Canadian Family Physician最新文献

{"title":"Tranexamic acid solution for nosebleeds.","authors":"Émélie Braschi, Jennifer Young","doi":"10.46747/cfp.7109571","DOIUrl":"10.46747/cfp.7109571","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"571"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056338","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":"Raisons d’être, présages et possibilités.","authors":"David Ponka","doi":"10.46747/cfp.7109537","DOIUrl":"10.46747/cfp.7109537","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"537"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056291","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":"Illuminating exceptional family physicians.","authors":"Michael Allan","doi":"10.46747/cfp.7109600","DOIUrl":"10.46747/cfp.7109600","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"600"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056208","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 unnecessary investigations in pediatric simple febrile and first-episode generalized unprovoked seizures.","authors":"Katie Gardner, Deborah Schonfeld, Michèl A Willemsen, Olivia Ostrow","doi":"10.46747/cfp.7109563","DOIUrl":"10.46747/cfp.7109563","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"563-566"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056306","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":"Our commitment to reconciliation.","authors":"Carrie Bernard","doi":"10.46747/cfp.7109597","DOIUrl":"10.46747/cfp.7109597","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"597"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056311","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":"Purpose, portent, and possibility.","authors":"David Ponka","doi":"10.46747/cfp.7109535","DOIUrl":"10.46747/cfp.7109535","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"535"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056350","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":"Retaining family physicians in comprehensive primary care: Scoping review.","authors":"Han Han, Colleen Grady","doi":"10.46747/cfp.7109e223","DOIUrl":"10.46747/cfp.7109e223","url":null,"abstract":"<p><strong>Objective: </strong>To identify evidence of strategies, initiatives, or policies in the literature aimed at retention of family physicians in comprehensive family practice.</p><p><strong>Data sources: </strong>Electronic databases (Embase, MEDLINE, EBSCOhost) and grey literature sources were searched for relevant articles published from 2000 to February 17, 2023, with study participants that included family physicians and general practitioners in comprehensive primary care practice. Retention strategies, initiatives, and policies were the primary concepts identified.</p><p><strong>Study selection: </strong>Independent title and abstract screening and full-text assessment were completed using Covidence software, with conflicts discussed between 2 reviewers. This was followed by thematic analysis to identify themes and synthesize evidence. Twenty-three articles that described strategies for retaining primary care physicians in practices were selected. Most studies were conducted in the United States, Canada, and Australia, with a few in each of Brazil, Japan, and in 2 European countries (18 using quantitative, qualitative, and mixed methods approaches with the remaining 5 articles being case descriptions or letters to the editor).</p><p><strong>Synthesis: </strong>Five categories of retention strategies were identified: embedding in medical training, community integration, financial support, professional and personal supports, and organizational environment. Early exposure for medical students and residents to rural or underserved communities through distributed medical education, and integration within a community that encouraged the development of ties both professionally and personally both had a positive impact on retention. Supports including financial incentives, professional growth opportunities, and organizations that fostered collaboration among family physicians were also seen to encourage long-term practices.</p><p><strong>Conclusion: </strong>More research is needed to identify effective strategies or policies aimed at retaining family physicians in comprehensive care practice and to foster healthy and productive careers for professionals who may desire to exit earlier than intended due to systemic issues. Governments need to focus on retaining well-educated and dedicated doctors and encourage lifelong careers in comprehensive family medicine.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"e223-e231"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056279","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":"Practice tips to enhance documentation in primary care: Guide for selecting and implementing artificial intelligence medical scribes.","authors":"Daniel Ngui, Daniel Raff, Neil Naik","doi":"10.46747/cfp.7109569","DOIUrl":"10.46747/cfp.7109569","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"569-570"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056316","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":"Revisiting Ian McWhinney's principles in the digital health age.","authors":"Keith Thompson, Ana Luísa Neves, Azar Varahra Vigeh, Steven van de Vijver, Karen Kinder, Liliana Laranjo, Tom Freeman","doi":"10.46747/cfp.7109543","DOIUrl":"10.46747/cfp.7109543","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"543-545"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056303","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":"2024 edition of the Rourke Baby Record.","authors":"Anne Rowan-Legg, Patricia Li, Bruce Kwok, Leslie Rourke, Denis Leduc, James Rourke, Imaan Bayoumi","doi":"10.46747/cfp.7109553","DOIUrl":"10.46747/cfp.7109553","url":null,"abstract":"<p><strong>Objective: </strong>To assist busy primary care providers caring for infants and young children and their families by providing them with the most recent recommendations and supportive evidence included in the 2024 edition of the Rourke Baby Record (RBR).</p><p><strong>Quality of evidence: </strong>Articles from pediatric preventive care literature (January 2019 to March 2023) were reviewed for relevance and quality of evidence. When available, evidence from systematic reviews, relevant clinical guidelines, and clinical trials were incorporated. In the absence of high-level evidence, observational studies and expert opinion on the topic were included. Primary research studies were reviewed and critically appraised using a modified protocol.</p><p><strong>Main message: </strong>Notable updates in the 2024 edition of the RBR include the promotion of early relational health for families; identification of targeted support and resources as opposed to labelling of high-risk groups; guidance on culturally safe care; clarification and evidence-based adjustments of the age of achievement of some developmental surveillance milestones; recommendations on plant-based beverages, vegetarian, and vegan diets; screening considerations for iron deficiency; dangers of ingestion of button batteries and cannabis edibles; literacy and socioemotional benefits of reading, singing, and storytelling; the importance of unstructured outdoor play; the environment's effect on children's health; the significance of sentinel injuries; acholic stools; and the normal presence and abnormal persistence of developmental (primitive) reflexes.</p><p><strong>Conclusion: </strong>Building on its 40-year history, the 2024 RBR provides freely available, evidence-informed recommendations to guide clinicians in providing effective, up-to-date, and comprehensive preventive pediatric care. Despite the challenging and evolving landscape of primary health care delivery, the RBR will continue to support primary care providers.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 9","pages":"553-561"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056095","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}