%PDF-1.4
%
1 0 obj
<<
/Type /Catalog
/PageLabels 2 0 R
/Pages 3 0 R
/FICL#3AEnfocus 4 0 R
/AcroForm 5 0 R
/Metadata 6 0 R
>>
endobj
7 0 obj
<<
/Title (Layout 1)
/Producer (QuarkXPress\(tm\) 6.52)
/CreationDate (D:20080229133219Z)
/XPressPrivate <2525446F63756D656E7450726F63657373436F6C6F72733A20426C61636B0A2525446F63756D656E74437573746F6D436F6C6F72733A2028526564290A2525434D594B437573746F6D436F6C6F723A2030202E393936202E39383820302028526564290A2525456E64436F6D6D656E7473>
/Creator (QuarkXPress\(tm\) 6.52)
/ModDate (D:20220412185012+00'00')
>>
endobj
2 0 obj
<<
/Nums [0 8 0 R]
>>
endobj
3 0 obj
<<
/Type /Pages
/Kids [9 0 R 10 0 R 11 0 R]
/Count 3
>>
endobj
4 0 obj
<<
/PitStop 12 0 R
>>
endobj
5 0 obj
<<
/Fields []
/DR <<
/Font <<
/ZaDb 13 0 R
/Helv 14 0 R
>>
/Encoding <<
/PDFDocEncoding 15 0 R
>>
>>
/DA (/Helv 0 Tf 0 g )
>>
endobj
6 0 obj
<<
/Type /Metadata
/Subtype /XML
/Length 934
>>
stream
Not for further distribution unless allowed by the License or with the express written permission of Cambridge University Press.
https://doi.org/10.1017/S1481803500009799
https://doi.org/10.1017/S1481803500009799 Published online by Cambridge University Press
2022-04-12T18:50:12+00:00
endstream
endobj
8 0 obj
<<
/St 108
/S /D
>>
endobj
9 0 obj
<<
/Contents [16 0 R 17 0 R 18 0 R]
/MediaBox [0 0 585 783]
/Resources <<
/ExtGState <<
/GS1 19 0 R
/GS0 20 0 R
/GS2 21 0 R
>>
/ProcSet [/PDF /Text]
/Font <<
/F0 22 0 R
/F10 23 0 R
/F7 24 0 R
/F8 25 0 R
/F5 26 0 R
/F1 27 0 R
/F9 28 0 R
/F11 29 0 R
>>
>>
/Parent 3 0 R
/Type /Page
/Annots [30 0 R]
>>
endobj
10 0 obj
<<
/Contents [31 0 R 32 0 R 33 0 R]
/MediaBox [0 0 585 783]
/Resources <<
/ExtGState <<
/GS1 19 0 R
/GS0 20 0 R
/GS2 21 0 R
>>
/ProcSet [/PDF /Text]
/Font <<
/F0 22 0 R
/F7 24 0 R
/F1 27 0 R
/F4 29 0 R
>>
>>
/Parent 3 0 R
/Type /Page
/Annots [34 0 R]
>>
endobj
11 0 obj
<<
/Contents [35 0 R 36 0 R 37 0 R]
/MediaBox [0 0 585 783]
/Resources <<
/ExtGState <<
/GS1 19 0 R
/GS0 20 0 R
/GS2 21 0 R
>>
/ProcSet [/PDF /Text]
/Font <<
/F0 22 0 R
/F11 38 0 R
/F7 24 0 R
/F5 26 0 R
/F1 27 0 R
/F6 29 0 R
>>
>>
/Parent 3 0 R
/Type /Page
/Annots [39 0 R]
>>
endobj
12 0 obj
<<
/CC 40 0 R
>>
endobj
13 0 obj
<<
/Type /Font
/Name /ZaDb
/BaseFont /ZapfDingbats
/Subtype /Type1
>>
endobj
14 0 obj
<<
/Type /Font
/Name /Helv
/BaseFont /Helvetica
/Subtype /Type1
/Encoding 15 0 R
>>
endobj
15 0 obj
<<
/Type /Encoding
/Differences [24 /breve /caron /circumflex /dotaccent /hungarumlaut /ogonek /ring /tilde 39
/quotesingle 96 /grave 128 /bullet /dagger /daggerdbl /ellipsis /emdash /endash
/florin /fraction /guilsinglleft /guilsinglright /minus /perthousand /quotedblbase /quotedblleft /quotedblright /quoteleft
/quoteright /quotesinglbase /trademark /fi /fl /Lslash /OE /Scaron /Ydieresis /Zcaron
/dotlessi /lslash /oe /scaron /zcaron 160 /Euro 164 /currency 166
/brokenbar 168 /dieresis /copyright /ordfeminine 172 /logicalnot /.notdef /registered /macron
/degree /plusminus /twosuperior /threesuperior /acute /mu 183 /periodcentered /cedilla /onesuperior
/ordmasculine 188 /onequarter /onehalf /threequarters 192 /Agrave /Aacute /Acircumflex /Atilde
/Adieresis /Aring /AE /Ccedilla /Egrave /Eacute /Ecircumflex /Edieresis /Igrave /Iacute
/Icircumflex /Idieresis /Eth /Ntilde /Ograve /Oacute /Ocircumflex /Otilde /Odieresis /multiply
/Oslash /Ugrave /Uacute /Ucircumflex /Udieresis /Yacute /Thorn /germandbls /agrave /aacute
/acircumflex /atilde /adieresis /aring /ae /ccedilla /egrave /eacute /ecircumflex /edieresis
/igrave /iacute /icircumflex /idieresis /eth /ntilde /ograve /oacute /ocircumflex /otilde
/odieresis /divide /oslash /ugrave /uacute /ucircumflex /udieresis /yacute /thorn /ydieresis]
>>
endobj
16 0 obj
<<
/Filter /FlateDecode
/Length 10
>>
stream
x+ |
endstream
endobj
17 0 obj
<<
/Length 25804
>>
stream
/GS0 gs
1 g
0 783 0 0 re
f
/GS1 gs
q
0.5 w
0 0 0 0.3 K
40.5 45.1389 m
544.5 45.1389 l
S
Q
/GS2 gs
/GS1 gs
q
BT
/F0 1 Tf
8.556 0 0 9.3 40.5 32.8886 Tm
0 0 0 1 k
(108)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F1 1 Tf
8.556 0 0 9.3 271.0284 33.0195 Tm
0 0 0 1 k
(C)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 282.5579 31.6525 Tm
1 Tr
0 0 0 1 K
(C)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 275.6483 33.0195 Tm
0 0 0 1 k
(J)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 287.3746 31.6525 Tm
1 Tr
0 0 0 1 K
(J)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 278.2884 33.0195 Tm
0 0 0 1 k
(E)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 290.127 31.6525 Tm
1 Tr
0 0 0 1 K
(E)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 282.7284 33.0195 Tm
0 0 0 1 k
(M)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 294.756 31.6525 Tm
1 Tr
0 0 0 1 K
(M)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 289.2684 33.0195 Tm
0 0 0 1 k
( )Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
