anesthesia.

Methods: A collaborative effort over the past several years among the professional stakeholders has culminated in this consensus statement on networked care designed to integrate and support a specialist and non-specialist, urban and rural, anesthesia, surgery, and maternity work force into high-functioning networks based on the best available evidence.

PEER simplified chronic pain guideline: Management of chronic low back, osteoarthritic, and neuropathic pain in primary care.

Objective: To develop a clinical practice guideline to support the management of chronic pain, including low back, osteoarthritic, and neuropathic pain in primary care.

Methods: The guideline was developed with an emphasis on best available evidence and shared decision-making principles. Ten health professionals (4 generalist family physicians, 1 pain management-focused family physician, 1 anesthesiologist, 1 physical therapist, 1 pharmacist, 1 nurse practitioner, and 1 psychologist), a patient representative, and a nonvoting pharmacist and guideline methodologist comprised the Guideline Committee.

"Meet and greets" in family practice: Who, why, and to what end?

Objective: To understand physician acceptance of new patients, specifically the use of "meet and greets"; and to explore FPs' rationale, beliefs, and processes regarding these appointments.

Design: Exploratory qualitative interviews.

Setting: Nova Scotia.

Caring for refugees and newcomers in the post-COVID-19 era: Evidence review and guidance for FPs and health providers.

Objective: To guide clinicians working in a range of primary care clinical settings on how to provide effective care and support for refugees and newcomers during and after the coronavirus disease 2019 (COVID-19) pandemic.

Sources Of Information: The described approach integrates recommendations from evidence-based clinical guidelines on refugee health and COVID-19, practical lessons learned from Canadian Refugee Health Network clinicians working in a variety of primary care settings, and contributions from persons with lived experience of forced migration.

Main Message: The COVID-19 pandemic has amplified health and social inequities for refugees, asylum seekers, undocumented migrants, transient migrant workers, and other newcomers.

Health check guidelines and billing for family physicians caring for adults with intellectual and developmental disabilities: Incentives to improve care.

Objective: To examine the degree to which Canadian consensus guideline recommendations for annual comprehensive preventive care assessments of adults with intellectual and developmental disabilities (IDD) are being taken up by Nova Scotia family physicians since the introduction of incentive billing codes; and to discuss the importance of complete physical examinations for this patient population, extra time needed in clinic encounters, and challenges for practitioners providing care.

Design: Analysis of family physicians' billing of codes 03.04C and 03.