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Volume 39: August 1695... 1854
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SCIENTIFIC EDITOR
Tony Dixon, MB, ChB, CCFP, FCFP
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MANAGING EDITOR
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Primrose Ketchum, MA
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ASSOCIATE EDITOR
ElizabethJean Betsch
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ASSISTANT EDITOR
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Janice Robinson Gibbs NEWS WRITER
Teresa Mazzitelli Ml
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EDITORIAL CO-ORDINATOR
SharonJ. Hutchins
MISSION STATEMENT The mission of Canadian Family Physician is to provide a source of accurate, relevant, and stimulating research, continuing medical education, and debate in family medicine, with the intention of encouraging improved patient care and the academic development of the discipline. As the official publication of the College of Family Physicians of Canada, Canadian Family Physician has a role in disseminating information on the activities and objectives of the College.
GRAPHICS MANAGER
Robert A. Holmes GRAPHICS ASSISTANT
Lawrence C. Magloire PRODUCTION MANAGER
David Drimmie PRODUCTION ASSISTANT
This peer-reviewed journal is indexed in Index Medicus, Excerpta Medica(EmtAsE), FAMU: Family Medicine Literature Index and Canadian Magazine Index, and listed in Current Contents/Clinical Practice. Canadian Family Physician is printed on 50% recycled paper using vegetable oil-based inks. Polywrap contains 80% reclaimed material
Peter Thomlison EXECUTIVE DIRECTOR
Reg L. Perkin, MD, CCFP, FCFP DIRECTOR OF PUBLICATIONS
Peter D. Taylor, MA ADMINISTRATIVE ASSISTANT
SUBSCRIPTION RATES
Joanne Brennan
Canada:- $74.90 per annum; single copy: - $7.49. United States:- $80 Cdn funds; single copy: -$8 Cdn funds. All other:- $110; single copy: $13.
ADMINISTRATIVE SECRETARY
-
Yvonne Antao
To order, write to: Subscriptions, Canadian Family Physician, 2630 Skymark Avenue, Mississauga, Ontario, L4W 5A4; Telephone: (416) 629-0900, Fax: (416) 629-2761
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ADVERTISING REPRESENTATIVES
Gloria C. Bowes (Toronto) Debra R. Makuch (Montreal)
Published monthly by The College of Family Physicians of Canada, 2630 Skymark Ave, Mississauga, ON L4W 5A4. Telephone: (416) 629-0900. Montreal office: 22 rue Trottier, Dollard-des-Ormeaux, QC H9A 2C9. Canada Post Canadian Publications Mail Product Sales Agreement 187313. Post Office Department, Winnipeg, and for payment of postage, paid at Winnipeg.
ADVERTISING CO-ORDINATOR/CIRCULATION
E. Naomi Wagschal
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EDITORIAL ADVISORY BOARD Paul Bonisteel, MD, CCFP, Carbonear (Chairman) Rene Beaudoin, MD, CCFP, Sherbrooke Simon Bryant, MD, CCFP, Calgary Christopher Childs, MD, CCFP, FCFP, Bedford Darlene M. S. Hammell, MD, CCFP, Victoria Donna P. Manca, MD, CCFP, Edmonton Joseph A. Moran, MB, MCLSc, CCFP, Winnipeg David White, MD, CCFP(EM), Toronto Marjorie L. Wood, MB, ChB, CCFP, London
ISSN 0008-350X
*. The opinions expressed in articles and claims made in advertisements appearing in Canadian Family Physician are the opinions of the authors and advertisers, respectively, and do not imply endorsement by the College of Family Physicians of Canada.
TRANSLATION
Copyrightc The College of Family Physicians of Canada/ Le College des Medecins de famille du Canada
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NOTE: All prescription drug advertisements in Candian Family Physicin have been precleared by the Pharmaceutical Advertising Advisory Board. M
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PRINT MANAGEMENT CONSULTANTS
Project Graphics Inc.
Canadian Family Physician VOL 39: August 1993 1699
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1 0 A Day in Emergency Medicine. Niagara-on-the-Lake, ON [6.5] Contact: Maureen, Medical Staff Office, Peel Memorial Hospital (416) 451-1710
10,1 1 ACLS. Hamilton, ON [1 1.0] Contact: McMaster University, Continuing Education, Faculty of Health Services (416) 521-7966 Fax (416) 389-4224
15 Neurology. Hamilton, ON [11.0] Contact: McMaster University, Continuing Education, Faculty of Health Services (416) 521-7966 Fax (416) 389-4224
16-11 Sixth Annual Conference on Marinage and Family T'herapy: Cloe Madanes. Markham,
ON [11.0] Contact: MsJulie Sharrard, Conference Secretary, Whitby Psychiatric Hospital (416) 668-5881 ext 5321
18,19 13th Annual Pediatric Update. Niagara-on-the-Lake, ON [9.0] Contact: McMaster University, Continuing Education, Faculty of Health Services (416) 521-7966 Fax (416) 389-4224
19-20 Geriatric Medicine for the Practising Physician. Toronto, ON [7.5] Contact:
1804 Canadian Famil, Physician VOL 39: A4ugust 1993
Dr K.L. Cronin, Ontario Association of Medical Directors ofHomes for Senior Citizens (416) 633-3711
19-21 Palliative Care for All: Access and Distribution. Wmnipeg, MB [14.0] Contact: Margaret Clarke, Canadian Palliative Care Assocation (204) 889-8525
22 Niagara Emergency Care '93. St Catharines, ON [6.5] Contact: Dr Todd Overholt, Niagara Base Hospital (416) 358-4903
22-25 Annual Scientific Assembly - Saskatchewan Chapter. Regina, SK [IBA] Contact: TBA 24 Current Obstetrical Management 1993. Calgary AB [6.5] Contact: Arleen Bourassa, CME - Calgary District Hospital Group (403) 253-5244
24-25 The Third McKenzie Institute International Conference. Toronto, ON [10.0] Contact: Mrs Ann Carlton, The McKenzie Institute International (214) 484-4286
25 Marital and Family Counselling for Family PhysiCIans. Vernon, BC [6.5] Contact: Dr Davidson (604) 542-0660
27-28 Suicide Intervention Training: The Foudation Workshop. Ottawa, ON [13.5] Contact: Ms Carolyn Cashman, Royal Ottawa Hospital (613) 724-6521
29 Arthritis: the High Risk Patient. Ketdeby, ON [6.0]
Calendar lists events of one day [5.5 hours] or longer duration that arefully approved by the College of Family Physicians of Canada for CME study credits. Events must be approved by the Education Department prior to the 20th of the month before publication.
Contact: Fay Grove, York County Hospital (416) 895-4521 ext 2355
29 Reproductive Hormones in Clinical Practice. London, ON [6.0] Contact: Continuing Education - Faculty of Medicine, University of Western Ontario (519) 661-2074 30, Oct 1, Nov 12, Feb 4, Mar 4 Workshop in No-Scalpel Vasectomy. Calgary AB, Vancouver BC, Montreal PQ, Toronto ON, Halifax NS [5.0 each workshop] Contact: Debbie Halton-Weiss, No-Scalpel Vasectomy, Inc (613) 731-6253
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1, Nov 12, Feb 4, Mar 4 Workshop in No-Scalpel Vasectomy. Vancouver BC, Montreal PQ, Toronto ON, Halifax NS [5.0 each workshop] Contact: Debbie HaltonWeiss, No-Scalpel Vasectomy, Inc (613) 731-6253 1 Psychiatric Update for Family Physicians. Calgary, AB [7.5] Contact: Dr Anthony Sehon, Sehon Buchanan Medical Media Inc (604) 922-3570 1 Lung Cancer Seniinar. Sudbury, ON [6.0] Contact: Ms Sheila Gordon-Dillane, Ontario Respiratory Care Society - Northern Region (416) 864-1112
2 Running Injuries: Recognition, Management and Prevention. Calgary, AB [8.0] Contact: Catherine McGinley, University of Calgary Sport Medicine Centre (403) 220-4718
12-1539thAnnual St Paul's Hospital CME Course for Primary Care Physicians. Vancouver, BC [24.5] Contact: Mrs Tammy Wong, St Paul's Hospital, CME Postgraduate Course Committee (604) 733-7711
2 30, Nov 27,Jan 29, Feb 26, Mar 26 Saturday at the University. Toronto, ON [5.5] Contact: Continuing Education, Faculty of Medicine, University of Toronto (416) 978-2719
14 MTS Virales, Chlamydia et Vulvovaginites: Defis pour l'an 2000. Montreal, PQ [7.0] Contact: Dr Marc Steben, C.A.S. Inc (514) 765-3600
6 When Is Endometriosis a Disease? London, ON [6.0] Contact: Continuing Education Faculty of Medicine, University of Western Ontario (519) 661-2074
Lecture and Seminar. Edmonton, AB [15.0] Contact: Tracy White, Mousseau Memorial, General Hospital Seminar Committee (403) 450-7507
6 Otolaryngology for Family Physicians. London, ON [6.0] Contact: Continuing Education Faculty of Medicine, University of Western Ontario (519) 661-2074
16 Family Medicine. North York, ON [5.5] Contact: Virginia E. Smith, North York General Hospital (416) 756-6538
6-8 Sharing Sunshine Through the Darkness: Intervention Strategies for Helping the Dying and the Bereaved. Orillia, ON [9.0] Contact: MaryJane Ritchie, Bereavement Ontario Network (416) 639-9515
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6-8 2nd Congress - International Liver Transplantation Society Meeting. Toronto, ON [16.0] Contact: Continuing Education Faculty of Medicine, University of Western Ontario (519) 661-2074 -
7-8 Quebec Annual Scientific Assembly. Montreal, PQ [TBA] Contact: Micheline Guibault, Quebec Chapter (514) 481-5962 Fax (514) 481-6948
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7-8 5th Annual Palliative Care Conference Education and Research Days. Edmonton, AB [13.0] Contact: Lynda Bykewich, Caritas Health Group, Palliative Care Program/Service (403) 482-8086
14,15 Mousseau Memorial
19 Paediatric Surgical SympoOttawa, ON [8.0] Contact: E. Anne Laight, Office of CME, Children's Hospital of Eastern Ontario (613) 737-2285
22-24 ANS (Acute Neurological Liife Support). Orillia, ON [12.0] Contact: Arlene Murray, Orillia Soldiers Memorial Hospital (416) 478-4002 27 Endocrinology for Family
Physicians. London, ON [6.0] Contact: Continuing Education Faculty of Medicine, University of Western Ontario (519) 661-2074 30 18th Annual Paediatric Refresher Course. Ottawa, ON [10.0] Contact: E. Anne Laight, Office of CME, Children's Hospital of Eastern Ontario (613) 737-2285
30 Nov 27,Jan 29, Feb 26, Mar 26 Saturday at the University. Toronto, ON [5.5] Contact: Continuing Education, Faculty of Medicine, University of Toronto (416) 978-2719
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Geriatrics. Toronto, ON [5.5] Contact: Cindy Stolarchuk, Conference Coordinator, Sunnybrook Health Science Centre (416) 480-5904
20 Day in Emergency Medicine. Lambeth, ON [6.0] Contact: Continuing Education Faculty of Medicine, University of Western Ontario (519) 661-2074 -
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and Gynecology. Hamilton, ON [6.0] Contact: McMaster University Continuing Education, Faculty of Health Services (416) 5217966 Fax (416) 389-4224 -
22 Travel Medicine '93. Toronto, ON [6.0] Contact: Dr David Lawee, Travel and Inoculation Clinic and Family Practice Unit (416) 340-3959
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1-4 Cnical Traineeship in HIV Infections. Toronto, ON [28.0] Contact: Continuing Education, Faculty of Medicine, University of Toronto (416) 978-2719 Fax (416) 971-2200
3 CME for the Fanmily Physician in Care of the Elderly Sexuality and Infections. Kitchener, ON [6.0] Contact: Pat Poirier, Physician Education Committee, Freeport Hospital (519) 893-2710 ext 7121 3 Neurology Refresher Day for Family Physicians. London, ON [6.0] Contact: Continuing Education - Faculty of Medicine, University of Western Ontario (519) 661-2074
Canadian Famnily Pl/ysician
VOL
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August 1993 1805
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1993 List of Certificants in Family Medicine Congratulations to the following Family Medicine Physicians who have been successful in the May, 1993 Certification Examination in Family Medicine of The College of Family Physicians of Canada. These Family Physicians will receive their Certificates at the Convocation Exercises to be held on April 14, 1994 in Banff, AB at the College's 36th Annual Scientific Assembly.