0 0 0 1 K
S
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 290.8284 33.0195 Tm
0 0 0 1 k
Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 303.2008 31.6525 Tm
1 Tr
0 0 0 1 K
Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 293.4684 33.0195 Tm
0 0 0 1 k
( )Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
0 0 0 1 K
S
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 295.0284 33.0195 Tm
0 0 0 1 k
(J)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 307.5797 31.6525 Tm
1 Tr
0 0 0 1 K
(J)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 297.6684 33.0195 Tm
0 0 0 1 k
(C)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 310.332 31.6525 Tm
1 Tr
0 0 0 1 K
(C)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 302.2884 33.0195 Tm
0 0 0 1 k
(M)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 315.1487 31.6525 Tm
1 Tr
0 0 0 1 K
(M)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 308.8284 33.0195 Tm
0 0 0 1 k
(U)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 321.9671 31.6525 Tm
1 Tr
0 0 0 1 K
(U)Tj
ET
Q
Q
Q
/GS2 gs
/GS1 gs
q
BT
/F0 1 Tf
8.556 0 0 9.3 442.7702 32.8886 Tm
0 0 0 1 k
(March \245 mars 2008; 10 (2))Tj
ET
0 0 0 0 k
40.5 707.4 504 42 re
f
4 w
0 0 0 0.5 K
257.197 725.119 m
327.803 725.119 l
S
Q
/GS2 gs
/GS1 gs
q
BT
/F5 1 Tf
15.2 0 0 19 257.448 736.425 Tm
0 0 0 1 k
(E)Tj
ET
q
0.89443 0 0 1.11803 0 0 cm
q
0.5098 w
BT
/F5 1 Tf
16.99412 0 0 16.99412 287.8491 658.692 Tm
1 Tr
0 0 0 1 K
(E)Tj
ET
Q
Q
Q
/GS2 gs
/GS1 gs
q
BT
/F5 1 Tf
11.4 0 0 14.25 267.891 736.3538 Tm
0 0 0 1 k
(D)Tj
ET
q
0.89443 0 0 1.11803 0 0 cm
q
0.3824 w
BT
/F5 1 Tf
12.74559 0 0 12.74559 299.5213 658.6384 Tm
1 Tr
0 0 0 1 K
(D)Tj
ET
Q
Q
Q
q
BT
/F5 1 Tf
11.4 0 0 14.25 276.351 736.3538 Tm
0 0 0 1 k
(I)Tj
ET
q
0.89443 0 0 1.11803 0 0 cm
q
0.3824 w
BT
/F5 1 Tf
12.74559 0 0 12.74559 308.9799 658.6384 Tm
1 Tr
0 0 0 1 K
(I)Tj
ET
Q
Q
Q
q
BT
/F5 1 Tf
11.4 0 0 14.25 280.971 736.3538 Tm
0 0 0 1 k
(T)Tj
ET
q
0.89443 0 0 1.11803 0 0 cm
q
0.3824 w
BT
/F5 1 Tf
12.74559 0 0 12.74559 314.1452 658.6384 Tm
1 Tr
0 0 0 1 K
(T)Tj
ET
Q
Q
Q
q
BT
/F5 1 Tf
11.4 0 0 14.25 289.071 736.3538 Tm
0 0 0 1 k
(O)Tj
ET
q
0.89443 0 0 1.11803 0 0 cm
q
0.3824 w
BT
/F5 1 Tf
12.74559 0 0 12.74559 323.2013 658.6384 Tm
1 Tr
0 0 0 1 K
(O)Tj
ET
Q
Q
Q
q
BT
/F5 1 Tf
11.4 0 0 14.25 298.251 736.3538 Tm
0 0 0 1 k
(R)Tj
ET
q
0.89443 0 0 1.11803 0 0 cm
q
0.3824 w
BT
/F5 1 Tf
12.74559 0 0 12.74559 333.4648 658.6384 Tm
1 Tr
0 0 0 1 K
(R)Tj
ET
Q
Q
Q
q
BT
/F5 1 Tf
11.4 0 0 14.25 306.771 736.3538 Tm
0 0 0 1 k
(I)Tj
ET
q
0.89443 0 0 1.11803 0 0 cm
q
0.3824 w
BT
/F5 1 Tf
12.74559 0 0 12.74559 342.9905 658.6384 Tm
1 Tr
0 0 0 1 K
(I)Tj
ET
Q
Q
Q
q
BT
/F5 1 Tf
11.4 0 0 14.25 311.511 736.3538 Tm
0 0 0 1 k
(A)Tj
ET
q
0.89443 0 0 1.11803 0 0 cm
q
0.3824 w
BT
/F5 1 Tf
12.74559 0 0 12.74559 348.29 658.6384 Tm
1 Tr
0 0 0 1 K
(A)Tj
ET
Q
Q
Q
q
BT
/F5 1 Tf
11.4 0 0 14.25 320.031 736.3538 Tm
0 0 0 1 k
(L)Tj
ET
q
0.89443 0 0 1.11803 0 0 cm
q
0.3824 w
BT
/F5 1 Tf
12.74559 0 0 12.74559 357.8156 658.6384 Tm
1 Tr
0 0 0 1 K
(L)Tj
ET
0 0 0 0 k
45.2804 548.8983 563.4892 53.0512 re
f
Q
Q
Q
/GS2 gs
/GS1 gs
q
BT
/F5 1 Tf
22 0 0 22 99.15 657.9301 Tm
0 0 0 1 k
(E)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 99.18 657.96 Tm
1 Tr
0 0 0 1 K
(E)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 113.61 657.9301 Tm
0 0 0 1 k
(m)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 113.64 657.96 Tm
1 Tr
0 0 0 1 K
(m)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 131.73 657.9301 Tm
0 0 0 1 k
(e)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 131.76 657.96 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 141.27 657.9301 Tm
0 0 0 1 k
(r)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 141.3 657.96 Tm
1 Tr
0 0 0 1 K
(r)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 151.65 657.9301 Tm
0 0 0 1 k
(g)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 151.68 657.96 Tm
1 Tr
0 0 0 1 K
(g)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 162.69 657.9301 Tm
0 0 0 1 k
(e)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 162.72 657.96 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 172.11 657.9301 Tm
0 0 0 1 k
(n)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 172.14 657.96 Tm
1 Tr
0 0 0 1 K
(n)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 183.99 657.9301 Tm
0 0 0 1 k
(c)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 184.02 657.96 Tm
1 Tr
0 0 0 1 K
(c)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 194.43 657.9301 Tm
0 0 0 1 k
(y)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 194.46 657.96 Tm
1 Tr
0 0 0 1 K
(y)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 205.35 657.9301 Tm
0 0 0 1 k
( )Tj
ET
q
0.66 w
0 0 0 1 K
S
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 210.81 657.9301 Tm
0 0 0 1 k
