Canadian family physician Médecin de famille canadien
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Randomized Controlled Trial
Canalith repositioning maneuver for benign paroxysmal positional vertigo: randomized controlled trial in family practice.
To determine whether the canalith repositioning maneuver (CRM) is effective for treating benign paroxysmal positional vertigo when it is used by family physicians in primary care settings. ⋯ A statistically significant proportion of patients in the CRM group returned to a negative response to the DH maneuver immediately after the first treatment. Family physicians can use the CRM to treat benign paroxysmal positional vertigo and potentially avoid delays in treatment and unnecessary referrals.
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Comparative Study
Room for improvement: patients' experiences of primary care in Quebec before major reforms.
To investigate variations in accessibility, continuity of care, and coordination of services as experienced by patients in Quebec on the eve of major reforms, and to provide baseline information against which reforms could be measured. ⋯ This survey highlights serious problems with accessibility. Improvement is needed urgently to avoid deterioration of patients' confidence in the health system even though patients rate their relationships with their physician highly. Health promotion, preventive services, and coordination with specialists also needed to be improved, and careful thought must be given to the plight of those without family physicians.
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Review Case Reports
A terrible beauty: a physician's story of ovarian cancer.