A Bashir Ahmed, Ottawa, ON Christian K. Akotoye, Kingston, ON Slavica Aleksic, Brossard, PQ Marc Allard, Rimouski, PQ Kenneth Altschuler, Phoenix, AZ Liliane Andre, Lachine, PQ Gregory P Andrecyk, Halifax, NS John M. Aquino, London, ON Martin Arata, Beauport, PQ Pierre Archambault, Charlesbourg, PQ Murray W Archdekin, Calgar, AB Edgard A. Arcia-Bravo, WumnpeI MB Simon G. Arthur, Calgagy, AB Philippe Aubin, Carleton, PQ Danielle Azran, Montreal, PQ
Sylvie Belanger, Sherbrooke, PQ David W Bell, Halifax, NS Colette Bellavance, Sherbrooke, PQ Monique Bellemare, Charlesbourg, PQ Diana R. Bennett, 7hunder Bay, ON Marc Y Bergeron, Bernieres, PQ Stephane Bergeron, Charlesbourg, PQ Wendy D. Berghuis-Hummel,
Terrance D. Burgess, Edmonton, AB Robert Bush, Halifax, NS Davidj. Butuk, Toronto, ON C
Perry K. Cadegan, Glace Bay, NS Alan Cahalan, London, ON Nepean, ON Mary Cambridge, Sudbuy, ON Bruno Bernardin, Montre'al, PQ Catherine Cameron, Iingston, ON Isabelle Bessette, Fabreville, PQ Stephanie Cameron, tt Meadows, BC Richard Binder, Pickering, ON Steven Cape, Montreal, PQ Natasha Bird, Ayer's Clzf PQ Daniel A. Carew, Saskatoon, SK Sandra E. Black, Edmonton, AB Deborah L Carlow, North Vancotwet; BC Sean M. Blaine, Don Mills, ON James E. Carrabre, Winnipeg MB Elaine M. Blau, Regina, SK George H. Carruthers, Alberton, PE Laura Blew, Hamilton, ON Phillip N. Cecchini, Hamilton, ON Danielle Blouin, Qffbec, PQ Wayne W Chamberlain, Ottawa, ON Blouw, BC Vancouver, Karinj. Denyse Chapados, Montreal, PQ B Josee Boissonneault, Duberger, PQ Alanj. Chapeskie, Fictoria, BC Marion G. Baechler, Thunder Bay, ON Ronald W Book, Thunder Bay, ON Mireille Charette, Pierrefonds, PQ Claude Baillargeon, Quebec, PQ Anne-Sylvie Bouchard, Montr6al, PQ Sylvie Chateauvert, Ste-Foy, PQ Kanapathippillai Balakrishnan, Serge Boudreau, Montreal, PQ Ahsan Chaudhry, Stratford, ON JVipawin, SK Janet Bowdring Chaytor, Nancy Cheng, Edmonton, AB
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Steven Bartlett, Sherbrooke, PQ Upper Gullies, JVF Lorraine Basque-Arsenault, Nancy L. Bozek, Branford, ON Tracadie, PQ Marie-France Brais, Montreal,4 PQ Stephan Bazinet, Morin Heights, PQ Karen Y Braun, Wnnipeg, MB Kerry C. Beal, Burlington, ON Branimir Brcic, Toronto, ON Stephen R. Beamish, Willowdale, ON Brenda Brennan, Ottawa, ON Roxanne M. Beaudette, Robert Breton, Roxton Falls, PQ St-Jean-Baptiute, MB Kathleen Brisson, Ouebec, PQ Denise C. Beaudry, Fctoria, BC Stephen E. Britton, Ile-a-la-Crosse, SK lain V Beck, London, ON Jamesj. Broere, Calgary, AB Marie Begin, Ste-Foy, PQ Kenneth S. Brown, Edmonton, AB Subita Behki, Nepean, ON Simon T Bryant, Calgary, AB Nancy A. Behme, Ottawa, ON Erica Buck, Toronto, ON Renee Beland, Don Mills, ON Gina M. Burgess, Haljfax, NS
1814 Canadian Family Physician VOL 39: August 1993
Darin P Cherniwchan, Chiliwack BC Stephen Chesine, Ottawa, ON Jerman E.