(m)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 210.84 657.96 Tm
1 Tr
0 0 0 1 K
(m)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 229.11 657.9301 Tm
0 0 0 1 k
(e)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 229.14 657.96 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 238.77 657.9301 Tm
0 0 0 1 k
(d)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 238.8 657.96 Tm
1 Tr
0 0 0 1 K
(d)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 250.95 657.9301 Tm
0 0 0 1 k
(i)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 250.98 657.96 Tm
1 Tr
0 0 0 1 K
(i)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 257.01 657.9301 Tm
0 0 0 1 k
(c)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 257.04 657.96 Tm
1 Tr
0 0 0 1 K
(c)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 266.73 657.9301 Tm
0 0 0 1 k
(i)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 266.76 657.96 Tm
1 Tr
0 0 0 1 K
(i)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 272.79 657.9301 Tm
0 0 0 1 k
(n)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 272.82 657.96 Tm
1 Tr
0 0 0 1 K
(n)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 284.97 657.9301 Tm
0 0 0 1 k
(e)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 285 657.96 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 294.69 657.9301 Tm
0 0 0 1 k
( )Tj
ET
q
0.66 w
0 0 0 1 K
S
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 300.15 657.9301 Tm
0 0 0 1 k
(t)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 300.18 657.96 Tm
1 Tr
0 0 0 1 K
(t)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 307.41 657.9301 Tm
0 0 0 1 k
(r)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 307.44 657.96 Tm
1 Tr
0 0 0 1 K
(r)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 317.79 657.9301 Tm
0 0 0 1 k
(a)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 317.82 657.96 Tm
1 Tr
0 0 0 1 K
(a)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 328.77 657.9301 Tm
0 0 0 1 k
(i)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 328.8 657.96 Tm
1 Tr
0 0 0 1 K
(i)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 334.83 657.9301 Tm
0 0 0 1 k
(n)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 334.86 657.96 Tm
1 Tr
0 0 0 1 K
(n)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 347.01 657.9301 Tm
0 0 0 1 k
(i)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 347.04 657.96 Tm
1 Tr
0 0 0 1 K
(i)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 353.13 657.9301 Tm
0 0 0 1 k
(n)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 353.16 657.96 Tm
1 Tr
0 0 0 1 K
(n)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 365.31 657.9301 Tm
0 0 0 1 k
(g)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 365.34 657.96 Tm
1 Tr
0 0 0 1 K
(g)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 376.23 657.9301 Tm
0 0 0 1 k
( )Tj
ET
q
0.66 w
0 0 0 1 K
S
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 381.69 657.9301 Tm
0 0 0 1 k
(i)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 381.72 657.96 Tm
1 Tr
0 0 0 1 K
(i)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 387.81 657.9301 Tm
0 0 0 1 k
(n)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 387.84 657.96 Tm
1 Tr
0 0 0 1 K
(n)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 399.99 657.9301 Tm
0 0 0 1 k
( )Tj
ET
q
0.66 w
0 0 0 1 K
S
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 405.45 657.9301 Tm
0 0 0 1 k
(C)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 405.48 657.96 Tm
1 Tr
0 0 0 1 K
(C)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 421.29 657.9301 Tm
0 0 0 1 k
(a)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 421.32 657.96 Tm
1 Tr
0 0 0 1 K
(a)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 432.21 657.9301 Tm
0 0 0 1 k
(n)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 432.24 657.96 Tm
1 Tr
0 0 0 1 K
(n)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 444.39 657.9301 Tm
0 0 0 1 k
(a)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 444.42 657.96 Tm
1 Tr
0 0 0 1 K
(a)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 455.37 657.9301 Tm
0 0 0 1 k
(d)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 455.4 657.96 Tm
1 Tr
0 0 0 1 K
(d)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 467.55 657.9301 Tm
0 0 0 1 k
(a)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 467.58 657.96 Tm
1 Tr
0 0 0 1 K
(a)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 478.53 657.9301 Tm
0 0 0 1 k
(:)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 478.56 657.96 Tm
1 Tr
0 0 0 1 K
(:)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 69.99 631.53 Tm
0 0 0 1 k
(l)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 70.02 631.56 Tm
1 Tr
0 0 0 1 K
(l)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 75.87 631.53 Tm
