Canadian family physician Médecin de famille canadien
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Referring patients with chronic noncancer pain to pain clinics: survey of Ontario family physicians.
To examine the factors associated with FPs' referrals of patients with chronic noncancer pain to a tertiary care pain clinic. ⋯ Although the results of our survey of FPs identify certain barriers to and reasons for referring patients to pain clinics, the results cannot be generalized owing to the small sample of FPs in our study. Larger studies of randomly selected FPs, who might or might not refer patients to pain clinics, are needed to provide a better understanding of chronic noncancer pain management needs at the primary care level.
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To describe key determinants for residents' selection of a new community-based, interprofessional site for their family medicine training, and to evaluate residents' satisfaction with their programs. ⋯ Residents selected the new community-based family medicine site for reasons of geographic location and the potential for clinical learning experiences and interprofessional education. High program satisfaction was achieved at both the new and well established sites. Family medicine residency programs developing community-based networks might consider and encourage the positive influence of interprofessional care and education. Good communication between distributed sites remains a challenge.
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To measure physicians' experiences with opioid-related adverse events and their perceived level of confidence in their opioid prescribing skills and practices. ⋯ Most physicians have encountered opioid-related adverse events. Comprehensive strategies are required to promote safe prescribing of opioids, including guidelines and comprehensive office-system materials.