Chirgwin-Campos, Outremont, PQ John A. Chisholm, Calgagy, AB Helen Y Cho, Edmonton, AB James H. Choi, Toronto, ON Douglas K. Choong, Guelph, ON Julie Choquet, Dollard-des-Ormex, PQ Yun Yee Chow, Scarborough, ON Agnes M. Chu, Markham, ON Paul S. Ciechanowski, Chilliwack, BC Sharon Cirone, Ottawa, ON Mark A. Clark, Dauphin, MB l
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1993 List of Certificants in Family Medicine Pascale Garnier, Sherbrooke, PQ Eric Gaudreau, Sillery, PQ Christian Gaulin, Ste-Foy, PQ Sadhana K. Gautama, Edmonton, AB Guylaine Gauthier, St-Georges-de-Champlain, PQ Valerie Geddes, Abbotsford, BC Carol A. Geller, Ottawa, ON Isabelle Germain, Brossard, PQ Shehla Ebrahim, North Vancouver, BC Anick Giguere, Deux-Montagnes, PQ Lucie Gilbert, Notre-Dame-des-PIins, PQ Connie L. Ellis, Ca{gary, AB George Gillson, Thunder Bay, ON Charmaine L. Enns, Pilot Butte, SK Shauna L. Ensminger, Kingston, ON Jennifer Ginsberg, Dundas, ON Jean-Francois Girard, Longuuil, PQ Caroline Godbout, Chicoutimi, PQ Francois Godbout, Longueuil, PQ Josee D'Amours, Q&bec, PQ David I. Gold, Montreal, PQ Jeffrey M. Daiter, Thornhill, ON Paul E. Faulkner, Burlington, ON Faye A. Goldman, Ottawa, ON Alexander M. Damus, Hamilton, ON Ian C. Feltham, Goose Bay, NEF R. Goodwin, Halfax, NS Janice Angela Ngoc Dung Dang, Mnra PQ Nelson Ferreira, Toronto, ON Marjolaine Gourde, Laval, PQ Diana Das, Montreal, PQ Caroline R. Ferris, North Delta, BC Johnj Grabher, Edmonton, AB Peter M. Findlay, Etobicoke, ON Sandy C. da Silva, Dauphin, MB KevinJ. Grace, Winnipeg, MB Ceri Davies, Don Mills, ON Joseph H. Finlder, Vancouver, BC Peter S. Graves, Ottawa, ON Peter V Davis, Ponoka, AB Gregoryj. Fitzgerald, Calgary, AB Serge Gregoire, Montreal, PQ Marcy Flomen, Toronto, ON Luce De Grace, Boucherville, PQ Lisa Grenon, QOebec, PQ PQ Ste-Foy, Anne-Josee Flynn, J. Scott Delaney, Montreal, PQ Eric Grief, Chomedey, PQ Mike Franklyn, Sudbury, ON Luc Deneault, Napierville, PQ Kimberley A. Grieve, Winnipeg, MB Zachary R. Fraser, Dartmouth, NS Cynthia H. Dent, Ottawa, ON Marlene Grimard, Joliette, PQ Jeffrey Freeman, Wiarton, ON Natasha Deonarain, Montreal, PQ Michel Guay, Quebec, PQ Colleen A. Friesen, Edmonton, AB France Desbiens, Charlesbourg, PQ Roxan M. Guise, Jiagara Falls, ON Francois Deschenes, Montreal, PQ Chantal Descoteaux, Cap-de-la-Madeleine, PQ Jean-Haulis De Simon, St-Eustache, PQ Paul Gaertner, Saskatoon, SK Randeep S. Dhami, Sudbury, ON Lissa D. Haines, Goose Bay, NF Louis Gagnon, Quebec, PQ C. L. Donaldson, Grimsby, ON Wllliam R. Halliday, Calgary, AB Marie-Elaine Gagnon, Cartier R. Monique Dostaler, Sarnia, ON Mesnil, PQ Michaelj. Hamilton, Edmonton, AB Heather L. Dow, Edmonton, AB Richard C. Hamm, Winnipeg, MB Nathalie Gagnon, Bic, PQ Heather F Downes, Ottawa, ON Suzanne Gagnon, Cap-Rouge, PQ Philipj. Hanam, Surrey, BC Ann M. Hansson, North Vancouver, BC Sylvie Dragon, Greenfield Park, PQ Sophie Galarneau, Montreal, PQ Ilona Dreyzin, Willowdale, ON Karen Gallagher, Sherbrooke, PQ Muhammad S. Haque, Regina, SK Robert Drummond, Mont-Royal, PQ Allan S. Garbutt, Fernie, BC Brenda Hardie, Fort Erie, ON
Michael B. Clory, Bedford, NS Julie Cloutier, Deux-Montagnes, PQ Bernard Contre, Krkland, PQ Janice Cormier, Quiebec, PQ Chantal Cote, St-Henri-de-Levis, PQ Louise C6te, Montreal, PQ Nicole C6te, Rimouski, PQ Lyne Couture, Levis, PQ Alina M. Cribb, Saskatoon, SK Elizabeth G. Crosby, London, ON Akda I. Crosthwaite, Hamilton, ON Lorna E. Cutt, Saanichton, BC
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Nathalie Dube, Rimouski, PQ Rachel Duchesne, Rkiere-du-Loup, PQ Genevieve M. Ducros, Westmount, PQ Nancy Duhaime, Ste-Foy, PQ Ross H. Dunbar, Edmonton, AB France Duquette, Montreial, PQ
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1993 List of Certificants in Family Medicine Johanne Lacelle, St. john's, NF Jose Lacombe, Montreal, PQ VincentJ. Lacroix, Montre'al, PQ Marie-Pierre Laflamme, St-Lamt, PQ Paule Laflamme, Levis, PQ Claude Lafortune, Ste-Dorothee, PQ. Patrice Laframboise, Fleurimont, PQ Monique H. Lafreniere, Nepean, ON Noreen Kampf, Toronto, ON Doan Trang Lam, Montre'al, PQ Usha R. Kappagantula, Vanier, ON Robert E. Lam, London, ON Salma Kassam, Scarborough, ON Julie A. Lamb, Wmnipeg, MB Tammy Kauffnan-Schenker, James K. Langridge, Winnipeg, MB 7Thornhill, ON Sophie Laporte, Montre'al, PQ Sanda Kaufman-Clain, St-Ncolas, PQ Steven S. Larigakis, Delta, BC Timothyj. Kelton, Kingston, ON David P. Larke, London, ON CarterJ. Kennedy, Perth Andover, NB Paul Laroche, Sudbugy, ON Shelley M. Kent, Dartmouth, NS Julie Larochelle, Mont-Royal, PQ Sandra M. Khan, North York, ON DavidJ. Larocque, Calgary, AB Kurosch A. Khodawandi, TorSon, ON Andrew Lau, Montreal, PQ Katayoun S. Khorrami, Calgary, AB Craig Lauer, Vancouver, BC Michael P Kilburn, Saskatoon, SK Kristaj. Lauer, Vancouver, BC Richard S. Kim, Mississauga, ON Guylaine Lauzon, St-Augustin, PQ Claude Kingsbury, St-Benoit, PQ Erick Lavallee, Montreal, PQ Susan M. Kinnie, Ca4ga?y, AB Sally Law, Richmond, BC Andrea F Kirsh, Toronto, ON Margaret-Anne Laws, Oakville, ON Paul M. Kita, Toronto, ON Sharon R. Lazeo, Ottawa, ON Caroline A. Knight, Hamilton, ON Jean LeBlanc, Fox Creek, NB David W Knox, Orangeville, ON Gary L. Lee, Edmonton, AB Karl T Iglar, Toronto, ON Robinson N. Koilpillai, Mississauga, ON John S. Lee, Aorth York, ON Ruth E. Ingersoll, Saint john, NB Anne Man Chi Kong, Winnipeg MB Kevin K. Lee, Oakville, ON Zeubin Irani, Montrial, PQ MelissaJ. Kotkas, Calgary, AB Richard Lee, Montre'al, PQ Odile Kowalski, Montreal, PQ Martine Lefebvre, Charlesbourg, PQ W.Joseph Kozar, London, ON Janice D. Legere, Saint John, NB Barbara Krasovec, Toronto, ON Kevin Leighton, Dartmouth, NS Susan Kuo, London, ON LaurentJacob, St-Laurent, PQ Douglas M. Leitner, Regina, SK Paul H. Kursell, Simcoe, ON Shamir M.Jamal, Torotno, ON Keith D. Lemay, Edmonton, AB Richard Kvas, Toronto, ON Gwenderlyn EJansz, Toronto, ON Jean-Luc Lemelin, Bouchervillk, PQ ManjulaJeyapragasan, Scarborough, ON Marc-Andre Lemieux, Sherbrooke, PQ Ronen H.Jhirad, Toronto, ON Bernard Lessard, Montreial, PQ Carmen L.Johnson, Bulyea, SK Micheline Letendre, Amos, PQ Erin L.Johnston, Kingston, ON Paul LaBelle, Regina, SK Frederick C. Leung, Markham, ON Brent D. Jones, Edmonton, AB Mario Labbe, Charny, PQ Chantale Levesque, Montreal, PQ
Catherine A. Harvey, Vancouver, BC Anne-Marie Hassell, Pointe-Claire, PQ Beverly A. Hattersley, Dundas, ON Susan L. Hayward, Kimgston, ON John D. Henderson, SaintJohn, NB Jennifer Henstock, Kingston, ON Susan C. Hergett, Woifille, NS John P Hickie, Calgary, AB Lisa K. Hicks, Thunder Bay, ON Christine Hill, Rimouski, PQ Richard A. Hindmarsh, Placermille, CA Andrea Hirscheimer, Montreal, PQ Marnie L. Hjertaas, Turtleford, SK Annie Ho Ngoc Hap, Ste-Foy, PQ Christine Hoffman, London, ON Susan M. Hoffmann, Edmonton, AB Scott D. Holder, Calgary, AB Alain Houde, Ste-Foy, PQ Josee Houde, St-Hubert, PQ Patrick Houle, Chicoutimi, PQ Claude Houln&Lavallee, St-Je vme, PQ Douglasj. Howard, Saskatoon, SK David Howe, Doyles, NF Ryan D. Hunt, Montreal, PQ