0 0 0 1 k
(e)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 75.9 631.56 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 85.41 631.53 Tm
0 0 0 1 k
(a)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 85.44 631.56 Tm
1 Tr
0 0 0 1 K
(a)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 96.21 631.53 Tm
0 0 0 1 k
(r)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 96.24 631.56 Tm
1 Tr
0 0 0 1 K
(r)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 106.65 631.53 Tm
0 0 0 1 k
(n)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 106.68 631.56 Tm
1 Tr
0 0 0 1 K
(n)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 118.77 631.53 Tm
0 0 0 1 k
(i)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 118.8 631.56 Tm
1 Tr
0 0 0 1 K
(i)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 124.77 631.53 Tm
0 0 0 1 k
(n)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 124.8 631.56 Tm
1 Tr
0 0 0 1 K
(n)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 136.89 631.53 Tm
0 0 0 1 k
(g)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 136.92 631.56 Tm
1 Tr
0 0 0 1 K
(g)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 147.75 631.53 Tm
0 0 0 1 k
( )Tj
ET
q
0.66 w
0 0 0 1 K
S
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 153.15 631.53 Tm
0 0 0 1 k
(f)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 153.18 631.56 Tm
1 Tr
0 0 0 1 K
(f)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 160.35 631.53 Tm
0 0 0 1 k
(r)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 160.38 631.56 Tm
1 Tr
0 0 0 1 K
(r)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 170.79 631.53 Tm
0 0 0 1 k
(o)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 170.82 631.56 Tm
1 Tr
0 0 0 1 K
(o)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 181.71 631.53 Tm
0 0 0 1 k
(m)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 181.74 631.56 Tm
1 Tr
0 0 0 1 K
(m)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 200.01 631.53 Tm
0 0 0 1 k
( )Tj
ET
q
0.66 w
0 0 0 1 K
S
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 205.47 631.53 Tm
0 0 0 1 k
(t)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 205.5 631.56 Tm
1 Tr
0 0 0 1 K
(t)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 212.73 631.53 Tm
0 0 0 1 k
(h)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 212.76 631.56 Tm
1 Tr
0 0 0 1 K
(h)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 224.97 631.53 Tm
0 0 0 1 k
(e)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 225 631.56 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 234.69 631.53 Tm
0 0 0 1 k
( )Tj
ET
q
0.66 w
0 0 0 1 K
S
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 240.15 631.53 Tm
0 0 0 1 k
(p)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 240.18 631.56 Tm
1 Tr
0 0 0 1 K
(p)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 252.33 631.53 Tm
0 0 0 1 k
(a)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 252.36 631.56 Tm
1 Tr
0 0 0 1 K
(a)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 263.25 631.53 Tm
0 0 0 1 k
(s)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 263.28 631.56 Tm
1 Tr
0 0 0 1 K
(s)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 271.77 631.53 Tm
0 0 0 1 k
(t)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 271.8 631.56 Tm
1 Tr
0 0 0 1 K
(t)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 279.09 631.53 Tm
0 0 0 1 k
( )Tj
ET
q
0.66 w
0 0 0 1 K
S
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 284.55 631.53 Tm
0 0 0 1 k
(t)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 284.58 631.56 Tm
1 Tr
0 0 0 1 K
(t)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 291.81 631.53 Tm
0 0 0 1 k
(o)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 291.84 631.56 Tm
1 Tr
0 0 0 1 K
(o)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 302.79 631.53 Tm
0 0 0 1 k
( )Tj
ET
q
0.66 w
0 0 0 1 K
S
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 308.25 631.53 Tm
0 0 0 1 k
(p)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 308.28 631.56 Tm
1 Tr
0 0 0 1 K
(p)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 320.43 631.53 Tm
0 0 0 1 k
(r)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 320.46 631.56 Tm
1 Tr
0 0 0 1 K
(r)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 330.81 631.53 Tm
0 0 0 1 k
(e)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 330.84 631.56 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 340.59 631.53 Tm
0 0 0 1 k
(p)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 340.62 631.56 Tm
1 Tr
0 0 0 1 K
(p)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 352.53 631.53 Tm
0 0 0 1 k
(a)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 352.56 631.56 Tm
1 Tr
0 0 0 1 K
(a)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 363.15 631.53 Tm
0 0 0 1 k
