January 27, 1998 / Le 27 janvier 1998

CMAJ 1998;158(2)

© 1998 Canadian Medical Association / Association médicale canadienne

157 158

Editor's preface Mot du rédacteur en chef

159

News and analysis · Nouvelles et analyses Court verdict "splendid," ethics professor says Home is where the hospital is for London preemies Quebec latest to face obstetricians' anger Malaria may be on move to "tropical" Canada Physician numbers hold steady Popularity of laser eye surgery grows in BC Newfoundland's unending attempts to solve MD shortages AMA reveals inflations's bite Research update

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Letters · Correspondance [Instructions to correspondents / Directives aux correspondants] Keep Bay Street at bay!, R.D. MacDonald Canada's drug problem: new solutions needed, R.A. Durnin; response: M Latowsky & E. Kallen Deaf with a small "d", B. Biderman; M. Cornelius The experience resonates, M.S. Wolochow No radiographs for muscle spasm, P. Rush A timely question about physicians' work hours, M.C. Kirwan Needle exchange programs and drug use, W.D. Gutowski; response: M. Gold and associates Antibody screening for celiac disease, J. Massé; response: E.G. Seidman & L.J. Chartrand BC's physician-patient ratio, J.D. Longley; response: L. Buske

Cover: More and more, clinicians are being called upon to practice "evidence-based medicine." In this issue, CMAJ contributors examine this concept from a variety of perspectives. Couverture: De plus en plus, on demande aux cliniciens de pratiquer une médecine «fondée sur les données probantes». Dans ce numéro de JAMC, les auteurs examinent cette notion sous divers éclairages.

	Evidence · Études
177	Effectiveness of instruction in critical appraisal (evidence-based medicine) skills: a critical appraisal, G.R. Norman, S.I. Shannon [full text / résumé]
185	Provision of preventive care to unannounced standardized patients, B. Hutchison, C.A. Woodward, G.R. Norman, J. Abelson, J.A. Brown [full text / résumé]
197	What factors influence primary care physicians' charges for their services? An exploratory study using standardized patients, C.A. Woodward, B. Hutchison, G.R. Norman, J.A. Brown, J. Abelson [full text / résumé]

	Editorials · Éditoriaux
203	Teaching critical appraisal: no quick fixes, D.L. Sackett, J. Parkes [full text]
205	Use of standardized patients in the assessment of medical practice, R.M. Tamblyn [full text]
210	Canada needs an evidence-based decision-making trade show, S. Lewis, C.D. Naylor, R. Battista, F. Champagne, J. Lomas, D. Menon, E. Ross, D. de Vlieger [full text]
213	Evidence-based rationing: Dutch pragmatism or government insensitivity?, S.M. MacLeod, J. Bienenstock [full text]
215	Evidence in medicine: invited commentary, O.S. Miettinen [full text]

	Education · Éducation
224	Wellness programs: a review of the evidence, D. Watt, S. Verma, L. Flynn [full text / résumé]
231	Organ procurement: let's presume consent, F. Moustarah [full text / en bref]

	Experience · Expérience
235	A really bad locum, K.B. Emmott

	Public health · Santé publique
237	Hypothermia [full text]
238	L'hypothermie [texte complet]

	Features · Chroniques
239	Reference-based pricing: Will other provinces follow the BC lead?, A. Mullens [full text / en bref]
244	MD at centre of Somalia controversy finds peace in Northern Ontario, M. OReilly [full text / en bref]

279	Deaths · Nécrologie

	Pulse · Médicogramme
280	MDs want off fee-for-service treadmill / Les médecins veulent abandonner la rémunération à l'acte

248	On_the_Net@cma.ca · Sur_le_Net@cma.ca     CMA trying to jump start MD interest in Internet

249	CMA Policy Summary     The physician appointment and reappointment process
252	Sommaire de politique de l'AMC    Le processus de nomination des médecins et de renouvellement de leur mandat
	Conferences · Conférences
255	Advertisers' index · Index des annonceurs
255	Prescribing index · Index de l'information sur les ordonnances
268	Service information · Renseignements aux lecteurs
269	Classified advertising · Annonces classées
	Writing for CMAJ
	ISSN 0820-3946 158 (2) 153­280 (1998)