Literature DB >> 9559192

Procedures in ambulatory care. Which family physicians do what in southwestern Ontario?

S J Wetmore1, R Agbayani, M J Bass.   

Abstract

OBJECTIVE: To determine how often family physicians perform 12 ambulatory care procedures and factors associated with procedure performance.
DESIGN: Mailed, self-administered survey. The survey was conducted according to the Dillman Total Design method.
SETTING: Family physicians' offices in London, Ont, and in surrounding communities. PARTICIPANTS: A total of 395 family physicians practising within the London area were mailed surveys, 237 in London and 158 outside London. Response rates were 80.6% and 75.9%, respectively. Nonresponders did not differ significantly from responders in sex but included more solo practitioners. MAIN OUTCOME MEASURES: Performance of ambulatory care procedures, sex, and practice characteristics of participant family physicians.
RESULTS: For all responders, activities significantly associated with procedure performance were delivering babies, managing psychological problems, working emergency, and teaching. Mean total procedure scores ranged from 6.55 for managing psychological problems to 7.68 for working emergency. Sex-specific analysis showed that practice location and years in practice were significant factors for female but not for male family physicians. Mean total procedure scores for female physicians were 7.06 (outside London) and 4.74 (in London).
CONCLUSIONS: Factors associated with procedure performance for family physicians in and around London included delivering babies, working in emergency, managing psychological problems, and teaching. Practice location was a significant factor for only female family physicians; those practising outside London performed procedures more than their urban counterparts and at similar rates to male physicians.

Entities:  

Mesh:

Year:  1998        PMID: 9559192      PMCID: PMC2277676     

Source DB:  PubMed          Journal:  Can Fam Physician        ISSN: 0008-350X            Impact factor:   3.275


  23 in total

1.  Procedural skills for general practice. The results of a Queensland survey.

Authors:  N Spike; C Veitch
Journal:  Aust Fam Physician       Date:  1990-10

2.  Training for minor surgery in general practice during preregistration surgical posts.

Authors:  M Pringle; J Hasler; P De Marco
Journal:  BMJ       Date:  1991-04-06

3.  Minor surgery in general practice.

Authors:  R Milne
Journal:  Br J Gen Pract       Date:  1990-05       Impact factor: 5.386

4.  High tech is most effective when blended with high touch and vice versa: office technology in the 21st century.

Authors:  W M Rodney
Journal:  Fam Pract Res J       Date:  1991-09

5.  Emergency Medicine Skills: Are primary care physicians adequately prepared?

Authors:  H M O'Connor; J R Davidson
Journal:  Can Fam Physician       Date:  1992-08       Impact factor: 3.275

6.  Skills training in primary care residency. Problems and solutions from the family practice perspective.

Authors:  D E DeWitt
Journal:  Postgrad Med       Date:  1987-02-01       Impact factor: 3.840

7.  Minor surgery in general practice.

Authors:  N K Menon
Journal:  Practitioner       Date:  1986-10

8.  Variations in the range of services provided by general practitioners.

Authors:  M Calnan
Journal:  Fam Pract       Date:  1988-06       Impact factor: 2.267

9.  A comparison of rural family practice in the 1930s and today.

Authors:  R I Haddy; J M Hill; B R Costarella; R E Gordon; G S Adegbile; C M Van Niman; R J Markert
Journal:  J Fam Pract       Date:  1993-01       Impact factor: 0.493

10.  The use of new technologies by rural family physicians.

Authors:  D A Nelsen; D A Hartley; J Christianson; I Moscovice; M M Chen
Journal:  J Fam Pract       Date:  1994-05       Impact factor: 0.493

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  11 in total

Review 1.  Cryosurgery for common skin lesions. Treatment in family physicians' offices.

Authors:  S J Wetmore
Journal:  Can Fam Physician       Date:  1999-04       Impact factor: 3.275

2.  Procedural skills training. Canadian family practice residency programs.

Authors:  T van der Goes; S C Grzybowski; H Thommasen
Journal:  Can Fam Physician       Date:  1999-01       Impact factor: 3.275

3.  What do they contribute? Family medicine residents who practise in cities.

Authors:  Joanna Bates; Rodney Andrew
Journal:  Can Fam Physician       Date:  2003-03       Impact factor: 3.275

4.  Weekly work hours and clinical activities of Canadian family physicians: results of the 1997/98 National Family Physician Survey of the College of Family Physicians of Canada.

Authors:  Steve Slade; Nick Busing
Journal:  CMAJ       Date:  2002-05-28       Impact factor: 8.262

5.  Do procedural skills workshops during family practice residency work?

Authors:  Mark S MacKenzie; Jonathan Berkowitz
Journal:  Can Fam Physician       Date:  2010-08       Impact factor: 3.275

6.  Defining core procedure skills for Canadian family medicine training.

Authors:  Stephen J Wetmore; Christine Rivet; Joshua Tepper; Sue Tatemichi; Michel Donoff; Paul Rainsberry
Journal:  Can Fam Physician       Date:  2005-10       Impact factor: 3.275

7.  Learning procedural skills in family medicine residency: comparison of rural and urban programs.

Authors:  James Goertzen
Journal:  Can Fam Physician       Date:  2006-05       Impact factor: 3.275

8.  Office-based procedures among urban and rural family physicians in Ontario.

Authors:  R Liisa Jaakkimainen; Priya R Sood; Susan E Schultz
Journal:  Can Fam Physician       Date:  2012-10       Impact factor: 3.275

9.  A cross sectional survey of urban Canadian family physicians' provision of minor office procedures.

Authors:  Ian P Sempowski; Arne A Rungi; Rachelle Seguin
Journal:  BMC Fam Pract       Date:  2006-03-19       Impact factor: 2.497

10.  Referral patterns of Israeli pediatricians of common primary care office procedures.

Authors:  Deena R Zimmerman; Yona Amitai; Zahi Grossman; Chen Stein-Zamir
Journal:  Isr J Health Policy Res       Date:  2015-12-10
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