Medicine and Health Sciences Commons^™

Focused Practice And Enhanced Skills Pgy3 Training In Family Medicine: A Mixed Methods Study., Melad I. Marbeen

Electronic Thesis and Dissertation Repository

There is a growing trend among family physicians (FPs) to focus their practice in specialized areas. The reasons underlying this trend are incompletely understood. A mixed methods study was conducted to understand this issue. A secondary analysis of data from a survey of Western University family medicine program graduates highlighted the associations of postgraduate third-year (PGY3) training and physician’s remuneration strategy with focused practice. The overall service provision of focused practice FPs was centered on specialized areas, especially among those who practiced in non-office settings. A descriptive qualitative study explored the perspectives of residents accepted into the PGY3 programs at …

Death Of The Clinic: Trans-Informing The Clinical Gaze To Counter Epistemic Violence, Diana E. Kuhl

Electronic Thesis and Dissertation Repository

This case study research (Patton, 2002, 2014; Flyvberg, 2006) has grown out of an awareness of deep resistance from the psy disciplines to trans-informed epistemologies as a source of legitimate knowledge (Tosh, 2015, 2016; Winters, 2008). It focuses on examining how the closure of The Gender Identity Clinic (GIC) for Children and Youth at the Centre for Addiction and Mental Health (CAMH) in Toronto, Ontario, Canada, signaled a paradigm shift from the ‘treatment model’ to the ‘affirmative model’ with respect to clinical approaches for supporting trans and gender diverse children and youth. As such the case study involved tracing the …

Examining Indigenous Learner Recruitment And Retention Strategies Through An Environmental Scan Of Canadian Medical Schools, Sebastian Deagle

2019 Cohort

The 2015 Truth and Reconciliation Commission (TRC) of Canada’s Calls to Action Report outlined the need to better resolve the disparities in health status between Indigenous and non-Indigenous Canadian population. IN response, several Canadian medical schools began implementing recruitment and retention strategies to increase Indigenous matriculation. This is crucial, as Indigenous physicians are more likely to practice – and provide culturally-competent and comprehensive primary care – in Indigenous communities than physicians of other ethnicities. Therefore, enhancing Indigenous medical workforce development programs will have a strong return on investment in terms of improving the health status of Indigenous populations. However, while …

Examining Indigenous Learner Recruitment And Retention Strategies Through An Environmental Scan Of Canadian Medical Schools, Sebastian Deagle

Head and Heart Posters 2019

The 2015 Truth and Reconciliation Commission (TRC) of Canada’s Calls to Action Report outlined the need to better resolve the disparities in health status between Indigenous and non-Indigenous Canadian population. IN response, several Canadian medical schools began implementing recruitment and retention strategies to increase Indigenous matriculation. This is crucial, as Indigenous physicians are more likely to practice – and provide culturally-competent and comprehensive primary care – in Indigenous communities than physicians of other ethnicities. Therefore, enhancing Indigenous medical workforce development programs will have a strong return on investment in terms of improving the health status of Indigenous populations. However, while …

Examining Indigenous Learner Recruitment And Retention Strategies Through An Environmental Scan Of Canadian Medical Schools, Sebastian Deagle

Learning with your Head & Heart

The 2015 Truth and Reconciliation Commission (TRC) of Canada’s Calls to Action Report outlined the need to better resolve the disparities in health status between Indigenous and non-Indigenous Canadian population. IN response, several Canadian medical schools began implementing recruitment and retention strategies to increase Indigenous matriculation. This is crucial, as Indigenous physicians are more likely to practice – and provide culturally-competent and comprehensive primary care – in Indigenous communities than physicians of other ethnicities. Therefore, enhancing Indigenous medical workforce development programs will have a strong return on investment in terms of improving the health status of Indigenous populations. However, while …

Haptics-Enabled, Gpu Augmented Surgical Simulation Platform For Glenoid Reaming, Vlad Popa

Electronic Thesis and Dissertation Repository

Surgical simulators are technological platforms that provide virtual substitutes to the current cadaver-based medical training models. The advantages of exposure to these devices have been thoroughly studied, with enhanced surgical proficiency being one of the assets gained after extensive use. While simulators have already penetrated numerous medical domains, the field of orthopedics remains stagnant despite a demand for the ability to practice uncommon surgeries, such as total shoulder arthroplasty (TSA). Here we extrapolate the algorithms of an inhouse software engine revolving around glenoid reaming, a critical step of TSA. The project’s purpose is to provide efficient techniques for future simulators, …

The Development And Evaluation Of Resources To Improve The Quality Of Care For Patients With Knee Osteoarthritis, Laura K. Churchill

Electronic Thesis and Dissertation Repository

Purpose: The non-operative management of patients with knee osteoarthritis (OA) is often considered suboptimal. Sub-optimal management includes inadequate use of non-surgical treatments, misuse of diagnostic imaging, and non-operative referrals to surgeons in consideration of total knee replacement (TKR). These inefficiencies result from an interplay of factors involving primary care physicians, patients, and the systems in which they function. The overall purpose of this thesis is to develop a means to optimize the management of patients with knee OA, and the timing and quality of referrals to TKR.

Methods: This thesis includes three studies. In study 1, we identified and cross-validated …