Canadian Journal of Rural Medicine最新文献

{"title":"Refocusing.","authors":"Gavin Gerard Parker","doi":"10.4103/cjrm.cjrm_83_24","DOIUrl":"10.4103/cjrm.cjrm_83_24","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 1","pages":"5"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Se recentrer.","authors":"Gavin Gerard Parker","doi":"10.4103/cjrm.cjrm_8_25","DOIUrl":"10.4103/cjrm.cjrm_8_25","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 1","pages":"6"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Qu'est-ce qu'un auteur?","authors":"Peter Hutten-Czapski","doi":"10.4103/cjrm.cjrm_7_25","DOIUrl":"10.4103/cjrm.cjrm_7_25","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 1","pages":"4"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Who is an author?","authors":"Peter Hutten-Czapski","doi":"10.4103/cjrm.cjrm_77_24","DOIUrl":"10.4103/cjrm.cjrm_77_24","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 1","pages":"3"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regarding Webber, V., Bajzak, K. and Gustafson, D. L. (2023). The impact of rurality on vulvodynia diagnosis and management: Primary care provider and patient perspectives. Canadian Journal of Rural Medicine, 28 (3), 107-115.","authors":"Val Webber, Krisztina Bajzak, Diana L Gustafson","doi":"10.4103/cjrm.cjrm_62_24","DOIUrl":"10.4103/cjrm.cjrm_62_24","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 1","pages":"48-49"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the editor concerning '\"I'm on the coast and I'm on methadone:\" A qualitative study examining access to opioid agonist treatment in rural and coastal British Columbia'.","authors":"Saurabh RamBihariLal Shrivastava","doi":"10.4103/cjrm.cjrm_76_24","DOIUrl":"10.4103/cjrm.cjrm_76_24","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 1","pages":"44-45"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing retention of International Medical Graduates in rural practice.","authors":"Udoka Okpalauwaekwe, Carla Fehr, Taofiq Olusegun Oyedokun, Jon Witt","doi":"10.4103/cjrm.cjrm_6_24","DOIUrl":"10.4103/cjrm.cjrm_6_24","url":null,"abstract":"<p><strong>Introduction: </strong>Canada relies on international medical graduates (IMGs) to provide a significant proportion of primary care in rural communities. However, retaining IMGs in rural practices across Canada remains a challenge. We explored the literature to learn what factors influence IMGs' retention in rural practice and what has been recommended in the literature to address these factors.</p><p><strong>Methods: </strong>We focused search strategies on peer-reviewed literature sources (between 01 January 2012, and 31 December 2023) that explored and identified factors connected to the rural practice retention of IMGs in Canada (and areas transferable to the Canadian context).</p><p><strong>Results: </strong>Twenty of 1002 articles were selected. Factors were categorised as structural, professional, family, community and personal. Structural barriers identified included overall lack of support, limited access to tertiary care centres and unsustainable model of care. Professional challenges included physician burnout, limited mobility and limited scope of practice. Conversely, community integration, opportunities for spousal employment and accessible schools for children were the common facilitators of IMG retention. Key recommendations to enhance IMG retention that were identified, included: (1) providing fair contracts, funding supports, and balanced workloads; (2) having community-directed recruitment models to match physician expectations for income level, workload and spousal employment and (3) having physician-led retention support groups to help physicians adequately settle in.</p><p><strong>Conclusion: </strong>This study identified the barriers and facilitators to IMG retention in rural medicine and mapped out evidence-based recommendations for each factor. Engaging and tailoring support strategies unique to the needs of IMGs in rural communities would improve IMG retention.</p><p><strong>Introduction: </strong>Le Canada compte sur les diplômés internationaux en médecine (DIM) pour fournir une part importante des soins primaires dans les communautés rurales. Cependant, la rétention des DIM dans les pratiques rurales à travers le Canada reste un défi. Nous avons exploré la littérature pour connaître les facteurs qui influencent la rétention des diplômés internationaux en médecine (DIM) dans la pratique rurale et ce qui a été recommandé dans la littérature pour aborder ces facteurs.