(r)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 363.18 631.56 Tm
1 Tr
0 0 0 1 K
(r)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 373.59 631.53 Tm
0 0 0 1 k
(e)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 373.62 631.56 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 383.01 631.53 Tm
0 0 0 1 k
( )Tj
ET
q
0.66 w
0 0 0 1 K
S
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 388.17 631.53 Tm
0 0 0 1 k
(f)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 388.2 631.56 Tm
1 Tr
0 0 0 1 K
(f)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 395.97 631.53 Tm
0 0 0 1 k
(o)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 396 631.56 Tm
1 Tr
0 0 0 1 K
(o)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 406.89 631.53 Tm
0 0 0 1 k
(r)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 406.92 631.56 Tm
1 Tr
0 0 0 1 K
(r)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 416.61 631.53 Tm
0 0 0 1 k
( )Tj
ET
q
0.66 w
0 0 0 1 K
S
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 422.07 631.53 Tm
0 0 0 1 k
(t)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 422.1 631.56 Tm
1 Tr
0 0 0 1 K
(t)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 429.33 631.53 Tm
0 0 0 1 k
(h)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 429.36 631.56 Tm
1 Tr
0 0 0 1 K
(h)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 441.45 631.53 Tm
0 0 0 1 k
(e)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 441.48 631.56 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 451.17 631.53 Tm
0 0 0 1 k
( )Tj
ET
q
0.66 w
0 0 0 1 K
S
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 456.63 631.53 Tm
0 0 0 1 k
(f)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 456.66 631.56 Tm
1 Tr
0 0 0 1 K
(f)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 463.89 631.53 Tm
0 0 0 1 k
(u)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 463.92 631.56 Tm
1 Tr
0 0 0 1 K
(u)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 476.07 631.53 Tm
0 0 0 1 k
(t)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 476.1 631.56 Tm
1 Tr
0 0 0 1 K
(t)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 483.33 631.53 Tm
0 0 0 1 k
(u)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 483.36 631.56 Tm
1 Tr
0 0 0 1 K
(u)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 495.51 631.53 Tm
0 0 0 1 k
(r)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 495.54 631.56 Tm
1 Tr
0 0 0 1 K
(r)Tj
ET
Q
Q
q
BT
/F5 1 Tf
22 0 0 22 505.89 631.53 Tm
0 0 0 1 k
(e)Tj
ET
q
0.66 w
BT
/F5 1 Tf
22 0 0 22 505.92 631.56 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
0 0 0 0 k
40.5 543 504 29 re
f
0.5 w
40.5 557.3619 m
544.5 557.3619 l
S
Q
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
12 0 0 12 246.8833 563.6122 Tm
0 0 0 1 k
[(T)35(im Rutledge,)-250(MD)]TJ
ET
0 0 0 0 k
40.5 127.0239 504 394.976 re
f
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
30.105 0 0 30.105 40.2703 489 Tm
0 0 0 1 k
(E)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
10.5 0 0 10.5 58.625 502 Tm
0 0 0 1 k
0.017 Tc
0.108 Tw
[(mer)18(g)-1(enc)15(y medicine has been recognized as a spe-)]TJ
0 -1.2381 TD
0 Tc
0.088 Tw
[(cialty in Canada for a quarter of a century)65(. But ho)24(w)]TJ
-1.72619 -1.23809 TD
0.004 Tw
[(distinct is our discipline,)-254(and ho)25(w well prepared are w)-1(e to)]TJ
T*
0.004 Tc
0.121 Tw
[(meet the challenges f)9(acing us in the years to come? )55(At)]TJ
0 -1.2381 TD
0 Tc
0.033 Tw
(this time)Tj
3.50454 0 TD
[(,)-283(it seems appropriate to ref)-1(lect on what we ha)19(v)15(e)]TJ
-3.50454 -1.23809 TD
0 Tw
(lear)Tj
1.4983 0 TD
0.01 Tw
(ned dur)Tj
3.0364 0 TD
[(ing our f)20(ir)-1(st 25 years and consider some tough)]TJ
-4.5347 -1.2381 TD
0.008 Tw
(questions on ho)Tj
6.26802 0 TD
(w best to meet the futur)Tj
9.5077 0 TD
(e emer)Tj
2.6821 0 TD
(g)Tj
0.5 0 TD
[(enc)15(y med-)]TJ
-18.95782 -1.23811 TD
0 Tw
(ical needs of Canadians.)Tj
0.85714 -1.23809 TD
-0.015 Tc
0.079 Tw
[(It is easy to understand wh)5(y there is a lac)-1(k of clarity re-)]TJ
-0.85714 -1.23809 TD
0.024 Tc
0.086 Tw
[(g)5(arding wha)-1(t def)20(ines an emer)18(genc)15(y ph)5(ysician (EP) in)]TJ
T*
-0.006 Tc
0.115 Tw
(Canada. Our w)Tj
6.1757 0 TD
0 Tw
(or)Tj
0.82191 0 TD
0.115 Tw
[(kforce is made up of pr)-1(actitioners from)]TJ
-6.99762 -1.2381 TD
-0.015 Tc
0.119 Tw
[(disparate backgrounds with a v)25(ariety of cr)-1(edentials. )18(There)]TJ
0 -1.23809 TD
0 Tw
(ar)Tj
0.74661 0 TD
0.065 Tw
(e 2 se)Tj
2.31728 0 TD
0 Tw
(par)Tj
1.23161 0 TD
0 Tc
(a)Tj
0.42885 0 TD
-0.015 Tc
0.065 Tw
(te pa)Tj
1.90586 0 TD
(ths to cer)Tj
3.6457 0 TD
[(tif)19(ication in emer)18(genc)15(y medicine)]TJ
-10.2759 -1.23811 TD
-0.002 Tc
0.112 Tw
((EM) thr)Tj
3.62461 0 TD
(ough dif)Tj
3.43442 0 TD
0 Tc
(f)Tj
0.33115 0 TD
-0.002 Tc
0 Tw
(er)Tj
0.77339 0 TD
0.112 Tw
(ent colle)Tj
