2017


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Neurotized latissimus dorsi flap: functional lower limb coverage in subacute trauma reconstruction

20 December 2017 | Julie Chakriya Kvann, Stephanie Thibaudeau, Alain Joe Azzi, Teeanoosh Zadeh
In the reconstruction of the mangled lower extremity, muscle flaps are well known for their reliable use in soft tissue coverage, however, very few reports document their functional reconstruction potential as neurotized muscle flaps. This case illustrates that free neurotized latissimus dorsi flaps are a good option for long-term functional reconstruction in the mangled lower extremity.

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Québec’s Emergency Room Overcrowding and Long Wait Times: Don’t Apply “Band-Aids”, Treat the Underlying Disease!

03 November 2017 | Svetlana Puzhko
A report by Québec Health and Welfare commissioner Robert Salois, released on June 2, 2016, stated the obvious: our province has “the worst emergency [department] (ED) wait times in the Western world”.

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Small Town, Big Picture

03 November 2017 | Kevin Gorsky and Tyler Safran
Time moves a bit slower in the countryside. The people are friendly, neighbours look out for one another, and denizens are grateful for the miles that separate them from the high-octane hustle of city life. When a city-slicker tries to integrate into this new world, certain dichotomies quickly become apparent.

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A Reflection on Longitudinal Family Medicine

03 November 2017 | Alyssa Smith, Lucy Shum, Burnett Johnson
During their first year of medical school McGill students take part in the Longitudinal Family Medicine Experience program.

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The Role of Nurses in Primary Care Reform: “The Wheel and Hub of Health Care System

03 November 2017 | Nina Mamishi
The McGill Primary Healthcare Symposium in 2016 highlighted the interdisciplinary accord on the challenges that the Québec primary healthcare system has chronically been facing. It was accentuated that all proposed reform models lacked a focus on the role of nurses, reflecting the solitary medical team dominance.

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Poor primary care access in Quebec: Barriers and solutions to access during an acute episode

03 November 2017 | Claire Godard-Sebillotte, Mélanie Le Berre, Nadia Sourial, Isabelle Vedel
One likely cause of Quebec’s poor primary care access is the practice of annual exams among the healthy population. This practice is widespread in North America; in 2009, annual exams were the second leading cause of medical consultation in Canada and in the United States (3)

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Canada Versus the World: The Validity and Usefulness of Ranking Healthcare Systems by Country

03 November 2017 | Gabriel Cartman
Canada is frequently defined by its healthcare system, which can be seen by Canadians as a source of both pride and frustration. Fans and critics of Canadian healthcare often compare our system to those of other countries in order to emphasize the strengths and weaknesses of our model.

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Public Consultation: From Reflection to Action Quebec Health Politics and the Student Response

03 November 2017 | David Benrimoh
Healthcare is perhaps the place where there is the most direct and intimate contact between the government and the people it serves. It is also a place where the inherent power imbalance between patients who need care and the institutions that provide that care can lead to tension, frustration, and injustice.

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Assessing and Improving Processes and Outcomes of the McGill Primary Health Care Research Network

03 November 2017 | Zhida Shang, Justin Gagnon, Vera Granikov, Rosario Rodiguez, Pierre Pluye
Researcher-clinician partnerships as an approach to improving clinical practice have grown in popularity in recent years. An example of such a collaboration is the McGill Primary Health Care Research Network (hereinafter called the Network).

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Primary Care Research: The Real Paradigmatic Plurality

03 November 2017 | Gillian Bartlett-Esquilant and Charo Rodriguez
For those not in the academic discipline, one of the first questions usually asked is, “What exactly is primary care research?” Of course, the short and relatively easy answer is to talk about what we mean by primary care and how our research supports the quality and delivery of primary health care.

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Primary care in Quebec at the crossroads

03 November 2017 | Howard Bergman
Through all the rapid demographic and epidemiologic changes that have an impact on our healthcare systems, there is one clear global consensus: primary care, and in particular Family Medicine...

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Letter from the Editors

03 November 2017 | Lee H. Sterling, Rachel La Selva, Shawn (Zhuo) Shao
We are immensely proud to present this special issue of the McGill Journal of Medicine (MJM) focused on primary care in Quebec.

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Family Physician Hospitalists: the Good and the Bad

03 November 2017 | Satya Rashi Khare
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients without the responsibility for care post-discharge (1,2). In Canada, the majority of hospitalists are family physicians (3).

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Is My Blood Pressure OK?

03 November 2017 | Anita Raj
Before I entered medical school, I knew little about what family doctors did. I had one as a child, but he soon retired and I remember very little of him. However, during my medical training several years later, I had the opportunity to work with many family doctors.

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Bill 20: Improvement of Access to Healthcare or Mass Exodus?

03 November 2017 | Jamie DeMore
The current version of Bill 20, formally titled, "An Act to enact the Act to promote access to family medicine and specialized medicine services and to amend various legislative provisions relating to assisted procreation", was passed on November 10, 2015 amidst great controversy.

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Patients

03 November 2017 | Yi Tong
With this piece, I wanted to show the ubiquity of primary care: care for patients of all ages, from the infant to the elderly, and their long-term follow-up, accompanying them from the cradle to old age and through major life events...

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A Unique Opportunity for Canadian Science Next to Trump’s USA

01 November 2017 | Matthew Dankner and Ariel Chackowicz
The election of Donald Trump as President of the United States on November 7 2016 triggered a feeling of panic across the scientific community given the newfound uncertainty surrounding the fate of the scientific profession in both the U.S. and abroad.

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FT4 Should Replace TSH in Diagnosing Abnormal Thyroid Function

17 August 2017 | Kristen Yaun, Ashley Kennedy
Thyroid stimulating hormone (TSH) is produced by the pituitary gland. When the pituitary is functioning properly, it releases more TSH when additional thyroid hormone is needed in the blood, and less when less is needed.

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Anatomy of the Male Reproductive System - Prostate Cancer

06 July 2017 | Lisa Xuan
1 in 7 men will be diagnosed with prostate cancer in his lifetime. Prostate cancer can affect lymph flow, the colon, and ureter, causing symptoms such as urinary trouble, back pain and more.

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Challenges of Stroke Care in District General Hospitals in the United Kingdom’s National Health Service

17 March 2017 | Eman Abdus Sami, Naseem Naqvi
Stroke care in the United Kingdom is faced with unique challenges across district general hospitals which aim to provide services for a population of around 100-150,000 people.

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Did I do no harm?

12 March 2017 | Marie-Pier Bastrash
I was harshly confronted with the concept of non-maleficence for the first time during my Pediatrics rotation; which I enjoyed immensely. My team was composed of a staff physican, three residents, myself and another lovely medical student.

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The Peanut Controversy: American Paediatric Guidelines Now Recommend Introduction of Peanuts as Early as 4 Months

10 March 2017 | Andrei Dan
In January 2017, an addendum was added to the 2010 American Paediatric Guidelines for the prevention of peanut allergy in the United States (1). According to the update, peanut-containing foods should be introduced as early as at four or six months of age.

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2016 Nobel Prize Winner Yoshinori Ohsumi; Solving the Mystery of Autophagy

02 January 2017 | Andrei Dan
In 2016, Dr. Yoshinori Ohsumi accomplished an incredible feat: he received the Nobel Prize in medicine or physiology as a single recipient. Awarded once a year to up to 3 individuals who made a significant contribution to the scientific community, this Nobel Prize is the most well known, and arguably the most prestigious prize for those studying the human body.