</p><p><strong>Mthodes: </strong>Nous avons axé nos stratégies de recherche sur des sources de documentation évaluées par des pairs (entre le 1er janvier 2012 et le 31 décembre 2023) qui exploraient et identifiaient des facteurs liés au maintien des DIM dans la pratique rurale au Canada, ainsi que les domaines transférables au contexte canadien.</p><p><strong>Rsultats: </strong>Sur 1 002 articles, vingt ont été sélectionnés. Les facteurs ont été classés en cinq catégories: structurels, professionnels, familiaux, communautaires et personnels. Les ob","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 1","pages":"17-30"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The occasional nasal septal hematoma management.","authors":"Jason Thompson, Kristina Pulkki, Sarah M Giles","doi":"10.4103/cjrm.cjrm_51_23","DOIUrl":"10.4103/cjrm.cjrm_51_23","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 1","pages":"39-43"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Occasional tooth avulsion.","authors":"Tayler Young, Sarah M Giles","doi":"10.4103/cjrm.cjrm_43_23","DOIUrl":"10.4103/cjrm.cjrm_43_23","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"29 4","pages":"177-182"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preparing general surgery residents for rural practice in British Columbia: Competencies, privileging and geography.","authors":"Rebecca M Afford, Sara D Bolin, Madeleine E Armstrong, Tracy M Scott, Ahmer A Karimuddin","doi":"10.4103/cjrm.cjrm_59_23","DOIUrl":"https://doi.org/10.4103/cjrm.cjrm_59_23","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;For general surgeons practising in rural areas, multiple factors influence care beyond skills learned in residency. The British Columbia Privileging Dictionary (BCPD) defines core and non-core procedures that shape the scope of general surgeons. Moreover, the Royal College has adopted a Competence by Design (CBD) curriculum which employs entrustable professional activities (EPAs) that list surgical skill residents must be proficient in by graduation. Our goal is to understand the current practice patterns of rural general surgeons in BC based on these policies and local factors.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Medical service plan (MSP) data were collected from 2011 to 2021 based on general surgeons working in rural subsidiary agreement (RSA) communities. The MSP fee codes were organised into core or non-core procedures, as outlined by the BCPD. EPAs were assessed and compared to the non-core procedures.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;From 2011 to 2021, 223,103 procedures were performed in rural sites in BC. On average, 90.97% (standard deviation = 20.78) of procedures done in all communities were BCPD core procedures. The most common non-core surgical care performed by general surgeons was in plastic surgery (n = 8035). Over 8% of procedures performed were not general surgery EPAs. Notably, none of the EPAs are considered non-core privileges and all EPAs have been performed in rural settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;General surgeons working in rural settings perform multiple procedures outside of EPAs which account for over 8% of their caseload and approximately 6% of procedures performed are non-core privileges. This provides some insight into the potential limitations of the BCPD on graduates hoping to practise in rural communities. As the CBD curriculum has been reported to provide a more flexible approach to learning, it may be tailored to suit residents' learning and career goals, including varied surgical skills to suit rural needs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Pour les chirurgiens généraux exerçant en zone rurale, de multiples facteurs influencent les soins, et ce au-delà des compétences acquises en résidence. Le British Columbia Privileging Dictionary (BCPD) définit les procédures essentielles et non essentielles qui déterminent le champ d'action des chirurgiens généraux. En outre, le Collège royal a adopté un programme d'études intitulé « La compétence par conception » (CPC) qui utilise des activités professionnelles confiables (APC) qui énumèrent les compétences chirurgicales que les résidents doivent maîtriser avant d'obtenir leur diplôme. Notre objectif est de comprendre les modes de pratique actuels des chirurgiens généralistes ruraux en Colombie-Britannique en fonction de ces politiques et des facteurs locaux.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Mthodes: &lt;/strong&gt;Les données du Medical Service Plan (MSP, Plan de service médical) ont été recueillies entre 2011 et 2021 auprès des chirurgiens généralist","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"29 4","pages":"155-166"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}