FransoisJoubarne, Laval, PQ ReneJulien, Ste-Foy, PQ StephaneJulien, Quebec, PQ Mariejutras, Sherbrooke, PQ
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1816 Canadian Family Physician VOL 39: August 1993
1993 List of Certificants in Family Medicine Thanh Diem Hong Nguyen, La, PQ Al-Karim Mawani, Markham, ON Osborne Noronha, 7hornhill, ON R. Ian Maxwell, Ottawa, ON Edoardo Notarandrea, Ottawa, ON Lucie Maynard, Ste-Therese, PQ Stanislaw Maziarz, LaSalle, PQ Rod McCarthy, Springdale, NE Joanna E. McDonald, Kingston, ON Stacey L. McDonald, Calgary, AB Stephenj. O'Keefe, Sydney, NS Lori McFarlane, Vancouver, BC Deborah G. O'Leary, Fredericton, AB Shiona M. McIntosh, Ottawa, ON John W O'Quinn, Kingston, ON Pat L. McLean, Toronto, ON Ivy F Oandasan, Kingston, ON David N. McLinden, Anthony Ocana, Calgary, AB Sioux Lookout, ON Bohdan Olearczyk, Toronto, ON Valerie K. McManus, Calgary, AB Murray D. Opdahl, Saskatoon, SK Laura McNamara, Thunder Bay, ON Mitesh Mehta, Toronto, ON James W Melenchuk, Saskatoon, SK Mona Ma, Willowdale, ON Danielle Menard, Sherbrooke, PQ Sandra Palinka, Edmonton, AB Nada Maalouf-Sfeir, Cote-St-Luc, PQ Lyne Menard, New Richmond, PQ Alain Papineau, New Richmond, PQ Melanie L. MacCara, Trenton, NS Teresa E. Mennes, Calgary, AB Fransois Paquet, Quebec, PQ Cathy MacDonald, Burlington, ON Matthewj. Millard, Calgary, AB Nathalie Paquet, Amqui, PQ Russell D. MacDonald, Kingston, ON Thomas Miller, Hamilton, ON Louis Paquette, Montreial, PQ Margaretj. MacKay, Oakville, ON Nancy Mingo, Toronto, ON Jacinthe Paradis, Ripon, PQ Duncan Mackey, Revelstoke, BC Leslie K. Mitchner, Ca{ga?y, AB Roger Paradis, Sainte-Marie Beuce, PQ Roxanne E. MacKnight, Calgary, AB Christine Mockler, Halifax, NS Hugues Parenteau, Victoriaville, PQ DavidJ. MacMillan, Ottawa, ON Ali Moini, Ste-Foy, PQ David L. Parker, Kingston, ON Nancyj. MacNabb, Toronto, ON Elizabeth Mokrzanowski, Laura M. Parna, Orillia, ON Judith A. Mader, Hal,fax, NS Regina, SK Pierre Pascual, OQibec, PQ Phillip Mah, Toronto, ON Nathalie Monarque, Lasalle, PQ K. Pasricha, Richmond Hill, ON Ajai Sophie Major, St-Leonard, PQ Anthony Morham, London, ON Hasmukh Patel, Medicine Hat, AB Shelley Mallette-Edwards, Dean C. Morris, Fredericton, JB Edward Patterson, Regina, SK Mississauga, ON Leighj. Morris, Calgary, AB Luigi T Pedretti, Oshawa, ON Alison E. Martel, Edmonton, AB Janet L. Morse, Ottawa, ON Brian R. Peer, London, ON Richard A. Martin, Edmonton, AB Babak Mozaffari, Regina, SK Richard D. Penciner, Willowdale, ON Robert W Martin, Tillsonburg, ON Lisa F Penner, Winnipeg, MB E.Joy Masuhara, Vancouver, BC Michele Pepin, Qu bec, PQ Elizabeth Mate, St. John's, NF Michelle M. Pereira, Ottawa, ON A. Grant Matheson, Charlottetown, PE Amos Peres, Toronto, ON Jean-Francois Mathieu, Laprairie, PQ Alicia Nacpil, Mississauga, ON Steve T Petrlich, Windsor, ON Chantal Nadeau, Brossard, PQ Josee Mathieu, Montreal, PQ Monique Pichette, Sherbrooke, PQ Ihab Matta, Brampton, ON Jeff Neville, Ottawa, ON Nicholasj. Pimlott, North York, ON Anouk Matte, St-Etienne-de-Bolton, PQ Adam Newman, Toronto, ON Pitchen, Pierrfon4 PQ Marie-Daniele Karen Maughan, Ottawa, ON Cong-Nghiem Nguyen, Toronto, ON Francis Levesque, Tourelle, PQ Martine Levesque, Baie-Comeau, PQ Stephane Levesque, Montreal, PQ Kevin S. Librach, Orleans, ON Wing F D. Lim, Edmonton, AB Janet Little, Richmond Hill, ON Hanson K. C. Lo, Toronto, ON Lydia C. L. Lo, Brighton, ON Beth Lofchy, Vancouver, BC Lise Losier, Tracadie, NB Jeffrey H. Lum, Montreial, PQ Rosalind A. Luterman, Toronto, ON
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Canadian Family Physician VOL 39: August 1993 1817
1993 List of Certificants in Family Medicine C. Heong Png, Picton, ON Julien Poitras, Q,ybec, PQ Andrea E. Pollock, Ottawa, ON John C. Poon, Calgary, AB Paul Postuma, Kincardine, ON Derek N. Poteryko, Dauphin, MB Johanne Pouliot,. Sherbrooke, PQ Stephane Proulx, Verdun, PQ
R
Christianj. Rucker, Vancouver, BC Louise Ruest, Ste-Foy, PQ Conrad N. Rusnak, Kingston, ON
S
Ken Sabourin, KIngston, ON Margot C. Sadler, Dartmouth, NS Charles H. Samuels, Vulkan, AB Peter W Saranchuk, St. Catharines, ON David A. Satok, North York, ON Katherine M. Savoia, Calgary, AB Garry C. Schroeder, W4nnipeg MB Lynne I. Schwertfeger,
Christopher Ragonetti, Hamilton, ON Geetha Rao, Mississauga, ON Christine Ravnsborg, Edmonton, AB Wieslaw M. Rawluk, St. _ohn-s, NF Timmins, ON Lina Rebolledo, Lachenaie, PQ Ian M. Scott, Hamilton, ON Peter L. Rees, Bradford, ON Verna D. Scott, Swft Current, SK Marc Regimbal, Gatineau, PQ Donovan Sequeira, Mississauga, ON Sylvie Renaud, Montreal, PQ Diane M. Severin, Edmonton, AB Paul I. Renfree, Wznnipeg, MB SusanJ. Seyler, New Hamburg, ON Carol Renke, Vancouver, BC Sachit Shah, Port Hardy, BC Thomas Rich, Vancouver, BC Janet A. Richardson, Kingston, ON Aminaj. Shamsie, Ottawa, ON V Martha Richardson, Dominick Shelton, Toronto, ON Ian I. Sibbald, Saskatoon, SK Willowdale, ON Ashwani K. Singh, Edmonton, AB Marie-Chantale Rivard, Laval, PQ Annie Roberge, Sherbrooke, PQ Manoj K. Singh, St. John's, NF David C. Robinson, Hamilton, ON J. David Singleton, Kingston, ON Chantal Robitaille, Rimouski, PQ Giovanni M. Siviero, Montreial, PQ Melanie A. Robles, Kzngston, ON Caroline L. Slimovitch, London, ON Isabelle Roby, Drummondville, PQ Patrick W Slobodian, Vwtoria, BC Farrokh Rohani, Shreiber, ON Mark A. Smolkin, Ottawa, ON John Rosati, London, ON Steve Socransky, Qy bec, PQ David Ross, Edmonton, AB Natasha N. Sodhi, Halifax, NS Peter A. Ross, St. Andrews, NB Dina Sokoloff, Kingston, ON Deborah L. Rotzinger, Cagaiy, AB Eric W Solway, Toronto, ON S. Lisa Somera, Montreal, PQ Rejeanne Rousselle, St-Isidore, PQ JoAnne L. Rowell Wong, Frank Soroka, Montreal, PQ Vancouver, BC Danielle Souliere, Havre St-Pierre, PQ Pierre-Michel Roy, Sherbrooke, PQ Annie St-Martin, Rouyn-Noranda, PQ Mitchell B. Rubin, Vancouver, BC Lia Stait-Gardner, Toronto, ON
John E. Staniland, Calgary, AB Snezana Stegnajic, East York, ON Peter Steinmetz, Montreal, PQ Ruth A. Stewart, Calgary, AB Dena L. Stockburger, Edmonton, AB John D. Strang, Burlington, ON Jeffrey W Sutherland, Burlington, ON
T
Hien Minh Ta, Hamilton, ON Shauna Tallan, Oakville, ON Lisa Taras, Nepean, ON Joyce Tatelman, Montrial, PQ Kristin A. Terenzi, North Yorki, ON Sonia Thibault, Montreal, PQ Juanita P. Thiessen, Winnipeg MB Eddie Thomas, Duberger, PQ Jennifer A. Thomas, PortAlbern, BC Ian B. Thompson, Kitchener, ON James W Thompson, Edmonton, AB Kay A. Thompson, Kingston, ON Tracy C. Thomson, Calgary, AB Ian Thordarson, Kingston, ON Susan F Thorne, Halifax, NS Kevin Thornton, Dauphin, MB Peter N. Thornton, Calgaiy, AB Eugenie U. Tjan, Mississauga, ON Leon G. Tong, Vancouver, BC Darrenj. Topham, Ottawa, ON Christina M. Toplack, Hamilton, ON Bernie Tran, Montreal, PQ Emmanvelle Tran, Montreal, PQ John Thien An Tran, Scarborough, ON Eric Tremblay, Montreal, PQ Roger Tremblay, Ste-Foy, PQ Elaine Troughton, Ottawa, ON P Paul Tumber, Saskatoon, SK Frederic Turgeon, Montreal, PQ Elizabeth A. Turnock, Armdale, NS .
