Article Figures & Data
Tables
MAIN WORK SETTING TYPE OF PHYSICIAN, N (%) CMs N = 154 PCPs N = 11041 Private offices, clinics, or community care settings, including community hospitals 21 (13.6) 8346 (75.6) Academic health sciences centre or research unit 26 (16.9) 518 (4.7) Government or public health agency 61 (39.6) 61 (0.6) Administrative office 22 (14.3) 214 (1.9) Other 21 (13.6) 1755 (15.9) No response 3 (1.9) 147 (1.3) -
CM—community medicine specialist, PCP—primary care physician.
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CMs, N=154
AREA OF PROFESSIONAL ACTIVITYN (%) PCPs, N=11 041
AREA OF PROFESSIONAL ACTIVITYN (%) Community medicine, public health 92 (59.7) Family practice, general practice, primary care 8634 (78.2) Medical education (teaching, research) 45 (29.2) Chronic disease management 5487 (49.7) Administration 37 (24.0) Geriatric medicine, care of the elderly 5432 (49.2) Epidemiology, biostatistics 30 (19.5) Pediatrics 4560 (41.3) Family practice, general practice, primary care 20 (13.0) Psychotherapy, counseling 4483 (40.6) Clinical epidemiology 18 (11.7) Psychiatry 4438 (40.2) Occupational medicine 13 (8.4) Gynecology 4262 (38.6) Academic or clinical investigation, research 12 (7.8) Palliative care 4019 (36.4) Medical science, scientist 11 (7.1) Adolescent medicine 3953 (35.8) Social sciences and humanities in medicine 11 (7.1) Women’s health care 3798 (34.4) International medicine 11 (7.1) Pain management 3655 (33.1) Travel or tropical medicine 10 (6.5) Preventive medicine 3522 (31.9) Infectious diseases 10 (6.5) Cardiology 3456 (31.3) Psychiatry 8 (5.1) Administration 3235 (29.3) Environmental medicine 7 (4.5) Emergency medicine 3058 (27.7) STIs, sexual medicine 7 (4.5) Cancer care, oncology 2948 (26.7) -
CM—community medicine specialist, PCP—primary care physician, STI—sexually transmitted infection.
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- Table 3
Conditions most commonly treated by CMs: 70 of 154 (45.5%) CMs provided responses; more than 1 category of response was permitted.
CATEGORY EXAMPLES FREQUENCY N (%) Psychiatric conditions Depression, anxiety, addictions 36 (51.4) Public health Air quality, food safety, drinking water or water quality; prevention of drug addiction in youth; vaccines for preventable diseases, body fluid and blood borne infections, TB, rabies, meningococcal diseases, West Nile virus 27 (38.6) Symptoms and ill-defined conditions Shortness of breath, not feeling well, abdominal pain 20 (28.6) Hypertension Hypertension 19 (27.1) Respiratory conditions Upper respiratory infection, chronic obstructive pulmonary disease, asthma 19 (27.1) Chronic disease Diabetes, hyperlipidemia 17 (24.3) Musculoskeletal conditions Musculoskeletal strains, ankle sprains 14 (20.0) Clinical prevention Malaria prophylaxis, well-baby care, vaccination 11 (15.7) Women’s health Contraception, menopause 10 (14.3) Cardiac disease Heart failure, angina 9 (12.9) Trauma or injury Falls 7 (10.0) Neurologic disorders Headache, dyspraxia 6 (8.6) Arthritis Osteoarthritis 5 (7.1) Urinary tract infections Cystitis 5 (7.1) Gastroenteric diseases Gastroesophageal reflux disease, travelers diarrhea 5 (7.1) -
CM—community medicine specialist, TB—tuberculosis.
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- Table 4
Services most commonly provided by CMs: 72 of 154 (46.8%) CMs provided responses; more than 1 category of response was permitted.
CATEGORY EXAMPLES FREQUENCY N (%) Direct patient care Office visits, histories, physicals examinations, minor surgeries, periodic health examinations, smoking cessation counseling, outpatient urgent care, emergency medicine, alternative medicine, travel medicine, sexual medicine or counseling, general counseling 42 (58.3) Public health Population diagnostics, regional surveillance on health, morbidity and mortality, investigation of cases of notifiable disease and provision of follow-up and preventative interventions, public health environmental exposure assessment, tobacco reduction, chronic disease and injury prevention or control, advocacy, emergency coordination or preparedness 40 (55.6) Academic work Teaching medical students or residents, clinical or epidemiologic research, research and evaluation of modes of organization and health services, literature synthesis, critical appraisals 18 (25.0) Consultation to health care workers, governments, or agencies Telephone advice to physicians, public policy and position papers, expert advice to provincial working groups, nurses 13 (18.1) Occupational health Industrial health and safety programs 6 (8.3) -
CM—community medicine specialist.
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