Canadian family physician Médecin de famille canadien
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DEVELOPING AN EFFECTIVE MANAGEMENT PLAN REQUIRES PHYSICIANS AND PATIENTS TO REACH AGREEMENT IN THREE KEY AREAS: the nature of the problems, the goals and priorities of treatment, and the roles of the doctor and patient. Often doctors and patients have widely divergent views in each of these areas. The process of finding a satisfactory resolution is not so much one of bargaining or negotiating but rather of moving towards a meeting of minds or finding common ground. This framework reminds physicians to incorporate patients' ideas, feelings, and expectations into treatment planning.
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Emergencies involving the respiratory tract are not uncommonly encountered in infants and young children. The spectrum of disorders causing respiratory distress varies from self-limited disorders such as bronchiolitis to potentially life-threatening conditions such as acute epiglottitis. This article outlines the clinical manifestations of some of the common respiratory emergencies presenting in infants (beyond the neonatal period) and young children, as well as strategies for management.
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A field survey of 273 residents in both years of the five family-practice residency programs in Ontario was undertaken to identify perceived sources of stress and to examine the relationship of stressors to work and career satisfaction, personal distress, and marital life. Differences were examined as between first-and second-year residents, and female and male residents, regardless of their year of training. ⋯ These results support previous work in this area. Future directions and recommendations for residency training programs are suggested.