1818 Canadian Family Physician VOL 39: August 1993
'Nizoralv ketoconazole cream 2%
1993 List of Certificants in Family Medicine u Anne Marie Uhhir, Otterburn Park PQ Sandra Unger, Leamington, ON Thomas Urban, Copper Clff ON
V Rajiv Vadera, Brantford, ON Kandiah Vaithianathan, Grenfell, SK Greg Van de Mosselaer, Wineg, MB Jane Van Den Biggelaar, Toronto, ON Yves Vanderbeeken, Montral, PQ Nick Van Der Kamp, 77widr BqX ON Rosemary Van Straalen, Toronto, ON Michael Varenbut, Willowdale, ON Marie-Christine Veilleux, Laval, PQ Sarita Verma, Kingston, ON Jeanne Vien, Roberval, PQ Christian Viens, Sherbrooke, PQ Michelle M. Vilcini, 77Twder Bay, ON Chuong Vinh, Montrial, PQ Minh Ha Vo, Montreal, PQ
W Kevin P. Wacker, Saskatoon, SK Charlotte Waddell, Dundas, ON Christopher A. Wagg EastzRidm*B Patrick Wahl, Bella Coola, BC Mihiri Wanigaratne, Edmonton, AB Heather A. Ward, MooseJaw, SK Thomas A. Waslen, Saskatoon, SK Janet A. Watt, Kingston, ON Natalie A. Watt, Calgary, AB Timothy R. Webb, Kingston, ON Thea Weisdorf, Toronto, ON Christopher A. Weisgerber, Saskatoon, SK Michael West, Hamilton, ON
Lisa A. White, Ottawa, ON Karli Whittam, Lions Bay, BC Elizabethj. Whittle, Burlington, ON Jennifer K. Wickens, Vancouver, BC Sara E. Wiesenberg, Kingston, ON Diana Wilkinson, Calgary, AB Paule Wlllett, Qyibec, PQ Diane G. Williamson, Nepean, ON Beverly E. Wilson, Pincher Creek, AB Kaeden M. Wilson, Alberton, ON Leo Wisniowski, Toronto, ON Darryl M. Wolski, St. Catharines, ON Andrea B. Wong, Calgary, AB Anita K. Wong, Hamilton, ON Sylvia S. Wong, Burnaby, BC Ted Yee Tak Wong, Saskatoon, SK Guy H. Woolsey, Edmonton, AB Andrew Worster, London, ON JenniferJ. Wyman, Toronto, ON
Marlene Yacoob, Hamilton, ON Hilary Yoshida, Regina, SK Joanne M. Young, North Vancouver; BC Scott K. Young, Brandon, MB Patrick Yu, London, ON Ming Yee Yue, St. Albert, AB
Nathalie Zan, Montrial, PQ Elizabeth M. Zubek, Winnipeg, MB Timothy T Zuk, Edmonton, AB * * -
TOPICAL ANTIFUNGAL AGENT ACTION: In vitro studies suggest that the antifungal properties of NIZORAL (ketoconazole) may be related to its ability to impair the synthesis of ergosterol, a component of fungal and yeast cell membranes. Without the availability of this essential sterol, there are morpholog ical alterations of the fungal and yeast cell membranes manifested as abnormal membranous inclusions between the cell wall and the plasma membrane. The inhibition of ergosterol synthesis has been attributed to interference with the reactions involved in the removal of the 14-a-methyl group of the precursor of ergosterol, lanosterol. INDICATIONS: NIZORAL cream 2% may be indicated for the topical treatment of tinea pedis, tinea corporis and tinea cruris caused by Trichophyton rubrum, T. mentagrophytes and Epidermophyton floccosum; and in the treatment oftinea versicolor (pityriasis) caused by Malassezia furfur (Pitlrosporum orbiculare);and in the treatment ofseborrhoeic dermatitis caused by Pityrosporum ovale;and in the treatment of cutaneous candidiasis caused by Candida albicans. CONTRAINDICATIONS: NIZORAL cream 2% is contraindicated in persons who have shown hypersensitivity to the active or excipient ingredients of this formulation. WARNINGS: NIZORAL cream 2% should never be employed for the treatment of infections of the eye. PRECAUTIONS: If a reaction suggesting sensitivity or chemical irritation should occur, use of NIZORAL cream 2% should be promptly discontinued. Limited short term studies in animals and in human volunteers on whom limited quantities of NIZORAL cream 2% were tested have failed to demonstrate absorption of ketoconazole in detectable amounts. Due to the teratogenic nature of the active ingredient, ketoconazole, caution should be exercised when NIZORAL cream 2% is administered to pregnant or nursing women. Cross sensitivity with miconazole and other imidazoles may exist and caution is suggested when NIZORAL cream 2% is employed in patients with known sensitivities to imidazoles. ADVERSE REACTIONS: Short-term studies indicate that NIZORAL cream 2/o is well tolerated by the skin. Durng clinical trals, 43 (5.0%) of 867 patients treated with the cream and 3 (1.8%) of 167 patientstreated with placebo reported side efects consisting mainly of severe irritation, pruritus and stinging. One of the patients treated with NIZORAL cream 2% developed a painful allergic reaction (swelling ot the toot).
SYMPTOMS AND TREATMENT OF OVERDOSAGE: There has been no experience with overdosage ot NIZORAL cream 2%. Treatment should include general supportive measures. DOSAGE AND ADMINISTRATION: When clinically warranted, therapy with NIZORAL cream 2% may be initiated while results ot culture and susceptibility tests are pending. Treatment should be adjusted according to the findings. NIZORAL cream 2% should be applied to the affected and immediate surrounding area in patients with the following conditions: CONDITIONS
FREQUENCY DURATION
Tinea pedis
once daily once daily once daily once daily once daily
Tinea corporis Tinea cruris Tinea versicolor
Cutaneous candidiasis More resistant cases may be treated twice daily depending on patient response. 4 weeks Seborrheic dermatitis twice daily
The full course of therapy should be followed to reduce the possibility of recurrence. If however, there is no response within the recommended treatment period, the diagnosis should be re-evaluated. The safety of NIZORAL cream 2% has not been established with treatment periods exceeding those recommended, therefore, treatment must not exceed the recommended duration of therapy indicated above. DOSAGE FORM: NIZORAL cream 2% is a white odoudess cream containing 20 mg ketoconazole per gram and is supplied in 30 g tubes. Full Product Monograph available on request. REFERENCES: 1. Cauwenbergh G et al.: An Autoradiographic Study of the Penetration of a 2% Ketoconazole Cream Formulation Into Human Skin. Advances in Therapy 1987;4(5):219-224. 2. Jolly HW, Greer D.: Double-blind comparison of two doses of 2% ketoconazole cream (R41,400) in the treatment of chronic and acute tinea pedis. Data on file at Janssen Pharmaceutica Inc. 3. Nizoral cream product monograph.
1 JANSSEN PHARMACEUTICA
1 Mississauga, Ont. *Trademark ©JANSSEN 1993 -
4-6 weeks 3-4 weeks 2-4 weeks 2-3 weeks 2-3 weeks
MEMBER
Eip1cvv
Canadian Family Physician VOL 39: August 1993 1819
GUIDELINES FOR AUTHORS Canadian Family Physician is a peerreviewed scientific journal intended to meet the needs of those practising, teaching and researching in the fields of family medicine and primary care. It has a circulation of more than 29 000 and is indexed in Index Medicus, Excerpta Medica, and a variety of other databases. Articles are invited that critically and constructively contribute to family practice literature. Such articles may encompass original research, reviews of the literature as it relates to dilemmas encountered in practice, all areas of education, as well as papers that offer personal points of view. Canadian Family Physician accepts only original material not under consideration by any other journal.
Manuscript preparation * Manuscripts should be prepared in accordance with the "Uniform Requirements for Manuscripts Submitted to BiomedicalJournals" (Can Med Assoc 7 1992; 146:861-8). * Manuscripts should be printed out double-spaced with 1" margins on one side of standard-sized bond paper. Each section - title page, abstract (50 to 65 words), biographical note, text, acknowledgement, references, captions for illustrations, and tables - should start on a new page and be numbered consecutively in the upper right-hand corner, beginning with the title page.
* Authors' full names, medical degrees and specialist certificates (if applicable), or two highest academic degrees, and affiliations should appear on the title page. * Short acknowledgments will be published only when accompanied by written permission of person(s) or institution(s) acknowledged.
* Systeme International (SI) units should be used throughout. 1820 Canadian Family Physician V'OL 39: August 1993
* Only generic names of drugs should be used, unless the specific trade name of a drug used is directly relevant to the discussion. Visual material * Tables and figures should clarify and supplement, but not duplicate, the text. Tables must be selfexplanatory and concise. Figures charts and graphs - must be in high quality, reproducible form and legible when reduced to column size. Each table and figure should be on a separate page, numbered sequentially with Arabic numerals (eg, Table 1, Figure 1), and cited at appropriate places in the text. Give complete reference data for all tables and figures taken from other sources. * Illustrations and tables taken from other publications must be acknowledged. Written permission to reprint from the original publishers should be included with the
manuscript.
* Visual material should be clearly labelled and well packaged. While CFP makes every effort to reproduce and return material intact, we cannot be responsible for damage in transport due to improper packaging. All visual material submitted will be returned after publication. Reproduction of images in colour will be at the discretion of the editor. * If photographs or descriptions of patients are used, the subjects should not be identifiable. If they are, their pictures or descriptions must be accompanied by written permission (informed consent) to use them.
References * References should follow the style of the "Uniform Requirements for Manuscripts submitted to BiomedicalJournals." Accuracy is the responsibility of the author. * References should be numbered in the order they appear in the text and should be limited to works cited in the article.
* CFP encourages the submission of visual material to complement * List all authors when there are 6 or fewer; when there are 7 or more, texts. We accept original artwork in list the first 6, then "et al." Sample the form of: references: Slides, colour or black & white Standardjournal article (please print slides or provide hard Blatz S, Paes BA, Kraftcheck DJ. copy for tables and charts) Suctioning newborns. Can Fam Physician 1992;38:1813-20. Photographic prints, colour or black & white, preferably glossy. Organization as author National Advisory Committee on Please provide negatives for prints Immunization. Statement on smaller than 5"x7". Do not use ink immunizing agents for the prevenpens on photos; submit notes or tion of viral hepatitis. Can Dis 4fk1y
captions separately. Diagnostic imaging media, photographic reproductions of x-rays, scans, sonograms, etc Illustrativefigures, such as graphs, flow charts, algorithms, black & white line drawings, or original colour artwork. Please provide numeric data for graphs in case they need to be redrawn.
Rep 1987;13:99-106. Book NMcWhinney IR. A textbook offamily medicine. New York: Oxford University Press, 1989. Chapter in book Hansen NH. Self care: attitudes affecting compliance. In: Shires DB, Hennen BK, editors. Family Medicine. A guidebookfor practitioners of the art. New York: McGraw-Hill, 1980.
* Personal communications and unpublished data should not be referenced. If essential, such material should be incorporated in the appropriate place in the text. Manuscript submission * The covering letter should include the name, address, telephone and fax numbers of the author to whom correspondance should be addressed. * A statement should be included that the manuscript has not been published previously and is not under consideration for publication in another journal, and that the final version has been seen and approved by all authors. Copies of any manuscripts which du icate information in the manuscript submitted should be sent to the Editor along with the manuscript that is to be considered by CFG
* A diskette, in DOS WordPerfect' format if possible, should accompany the manuscript. Submit two photocopies along with the original manuscript.
* Accepted manuscripts will be copy edited and returned to the author for approval. Authors are responsible for all statements made in their work, including changes made by the editorial staff and authorized by the corresponding author.
