Canadian Family Physician最新文献

{"title":"Preventive health care and the craft of family medicine.","authors":"Nicholas Pimlott","doi":"10.46747/cfp.7204222","DOIUrl":"10.46747/cfp.7204222","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"222"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La continuité des soins devrait être l’héritage durable du D^r Ian McWhinney: Partie 4 d’une série de 10, « Fondements de l’avenir ».","authors":"Iona Heath","doi":"10.46747/cfp.7204e93","DOIUrl":"10.46747/cfp.7204e93","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"e93-e96"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural continuity: The product of socially accountable, culturally safe, and inclusive care.","authors":"Alex Anawati, Nusha Ramsoondar, Erin Cameron","doi":"10.46747/cfp.7204226","DOIUrl":"10.46747/cfp.7204226","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"226-229"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enseigner l’échographie au point de service en milieu rural dans le cadre de la résidence en médecine de famille.","authors":"Adam Jones-Delcorde, Sean D Higgins, Vikas Bhagirath, Paul Pageau, Michael Y Woo","doi":"10.46747/cfp.7204e127","DOIUrl":"10.46747/cfp.7204e127","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"e127-e130"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing the environmental impact of medications and improving patient outcomes using the ECO-Rx framework.","authors":"Ilona Hale, Samantha Green, Jessica Nowlan, Ivy Lam","doi":"10.46747/cfp.7204233","DOIUrl":"10.46747/cfp.7204233","url":null,"abstract":"<p><strong>Objective: </strong>To raise awareness about the environmental impact of medications and provide practical opportunities to reduce this effect.</p><p><strong>Sources of information: </strong>The <i>Planetary Health for Primary Care</i> resource.</p><p><strong>Main message: </strong>Environmental harms and climate change are threats to human health, yet the health care system is responsible for 4.6% of greenhouse gas (GHG) pollution in Canada. Most of this pollution is generated upstream in the supply chain where products, including medications, are produced. In primary care, medications account for 61% of GHG pollution. Medications also have other impacts on the environment including contamination of air, water, and soil. The Evidence, Collaboration, Options, Review Rx (ECO-Rx) framework was designed to support appropriate use of medications through the following: Evidence-use high-quality evidence to guide diagnosis and treatment; collaboration-involve patients in all treatment decisions; options-always consider nonpharmacologic or more sustainable pharmacologic options; and review Rx-regularly review existing prescriptions and deprescribe appropriately.</p><p><strong>Conclusion: </strong>By applying these principles to an entire patient roster, 1 family physician can have a large environmental impact while also improving patient outcomes, minimizing costs for patients and the health care system, and reducing provider workload through fewer refill visits, less monitoring, and fewer complications.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"233-238"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toward a family medicine capability framework for Canada: From competence to capability.","authors":"Monica Aggarwal, Geoff Scott, Ross E G Upshur, Alan Katz, Kulamakan Kulasegaram","doi":"10.46747/cfp.7204257","DOIUrl":"10.46747/cfp.7204257","url":null,"abstract":"<p><strong>Objective: </strong>To inform the development of a Family Medicine (FM) Professional Capability Framework by examining the competencies and capabilities of high-performing family physicians (FPs).</p><p><strong>Design: </strong>A mixed-methods explanatory sequential study using a survey and focus groups.</p><p><strong>Setting: </strong>Ontario.</p><p><strong>Participants: </strong>Overall, 54 high-performing early-career FPs participated in the survey; and 21 FPs, educators, or leaders participated in the focus groups.</p><p><strong>Main outcome measures: </strong>To identify the 25 top-ranking competencies and capabilities of high-performing FPs.</p><p><strong>Results: </strong>The 25 top-ranking attributes of high-performing FPs were predominantly a set of personal, interpersonal, and cognitive capabilities. There was overwhelming consensus among focus group experts on the key capabilities and competencies for successful practice, thus validating the FM Professional Capability Framework. FPs reported not being equipped with specific competencies such as business management and leadership, personal capabilities (tolerating uncertainty and ambiguity, remaining calm under pressure, willingness to persevere when things go awry, and ability to make hard decisions), interpersonal capabilities (understanding how different groups operate in organization and influence situations, ability to communicate effectively and resolve conflicts, how to work in diverse teams), and intellectual capabilities (diagnostic, critical, and creative thinking, and self-reflection).</p><p><strong>Conclusion: </strong>FPs report that the FM residency training is not sufficiently developing key competencies and capabilities for successful practice. The FM Professional Capability Framework can be used to augment existing physician competency frameworks to drive enhancements in curriculum design, teaching, learning, assessment, and certification. This approach has the potential to foster the development of a robust FP workforce that can effectively respond to, adapt to, and successfully navigate unfamiliar and complex situations, settings, and populations, thereby enhancing physician resilience and the delivery of comprehensive, patient-centred care in an age of uncertainty and accelerating change.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"257-267"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quand les conversations difficiles deviennent utiles.","authors":"Michael Allan","doi":"10.46747/cfp.7204287","DOIUrl":"10.46747/cfp.7204287","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"287"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Les soins de santé préventifs et l’art de la médecine familiale.","authors":"Nicholas Pimlott","doi":"10.46747/cfp.7204223","DOIUrl":"10.46747/cfp.7204223","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"223"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health care crisis: looking beyond the obvious: Part 2: Drawing inspiration from the planetary boundaries concept.","authors":"Maxine Dumas Pilon, Timothy Holland, Mathieu Moreau, Ross E G Upshur, Christy Simpson, Daniel Buchman","doi":"10.46747/cfp.7204e131","DOIUrl":"10.46747/cfp.7204e131","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"e131-e135"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Difficult to helpful conversations.","authors":"Michael Allan","doi":"10.46747/cfp.7204288","DOIUrl":"10.46747/cfp.7204288","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"72 4","pages":"288"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}