Wilkins Baun (wrenflag4)

62, 95% CI 0.39 to 0.95), compared with those who did not see a GP in the past year, after adjusting for confounders. CONCLUSION We found that insulin-dependent patients with diabetes who saw GPs more frequently were hospitalized less commonly compared with those who did not see a GP in the past year. Further research is needed to examine relationships with other types of follow-up, ideally using a longitudinal design. Copyright© the College of Family Physicians of Canada.OBJECTIVE To provide an overview of the use and possible overuse of diagnostic neck ultrasound (DNUS) by describing and comparing both the ordering rates and the downstream results of DNUS by regions across Ontario. DESIGN Retrospective population-based cohort study based on electronic health care data. SETTING Ontario. PARTICIPANTS Ontario residents (adults aged > 18 years) who had a diagnosis of thyroid cancer between October 1, 1999, and June 30, 2014, and residents who had a DNUS in 2012. MAIN OUTCOME MEASURES Proportion of Ontario residents in each sub-Local Health Integration Network (LHIN) group who had their first DNUS in 2012 and went on to other relevant tests, diagnoses, and surgery. The sub-LHIN groups were based on increasing age- and sex-adjusted rates of first DNUS. RESULTS There were 77 238 DNUS tests in 2012 and there was a 7.4-fold variation in the rate of test ordering across the sub-LHIN populations leading to variable rates of actual disease, suggesting screening or uncertain indications for tests. CONCLUSION Across Ontario, the indications for ordering DNUS are variable, and screening or testing without indication might be a common practice. Establishing effective guidelines for the ordering of DNUS would potentially reduce costs and ultimately reduce the rates of thyroid cancer. Copyright© the College of Family Physicians of Canada.OBJECTIVE To explore how family medicine (FM) residents experience role modeling of professionalism by FM preceptors. DESIGN Qualitative design using semistructured, one-on-one interviews. SETTING Two FM teaching units at the University of Toronto in Ontario. PARTICIPANTS Sixteen first- and second-year FM residents. METHODS This study employed a qualitative description design. The CanMEDS-Family Medicine 2009 framework was used to help design interview questions. Interviews were audiorecorded and transcribed verbatim. Transcripts were coded and themes were developed. MAIN FINDINGS Some residents described insufficient experience with role modeling in general. Two main findings were that a longitudinal relationship with a role model was important and that residents desired a close working relationship with a role model in a clinical setting. Most participants could identify experiences with role modeling of ethical practice; many examples were in the context of challenging patients. Some, but not all, residents could identify experiences with role modeling of profession-led regulation and reflective practice. Varoglutamstat Of note, there were mixed responses with respect to role modeling a commitment to personal health. CONCLUSION Reassuringly, many FM residents described experiences with positive role modeling of professionalism. However, some residents believed that role modeling was limited by the brevity of their interactions with potential role models. To optimize the effect of role modeling, educators should support opportunities for residents to develop close, longitudinal working relationships with faculty. Copyright© the College of Family Physicians of Canada.in French OBJECTIF Aider les fournisseurs de soins obstétriques, y compris les médecins de famille, infirmières praticiennes, sages-femmes et obstétriciens, à renseigner les patientes sur les risques liés à l’usage de cannabis durant la grossesse et le post-partum, et sur son lien avec les nausées et les vomissements durant la grossesse. SOURCES D’INFORMATION Une recherche a été effectuée dans les banques de données Ovid MEDLINE à l’aide