Editorial review and processing Peer review * Manuscripts to be considered for publication will be sent to two or more reviewers, who may be family physicians or other experts in the field. When publication of an article in its original form is not recommended, the reviewers' comments may be passed to authors and revision encouraged.
* A complimentary copy of Canadian Family Physician along with 50 unbound copies of the published article will be mailed to the corresponding author at the time of publication. * An order form for additional reprints will be sent to authors with the galley proofs.
* The identities of reviewers and authors will be kept confidential.
* Acceptance of a paper will imply assignment of copyright by its authors to Canadian Family Physician, but the authors will be free to use their material in subsequent publications written or edited by themselves, provided that the Managing Editor is notified and that CFP is acknowledged as the original publication.
Editorial decision * A decision about acceptance, request for revision, or rejection will be sent to the corresponding author as promptly as possible. * The CFP expects authors to disclose * Manuscripts not accepted for publication will not be returned. Original any conflict of interest in connection with the submitted article. All funding artwork, photographs, slides and other illustrations will automatically Please send manuscripts to: sources should be acknowledged in the covering letter. Authors should also be returned. For manuscripts accept- Managing Editor, Canadian Family indicate any pharmaceutical or other ed for publication, illustrations will be Physician, 2630 Skymark Ave, returned after the article is published. Mississauga, ON L4W 5A4 corporate affiliations or support.
MNanuscript Checlist Z Designate a corresponding author and provide a complete address, telephone number, and fax
number.
Ell Prepare
a coverlng letter indicating that the manuscript is an original submission and identifying any possible conflict of interest.
Z Submit entire manuscript in triplicate (original and two clear copies), double spaced throughout and arranged and numbered in the following sequence: title page, abstract, biographical note, text, acknowledgements, references, captions for
ilustrations, and tables. Z Include authors' fuU names, medical degrees and specialist certificates (if applicable) or two highest academic degrees, and affiliations on title page.
Include an abstract of 50 to 65 words.
F Check references for accuracy, completeness, and proper format.
Prepare each table or figure on a separate sheet of paper at the end of the manuscript. Give all tables tides, and all figures and other illustrations captions. Ensure that all tables, fiures, and illustrations are cited at the appropriate places in the text. Attach written permission from publishers and authors to reproduce or adapt previously published illustrations and tables. D Include consent forms from patients if they can be identified from descriptions or photographs.
Canadian Family Physician VOL 39: August 1993 1821
DIRECTIVES AUX AUTEURS Le Medecin defamille canadien est un journal A caractere scientifique qui fait l'objet d'une revue critique par un jury professionnel et qui veut repondre aux besoins des personnes impliquees dans la pratique, l'enseignement et la recherche en medecine familiale et en soins de premiere ligne. I1 est publie A plus de 29000 exemplaires et est indexe dans Index Medicus et une variete d'autres banques de donnees. Nous sollicitons les articles dont le texte critique et constructif peut contribuer a la litterature en medecine familiale. Ces articles pourront traiter soit de recherche originale, soit presenter une revue de la litterature entourant les dilemmes de la pratique, les differents aspects de la formation ou tout article refletant des opinions personnelles. Le Medecin defamille canadien acceptera seulement les articles originaux n'ayant jamais et publies ou soumis A aucun autre journal. Preparation du manuscrit * Les manuscrits doivent etre prepares conformement aux "Recommandations aux auteurs pour des manuscrits devant etre soumis A des revues biomedicales" JAMC 1992; 146:861-8). * Les manuscrits doivent etre imprimes A double interligne, avec marge de 1" A gauche, sur du papier blanc format lettre. Chaque section - titre, resume (60 mots), notice biographique, texte, remerciements, references, legendes des illustrations et tableaux- devrait debuter sur une nouvelle page et etre numerotee consecutivement dans le coin superieur droit, en commencant par la page portant le titre. * Les nom, prenom et initiale de chaque auteur, diplomes de medecine et certificats de specialite (le cas echeant) ou les deux plus hauts titres academiques, et les affiliations A des institutions doivent apparaitre sur la page portant le titre. * Seuls de brefs remerciements accompagnes d'une autorisation signee par les personnes ou les institutions citees seront publies. * Les auteurs devront utiliser les unites du Systeme international (SI) tout au long du manuscrit. 1822 Le Medecin defamille canadien VOL 39: aout 1993
* Seuls les noms generiques des medicaments seront utilises, A moins que le nom de commerce specifique d'un medicament utilise soit tout A fait pertinent dans la discussion.
Materiel visuel * Les tableaux et les figures servent A clarifier et A completer le texte et non A le dupliquer. Les tableaux doivent etre informatifs en eux-memes et concis. Les figures - schemas et diagrammes doivent etre d'une excellente qualite, aptes A etre reproduites et lisibles lorsque reduites pour publication. Chaque tableau et chaque figure seront presentes sur une feuille separee, numerotee en chiffres arabes (p.ex. Tableau 1, Figure 1) et la numerotation doit correspondre A l'ordre d'apparition dans le texte. Fournir la reference complete pour les tableaux et les figures provenant d'autres sources. * Les illustrations et les tableaux issus d'une autre publication necessitent une autorisation. Cette autorisation ecrite de l'auteur de l'article ou de l'editeur de la publication doit etrejointe au manuscrit. * Le MFC favorise les illustrations qui ameliorent la presentation du texte. Nous acceptons tout dessin professionnel sous forme de: Diapositives, couleur ou noir et blanc (veuillez reproduire les diapositives ou imprimer le contenu des tableaux et des graphiques). Reproductions photographiques, couleur ou noir et blanc, preferablement au fini lustre. Veuillez fournir les negatifs des reproductions plus petites que 5"x7". Ne pas ecrire A l'encre sur les photos; soumettre vos notes ou legendes
separement. Reproductions d'imagerie diagnostique, reproductions photographiques de radiographies, scintigraphies, echographies, etc. Figures illustratives, tels graphiques, feuilles de suivi, algorithmes, dessins lineaires en noir et blanc ou tout travail professionnel en couleur. Veuillez fournir les donnees numeriques des graphiques au cas oiu il serait necessaire de les reproduire.
* Le materiel visuel devrait etre clairement etiquete et bien emballe. Le FMC prend toutes les precautions pour reproduire le materiel et le retourner A l'auteur; nous ne pouvons cependant endosser la responsabilite des dommages causes pendant le transport A cause d'un mauvais emballage. Tout materiel visuel soumis sera retourne apres la publication. La reproduction des images en couleur sera A la discretion de l'editeur.
* Si des photographies ou descriptions de patients sont utilisees, les sujets ne doivent pas etre identifiables. S'ils le sont, une permission ecrite (consentement eclaire) pour cette utilisation doit accompagner les photographies ou
descriptions.
Riferences * Les references doivent etre conformes au style des "Recommandations aux auteurs pour des manuscrits devant etre soumis A des revues biomedicales". Les auteurs sont responsables de la precision des references. * Les references doivent etre numerotees dans l'ordre ou elles apparaissent dans le texte et devraient se limiter aux ouvrages cites dans l'article. * Listez tous les auteurs lorsque leur nombre est de 6 ou moins; lorsque leur nombre est de 7 ou plus, listez les 6 premiers, puis "et al". Voici des exemples de references:
Article de pe'riodique Blatz S, Paes BA, Kraftcheck DJ. Suctioning newborns. Med Fam Can 1992;38:1813-20. Organisme en tant qu'auteur Comite consultatif national sur l'immunisation. Statement of immunizing agents for the prevention of viral hepatitis. Can Dis Wkly Rep 1987; 13:99-106. Livre McWhinney IR. A textbook offamily medicine. New York: Oxford University Press, 1989. Chapitre d'un livre Hansen NH. Self care: attitudes affecting compliance. Dans: Shires DB, Hennen BK, editeurs. Family Medicine.
A guidebook for piactitioners of the art. New York: McGraw-Hill, 1980. * Les communications personnelles et observations non publiees ne doivent pas etre employees comme references mais devraient plut6t etre inser6es dans le texte.
Presentation du manuscrit * La lettre de presentation doit comprendre Ic nom, l'adresse, les numeros de t6lephone et de telecopieur de l'auteur. * La lettre doit confirmer que le manuscrit n'a jamais ete public precedemment ni n'a ete soumis a aucun autre journal, et que la versioIn finale a et6 pr6sentee et approuvee par tous les auteurs. Les copies du manuscrit qui reproduisent les informations contenues dans le manuscrit original soumis pour publication au AIFC doivent aussi etre envoyees A l'diteur. * Les auteurs devront indiquer au AlFC toute source de conflit d'inter&t en rapport avec l'article soumis. Les auteurs doivent indiquer la source de toute aide financiere dans la lettre de pr6sentation. Ils devront aussi indiquer toute aide ou affiliation avec un organisme ou compagnie pharmaceutique quelconque.
* Une disquette, utilisant le logiciel WVordPerfect, version DOS, si possible, doit accompagner le manuscrit. Soumettre deux copies avec le texte original.
Revision editoriale et processus Revue critique dujury professionnel * Les manuscrits soumis pour publication seront envoy6s A deux reviseurs ou plus, soit des m6decins de famille ou des experts dans le domaine. Lorsque la publication d'un article dans sa forme originale n'est pas recommandee, les commentaires des reviseurs seront transmis aux auteurs et on encouragera la revision. * L'identite des r-viseurs et des auteurs sera confidentielle.
Decision de la redaction * La decision d'accepter, de demander une revision ou de refuser l'article sera envomye A l'auteur le plus rapidement possible. * Les manuscrits qui ne seront pas acceptes pour publication ne seront pas retournes aux auteurs. Par contre, toutes les reproductions originales, photographies, diapositives et autres illustrations seront automatiquement retournees. Dans le cas des manuscrits acceptes pour publication, les illustrations seront retournees lorsque Ilarticle aura ete publie.
