Skip to main content

Main menu

  • Home
  • Articles
    • Current
    • Published Ahead of Print
    • Archive
    • Supplemental Issues
    • Collections - French
    • Collections - English
  • Info for
    • Authors & Reviewers
    • Submit a Manuscript
    • Advertisers
    • Careers & Locums
    • Subscribers
    • Permissions
  • About CFP
    • About CFP
    • About the CFPC
    • Editorial Advisory Board
    • Terms of Use
    • Contact Us
  • Feedback
    • Feedback
    • Rapid Responses
    • Most Read
    • Most Cited
    • Email Alerts
  • Blogs
    • Latest Blogs
    • Blog Guidelines
    • Directives pour les blogues
  • Mainpro+ Credits
    • About Mainpro+
    • Member Login
    • Instructions
  • Other Publications
    • http://www.cfpc.ca/Canadianfamilyphysician/
    • https://www.cfpc.ca/Login/
    • Careers and Locums

User menu

  • My alerts

Search

  • Advanced search
The College of Family Physicians of Canada
  • Other Publications
    • http://www.cfpc.ca/Canadianfamilyphysician/
    • https://www.cfpc.ca/Login/
    • Careers and Locums
  • My alerts
The College of Family Physicians of Canada

Advanced Search

  • Home
  • Articles
    • Current
    • Published Ahead of Print
    • Archive
    • Supplemental Issues
    • Collections - French
    • Collections - English
  • Info for
    • Authors & Reviewers
    • Submit a Manuscript
    • Advertisers
    • Careers & Locums
    • Subscribers
    • Permissions
  • About CFP
    • About CFP
    • About the CFPC
    • Editorial Advisory Board
    • Terms of Use
    • Contact Us
  • Feedback
    • Feedback
    • Rapid Responses
    • Most Read
    • Most Cited
    • Email Alerts
  • Blogs
    • Latest Blogs
    • Blog Guidelines
    • Directives pour les blogues
  • Mainpro+ Credits
    • About Mainpro+
    • Member Login
    • Instructions
  • RSS feeds
  • Follow cfp Template on Twitter
LetterLetters

Response

Anthony D. D’Urzo
Canadian Family Physician November 2016, 62 (11) 875-877;
Anthony D. D’Urzo
Toronto, Ont
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • eLetters
  • Info & Metrics
  • PDF
Loading

I appreciate the response by Drs Pimlott and Allan to my letter and I believe we share the same good intentions on the issues we are discussing.1,2 There is no question that primary care has made great strides in research in recent years, but as I stated in my initial letter, the premise promoted by my colleagues is not consistent with the current realities that drive guideline development. Among the principles of family medicine3 is included the notion that we are prudent stewards of scarce resources. Given the substantial economic implications of prescriptions generated in primary care, I would disagree that not participating in this type of research would not translate into a liability in terms of participation in guidelines. If family physicians were designing pharmacotherapeutic clinical trials with a better balance between internal and external validity with relevant primary care outcomes that translated into improved, cost-effective care, this would likely get the attention of policy makers and public payers and put us in a position where we might be more fiscally responsible for our clinical decisions. At a minimum, we would be more able to develop strategies to be more accountable for the health care costs we generate. The latter possibility would be an important foundational piece in moving toward the development of primary care guidelines by primary care physicians collaborating with colleagues in other specialties.

I also appreciate the suggestion that bias might come into play if researchers with focused interests (often non–family physician specialists) are driving the guideline agenda, but this is simply a symptom of the lack of primary care engagement. To suggest that the future might be different is fine, but it does not reconcile the current challenges we face and the trajectory we should launch to achieve our goals.

I have been and continue to be a strong supporter of the College of Family Physicians of Canada, but I am not able to let this loyalty stand in the way of providing constructive advice about how we might best position ourselves to be leaders in clinical care and research.

Footnotes

  • Competing interests

    Dr D’Urzo has received research, consulting, and lecturing fees from GlaxoSmithKline, Sepracor, Schering-Plough, Altana, Methapharm, AstraZeneca, ONO Pharmaceutical, Merck Canada, Forest Laboratories, Novartis, Boehringer Ingelheim (Canada) Ltd, Pfizer Canada, Skyepharma, KOS Pharmaceuticals, and Almirall.

  • Copyright© the College of Family Physicians of Canada

References

  1. 1.↵
    1. Pimlott N
    . For family physicians, by family physicians? Can Fam Physician 2016;62:699. (Eng), 700 (Fr).
    OpenUrlFREE Full Text
  2. 2.↵
    1. Allan GM
    . Should primary care guidelines be written by family physicians? Yes [Debates]. Can Fam Physician 2016;62:705-6. (Eng), 708–10 (Fr).
    OpenUrlFREE Full Text
  3. 3.↵
    1. College of Family Physicians of Canada
    . Four principles of family medicine. Mississauga, ON: College of Family Physicians of Canada; 2006. Available from: www.cfpc.ca/principles. Accessed 2016 Oct 3.
PreviousNext
Back to top

In this issue

Canadian Family Physician: 62 (11)
Canadian Family Physician
Vol. 62, Issue 11
1 Nov 2016
  • Table of Contents
  • About the Cover
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on The College of Family Physicians of Canada.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Response
(Your Name) has sent you a message from The College of Family Physicians of Canada
(Your Name) thought you would like to see the The College of Family Physicians of Canada web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Response
Anthony D. D’Urzo
Canadian Family Physician Nov 2016, 62 (11) 875-877;

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Respond to this article
Share
Response
Anthony D. D’Urzo
Canadian Family Physician Nov 2016, 62 (11) 875-877;
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Footnotes
    • References
  • Info & Metrics
  • eLetters
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Water for weight loss
  • Head-to-head IUS comparison needed
  • Clarifying MAID eligibility
Show more Letters

Similar Articles

Navigate

  • Home
  • Current Issue
  • Archive
  • Collections - English
  • Collections - Française

For Authors

  • Authors and Reviewers
  • Submit a Manuscript
  • Permissions
  • Terms of Use

General Information

  • About CFP
  • About the CFPC
  • Advertisers
  • Careers & Locums
  • Editorial Advisory Board
  • Subscribers

Journal Services

  • Email Alerts
  • Twitter
  • RSS Feeds

Copyright © 2023 by The College of Family Physicians of Canada

Powered by HighWire