3.49727 0 TD
0 Tc
(g)Tj
0.49839 0 TD
-0.002 Tc
(es. Fur)Tj
2.82177 0 TD
0 Tw
(ther)Tj
1.54801 0 TD
(mor)Tj
1.60576 0.00001 TD
0.112 Tw
[(e,)-361(data from)]TJ
-18.13477 -1.23812 TD
-0.015 Tc
0.1 Tw
[(the 2004 National Ph)5(ysician Surv)15(e)15(y indica)-1(tes that the ma-)]TJ
0 -1.23809 TD
0.018 Tw
[(jority of ph)5(ysicians who identify the emer)17(genc)15(y department)]TJ
T*
0.075 Tw
((ED) as their main pa)Tj
8.59 0.00001 TD
(tient car)Tj
3.18738 0.00001 TD
(e setting ha)Tj
4.50333 0 TD
[(v)15(e no EM certif)19(i-)]TJ
-16.28071 -1.23811 TD
0 Tw
(ca)Tj
0.8577 0.00001 TD
0.037 Tw
(tion a)Tj
2.19623 0.00001 TD
(t all.)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
5.25 0 0 5.25 90.6687 284.5625 Tm
0 0 0 1 k
(1)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
10.5 0 0 10.5 95.8808 281 Tm
0 0 0 1 k
(T)Tj
0.59585 0.00001 TD
-0.015 Tc
0.037 Tw
(his is not sur)Tj
4.98314 0.00001 TD
0 Tw
(pr)Tj
0.80276 0.00001 TD
0.037 Tw
[(ising gi)25(v)15(en that our residenc)14(y)]TJ
-11.65611 -1.23811 TD
-0.012 Tc
0.122 Tw
(programs still do not produce nearly enough graduates to)Tj
0 -1.2381 TD
-0.015 Tc
0.123 Tw
[(meet the demand. Man)15(y EPs ha)19(v)15(e learned on the job and)]TJ
0 -1.23809 TD
0 Tw
[(ha)20(v)15(e de)24(v)15(eloped considerable e)15(xpertise in this manner)55(.)]TJ
0.85714 -1.2381 TD
-0.01 Tc
0.079 Tw
(Our dual training system arose more as a result of poli-)Tj
-0.85714 -1.2381 TD
0.056 Tw
(tics than wise planning. In the late 1970s and early 1980s,)Tj
0 -1.23809 TD
0.002 Tw
(both Canadian colle)Tj
7.79616 0.00001 TD
[(ges were lob)-1(bied to establish EM train-)]TJ
-7.79616 -1.2381 TD
0.003 Tw
(ing pr)Tj
2.30324 0.00001 TD
0 Tc
(o)Tj
0.49001 0.00001 TD
(g)Tj
0.49 0.00001 TD
-0.01 Tc
[(rams and both initially resisted. )18(The Ro)10(yal Colle)15(ge)]TJ
-3.28325 -1.23811 TD
0.09 Tw
[(of Ph)5(ysicians and Sur)18(geons of Canada encountered reluc)-1(-)]TJ
0 -1.23809 TD
0.062 Tw
(tance within its r)Tj
6.69923 0.00001 TD
(anks to acce)Tj
4.89072 0.00001 TD
(pt EM as a specialty)Tj
8.09264 0.00001 TD
0 Tc
(,)Tj
0.54234 0.00001 TD
-0.01 Tc
(and the)Tj
-20.22494 -1.23812 TD
0.043 Tw
[(Colle)15(ge of F)15(amil)-1(y Ph)5(ysicians of Canada had concerns that)]TJ
0 -1.2381 TD
0.008 Tw
[(crea)-1(ting a specialty progr)1(am could lead to fragmentation in)]TJ
24.85714 34.66667 TD
0.005 Tc
0.11 Tw
[(f)10(a)1(m)1(i)1(l)1(y medicine (concerns that continue to this day). )54(A)]TJ
0 -1.2381 TD
-0.01 Tc
0.082 Tw
[(conjoint committee w)10(as established to decide on the most)]TJ
0 -1.23809 TD
-0.004 Tc
0.119 Tw
[(appropriate home for the ne)24(w discipline and the optimal)]TJ
T*
-0.006 Tc
0.121 Tw
[(format for its tr)-1(aining pro)1(gram \(oral communication,)-365(Dr)54(.)]TJ
0 -1.2381 TD
0 Tc
(P)Tj
0.53426 0 TD
-0.007 Tc
0.122 Tw
[(aul Rainsberry)65(,)-311(Associate Ex)15(ecuti)25(v)14(e Director)40(,)-311(Academic)]TJ
-0.53426 -1.23809 TD
0 Tc
(F)Tj
0.52602 0 TD
-0.015 Tc
0 Tw
(amil)Tj
1.71734 0 TD
0.039 Tw
[(y Medicine,)-274(Colle)15(ge of F)14(amily Ph)5(ysicians of Canada,)]TJ
-2.24336 -1.2381 TD
0 Tc
(J)Tj
0.38485 0 TD
-0.004 Tc
0 Tw
(an)Tj
0.93571 0 TD
(uar)Tj
1.26441 0 TD
0.119 Tw
(y 2008\). )Tj
3.72937 0.00001 TD
[(After f)10(ailing to achie)24(v)15(e consensus on the )]TJ
-6.31434 -1.23811 TD
-0.01 Tc
0.083 Tw
[(issues in the conte)15(xt of misaligned political agendas,)-323(both)]TJ
0 -1.23809 TD
-0.015 Tc
0.036 Tw
[(colle)15(ges established EM programs with dif)25(fer)-1(ent ideologies)]TJ
T*
-0.01 Tc
0.021 Tw
(and goals.)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
5.25 0 0 5.25 343.2459 388.5625 Tm
0 0 0 1 k
-0.01 Tc
(2,3)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
10.5 0 0 10.5 351.818 385 Tm
0 0 0 1 k
-0.01 Tc
0.021 Tw
[(Adv)20(ocates a)-1(t the Colle)15(ge of F)15(amily Ph)5(ysicians)]TJ
-4.79219 -1.23809 TD
0 Tw
(vie)Tj
1.16679 0 TD
0 Tc
(w)Tj
0.71193 0 TD
-0.01 Tc
0.091 Tw
[(ed EM as acute primary care and a natur)-1(al e)15(xtension)]TJ
-1.87872 -1.2381 TD
0.065 Tc
0.131 Tw
[(of the f)10(amil)-1(y medicine residenc)15(y)65(. )18(The third-year)]TJ
0 -1.23809 TD
0.01 Tc
0.105 Tw
(CCFP(EM) pr)Tj
5.90986 0 TD
0 Tc
(o)Tj
0.51011 0 TD
(g)Tj
0.51009 0 TD
(r)Tj
0.34287 0 TD
0.01 Tc
(am w)Tj
2.32914 0 TD
(as designed f)Tj
5.56109 0 TD
[(or f)10(amil)-1(y medicine)]TJ
-15.16317 -1.23811 TD
0 Tc
(g)Tj
0.50047 0 TD
(r)Tj
0.33323 0 TD
0 Tw
(adua)Tj
1.88959 0 TD
0.115 Tw
(tes to de)Tj
3.54068 0 TD
(v)Tj
0.48558 0 TD
(elop special competence in EM,)Tj
13.6376 0 TD
(and its)Tj
-20.38716 -1.23811 TD
-0.01 Tc
0.067 Tw
[(f)20(irst cer)-1(t)1(if)19(ication e)15(xam w)9(as held in 1982. )30(W)40(ith the goal of)]TJ
0 -1.23809 TD
-0.02 Tc
0.016 Tw
(establishing EM as a discipline on par with other specialties,)Tj
T*
0.014 Tw
(the Ro)Tj
2.52309 0.00001 TD
0 Tc
(y)Tj
0.48 0.00001 TD
-0.02 Tc
(al Colle)Tj
