Search Results

Background: There is currently a maldistribution of physicians across Canada, with rural areas facing a greater physician shortage. The taskforce between the College of Family Physicians and the Society of Rural Physicians created a report, “The Rural Road Map for Action” (RRMA) to improve rural Canadians' health by training and retaining an increased number of rural family physicians. Using the RRMA as a framework, this paper aims to examine the extent to which medical schools in Canada are following the RRMA.Methods: Researchers used cross-sectional survey and collected data from 12 of 17 medical school undergraduate Deans from across Canada using both closed and open ended survey questions. Results were analyzed using quantitative (frequencies) and qualitative methods (content analysis).Results: Medical schools use different policies and procedures to recruit rural and Indigenous students. Although longitudinal integrated clerkships offer many benefits, few students have access to them. Leadership representation on decision-making education committees differed across medical schools pointing to a variation in the value of rural physicians’ perspectives.Conclusion: This study illustrated that medical schools are making efforts that align with the RRMA. It is critical they continue to make strategic decisions embedded in educational policy and leadership to reinforce the importance of and influence of rural medical education to support workforce planning.

AbstractTreating depression is an effective population suicide prevention strategy: recent evidence from Scandinavian studies This article's objective is to signal to the Quebec and the francophone audience of public planners and decision makers, clinical and suicide prevention workers, staff, relatives as well as the public of these recent breakthrough findings that provides strong evidence now that increasing the treatment of depression is an effective suicide prevention strategy. The article summarizes the evidence published recently and then critically reviews the methods and if the evidence fits within a complete public health perspective demonstration of an effective suicide prevention strategy. It highlights that the treatment of depression may not only decrease suicide rates but have much more larger public health effects by decreasing the disability associated with depression and have impact on future generations at risk of depression and suicide. The obstacles to developing such nation-wide strategy of increasing the treatment of depression will be highlighted with specific reference to the situation in Quebec.

In Quebec, nearly 3 persons still take their own lives every day, even though this number has been declining since 2000. Several institutional and community actors are involved in suicide prevention and several initiatives have contributed to the reduction of suicide rates. Despite this hard work, additional efforts are needed to intensify service offers and resource access to better reach people at risk of suicide not reached by actual services. For many years, several countries have been implementing digital technologies to reach them. In Quebec, there were delays in adoption of digital technologies for suicide prevention. In this context, the Health and Social services Ministry mandated Association québécoise de prévention du suicide (AQPS) to develop a Digital Strategy for Suicide Prevention (DSPS). From the beginning, AQPS wanted to anchor DSPS's development in a decision-making process based on scientific, contextual and experiential evidence. A process, derived from implementation science, was therefore put in place to actualize this intent. Implementation science is defined as the science of implementing programs in real-world settings. It is recognized as contributing to the successful implementation of new programs while promoting a rigorous evaluation of their impacts and outcomes.Objectives This article aims to: 1) present the process that was put in place to facilitate DSPS design, implementation, and evaluation; and 2) describe the DSPS action model and the DSPS.Method The Knowledge to Action (KTA) framework is central to the design, implementation, and evaluation of DSPS. This framework proposes a cyclical process in 7 iterative phases, each with its own methodological aspects and data collectionsResults The results section illustrates the concrete actions taken at each phase of the KTA process and the highlights that emerge from the analysis of the data collected. This section also presents the DSPS.Conclusion Optimal conditions to promote the implementation of DSPS, its use and its sustainability have been put in place. The current implementation and evaluation of this implementation and its impacts will allow to assess the capacity of DSPS to achieve its main objectives: to provide information about suicide, to identify suicidal individuals, to increase the visibility of resources, and to offer help to suicidal individuals who respond less to traditional resources.

Keywords: prévention du suicide, stratégie numérique, technologie numérique, services numériques, cybersanté mentale, science de l'implantation, suicide prevention, digital strategy, digital technology, digital services, e-mental health, implementation science

This introductory paper examines some of the main questions raised by the papers presented to the urbanization symposium in Vancouver. Comparisons between the Latin American urban experience and that of the United States and Canada revealed basic contrasts in spite of some broad hemispheric similarities. Differences were particularly apparent in the residual influence of native society on later European settlement, in the role of the state versus private commerce in growth and development, and in the differing class structures.

Until now, and according to a descriptive approach, researchers have been trying to answer the question “How do we translate an advertisement?” without considering the intrinsic nature of advertising discourse. Yet, to adapt an advertisement, translators are supposed to know and understand the rhetoric nature of advertising, meaning by rhetoric the art of communication and persuasive discourse. Thus, the real question for translators in the advertising sector is not really “How do we translate?” but rather “What do we translate?”  Taking a prescriptive approach, we analyze in this paper advertising discourse as a perlocutionary act, focusing on argumentation and its more elementary models. Therefore, we propose a theoretical guideline aimed at translators and based on argumentation theory applied to advertising and its translation.

Keywords: traduction, publicité, rhétorique, argument fallacieux, enthymème, translation, advertising, rhetoric, fallacy, enthymeme

Retrospective orientations of Toronto residents are indicated by dispositions toward general interest in the past, direct experience with survivals, appreciation of heritage, and conservation of historical remains. These dispositions indicate a strong, positive sentiment toward the past that is expressed by substantial involvement with the historical environment and highly uniform attitudes toward it. Torontonians care about their past. Implications for historical resource management are that they should be given additional opportunities to become involved with it, and that these opportunities should recognize the broad social base of concern and interest.

After failing to establish Hamilton as a major wholesaling centre, businessmen in the city concentrated their attentions increasingly on the manufacturing sector. City Council policies were extremely supportive of this focus, particularly in the period from 1890 to 1910, which is examined in this paper. Manufacturers themselves, however, are shown to have played a minor role in Council's activities. None of the key figures in promoting pro-development policies in Hamilton were manufacturers, despite the fact that those policies were designed primarily to stimulate manufacturing. At the forefront, rather, were professional men with business interests, supported mainly by merchants.

This paper provides the first analysis of aggregate raiding activity in Ontario by isolating raid applications from available certification data. Raiding in Ontario generally decreased over the 1975 to 2003 period save for the huge increases in 2000 and 2001 involving the CAW and SEIU. Bargaining units are significantly larger in raids, and legislative changes had little effect on aggregate raiding levels. Over most of the period raiding activity has been quite modest. Thus analyses of union organizing and its effect on union density are unlikely to be affected by leaving raids in the organizing data. An important exception occurs in 2000 and 2001, where the certification data seriously overstate new organizing. Corrected measures show that new (non-raid) union organizing continues to decline in Ontario. The decline in new organizing has been greater than the decline in raiding, resulting in an increased proportion of organizing due to raids in recent years.

In 2010, the World Bank launched Urgent: Evoke, an alternate reality game. Conceived in response to the demands of African universities, the game was designed to promote the World Bank Institute's vision of positive global change through social innovation, and made substantial use of Web 2.0 tools such as blogs, personal profiles, and social networks. This article offers a case study of Urgent: Evoke, divided into four sections: first, the potential to use video games as citizenship education tools is discussed; second, the unique game genre (alternate reality games) into which Evoke falls is explained and some possible uses of this genre in higher education are examined; third, the functioning of the Evoke game world is explained; and fourth, the results of the Evoke educational project are assessed. The case study concludes with some commentary on Evoke's ideological message, which those less sympathetic to capitalism may view as problematic.

Keywords: alternate reality games, Web 2.0, higher education, educational project, evaluation, jeux de réalité virtuelle, Web 2.0, etudes supérieures, projet pédagogique, évaluation