Primary Care Collaborative Memory Clinics: Building Capacity for Optimized Dementia Care.

Increasingly, primary care collaborative memory clinics (PCCMCs) are being established to build capacity for person-centred dementia care. This paper reflects on the significance of PCCMCs within the system of care for older adults, supported with data from ongoing evaluation studies. Results highlight timelier access to assessment with a high proportion of patients being managed in primary care within a person-centred approach to care.

Screening for frailty in primary care: Accuracy of gait speed and hand-grip strength.

Objective: To examine the accuracy of individual Fried frailty phenotype measures in identifying the Fried frailty phenotype in primary care.

Design: Retrospective chart review.

Setting: A community-based primary care practice in Kitchener, Ont.

Office-Based Case Finding for Chronic Obstructive Pulmonary Disease in Older Adults in Primary Care.

Background. Chronic Obstructive Pulmonary Disease (COPD) is underdiagnosed in primary care. Aim.

The role of distributed education in recruitment and retention of family physicians.

Background: Distributed medical education (DME) programmes, in which training occurs in underserviced areas, have been established as a strategy to increase recruitment and retention of new physicians following graduation to these areas. Little is known about what makes physicians remain in the area in which they train.

Objectives: To explore the factors that contributed to family physician's decisions to practice in an underserviced area following graduation from a DME programme.

Residents' perceptions of an integrated longitudinal curriculum: a qualitative study.

Background: The purpose of this study was to explore family medicine residents' perceptions of a newly restructured integrated longitudinal curriculum.

Method: A purposeful sample of 16 family medicine residents participated in focus group interviews conducted from a grounded theory perspective to identify the characteristics of this training model that contribute to and that challenge learning.

Results: Eight key themes were identified: continuity of care, relevance to family medicine, autonomy, program-focused preparation, professional development as facilitated by role modeling, patient volume, clarity of expectations for learners, and logistics.

Primary Care-Based Memory Clinics: Expanding Capacity for Dementia Care.

The implementation in Ontario of 15 primary-care-based interprofessional memory clinics represented a unique model of team-based case management aimed at increasing capacity for dementia care at the primary-care level. Each clinic tracked referrals; in a subset of clinics, charts were audited by geriatricians, clinic members were interviewed, and patients, caregivers, and referring physicians completed satisfaction surveys. Across all clinics, 582 patients were assessed, and 8.

Enhancing care for individuals with mobility impairments: lessons learned in the implementation of a primary care-based mobility clinic.

Persons with mobility impairments experience significant barriers to primary healthcare. This study examines key lessons learned, as derived from interviews with referral sources and Centre for Family Medicine Mobility Clinic team members, in the development and implementation of a primary care-based mobility clinic aimed at reducing these barriers, and it reflects on the implications of this model of care on the system of care. Results highlight the importance of accessibility, specialized equipment, promotional activities and management support as well as challenges reflected by system barriers to care.

Acute and chronic impact of dynamic exercise on arterial stiffness in older hypertensives.

Arterial stiffness increases with ageing and hypertension. Regular physical activity has been recommended as an important management component of hypertension. The purpose of this study was to examine the acute impact of maximal dynamic exercise and the effect of 20 weeks of aerobic exercise on arterial stiffness of the carotid and brachial arteries in older hypertensives.