Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes
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The chest X-ray (CXR) is one of the most commonly requested diagnostic imaging examinations. It is estimated that over 250,000 CXRs are ordered in Saskatchewan annually. Judicious use of the CXR is valuable in patient care, while unnecessary use increases costs, adds to patient irradiation, and may be in conflict with standards of patient care. In 1993, the Saskatchewan Health Services Utilization and Research Commission (HSURC) developed clinical practice guidelines (CPGs) for the CXR. These guidelines were based on a metaanalysis of validated literature. We were uncertain about whether Saskatchewan physicians were ordering CXRs based on the HSURC CXR CPGs. ⋯ The Saskatchewan physicians we surveyed are not ordering CXRs on the basis of HSURC CXR CPGs. They order too many nonindicated CXRs. Further communication with, and education of, the physician population about the HSRUC CXR CPGs may be warranted.
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To determine if and how gender ratios have changed within Canadian radiology, and to determine if gender discrimination occurs at the level of the radiology resident selection committee. ⋯ There continues to be more men than women radiologists in practice; however, the female-to-male ratio continues to increase. Our data suggest that discrimination against female applicants at the level of radiology residency selection does not occur.
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To evaluate and present 10-year outcomes of the Nova Scotia Breast Screening Program (NSBSP), a population-based screening program in the province of Nova Scotia, Canada, total population 900 000. ⋯ A quality screening program incorporating NCBB in the diagnostic work-up is effective in the early detection of breast cancer and results in less open surgery, particularly in younger women.