•  Editorial •  Letters •  Research •  Commentary •  Review	•  The Left Atrium •  News •  Deaths •  Heart & Soul
Cover: Has the cost of a medical education in Ontario moved beyond the financial reach of most students? In this issue, Jacalyn Duffin reviews the actual and relative costs of medical tuition at 3 Ontario schools over the past 150 years, relating them to government funding and public access (page 50).

	Editorial • Éditorial
5	Another modest proposal [HTML / PDF]
7	Une autre proposition modeste [HTML / PDF]

13

Letters • Correspondance Instructions to correspondents The Royal College and the dying joy of learning G.N. Conacher; response: J. Parboosingh [PDF] Calculating waiting times retrospectively C. De Coster; A. Mariotto [PDF] Debate about our youngest doctor continues M. Gans; G. Burden; G. Marion; P. Taylor; P.R. Swyer; response P. Sullivan [PDF] MDs, maternity leave and adopted children K. Hallett; response: B. Lent [PDF] Rural and remote practice issues [Correction] Induction of labour: a continuous quality improvement and peer review program to improve the quality of care [Correction]

	Research • Recherche
17	Effect of domperidone on milk production in mothers of premature newborns: a randomized, double-blind, placebo-controlled trial O.P. da Silva, D.C. Knoppert, M.M. Angelini, P.A. Forret [HTML / PDF]
24	Undiagnosed diabetes: Does it matter? T.K. Young, C.A. Mustard [HTML / PDF]
		Research Letter • Exposé de recherche
32		Determinants of violence in the psychiatric emergency service A. Oster, S. Bernbaum, S. Patten [HTML / PDF]

	Commentary • Commentaire
		Controversy • Controverse
36		Mass flu vaccination in Ontario: a sensible move R.E. Schabas [HTML / PDF]
38		Mass flu vaccination in Ontario: Is it worthwhile? V. Demicheli [HTML / PDF]
40		Rebuttal R.E. Schabas [HTML / PDF]
41		Rebuttal V. Demicheli [HTML / PDF]
44	Apolipoprotein B versus lipoprotein lipids: vital lessons from the AFCAPS/TexCAPS trial A.D. Sniderman, J. Bergeron, J. Frohlich [HTML / PDF]
		Occasional Essay • Réflexion
50		What goes around, comes around: a history of medical tuition J. Duffin [HTML / PDF]

	Review • Synthèse
60	Bioethics for clinicians: 21. Islamic bioethics A.S. Daar, A.B. Al Khitamy [HTML / PDF]
66	Environment and health: 7. Species loss and ecosystem disruption — the implications for human health E. Chivian [HTML / PDF]

72	The Left Atrium • De l'Oreille Gauche [HTML]
	Costs and cautions in health care (book review by J.P. Kassirer) [PDF] Psychiatry divided (book review by P. Uhlmann) [PDF] Chalcedonies (reflection by J.A. Nisker) [PDF] One thousand words [PDF]

79	News • Nouvelles
	Health care got short shrift in an election about nothing [HTML / PDF] Exodus of young doctors has NZ importing "second-class" MDs [HTML / PDF] Canadian MD has right stuff in World Ironman Triathlon [HTML / PDF] Eight physicians elected to Commons [HTML / PDF] WHO compares tobacco to land-mine threat, seeks international rules [HTML / PDF] U of A refuses tobacco-sponsored scholarship donation [HTML / PDF] Nutritional supplement to treat bipolar disorder [HTML / PDF] Will Canada follow US lead on RU 486? [HTML / PDF] Gene mutation may explain multiple-birth pregnancies [HTML / PDF] On the Net: Going green? Go online [HTML / PDF] Greening of health care goal of new coalition [HTML / PDF] More medical students for Dalhousie [HTML / PDF] Number of medical school applicants drops on both sides of border [HTML / PDF] Stressed parents at "loggerheads" with children, report says [HTML / PDF] Pulse: Does Canada really rank 30th in world in terms of health care? [HTML / PDF] Military's environmental medicine research pushes limits of human endurance [HTML / PDF] Conference Report: What role do genes play in abnormal HDL levels? [HTML / PDF] Clinical Update: HRT and venous thromboembolism: more evidence of a link [HTML / PDF] Public Health: Snowboarding injuries: hitting the slopes [HTML / PDF]

159	Deaths • Nécrologie

	Heart & Soul • Gens de cœur
160	Healer to the world D. Square [HTML / PDF]

In this issue of the Canadian Adverse Drug Reaction Newsletter: [HTML] • Thioridazine (Mellaril) and mesoridazine (Serentil): prolongation of the QTc interval • Clopidogrel (Plavix): hematological reactions • Gentamicin ear drops and ototoxicity: update • Drugs of Current Interest

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