Canadian Journal of Rural Medicine最新文献

{"title":"Une recherche murale porteuse de sens.","authors":"Peter Hutten-Czapski","doi":"10.4103/cjrm.cjrm_58_25","DOIUrl":"https://doi.org/10.4103/cjrm.cjrm_58_25","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 4","pages":"164"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483380","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 Bartholin cyst management.","authors":"Jenna Cross, Carmen Soltys, Sarah Giles","doi":"10.4103/cjrm.cjrm_46_25","DOIUrl":"https://doi.org/10.4103/cjrm.cjrm_46_25","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 4","pages":"192-195"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483147","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 souvenir.","authors":"Gavin Gerard Parker","doi":"10.4103/cjrm.cjrm_59_25","DOIUrl":"https://doi.org/10.4103/cjrm.cjrm_59_25","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 4","pages":"166"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483110","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":"Fournier's gangrene in remote Northern Ontario, Canada: A rare but critical condition.","authors":"Hailey Land, Sierra A Land, Steven Chen","doi":"10.4103/cjrm.cjrm_16_25","DOIUrl":"https://doi.org/10.4103/cjrm.cjrm_16_25","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 4","pages":"189-191"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483054","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":"Family medicine resident-led clinics in northern Saskatchewan: A programme evaluation.","authors":"Jessica Froehlich, Kristi Galloway, Daniel Ferguson, Udoka Okpalauwaekwe, Vivian Rose Ramsden, Rhonda Bryce, Jeffrey David C Irvine","doi":"10.4103/cjrm.cjrm_64_24","DOIUrl":"10.4103/cjrm.cjrm_64_24","url":null,"abstract":"<p><strong>Introduction: </strong>Family medicine residents at the University of Saskatchewan's La Ronge Family Medicine Residency Training Programme provide resident-led clinics, based on community-identified needs, to serve patients who might experience barriers to care. Learners are challenged to advance their independent clinical decision-making while gaining experience providing culturally informed and sensitive care. This study aimed to determine how the La Ronge resident-led clinics could be further optimised for both resident training and healthcare delivery.</p><p><strong>Methods: </strong>We interviewed La Ronge Residency Training Programme graduates over the past 6 years (2018-2023). Interviews were conversational, with a semi-structured guide. Questions inquired about the impact the clinics had on participants, benefits, drawbacks and suggestions for change. Following the interviews, an inductive, reflective, thematic analysis was undertaken.</p><p><strong>Results: </strong>Response rate was 100% (n = 15). Six themes emerged: building skills for practice with distant supervision; overcoming barriers and resource limitations; awareness of inequities; building culturally respectful relationships; optimising clinic utilisation; and ways of implementing change. Participants felt resident-led clinics encouraged their growth like no other opportunity in the Residency Training Programme. The level of independence in resident-led clinics came with a trade-off in supervision, as there was a desire to balance these aspects.</p><p><strong>Conclusions: </strong>Resident-led clinics promoted professional and personal development. Additional community collaboration, along with optimising clinic utilisation, such as improved translational and booking services, could benefit patients, communities and residents.</p><p><strong>Introduction: </strong>Les résidents en médecine familiale du programme de résidence en médecine familiale de La Ronge, de l'Université de la Saskatchewan, offrent des cliniques dirigées par des résidents, en fonction des besoins identifiés par la communauté, afin de servir les patients qui pourraient rencontrer des obstacles à l'accès aux soins. Les apprenants sont appelés à développer leur autonomie dans la prise de décisions cliniques tout en acquérant de l'expérience dans la prestation de soins culturellement adaptés et sensibles. Cette étude avait pour objectif de déterminer comment les cliniques dirigées par les résidents de La Ronge pourraient être encore mieux optimisées, tant pour la formation des résidents que pour l'amélioration de l'offre de soins.</p><p><strong>Mthodes: </strong>Nous avons interviewé les diplômés du programme de résidence en médecine familiale de La Ronge au cours des six dernières années (2018-2023). Les entretiens se sont déroulés sous forme de conversations guidées de manière semi-structurée. Les questions portaient sur l'impact des cliniques dirigées par les résidents, les avantages et les inconv","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 4","pages":"167-173"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483069","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":"Understanding frostbite presentation and distribution of care in Ontario 2010-2018.","authors":"Yousuf Ahmed, Malcolm Davidson, Alex Poole, Josianne Gauthier, Sarvesh Logsetty, Ian Macnairn, Lisa Allen, Haley Golding, Caitlin Champion","doi":"10.4103/cjrm.cjrm_65_24","DOIUrl":"10.4103/cjrm.cjrm_65_24","url":null,"abstract":"<p><strong>Introduction: </strong>Frostbite is a cold-weather injury presenting a significant risk of functional morbidity due to amputation. There is a paucity of studies investigating the epidemiology and regional distribution of frostbite. We describe the characteristics of frostbite patients and their care in Ontario.</p><p><strong>Methods: </strong>Data were collected from the Institute of Clinical and Evaluative Sciences for adults over 18 years presenting to an Ontario emergency department from 1 January 2010 to 31 December 2018. Patients were followed for 30-day readmission and additional treatments within 180 days of presentation.</p><p><strong>Results: </strong>Five thousand three hundred and eleven patients presented with unique episodes of frostbite in Ontario. Most cases were classified as unspecified (n = 3775) or superficial (n = 1379) frostbite of the extremities, primarily in male patients with a mean age 40 and few comorbidities. Cases were seen across all income and marginalisation quintiles, with a trend towards more cases in greater Ontario Marginalization indices and a higher proportion of homelessness seen in deep frostbite presentations (10%) compared to superficial (4.4%) or unspecified (5.6%). Most cases (75%) presented to small or medium-sized non-academic hospitals. An increase in cases was seen in extreme cold winters in 2014 and 2015.