Work Addiction and Identity Loss Among Retired Family Physicians: When Duty Becomes Dependence

Family physicians often deeply intertwine their sense of identity with constant responsibility and service to patients. Because of this, the transition into retirement can be psychologically challenging. Retired or near-retirement doctors may experience anxiety, loss of purpose, and fear of becoming irrelevant. In such circumstances, some continue to work excessively, even beyond formal retirement, to…

Patients’ experiences one year after hypnotherapy: qualitative survey using semi-structured interviews

The practice of hypnosis in general medicine is widespread in XX. While several studies have documented patients’ positive experiences during and shortly after hypnotherapy, the long-term persistence of these therapeutic benefits remains insufficiently explored.Explore patients' experiences one year after specific hypnotherapy in general practice in XX.Qualitative study conducted through semi-structured interviews with adult patients of…

Family Medicine International Medical Graduate Residents’ Experience with Receiving Feedback During Residency Training at Western University

International medical graduates (IMGs) are a cohort of family medicine residents who have done their medical degree outside of XXX. Due to the heterogeneous medical degree background of IMGs, one might wonder if IMGs have a different experience in receiving feedback compared to their XXX trained counterparts.The objective of this qualitative research study was to…

Evaluation of the level of integration and current status of operation of the integrated medical curriculum: a study focusing on the cardiovascular system course

The integrated curriculum aims to help students construct clinically meaningful knowledge. A systematic evaluation of content interconnection is necessary to assess its effectiveness. As curriculum autonomy has expanded following academic system reform, reviewing and refining each college’s integrated curriculum has become increasingly important.This study aimed to evaluate the level of integration and operational status of the…

Red flags in back pain: early detection of multiple myeloma in primary care.

Lower back pain is one of the most common reasons patients visit primary care physicians. The Ministry of Health recognizes it as a significant public health issue due to its high prevalence and the substantial healthcare costs it imposes.70-year-old patient. Retired nurse. Medical history: benign prostatic hypertrophy. Three-month history of progressively worsening lower back pain, aggravated…

“Unprofessional feelings” – a qualitative study of general practitioner survivors’ experiences, when working with people who use domestic and family violence

Domestic and family violence (DFV) is very common worldwide with one in four women being subjected to intimate partner violence and one in two adults being survivors of child abuse. General practitioners (GPs) are not immune from being affected by DFV. GPs are unique in that they manage whole families with longitudinal, comprehensive care. Yet,…

Health equity and early diagnosis in immigrant patients: a primary care perspective.

Given the increase in international migration, the health assessment of immigrant patients should be considered comparable to that of native-born patients, while incorporating specific considerations such as inclusion in preventive care and health-promotion programs, screening for imported diseases (according to country of origin and migration route), and assessment and adaptation of immunization status to the…

Association of the pulmonary artery–aorta ratio with clinical outcomes in acute exacerbations of COPD: implications for primary care

Acute exacerbations of chronic obstructive pulmonary disease (AE-COPD) are commonly first evaluated in primary care, where early identification of patients at risk of deterioration is essential. The pulmonary artery–ascending aorta (PA/A) ratio on chest CT has been proposed as a non-invasive marker of pulmonary hypertension and adverse outcomes in stable COPD, but its relevance during…

Interventions to reduce Energy Poverty and their impact on Mental Health: a systematic review

Energy poverty—difficulty achieving adequate indoor thermal comfort—has been consistently linked to poorer mental health. Yet the effects of corrective interventions on validated mental-health outcomes remain unclearQuantify the impact of interventions that reduce energy poverty (fabric insulation, draught-proofing, central-heating, whole-house packages, and educational advice) on validated mental-health outcomes versus usual care/no intervention or alternative interventions.We registered…

Vonoprazan versus PPIs in Acute Peptic Ulcer Disease

Peptic ulcer disease (PUD) remains a frequent and clinically significant problem in both primary and acute care settings. Proton pump inhibitors (PPIs) have traditionally served as the cornerstone of therapy. Vonoprazan, a potassium-competitive acid blocker (P-CAB), has gained increasing use due to its rapid and sustained acid suppression, yet its advantages over PPIs in real-world…