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UNLABELLED Fracture risk assessments on bone mineral density reports guide family physicians' treatment decisions but are subject to inaccuracy. Qualitative analysis of interviews with 22 family physicians illustrates their pervasive questioning of reported assessment accuracy and independent assumption of responsibility for assessment. Assumption of(More)
Introduction. Evidence of inappropriate bone mineral density (BMD) testing has been identified in terms of overtesting in low risk women and undertesting among patients at high risk. In light of these phenomena, the objective of this study was to understand the referral patterns for BMD testing among Ontario's family physicians (FPs). Methods. A qualitative(More)
A 60-year-old male with adenocarcinoma of the rectum had the acute onset of complete oculomotor palsy with pupillary sparing. Computed tomography scan and sellar tomograms demonstrated an ipsilateral parasellar mass with bony destruction. This case illustrates the need for a thorough search for metastatic disease in patients with third nerve palsy and known(More)
This article explores the perspectives of two user groups, general practitioners (GPs) and consultant radiologists (CRs), on the rollout of picture archiving and communications systems (PACS) within acute trusts and eventually to primary care as part of the electronic patient record. Qualitative interviews were conducted with 16 CRs and 31 GPs. Analysis was(More)
OBJECTIVES To ascertain what meaning individuals attach to perceiving images of their own interior body and how the images and their meanings affect the clinical consultation. DESIGN Face-to-face semistructured interviews. PARTICIPANTS 25 adult patients in southern England who, within the preceding 12 months, had been referred for diagnostic imaging. (More)