2.97748 0 TD
[(ge de)25(v)15(eloped a program designed to produce)]TJ
-5.98056 -1.23811 TD
0.044 Tc
0.061 Tw
(academic emer)Tj
6.63617 0.00001 TD
0 Tc
(g)Tj
0.54381 0.00001 TD
0.044 Tc
0 Tw
(entolo)Tj
2.76241 0.00001 TD
0.061 Tw
[(gists. )18(The f)20(i)1(r)1(st Ro)9(yal Colle)15(ge)]TJ
-9.94239 -1.23811 TD
-0.01 Tc
0 Tw
[(FRCP(EM) certif)19(ication e)15(xam w)10(as held in 1983.)]TJ
0.85714 -1.2381 TD
0.057 Tw
[(And so here we are,)-297(a quarter of a century la)-1(ter)40(,)-297(a disci-)]TJ
-0.85714 -1.23809 TD
0.081 Tw
[(pline di)25(vided,)-321(with 2 training streams tha)-1(t ha)20(v)15(e ostensibly)]TJ
0 -1.2381 TD
0.041 Tw
[(dif)25(ferent goals. )29(What we ha)20(v)15(e learned,)-282(ho)25(we)25(v)15(er)39(,)-281(is that the)]TJ
T*
-0.009 Tc
0.124 Tw
[(gr)-1(aduates of the 2 streams do not f)20(it neatl)-1(y into their in-)]TJ
0 -1.23809 TD
-0.002 Tc
0.117 Tw
(tended car)Tj
4.2308 0.00001 TD
[(eer paths. )18(The real-w)9(orld e)15(xperience has been)]TJ
-4.2308 -1.2381 TD
-0.01 Tc
0 Tw
(tha)Tj
1.19169 0.00001 TD
0.049 Tw
(t EPs fr)Tj
3.01729 0.00001 TD
(om both str)Tj
4.54345 0.00001 TD
[(eams go on to pursue a wide v)25(ar)-1(iety)]TJ
-8.75244 -1.23811 TD
0.086 Tw
[(of career paths that o)14(v)15(erlap considerably)65(. It has been sug-)]TJ
0 -1.23809 TD
0 Tc
(g)Tj
0.49001 0.00001 TD
-0.01 Tc
0.017 Tw
(ested tha)Tj
3.45332 0.00001 TD
(t this ma)Tj
3.38846 0.00001 TD
(y be a f)Tj
2.93222 0.00001 TD
0 Tw
(ailur)Tj
1.7823 0.00001 TD
0.017 Tw
(e of the 2 programs to attain)Tj
-12.04631 -1.23812 TD
0.08 Tw
[(their objecti)25(v)15(es.)]TJ
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
5.25 0 0 5.25 367.1971 154.5625 Tm
0 0 0 1 k
(4)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
10.5 0 0 10.5 373.1333 151 Tm
0 0 0 1 k
-0.01 Tc
0.08 Tw
[(In my vie)25(w)65(,)-321(what it really reflects is tha)-1(t)]TJ
-6.82222 -1.2381 TD
-0.009 Tc
0.124 Tw
[(people\325)55(s career paths e)24(v)20(olv)15(e o)14(v)15(er time. It w)9(ould be most)]TJ
ET
0 0 0 0.08 k
40.5 60 504 61.6291 re
f
Q
/GS2 gs
/GS1 gs
q
BT
/F0 1 Tf
7.5 0 0 7.5 49.5 82.9598 Tm
0 0 0 1 k
-0.017 Tc
(All editorial matter represents the views of the authors and not necessarily those of )Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F8 1 Tf
7.5 0 1.59418 7.5 332.9188 82.9598 Tm
0 0 0 1 k
-0.017 Tc
(CJEM)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F0 1 Tf
7.5 0 0 7.5 353.1235 82.9598 Tm
0 0 0 1 k
-0.017 Tc
(or the Canadian Association of Emergency Physicians.)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F8 1 Tf
7.5 0 1.59418 7.5 49.5 68.375 Tm
0 0 0 1 k
(CJEM)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F0 1 Tf
7.5 0 0 7.5 70.3301 68.375 Tm
0 0 0 1 k
(2008;10(2):108-10)Tj
-2.77735 5.2344 TD
(Director of Medical Education, North York General Hospital, Toronto, Ont., and Associate Professor, Department of Family and Community)Tj
0 -1.33334 TD
(Medicine, University of Toronto, Toronto, Ont.)Tj
ET
0 0 0 0 k
40.5 547.4 215.68 7.765 re
f
Q
/GS2 gs
/GS1 gs
q
BT
/F9 1 Tf
8 0 0 8 40.5 549.1651 Tm
0 0 0 1 k
(S)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F9 1 Tf
6 0 0 6 45.3919 549.1651 Tm
0 0 0 1 k
0.074 Tc
[(EE)-445(RELATED)-444(ARTICLE)-445(ON)-445(PAGE)]TJ
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F9 1 Tf
8 0 0 8 147.8492 549.1651 Tm
0 0 0 1 k
0.055 Tc
(101)Tj
ET
0 0 0 0 k
40.5 534.925 150.714 7.765 re
f
BT
/F9 1 Tf
8 0 0 8 40.5 536.6899 Tm
0 0 0 1 k
0 Tc
(V)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F9 1 Tf
6 0 0 6 46.2806 536.6899 Tm
0 0 0 1 k
0.074 Tc
[(ERSION)-445(FRAN\202AISE)-444-445(LA)-445(PAGE)]TJ
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F9 1 Tf
8 0 0 8 149.0616 536.6899 Tm
0 0 0 1 k
0.055 Tc
(111)Tj
/F10 1 Tf
1 0 0 1 -1000 1783 Tm
1 g
0 Tc
( )Tj
ET
Q
endstream
endobj
18 0 obj
<<
/Filter /FlateDecode
/Length 242
>>
stream
xmAK@7{{Iw͵Ԁ&QXA/`fYQVD/_~[-pP&3Ɩ>dSĘ@EwAàBy
n-L=5N
[8an\{LYG)Lj7zqy
R%x
艷&RB8i
xTȕw|^oUK!7
endstream
endobj
19 0 obj
<<
/OP true
/Type /ExtGState
>>
endobj
20 0 obj
<<
/Type /ExtGState
/OPM 1
>>
endobj
21 0 obj
<<
/OP false
/Type /ExtGState
>>
endobj
22 0 obj
<<
/LastChar 213
/FontDescriptor 41 0 R
/BaseFont /Frutiger-Roman
/Encoding 42 0 R
/FirstChar 32
/Name /F0
/Widths [278 0 0 0 0 0 0 0 333 333
0 0 278 333 278 0 556 556 556 556
0 0 0 0 556 556 278 278 0 0
0 0 0 722 0 611 722 556 500 722
722 0 0 0 500 944 722 778 556 0
611 0 556 722 0 0 0 667 0 0
0 0 0 0 0 556 0 444 611 556
389 611 611 278 0 556 278 889 611 611
611 0 389 389 389 611 500 833 500 500
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
556 556 0 0 0 0 0 0 0 0
0 611 0 0 0 0 0 0 0 0
0 0 0 500 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 278]
/Subtype /Type1
/Type /Font
>>
endobj
23 0 obj
<<
/LastChar 32
/FontDescriptor 43 0 R
/BaseFont /Helvetica
/Encoding 44 0 R
/FirstChar 32
/Name /F10
/Widths [278]