* Les manuscrits acccptes seroint edites et retournes aux auteurs pour approbation. Les auteurs sonlt responsables des affirmations faites dans leur travail, incluaint les changemenits apportes par le personnel de r6daction et autoris6s par les auteurs. * L'auteur recevra une copie du M7tIdecin defamille canadien A titre gracieux, plus 50 copies non reliees de l'article au moment de la publication.
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I,e Aledecin defianille (anadien V oL 39: aolt 1993 1823
Dr Hubert Arslanian, Mont Royal, Que'. Dr Nicole Audet, Cap-Rouge, Que'. Dr Rene' Beaudoin, Sherbrooke, Que'. suite de la page 1852 Dr Stephen DiTommaso, Montrial Dr Michael Dworkind, Montrial de me'decine familiale francophone Dr Richard Handfield-Jones, Montreal suite a une competition academique a Dr Claude Lamontagne, Ste-Foy, Que'. laquelle peuvent participer les resi- Dr Gilles Martel, Sherbrooke, (ue. dents de medecine familiale a travers Dr Jean-Pierre Martineau, Lorraine, Que. Dr Donald Byrne McDonah, Saint-John, le Canada. N-B. Dr Rob Kimball, Windsor, N-E. Prix Bob Robertson Dr Pamela Eisener-Parsche, Orleans, Ont. Dr Robert A. Oliver, Dartmouth, N -E. Ce prix veut honorer la memoire du Dr Cheri Bethune, St. John's, T.-N. Dr Bob Robertson, jadis president du Dr Francine Lemire, Corner Brook, T-N. College. II est offert annuellement au resident de medecine familiale ayant Membres honoraires obtenu le meilleur resultat lors du Dr David Alexander, Kingston, Ont. dernier examen de certification en Dr T.J. Murray, Haliax, N -E. medecine familiale. Bourses de voyage Dr Charles M. Blackwood, Mission, C.-B. Prix Irwin W. Bean Dr Stephen J. McMurray, Brockville, Ont. Dr Wendy Elizabeth Hamilton, North Ce prix veut honorer la memoire du Dr Gower, Ont. Irwin W Bean, premier president du Dr Christine Lebeuf; Montrial Comite des examens. I1 est offert Dr Carl A. Moore, Hamilton, Ont. annuellement au medecin admissible a Dr Wendy VNorman, Sechelt, C.-B. l'examen de certification par la voie de Dr Christine Anne Whittington, Calgary la pratique ayant obtenu le meilleur Dr Graham Worrall, Glovertown, T-N. resultat lors du dernier examen. Bourses d'etudes postdoctorales Fellows Dr Nicole Audet, Cap-Rouge, Que'. DrJoanna Bates, Vancouver Dr Paul Edward Yanko, Kamloops, C. -B. Dr Lea Bluteau, Charlebois, Que'. Dr GeoffDawrant, Edmonton Dr Sheila M. Malm, Calgary Dr Richard W Swanson, Calgary Dr Janet Dollin, Montrial Dr W Hugh McKee, Saskatoon DrM.E. Fonger, Victoria Dr R. Bruce Boyd, Winnipeg Dr Louise Lefebvre, Waterloo, Ont. Dr PeterJ. Kirk, Winnipeg Dr Robert Lehman, Gibson's, C.-B. Dr Donald H. Klassen, Winkler, Man. Dr julie Martz, Boston Dr Sarah E. Kredentser, Winnipeg Dr_John Maxted, Dresden, Ont. Dr Allan D. Ranson, Hamiota, Man. Dr Louise Nasmith, Montre'al Dr Dennis J. T Brodie, Burlington, Ont. Dr Lauretta Pereles, Calgary Dr James Thomas Bruce Rourke, DrJanet Christie-Seely, Ottawa Dr David Crookston, Sault Ste. Marie, Ont. Goderich, Ont. Dr Anne Crowe, Waterloo, Ont. Dr Danielle Saucier, Ste-Foy, Que'. Dr Neil VFinnie, Hamilton, Ont. Dr Louise Sims, Cambridge, Ont. Dr William P Fraser, Cambridge, Ont. Dr Kevin Sliwowicz, Toronto DrJames M. Gall, Mitchell, Ont. Dr Beverley Jean Smith, St. Thomas, Ont. Dr Heime Geffen, St. Catharines, Ont. Dr Harry .E. Hall, Orillia, Ont. Bourses de recherche et Dr George David Harpur, Tobermory, Ont. developpement Dr Peter D. Hopkins, Toronto Dr Peter J. MacDonald, Hamilton, Ont. Dr rvonne Kason, Scarborough, Ont. Dr Denis Nodl, Lac Etchemin, Que'. Dr ValRachlis, Toronto Dr Donna Ward, Waterloo, Ont. Bourse d'enrichissement Dr Williamj. Watson, Toronto de la pratique Dr Angelo Zizzo, Hamilton, Ont. Dr Harvey V Thommasen, Bella Coola, Dr Preston A. Zuliani, St. Catharines, Ont. C.-B.
NOTES D'EVOLUTION
Bourse de stage clinique Dr Lauren Dake, Vancouver Bourses predoctorales Glaxo Dr Margherita Caddedu, Universite' de Western Ontario, London Dr Nanette Ferguson-Losier, Universite Dalhousie, Halifax Dr Leila Kasrai, Universite de Western Ontario, London Dr Kim Allan Macnab, Universite de Calgary Dr Elizabeth Anne Maher, Universite McGill, Montreal
Ces bourses sont accordees cette ann6e pour la premiere fois. Chacune des 16 facultes de medecine canadiennes est invitee a presenter un ou plusieurs etudiants en medecine sur la base de la meilleure presentation sur un theme de medecine familiale. Un maximum de sept bourses sont accordees chaque annee. Ces bourses sont une gracieusete de Glaxo Canada Inc.
Bourses de la Legion royale canadienne en geriatrie Dr Paul Chabun, Hazelton, C.-B. Dr Christopher Childs, Bedford, N. -E. Dr David N. Clarke, Parry Sound, Ont. Dr Louis Girard, Toronto Dr Mary Catherine Gorman, Antigonish, N-E. Dr Andree-Anne Guay, Knowlton, Que. Dr Yvan Levesque, Riviere-du-Loup, Que'. Dr Donald Byrne McDonah, Saint John, N-B. Dr Barbara Montgomery, Montre'al, Qui. Dr George W Patterson, Barrhead, Alb. Dr William E Wertzler, Calgary Dr Anthony Williams, Red Deer, Alb.
Le Medecin defamille canadien VOL 39: aou2t 1993 1851
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Meritants de
1 99 3
Dr Eamon F Johnston, Kitchener, Ont. DrAlain Lalonde, Chapais Qu' Dr Richard E Poole, Alexandria, Ont. DrAvram D. Whiteman, Montreal
Octrois de recherche du CMFC Dr Neil R. Bell, Edmonton Mme Olga Szafran, Edmonton
REG L. PERKIN, MD, directeur
Prix litteraire (anglais) Ortho Dr Curtis Folkerson, Wakefield, Que'. Dr William E. Hogg, London, Ont. DrJacques Lemelin, Ottawa, Ont. Dr Gary Satenstein, Wakefield, Que'. Dr Karen A. Scott, Sechelt, C.-B.
general
Prix litteraire (frano,ais) Ortho Dr Raymond Lalande, Ste-The'rese, Que'. Au
nom du Collkge des me'decins de famille du Canada (CMFC), me fait grand plaisir de vous annoncer les meritants de 1993. Mes remerciements aux membres du College qui ont contribue au Fonds de soutien du CMFC. Je desire egalement remercier la Legion royale canadienne et les compagnies pharmaceutiques Ortho, McNeil, Schering, Upjohn et Glaxo pour leur contribution financiere a notre programme de prix et bourses. Toutes nos felicitations aux membres suivants du College qui ont ete choisis comme meritants de 1993 par le Comite des prix et bourses du CMFC et dont la nomination a ete confirmee par le Conseil
d'administration. Discours W. VictorJohnston Dr May Cohen, Burlington, Ont Cet honneur est confere en memoire du premier directeur general du CMFC, le Dr WV. Johnston. Prix Donald I. Rice Dr R. Wayne, E/ford, Calgary Ce prix rend hommage a notre directeur general retraite et permet a un chef de file en medecine familiale, 1852 Le Medecin defamille canadien VOL 39: aout 1993
reconnu sur le plan national ou international, de voyager pendant un mois a travers le Canada afin de participer a des activites academiques. Octroi de recherche Douglas M. Robb Dr George Sas, London, Ont. Cet octroi de recherche fut etabli par la succession du Dr Douglas Robb, jadis president de la Section Nouveau-Brunswick du CMFC, qui vouait un interet particulier a la recherche. Cet octroi vise a encourager les activites de recherche d'un medecin de famille implique au sein de sa communaute.
Conference Murray Stalker Dr Elizabeth Turnock, Halfax Ce prix honore la memoire du premier president du College, le Dr Murray E. Stalker, MD. II permet a un resident senior exceptionnel de medecine familiale de presenter une conference lors de l'assemblee scientifique annuelle.
Bourses d'etudes postdoctorales, Schering Dr William Mitchell-Banks, Creston, C. -B. Dr Marie-Josee Caron, Montreal Dr Dale Duguid, Regina Dr Robert N. Hobbs, Kingston, Ont. Dr Daphne Maclean, Sydenham, Ont. Dr Joseph Morrissy, London, Ont.
Medecin de famille de 1'annee Drs Donald et Sharon Blacklock, Comox, C. -B. Cette bourse speciale est offerte a un medecin de famille qui pratique depuis au moins 15 ans et est membre du CMFC depuis au moins 10 ans. Sa contribution aura ete jugee exemplaire, tant au niveau de la medecine familiale, aupres de sa communaute et au sein du College. Pour la premiere fois, cet honneur est attribue conjointement a un couple de medecins. Cette bourse est subventionnee par Les Laboratoires McNeil (Canada) Ltee.
