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N Robb

Publications and source records attributed to N Robb.

At least 37 records · Page 2Linked to original sources

Telemedicine may help change the face of medical care in eastern Canada.

Pilot projects in eastern Canada that use personal computers and telephone lines to link patients and rural physicians with specialists in urban centres indicate that telemedicine may be a cost-effective adjunct to clinical medicine. Dermatology, radiology, cardiology and oncology are among the areas that have been tested in Nova Scotia. Although physicians say telemedicine may have many useful applications, such as providing efficient continuing medical education for doctors in remote communities, they say it must respect traditional referral patterns.

Humans↗

Interest in physician-buyout packages grows as more doctors contemplate retirement.

Provincial governments are turning to voluntary retirement programs, buyouts and phase-outs to help manage physician supply. Demographic data show that in 1996 nearly 27% of Canada's active physicians were aged 55 or older and that the average age of retiring physicians was 68. Although 1 goal of such programs is to give willing older physicians the financial ability to retire, provinces also hope to do away with some billing numbers.

Aged↗

Micmac medical student becomes role model for his community.

When Robert Johnson graduates from medical school in 1998, he will become Canada's first Micmac physician. For him, going to medical school is a major responsibility because he is a role model for an entire community. He hopes he is only the first of many Micmacs to make this career choice.

Community-Institutional Relations↗

PEI's fixed link to mainland a living laboratory for occupational medicine.

Occupational health data suggested there would be many injuries and one fatality for every kilometre of the 12.9-km bridge that by next year will link Prince Edward Island to the rest of Canada. However, Dr. Scott Cameron reports that the project's safety record has far exceeded expectations. The family physician from Summerside, PEI, is delighted to be medical adviser for the history-making project.

Construction Materials↗

Nova Scotia hopes to solve recruitment problem with joint effort from MDS, government.

The Medical Society of Nova Scotia and the provincial government hope to solve the physician shortage in rural parts of the province with a recruiting effort that includes monetary incentives to fill some positions. A new locum service is designed to improve physician retention by making it easier to take vacations and pursue education programs.

Humans↗

National Forum on Health expects action on its soon-to-be-released report.

The National Forum on Health expects to release its final report by the new year. Members of one of the $8-million forum's working groups recently released a video on Canadians' attitudes toward the medicare system, and during the release they commented on the current debate about the future of health care that is enveloping the CMA and many other groups.

Attitude of Health Personnel↗

Fear of ostracism still silences some gay MDs, students.

"Coming out" remains a very major decision for a gay or lesbian medical student. Canadian students interviewed for this article say they have feared being ostracized by their peers or encountering bias among older faculty members. A recent survey by the US-based Gay and Lesbian Medical Association found that 59% of gay and lesbian physician and medical student respondents have experienced job-related discrimination because of their sexuality. However, other gay/lesbian physicians and students are finding that their coming out is being greeted with tolerance, acceptance and understanding.

Adult↗

Medical schools seek to overcome "invisibility" of gay patients, gay issues in curriculum.

Dr. Gary Gibson of Cambridge, Ont., went many years without identifying a single gay patient in his practice. When he "came out" about his homosexuality in 1981, about 15 of his patients revealed they were gay. Gibson, a professor of family medicine at the University of Western Ontario who is active in the College of Family Physicians of Canada, says such information is useful, because "if they don't identify, they may not get the medical advice they need." He wants medical students to receive more education in gay and lesbian issues, and recently drafted a gay and lesbian curriculum for postgraduate family medicine, which has been endorsed by the CMA.

Bisexuality↗

Frustrated residents worry as they look toward an uncertain future.

Frustrated, disheartened and angry that most provinces have introduced disincentive measures that target young physicians, today's residents are discouraged and uncertain about their future. Not only will the medical profession lose because of this situation, the residents say, but so will patients who are deprived of new ideas and physicians with the most current training. Nancy Robb examines the mood of the country's physicians-in-waiting.

Attitude of Health Personnel↗

Telecare acting as an "electronic grandmother" for New Brunswickers.

A telephone information line is easing demand at the emergency departments of two hospitals in Moncton, NB. Although information lines aren't new, this program is different because nurses are using computer software that provides protocols for more than 900 areas of patient complaint. It helps them direct patients to the most appropriate care, which may range from treatment at home to an immediate visit to an emergency department.

Emergency Medical Services↗

Jehovah's Witnesses leading education drive as hospitals adjust to no blood requests.

Jehovah's Witness representatives have visited more than 10 Canadian medical schools and 200 hospitals in an attempt to educate future and practising physicians about nonblood medicine. The trend is becoming more popular since the advent of HIV, and there are now about 100 bloodless medicine and surgery centres around the world, including 52 in the US. However, a Jehovah's Witness spokesman says Canada is "conspicuously absent" from the list of countries that offer bloodless-medicine programs.

Attitude of Health Personnel↗

Concerns of patients, MDs are transforming transfusion medicine.

Fear of HIV and AIDS has been the driving force in reducing physicians' use of blood and blood products. Nancy Robb interviewed doctors across the country to determine steps they are taking to lower the number of transfusions and discovered that transfusion medicine in Canada has undergone a sea change.

Blood Transfusion↗

A surgeon with AIDS made the most of borrowed time.

Dr. Orville Messenger and his wife, Dorothy wrote a book, Borrowed Time, which chronicled his decade-long struggle with AIDS. The disease developed following a 1985 blood transfusion. A general and thoracic surgeon who also worked for the Canadian Medical Protective Association, Dr. Messenger wrote the book to raise public awareness, and money for AIDS research, prevention and treatment. He died Dec. 13, 1995--exactly 10 years after being told to take a blood test because of possible HIV infection.

Acquired Immunodeficiency Syndrome↗