Moving from space to place: Reimagining the challenges of physical space in primary health care teams in Ontario.

Objective: To extend our understanding of how primary health care team members characterize the effects of location on team functioning.

Design: Qualitative study using grounded theory methodology, with in-depth analysis of data concerning the role of physical space in teamwork.

Setting: Family health teams in Ontario.

An Opportunity for Quality: The Need for Better Evaluation of Family Health Teams in Ontario.

In the past decade, primary care has undergone significant changes toward system improvement, which has improved patient outcomes and reduced costs. Family health teams (FHTs) were introduced in Ontario as part of primary care renewal. FHTs address a lack of capacity and integration among providers and service inaccessibility experienced by the population.

Building research culture and capacity in academic family medicine departments: Insights from a simulation workshop.

Objective: To use data from a workshop in which various representatives from departments of family medicine (DFMs) aimed to identify strategies to increase research activity, particularly among clinical faculty members.

Design: Descriptive qualitative study using data from a workshop in which participants role-played (ie, as clinician-teachers, department chairs, and mentors) and, while in the role-playing scenario, were asked to imagine strategies that would encourage the clinical faculty members to engage in research.

Setting: The 2014 North American Primary Care Research Group Annual Meeting in New York City, NY.

Transitioning to academia: Exploring the experience of new family medicine faculty members at the beginning of their academic careers.

Objective: To explore the experience of new family medicine faculty members at the beginning of their academic careers and determine what factors might facilitate their transition to an academic role in family medicine.

Design: Qualitative, phenomenologic study of new academic family physicians.

Setting: Eight Canadian departments of family medicine.

Numerous asymptomatic dermal cysts: Diagnosis and treatment of steatocystoma multiplex.

Objective: To provide family physicians with the information needed to recognize, diagnose, and discuss available treatment options for steatocystoma multiplex (SM).

Sources Of Information: A comprehensive PubMed search using as either a text word or a MeSH term was conducted, and articles reporting on treatment outcomes were included.

Main Message: Steatocystoma multiplex is a benign disorder often characterized by numerous asymptomatic dermal cysts on the trunk, arms, axillae, face, thighs, and scalp.

Comprehensive practice: Normative definition across 3 generations of alumni from a single family practice program, 1985 to 2012.

Objective: To determine the range of services and procedures offered by family physicians who define themselves as comprehensive practitioners and compare responses across 3 generations of alumni of a single family practice program.

Design: Cross-sectional survey.

Setting: Western University in London, Ont.

Enabling cultural safety in Indigenous primary healthcare.

The Aboriginal Health Access Centre (AHAC) and Aboriginal Community Health Centre Model of Wholistic Health and Wellbeing is critical to addressing inequities and barriers that limit access to comprehensive primary healthcare for Indigenous people. Even with this model in place, there are multiple points of intersection with mainstream healthcare service providers across health sectors. Further, there is considerable cultural diversity among Indigenous healthcare staff and professional groups.

Approach to developmental disabilities in newcomer families.

Objective: To provide a framework for primary care providers to approach developmental disabilities in both refugee and nonrefugee immigrant populations.

Sources Of Information: Ovid MEDLINE was searched from January 2005 to February 2017 using subject headings and for relevant English-language articles. Most of the content and recommendations in this review are derived from the Canadian Paediatric Society's Caring for Kids New to Canada website.

Processes that influence the evolution of family health teams.

Objective: To identify the processes that influence the evolution of family health teams (FHTs).

Design: Qualitative study using grounded theory methodology.

Setting: Family health teams in Ontario.

Three Sides to Every Story: Preparing Patient and Family Storytellers, Facilitators, and Audiences.

Background: There is a growing recognition that patient engagement is necessary for the cultivation of patient- and family-centered care (PFCC) in the hospital setting. Acting on the emerging understanding that hearing stories from our patients gives valuable insight about our ability to provide compassionate PFCC, we developed an educational patient experience curriculum at our acute care teaching hospital.

