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<br /> The official journal of the Society of Rural Physicians of Canada Le journal officiel de la Société de la médecine rurale du Canada<br /> VOLUME 20, NO. 1, WINTER 2015 VOLUME 20, Nº 1, HIVER 2015<br /> IN THIs IssUE DaNs cE NUMéRO<br /> ED Treatment of Acute COPD Exacerbation: Alberta<br /> GP Surgery: Anyone Interested?<br /> NOSM’s Economic Contribution to Northern Communities<br /> The Occasional ED Ultrasound: FAST<br /> Choosing Wisely Canada.<br /> A healthy conversation.<br /> When it comes to your health, more medical tests, treatments<br /> and procedures are not always better. In fact, sometimes<br /> they’re unnecessary. Find out when you need medical tests,<br /> treatments and procedures — and when you don’t.<br /> Talk with your doctor or visit ChoosingWiselyCanada.org<br /> @ChooseWiselyCA<br /> srpc.ca<br /> Scientific Ed<a title="CJRM; Vol. 20, No. 1, Winter 2015 page 1" href="http://viewer.zmags.com/publication/6fb2da29?page=1"> The official journal of the Society of Rural Phys</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 2" href="http://viewer.zmags.com/publication/6fb2da29?page=2"> Choosing Wisely Canada. A healthy conversation. </a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 3" href="http://viewer.zmags.com/publication/6fb2da29?page=3"> srpc.ca Scientific Editor Rédacteur scientifique</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 4" href="http://viewer.zmags.com/publication/6fb2da29?page=4"> The Village Watercolor and acrylic, 22" × 30", by</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 5" href="http://viewer.zmags.com/publication/6fb2da29?page=5"> Editorial / Éditorial Attacking generalism: usi</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 6" href="http://viewer.zmags.com/publication/6fb2da29?page=6"> Peter Hutten-Czapski, MD Rédacteur scientifique, </a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 7" href="http://viewer.zmags.com/publication/6fb2da29?page=7"> Editorial / Éditorial President’s message. Rural</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 8" href="http://viewer.zmags.com/publication/6fb2da29?page=8"> John Soles, MD, FRRMS Clearwater (C.-B.) Corresp</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 9" href="http://viewer.zmags.com/publication/6fb2da29?page=9"> Paul McKenna, MD Kelsey MacLeod, MD Christopher L</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 10" href="http://viewer.zmags.com/publication/6fb2da29?page=10"> C hronic obstructive pulmo</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 11" href="http://viewer.zmags.com/publication/6fb2da29?page=11"> [FEV1], chest radiography, electrocardiography [E</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 12" href="http://viewer.zmags.com/publication/6fb2da29?page=12"> ambulance. Overall, most (97.5%) transported pati</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 13" href="http://viewer.zmags.com/publication/6fb2da29?page=13"> Table 3. Assessment and investigation of 266 case</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 14" href="http://viewer.zmags.com/publication/6fb2da29?page=14"> retrospectively “grade” the true quality of a cli</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 15" href="http://viewer.zmags.com/publication/6fb2da29?page=15"> Overall, the low rate of quantitative assessm</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 16" href="http://viewer.zmags.com/publication/6fb2da29?page=16"> practising in these rural locations who had no pr</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 17" href="http://viewer.zmags.com/publication/6fb2da29?page=17"> Amber A. P. Bacenas, MD, CCFP Chelsey A. Ricketts</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 18" href="http://viewer.zmags.com/publication/6fb2da29?page=18"> Conclusion : De nombreux répondants ignoraient qu</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 19" href="http://viewer.zmags.com/publication/6fb2da29?page=19"> METHODS Study population We sent an anonymous, </a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 20" href="http://viewer.zmags.com/publication/6fb2da29?page=20"> Statistical analysis We used frequency tables an</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 21" href="http://viewer.zmags.com/publication/6fb2da29?page=21"> Most participants (68.4%) did not feel that their</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 22" href="http://viewer.zmags.com/publication/6fb2da29?page=22"> Table 1. Factors relating to interest in enhanced</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 23" href="http://viewer.zmags.com/publication/6fb2da29?page=23"> of surgical procedures. Interest in the former wa</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 24" href="http://viewer.zmags.com/publication/6fb2da29?page=24"> training was encouraging. Interest was particular</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 25" href="http://viewer.zmags.com/publication/6fb2da29?page=25"> this training, nor to a career in rural and remot</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 26" href="http://viewer.zmags.com/publication/6fb2da29?page=26"> Service Information Society of Rural Physicians</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 27" href="http://viewer.zmags.com/publication/6fb2da29?page=27"> John C. Hogenbirk, MSc Centre for Rural and North</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 28" href="http://viewer.zmags.com/publication/6fb2da29?page=28"> suivants en importance bénéficiant d’un apport de</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 29" href="http://viewer.zmags.com/publication/6fb2da29?page=29"> METHODS Contribution based on actual spending W</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 30" href="http://viewer.zmags.com/publication/6fb2da29?page=30"> RESULTS Economic contribution We estimated the </a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 31" href="http://viewer.zmags.com/publication/6fb2da29?page=31"> NOSM spending or contribution in 2007/08 for CSD </a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 32" href="http://viewer.zmags.com/publication/6fb2da29?page=32"> short-term (e.g., construction and renovations) a</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 33" href="http://viewer.zmags.com/publication/6fb2da29?page=33"> In the opinion of many interviewees, the tota</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 34" href="http://viewer.zmags.com/publication/6fb2da29?page=34"> 12. How healthy are rural Canadians? An assessmen</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 35" href="http://viewer.zmags.com/publication/6fb2da29?page=35"> The Practitioner Le praticien The occasional ED </a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 36" href="http://viewer.zmags.com/publication/6fb2da29?page=36"> abdominal source of bleeding.3,4,6 However, it mu</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 37" href="http://viewer.zmags.com/publication/6fb2da29?page=37"> Left upper quadrant scan To do the scan, hold th</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 38" href="http://viewer.zmags.com/publication/6fb2da29?page=38"> CASES Case 1 A 32-year-old man is involved in a</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 39" href="http://viewer.zmags.com/publication/6fb2da29?page=39"> Spo2 is 97% on room air. As part of your primary </a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 40" href="http://viewer.zmags.com/publication/6fb2da29?page=40"> identified on the screen (Fig. 12). The fluid</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 41" href="http://viewer.zmags.com/publication/6fb2da29?page=41"> Start your scan at maximal depth on the sc</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 42" href="http://viewer.zmags.com/publication/6fb2da29?page=42"> Jean-Gaston DesCôteaux, MA, MD, FRCSC Golden and </a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 43" href="http://viewer.zmags.com/publication/6fb2da29?page=43"> aspect of a patient’s problem. I believe we are a</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 44" href="http://viewer.zmags.com/publication/6fb2da29?page=44"> Career/Classified Advertising Carrières et annonc</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 45" href="http://viewer.zmags.com/publication/6fb2da29?page=45"> INTERIOR HEALTH OPPORTUNITIES FAMILY PHYSICIAN: </a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 46" href="http://viewer.zmags.com/publication/6fb2da29?page=46"> Healthcare is social. The Rounds revolutionizes p</a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 47" href="http://viewer.zmags.com/publication/6fb2da29?page=47"> Discover the perfect place to call home. </a> <a title="CJRM; Vol. 20, No. 1, Winter 2015 page 48" href="http://viewer.zmags.com/publication/6fb2da29?page=48"> PART OF THE NOVARTIS COPD PORTFOLIO O</a>