Bourses d'etudes postdoctorales, Upjohn Dr Tom Barnard, Leamington, Ont. Dr Jacques Bechard, Sainte- Claire, Bellechasse, Que. Dr Cindy E. Breitkreutz, Whitehorse Dr Paul Chabun, Hazelton, C.-B. Dr Susan E. Gleeson, Peterborough, Ont. Dr Kenneth R. Haight, Saskatoon
Prix Nadine St-Pierre Dr Elizabeth Blouin, Quibec, Que. Ce prix veut honorer la memoire du Dr Nadine St-Pierre pour sa contribution au developpement de la version francaise de l'examen de certification du College. II est accorde a un(e) resident(e) d'un programme suite a la page 1851
PROGRESS NOTES continuedfrom page 1854 the late Dr Bob Robertson, a Past President of the College. It is presented annually to the resident in family medicine who has achieved the highest marks in the certification examination.
Dr Rob Kimball, Windsor, NS Dr Robert A. Oliver, Dartmouth, NS Dr Cheri Bethune, StJohn's Dr Francine Lemire, Corner Brook, Nfld
Honorary Membership Dr David Alexander, Kingston, Ont Dr TJock Murray, Halifax
Traveling Scholarships Dr Charles M. Blackwood, Mission, BC Irwin W. Bean Award Dr Wendy Elizabeth Hamilton, North Gower, Dr Stephen 7. McMurray, Brockville, Ont Ont This award is named for Dr Irwin Dr Christine Lebeuf, Montreal Bean, the first Chairman of the Dr Carl A. Moore, Hamilton, Ont Committee on Examinations. It is Dr Wendy VNorman, Sechelt, BC presented annually to the practice-eli- Dr Christine Anne Whittington, Calgary gible candidate who achieves the Dr Graham Worrall, Glovertown, Nfld highest marks in the certification examination. Graduate Study Awards DrNicoleAudet, Cap-Rouge, Que Feliowship Awards Dr Lea Bluteau, Charlebois, Que Bates, Vancouver Dr GeoffDawrant, Edmonton DrJoanna Dr Paul Edward Yanko, Kamloops, BC DrJanet Dollin, Montreal Dr Sheila M. Malm, Calgary Dr M.E. Fonger, Victoria Dr Richard W Swanson, Calgary Dr Louise Lefebvre, Waterloo, Ont Dr W Hugh McKee, Saskatoon Dr Robert Lehman, Gibson's, BC Dr R. Bruce Boyd, Winnipeg DrJulie Martz, Boston Dr Peter]. Kirk, Winnipeg DrJohn Maxted, Dresden, Ont Dr Donald H. Klassen, Winkler, Man Dr Louise Nasmith, Montreal Dr Sarah E. Kredentser, Winnipeg Dr Lauretta Pereles, Calgary Dr Allan D. Ranson, Hamiota, Man Dr James TB. Rourke, Goderich, Ont Dr Dennis J. T Brodie, Burlington, Ont Dr Danielle Saucier, Ste-Foy, Que Dr Louise Sims, Cambridge, Ont DrJanet Christie-Seey Ottawa Dr David Crookston, Sault Ste Marie, Ont Dr Kevin Sliwowicz, Toronto DrAnne Crowe, Waterloo, Ont Dr Beverley Jean Smith, St Thomas, Ont Dr Neil V Finnie, Hamilton, Ont Dr William P Fraser, Cambridge, Ont Research and Development Dr3James M. Gall, Mitchell, Ont Awards Dr Heime Geffen, St Catharines, Ont Dr Peter J. MacDonald, Hamilton, Ont Dr Harry 3.E. Hall, Orillia, Ont Dr Denis Noel, Lac Etchemin, Que Dr George David Harpur, Tobermory, Ont Dr Peter D. Hopkins, Toronto Practice Enrichment Award Dr Yvonne Kason, Scarborough, Ont Dr Harvey V Thommasen, Bella Coola, BC Dr Val Rachlis, Toronto Dr Donna Ward, Waterloo, Ont Clinical Traineeships Dr William]. Watson, Toronto Dr Lauren Dake, Vancouver Dr Angela Zizzo, Hamilton, Ont Dr Preston A. Zuliani, St Catharines, Ont Glaxo Undergraduate Dr Hubert Arslanian, Mount Royal, Que Awards DrNicoleAudet, Cap-Rouge, Que Dr Margherita Caddedu, University of Dr Rene Beaudoin, Sherbrooke, Que Western Ontario, London Dr Stephen DiTommaso, Montreal Dr Nanette Ferguson-Losier, Dalhousie Dr Michael Dworkind, Montreal University, Halifax Dr Richard Handfield-Jones, Montreal Dr Leila Kasrai, University of Western Dr Claude Lamontagne, Ste-Foy, Que Ontario, London Dr Gilles Martel, Sherbrooke, Que Dr Kim Allan Macnab, University ofCalgary Dr Jean-Pierre Martineau, Lorraine, Que Dr Elizabeth Anne Maher, McGill Dr Donald Byrne McDonah, SaintJohn, NB Universiy, Montreal
These awards are being given for the first time. Each of the 16 Canadian medical schools is invited to nominate one or more medical students based on the best presentation on a family medicine topic. A maximum of seven awards are available each year. The awards are funded by Glaxo Canada Inc.
Royal Canadian Legion Traineeships in Geriatrics Dr Paul Chabun, Hazelton, BC Dr Christopher Childs, Bedford NS Dr David N Clarke, Parry Sound, Ont Dr Louis Girard, Toronto Dr Mary Catherine Gorman, Ant gonish, NS Dr Andree-Anne Guay, Knowlton, Que Dr Yvan Le'vesque, Riviere-du-Loup, Que Dr Donald Byrne McDonah, SaintJohn, NB Dr Barbara Montgomery, Montreal, Que Dr George W Patterson, Barrhead, Alta Dr William E Wertzler, Calgary Dr Anthony Williams, Red Deer, Alta * * 0
Canadian Family Physician V'OL 39: August 1993 1853
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CFP Research Award Dr Neil R. Bell, Edmonton Ms Olga Szafran, Edmonton
1R993 Award winners
Ortho Literary (English) Award Dr Curtis Folkerson, Wakefield, Que Dr William E. Hogg, Ottawa Dr_Jacques Lemelin, Ottawa Dr Gary Satenstein, Wakefield, Que Dr Karen A. Scott, Sechelt, BC
Ortho Literary (French) Award Dr Raymond Lalande, St Therese, Que REG
L.. PELRKIN,
MD, Executive Director
Murray Stalker Memorial
On behalf of the College of Family Physicians of Canada (CFPC), it gives me great pleasure to announce the award winners for 1993. Thanks are extended to those College members who contributed to the CFPC Sustaining Fund. I also thank the Royal Canadian Legion and Ortho, McNeil, Schering, Upjohn, and Glaxo for their support of the CFPC endowments and awards program. Congratulations to the following College members who have been selected by the CFPC Committee on Endowments and Awards and confirmed by the Board of Directors as award winners for 1993.
The W. Victor Johnston Oration Dr May Cohen, Burlington, Ont This award honours the memory of the CFPC's first Executive Director, the late W. VictorJohnston, MD. Donald I. Rice Merit Award Dr R. Wayne E>ford, Calgary This award, in honour of our retired Executive Director, allows a nationally or internationally renowned leader in family medicine to travel for 1854 Canadian Family Physician VOL 39: August 1993
1 month across Canada to engage in educational activities.
Douglas M. Robb Research Award Dr George Sas, London, Ont This award was established by the estate of the late Dr Douglas Robb, a Past President of the New Brunswick Chapter ofthe CFPC, who took a keen interest in research. This award is given to support the research activities of a community-based family physician.
Postgraduate Study Awards, Schering Dr William Mitchell-Banks, Creston, BC Dr Marie-Josee Caron, Montreal Dr Dale Duguid, Regina Dr Robert N Hobbs, Kingston, Ont Dr Daphne Maclean, Sydenham, Ont Dr Joseph Morrissy, London, Ont
Postgraduate Study Awards, Upjohn Dr Tom Barnard, Leamington, Ont Dr Jacques Bechard, Sainte-Claire, Bellechasse, Que Dr Cindy E. Breitkreutz, Whitehorse Dr Paul Chabun, Hazelton, BC Dr Susan E. Gleeson, Peterborough, Ont Dr Kenneth R. Haight, Saskatoon Dr Eamon F Johnston, Kitchener, Ont Dr Alain Lalonde, Chapais, Que Dr Richard E Poole, Alexandria, Ont Dr Avram D. Whiteman, Montreal
Lecture Dr Elizabeth Turnock, Halifax This award honours the memory of the College's first President, the late Murray E Stalker, MD. It provides the opportunity for an outstanding senior resident in family medicine to present a lecture at our annual scientific assembly.
Family Physician of the Year DrsDonald and Sharon Blacklock, Comox, BC This special award is given to a family physician who has been in family practice for a minimum of 15 years and a member of the CFPC for at least 10 years. The winner is judged to have made an outstanding contribution to family medicine, to the community, and to the College. This is the first time the award has been given to a husband and wife team. The award is sponsored by McNeil Pharmaceutical (Canada) Ltd. Nadine St Pierre Award Dr Elizabeth Blouin, Quebec Ciy The award honours the late Nadine St Pierre, MD, who was instrumental in developing the French-language version of the College's certification examination. It is awarded to the winner of an academic competition conducted in the French language and open to family practice residents across Canada. Bob Robertson Award Dr Pamela Eisener-Parsche, Ottawa This award honours the memory of continued on page 1853