Canadian family physician Médecin de famille canadien
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To provide primary care physicians with a review of common oral white lesions and a practical management algorithm. ⋯ White lesions of the oral cavity are prevalent and may be encountered routinely in primary care settings. Recognizing the most common conditions and becoming proficient in their clinical management enhances patient care. Primary care physicians can play a crucial role in early detection of oral pathology. Proper triage of suspicious lesions can subsequently help decrease the wait time to see a specialist and avoid unnecessary medical visits for patients.
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To provide primary care providers (PCPs) with an approach for diagnosing and managing endocervical polyps, detailing a procedural technique for cervical polypectomy and outlining key information on when to refer to a gynecologist. ⋯ Cervical polyps are common and generally do not require intervention if asymptomatic. Patients with cervical polyps should still participate in routine cervical cancer screening. Symptomatic cervical polyps in appropriate patients can be removed by PCPs and sent for histologic examination to avoid long wait times and unnecessary referrals to gynecology.
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To understand the possible association between media coverage and changes in the dispensation of doxylamine-pyridoxine in Canada. ⋯ Despite nationwide media attention questioning the efficacy of doxylamine-pyridoxine in early 2018, trends in dispensation rates of doxylamine-pyridoxine were only modestly affected and only in Ontario. Within Ontario, a small but significant reduction in doxylamine-pyridoxine dispensations was noted based on prescriptions from family physicians or general practitioners but not based on those written by obstetrician-gynecologists. Factors associated with the ongoing use of doxylamine-pyridoxine despite evidence of lack of benefit require further research.
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To understand the role of primary care in the COVID-19 pandemic to provide insight into its functioning and inform potential reforms. ⋯ Universal formal attachment to an accountable interprofessional primary care team supported by adequate infrastructure should be the cornerstone of pandemic recovery planning.