Canadian family physician Médecin de famille canadien
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Medical graduates from other countries provide health care in many regions of Canada; yet differences in training standards can cause problems. A recent survey looked at the requirements of provincial licensing bodies and the preresidency programs of Canadian faculties of medicine. Quebec, Ontario, and Manitoba provide such programs, which differ in length, content, and evaluation process. McGill has recently launched a more focused program.
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The death of a small child from a terminal illness is an uncommon but influential event in a family physician's career. Through dialogue with colleagues and friends, self-reflection, and acknowledgment of some of the difficulties, this experience can stimulate personal growth.
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Multicenter Study Clinical Trial
Oral and intravenous rehydration of children.
We compared oral rehydration therapy (ORT) with rapid intravenous rehydration (IV) in 42 young children with mild to moderate dehydration due to diarrhea. Overall, treatment was successful for 82% of the ORT patients and for 78% of the IV patients. Many physicians in hospitals are unfamiliar with the use of ORT for treating dehydration.
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Caring for and treating patients living with human immunodeficiency virus is challenging for busy family physicians. I present one strategy for managing patients with this complex infectious disease. Using averaged T4 blood cell counts as a marker of disease progression, I use antiretroviral treatment and preventive drug therapy against the complications of HIV infection.