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2025 update of the Greig Health Record: Part 1-what's new? 2025年格雷格健康记录的更新：第一部分-有什么新内容？
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.720131
Anita Greig, Fereshte Lalani, Cara Dosman, Akshay Verma, Jordana Sheps, Naima Javaid

Objective: To review a selection of new resources and updated recommendations from the third update of the Greig Health Record (GHR).

Sources of information: Pediatric preventive care literature was reviewed using PubMed and Google Scholar databases. Systematic reviews of subtopics were evaluated where available. Guidance and supporting evidence were reviewed from the Canadian Paediatric Society, the American Academy of Pediatrics, the Canadian Task Force on Preventive Health Care, the United States Preventive Services Task Force, the National Advisory Committee on Immunization, and the Centers for Disease Control and Prevention.

Main message: In this 2025 update the following topics have been added or revised: confidentiality, capacity, and consent in pediatric patients; developmental assessment; poverty screening; sexual health and consent; menstrual health history; contraception; guidance for detection and prevention of sexually transmitted infections; radon as an environmental hazard; updated ferritin standards; vaccine hesitancy; and updated dosing for human papillomavirus vaccination.

Conclusion: The third update of the GHR provides recent evidence-based recommendations and detailed guidance for clinicians providing pediatric preventive care.

目的：回顾格雷格健康记录（GHR）第三次更新中选择的新资源和更新建议。信息来源：使用PubMed和谷歌Scholar数据库对儿科预防保健文献进行综述。在可能的情况下对子主题进行系统评价。审查了来自加拿大儿科学会、美国儿科学会、加拿大预防保健工作队、美国预防服务工作队、国家免疫咨询委员会以及疾病控制和预防中心的指导和支持性证据。主要信息：在2025年的更新中，增加或修改了以下主题：儿科患者的保密、能力和同意；发展评估;贫困筛选;性健康和性同意；月经健康史；避孕;关于发现和预防性传播感染的指导；氡作为一种环境危害；更新的铁蛋白标准；疫苗犹豫;更新了人乳头瘤病毒疫苗的剂量。结论：GHR的第三次更新为提供儿科预防保健的临床医生提供了最新的循证建议和详细指导。
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引用次数: 0
Is lowering the threshold for blood pressure diagnosis worth it? 降低血压诊断的门槛值得吗？
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.720110_1
René Wittmer, Guylène Thériault, Samuel Boudreault, Marc-Antoine Turgeon
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引用次数: 0
Ian McWhinney, l’art et l’espace liminaire entre la médecine et la société. Ian McWhinney，艺术和医学与社会之间的前沿空间。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.72019
David Ponka
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引用次数: 0
Que perdrons-nous si les soins prénataux, intrapartum et post-partum deviennent une pratique ciblée? 如果产前、产前和产后护理成为有针对性的做法，我们会失去什么？
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.720122
Jolanda Turley
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引用次数: 0
Revisiter, réévaluer et réinterpréter 2 idées audacieuses pour la médecine familiale: Série de conférences Dr Ian McWhinney de 2025. 回顾、重新评估和重新解释两个关于家庭医学的大胆想法：Ian McWhinney博士2025系列讲座。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.7201e1
Moira Stewart
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引用次数: 0
Correction. 修正。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.720113
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引用次数: 0
Dix conseils pour favoriser la motivation des cliniciens enseignants: Une perspective fondée sur la théorie de l’autodétermination. 鼓励临床教学激励的10个技巧：基于自决权理论的视角。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.7201e26
Cesar Orsini, Adam Neufeld
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引用次数: 0
Enjeux de la médecine de famille: Récits véritables, solutions applicables. 家庭医学问题：真实的处方，可应用的解决方案。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.720170
Sarah Cook
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引用次数: 0
Association between family physician gender and patient service times: Evidence from Ontario. 家庭医生性别与患者服务时间之间的关系：来自安大略省的证据。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.7201e17
Boris Kralj, Lyn Sibley, Jasmin Kantarevic, Kathleen Clements, Meredith Vanstone, Danielle O'Toole, Arthur Sweetman

Objective: To quantify differences between self-reported service times of male and female family physicians (FPs) in Ontario.

Design: Cross-sectional census survey of FPs in active practice and survey weights for nonresponse.

Setting: Ontario.

Participants: A total of 1055 FPs practising in Ontario who completed the survey.

Main outcome measures: Self-reported duration, in minutes, of the services Ontario FPs most commonly provide.

Results: For 19 of the 20 services examined, female FPs reported longer average service times than those of their male colleagues. Female-male differences ranging from 15% to 20% were statistically significant and clinically relevant. For the most frequently billed service, the intermediate assessment (bill code A007), female FPs spent an average of 3.9 minutes (22.3%) longer per service than male FPs (P<.001). The Papanicolaou test (bill code G365) was the only service for which the reported service times were the same for both male and female FPs. Gender differences were less pronounced among international medical graduates and those who completed their residency outside of Canada, suggesting that training background influences service time.

Conclusion: Female FPs in Ontario reported spending more time per patient than their male colleagues across a range of services, with the association attenuated for those with non-Canadian medical degrees or residencies. Current payment models do not account for time spent, thereby potentially structurally disadvantaging female physicians in terms of overall earnings. The gender pay gap in family practice could be reduced if current fee structures were replaced by, or amended to include, time-based payments.

目的：量化安大略省男性和女性家庭医生（FPs）自我报告服务时间的差异。设计：对积极实践的FPs进行横断面普查调查，对无反应的调查权重。设置:安大略省。参与者：共有1055名在安大略省执业的FPs完成了调查。主要结果测量：安大略省FPs最常提供的服务的自我报告持续时间（以分钟为单位）。结果：在调查的20种服务中，有19种女性FPs报告的平均服务时间比男性同事长。男女差异在15%到20%之间，具有统计学意义和临床相关性。对于最常见的收费服务，中间评估（账单代码A007），女性FPs每次服务平均比男性FPs多花费3.9分钟（22.3%）(结论：安大略省的女性FPs报告说，在一系列服务中，每位患者花费的时间比男性同事多，非加拿大医学学位或住院医师的关联有所减少。目前的支付模式没有考虑到所花费的时间，因此在总体收入方面，女医生可能在结构上处于劣势。如果目前的收费结构被以时间为基础的付款所取代，或加以修改以包括这种付款，家庭执业中的性别薪酬差距就可以缩小。
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引用次数: 0
Finding my way. 找到我的路。
IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Canadian Family Physician
Pub Date : 2026-01-01 DOI: 10.46747/cfp.720172
Leonora Lalla
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引用次数: 0
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