Objectives: To understand the benefits and consequences of patient storytelling and to explore the impact of our curriculum on participants.

Improving transition to adulthood for adolescents with intellectual and developmental disabilities: Proactive developmental and systems perspective.

Objective: To demonstrate how family physicians can contribute to a piece of the journey of improving quality-of-life outcomes for people with intellectual and developmental disabilities (IDD) when they undergo the transition from adolescence to adulthood.

Sources Of Information: The "Primary care of adults with intellectual and developmental disabilities. 2018 Canadian consensus guidelines" literature review and interdisciplinary input.

Primary care of adults with intellectual and developmental disabilities: 2018 Canadian consensus guidelines.

Objective: To update the 2011 Canadian guidelines for primary care of adults with intellectual and developmental disabilities (IDD).

Methods: Family physicians and other health professionals experienced in the care of people with IDD reviewed and synthesized recent empirical, ecosystem, expert, and experiential knowledge. A system was developed to grade the strength of recommendations.

Individualizing the care of older heart failure patients.

Purpose Of Review: The heart failure epidemic is driven mainly by population aging and the improving survival of patients with cardiovascular risk factors. Aging heart failure patients are affected by multiple concurrent comorbidities and geriatric syndromes, the most important of which are frailty and cognitive impairment. The purpose of this review is to provide clinicians with practical advice on how to individualize the care of older heart failure patients.

Pharmacologic management of chronic neuropathic pain: Review of the Canadian Pain Society consensus statement.

Objective: To provide family physicians with a practical clinical summary of the Canadian Pain Society (CPS) revised consensus statement on the pharmacologic management of neuropathic pain.

Quality Of Evidence: A multidisciplinary interest group within the CPS conducted a systematic review of the literature on the current treatments of neuropathic pain in drafting the revised consensus statement.

Main Message: Gabapentinoids, tricyclic antidepressants, and serotonin-norepinephrine reuptake inhibitors are the first-line agents for treating neuropathic pain.

Developing family practice to respond to global health challenges: The Besrour Papers: a series on the state of family medicine in the world.

Objective: To assess family medicine's role in developing strong, coordinated, community-based, integrated health care systems in low-resource settings globally.

Composition Of The Committee: A subgroup of the Besrour Centre of the College of Family Physicians of Canada developed connections with selected international colleagues with expertise in international family medicine practice, health systems and capacity building, and teaching to map family medicine globally and give a bird's eye view of family medicine internationally.

Methods: Following a background literature review, the authors collectively reflected on their substantial international experience to attempt to describe best practices for various contexts.

Clinician self-efficacy in initiating discussions about gestational weight gain.

Objective: To compare prenatal care providers' perceived self-efficacy in starting discussions about gestational weight gain with pregnant women under a variety of conditions of gradated difficulty, when weight gain has been in excess of current guidelines.

Design: A 42-item online questionnaire related to the known barriers to and facilitators of having discussions about gestational weight gain.

Setting: Canada.

Approaching a global definition of family medicine: The Besrour Papers: a series on the state of family medicine in the world.

Objective: To find a common global definition of .

Composition Of The Committee: Since 2012, the College of Family Physicians of Canada has hosted the Besrour Conferences to reflect on its role in advancing the discipline of family medicine globally. The Besrour Papers Working Group, which was struck at the 2013 conference, was tasked with developing a series of papers to highlight the key issues, lessons learned, and outcomes emerging from the various activities of the Besrour collaboration.

Family medicine around the world: overview by region: The Besrour Papers: a series on the state of family medicine in the world.

Objective: To demonstrate how family medicine has been recognized and integrated into primary health care systems in contrasting contexts around the world and to provide an overview of how family physicians are trained and certified.

Composition Of The Committee: Since 2012, the College of Family Physicians of Canada has hosted the Besrour Conferences to reflect on its role in advancing the discipline of family medicine globally. The Besrour Papers Working Group, which was struck at the 2013 conference, was tasked with developing a series of papers to highlight the key issues, lessons learned, and outcomes emerging from the various activities of the Besrour collaboration.