</p><p><strong>Conclusion: </strong>Frostbite patients presented to small and medium non-academic hospitals with increased cases during extreme cold weather. While there was a trend towards more cases in lower-income and marginalised populations, frostbite impacted all segments of society. Frostbite education initiatives involving patients and providers have the potential to positively impact patient outcomes.</p><p><strong>Introduction: </strong>L'engelure est une blessure liée au froid qui comporte un risque important de morbidité fonctionnelle en raison d'amputations possibles. Peu d'études se sont intéressées à l'épidémiologie et à la répartition régionale des engelures. Nous décrivons ici les caractéristiques des patients atteints d'engelures et leur trajectoire de soins en Ontario.</p><p><strong>Mthodes: </strong>Les données proviennent de l'Institute for Clinical and Evaluative Sciences et concernent les adultes de 18 ans et plus ayant consulté à l'urgence en Ontario entre le 1er janvier 2010 et le 31 décembre 2018. Les patients ont été suivis afin d'évaluer les réadmissions dans les 30 jours et les traitements additionnels dans les 180 jours suivant la première consultation.</p><p><strong>Rsultats: </strong>Au total, 5 311 patients ont consulté pour un épisode unique d'engelure en Ontario. La majorité des cas concernaient des engelures des extrémités, classées comme non spécifiées (n = 3 775) ou superficielles (n = 1 379), principalement chez des hommes âgés en moyenne de 40 ans et présentant peu de comorbidités. Les cas ont été observés dans tous les quintiles de revenu et de ma","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 4","pages":"174-181"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483328","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":"Can implementation of in situ simulation support rural emergency provider self-confidence and improve patient safety? A mixed-methods study.","authors":"Sebastian Diebel, Aidan Wharton, Pascale King, Michelle Parker","doi":"10.4103/cjrm.cjrm_70_24","DOIUrl":"10.4103/cjrm.cjrm_70_24","url":null,"abstract":"<p><strong>Introduction: </strong>Rural emergency departments across Canada face challenges such as limited access to continuing medical education and resource constraints. Our study evaluates in situ Simulation (ISS) as an educational tool in a small rural emergency department, focusing on participant satisfaction, clinician confidence and the identification of latent safety threats (LSTs).</p><p><strong>Methods: </strong>Five monthly ISS sessions were conducted during active clinical hours, involving physicians, nurses and nurse practitioners selected through convenience sampling. After each session, participants anonymously completed the validated student satisfaction and self-confidence in learning survey and short-answer questions to identify LSTs.</p><p><strong>Results: </strong>Participants reported high satisfaction with ISS, and high confidence in clinical skills post-simulation. Thematic analysis of short-answer responses identified several LSTs in clinical care systems, which were brought for review by department leadership to improve patient and provider safety.</p><p><strong>Conclusion: </strong>ISS is a feasible and valuable educational strategy for rural healthcare providers, promoting participant satisfaction and enhancing confidence in managing acute situations. In addition, it effectively identifies safety issues, contributing to improved patient care. This model can inform similar initiatives in other rural settings facing educational and resource challenges.</p><p><strong>Introduction: </strong>Les services d'urgence en milieu rural à travers le Canada font face à des défis tels que l'accès limité à la formation médicale continue et les contraintes de ressources. Notre étude évalue la simulation in situ (SIS) comme outil pédagogique dans un petit service d'urgence rural, en mettant l'accent sur la satisfaction des participants, la confiance des cliniciens et l'identification des menaces latentes à la sécurité.</p><p><strong>Mthodes: </strong>Cinq séances mensuelles de SIS ont été réalisées pendant les heures cliniques actives, réunissant des médecins, des infirmières et des infirmières praticiennes sélectionnés par échantillonnage de convenance. Après chaque séance, les participants ont rempli de façon anonyme le questionnaire validé Student Satisfaction and Self-Confidence in Learning Survey (SCLS), ainsi que des questions à réponses courtes visant à identifier les menaces latentes à la sécurité.</p><p><strong>Rsultats: </strong>Les participants ont rapporté un haut niveau de satisfaction à l'égard de la SIS et une grande confiance dans leurs compétences cliniques après les simulations. L'analyse thématique des réponses courtes a permis d'identifier plusieurs menaces latentes à la sécurité dans les systèmes de soins cliniques, lesquelles ont été soumises à l'examen de la direction du service afin d'améliorer la sécurité des patients et des prestataires.</p><p><strong>Conclusion: </strong>La SIS constitue une stratégie pédagog","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 4","pages":"182-188"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145482829","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":"Erratum: Recharged.","authors":"","doi":"10.4103/cjrm.cjrm_57_25","DOIUrl":"https://doi.org/10.4103/cjrm.cjrm_57_25","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 4","pages":"196"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483021","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":"Meaningful rural research.","authors":"Peter Hutten-Czapski","doi":"10.4103/cjrm.cjrm_50_25","DOIUrl":"https://doi.org/10.4103/cjrm.cjrm_50_25","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 4","pages":"163"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483057","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":"Remembering.","authors":"Gavin Gerard Parker","doi":"10.4103/cjrm.cjrm_53_25","DOIUrl":"https://doi.org/10.4103/cjrm.cjrm_53_25","url":null,"abstract":"","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"30 4","pages":"165"},"PeriodicalIF":0.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483033","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}