/Subtype /Type1
/Type /Font
>>
endobj
24 0 obj
<<
/LastChar 213
/FontDescriptor 45 0 R
/BaseFont /Times-Roman
/Encoding 46 0 R
/FirstChar 32
/Name /F7
/Widths [250 333 0 0 0 0 0 0 333 333
0 0 250 333 250 278 500 500 500 500
500 500 500 500 500 500 278 278 0 0
0 444 921 722 667 667 722 611 556 722
722 333 389 722 611 889 722 722 556 722
667 556 611 722 722 944 0 722 0 333
0 333 0 500 0 444 500 444 500 444
333 500 500 278 278 500 278 778 500 500
500 500 333 389 278 500 500 722 500 500
444 0 0 0 0 0 0 0 0 0
0 0 0 0 444 0 0 0 0 444
444 444 444 0 0 0 278 0 0 0
0 500 0 0 0 500 500 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 500 500 0
0 722 0 0 0 722 500 0 0 0
0 333]
/Subtype /Type1
/Type /Font
>>
endobj
25 0 obj
<<
/LastChar 85
/FontDescriptor 47 0 R
/BaseFont /Frutiger-Italic
/Encoding 48 0 R
/FirstChar 67
/Name /F8
/Widths [611 0 556 0 0 0 0 389 0 0
944 0 0 0 0 0 0 0 722]
/Subtype /Type1
/Type /Font
>>
endobj
26 0 obj
<<
/LastChar 213
/FontDescriptor 49 0 R
/BaseFont /Times-Bold
/Encoding 50 0 R
/FirstChar 32
/Name /F5
/Widths [250 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 333 0 0 0
0 0 0 722 0 722 722 667 611 0
0 389 0 778 667 944 0 778 0 0
722 0 667 0 0 0 0 0 0 0
0 0 0 0 0 500 0 444 556 444
333 500 556 278 0 0 278 833 556 500
556 0 444 389 333 556 500 722 0 500
0 0 0 0 0 0 0 0 0 667
0 0 0 0 0 0 0 0 0 444
444 0 444 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 333]
/Subtype /Type1
/Type /Font
>>
endobj
27 0 obj
<<
/LastChar 165
/FontDescriptor 51 0 R
/BaseFont /Minion-BoldCondensedItalic
/Encoding 52 0 R
/FirstChar 32
/Name /F1
/Widths [184 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 540 0 521 0 0
0 0 316 0 0 766 0 0 0 0
0 0 0 603 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 314]
/Subtype /Type1
/Type /Font
>>
endobj
28 0 obj
<<
/LastChar 203
/FontDescriptor 53 0 R
/BaseFont /Frutiger-Bold
/Encoding 54 0 R
/FirstChar 48
/Name /F9
/Widths [556 556 0 0 556 0 0 0 556 0
0 0 0 0 0 0 0 722 0 611
722 556 500 722 722 278 0 0 500 0
722 778 556 0 611 556 556 0 667 0
667 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 611 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 722]
/Subtype /Type1
/Type /Font
>>
endobj
29 0 obj
<<
/Type /Font
/BaseFont /AAAZFE+NotoSans
/Subtype /Type0
/Encoding /Identity-H
/DescendantFonts [55 0 R]
/ToUnicode 56 0 R
>>
endobj
30 0 obj
<<
/Type /Annot
/Subtype /Link
/Rect [7.7999997 14.264648 133.62 22.189453]
/Border [0 0 0]
/A 57 0 R
>>
endobj
31 0 obj
<<
/Filter /FlateDecode
/Length 10
>>
stream
x+ |
endstream
endobj
32 0 obj
<<
/Length 15781
>>
stream
/GS0 gs
1 g
0 783 0 0 re
f
q
/GS1 gs
0 0 0 0 k
40.5 728.4 504 21 re
f
0.5 w
0 0 0 0.5 K
43.5 733.775 m
541.5 733.775 l
S
Q
/GS1 gs
q
BT
/F0 1 Tf
8.5 0 0 8.5 452.7252 743.025 Tm
0 0 0 1 k
(EM training in Canada)Tj
ET
0 0 0 0 k
40.5 54 504 653 re
f
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
10.5 0 0 10.5 40.5 697 Tm
0 0 0 1 k
-0.01 Tc
0.059 Tw
[(unfortunate if our car)-1(eer options were unduly limited by a)]TJ
0 -1.2381 TD
0 Tw
(decision we made in medical school.)Tj
0.85714 -1.2381 TD
0.008 Tc
0.107 Tw
[(I belie)25(v)15(e it is time we confront a pi)24(v)20(otal question:)-365(I)1(s)]TJ
-0.85714 -1.23809 TD
[(there suf)25(f)20(icient rationale to continue to ha)20(v)15(e 2 sep)1(a)1(r)1(at)1(e)]TJ
0 -1.2381 TD
-0.006 Tc
0.121 Tw
[(training streams f)-1(or 1 discipline? )55(A number of Canadian)]TJ
T*
0.009 Tc
0.106 Tw
[(EPs ha)20(v)15(e published opinions on this mat)1(t)1(e)1(r)40(,)-365(some with)]TJ
0 -1.23809 TD
-0.01 Tc
0.019 Tw
(considerable passion.)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
5.25 0 0 5.25 128.2901 622.5625 Tm
0 0 0 1 k
-0.01 Tc
(2\32011)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
10.5 0 0 10.5 141.1085 619 Tm
0 0 0 1 k
-0.01 Tc
0.019 Tw
[(This topic is fraught with sensiti)25(v)15(e)]TJ
-9.58176 -1.2381 TD
0.113 Tw
[(issues that are potentially di)25(visi)24(v)15(e. In 1998,)-353(the Canadian)]TJ
T*
0.011 Tc
0.104 Tw
[(Association of Emer)18(g)-1(enc)15(y Ph)5(ysicians (CAEP) struck a)]TJ
0 -1.23809 TD
-0.01 Tc
0.011 Tw
[(task force to consult with Canadian EPs and in)40(v)14(estig)5(ate the)]TJ
0 -1.2381 TD
-0.009 Tc
0.123 Tw
[(desira)-1(bility of establishing a unif)20(ied education pr)-1(og)-1(ram.)]TJ
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
5.25 0 0 5.25 278.2936 570.5624 Tm
0 0 0 1 k
-0.008 Tc
(12)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
10.5 0 0 10.5 40.5 554 Tm
0 0 0 1 k
-0.01 Tc
0.038 Tw
[(The initiati)25(v)15(e w)9(as short-li)25(v)15(ed,)-278(as the task for)-1(ce quickly de-)]TJ
0 -1.23809 TD
-0.006 Tc
0.121 Tw
[(termined that consensus could not be achie)24(v)15(ed. I belie)25(v)14(e)]TJ
T*
[(t)1(h)1(a)1(t the benef)19(i)1(t)1(s)1( )1(o)1(f)1( )1(r)1(e)26(v)1(i)25(ving this discussion outweigh the)]TJ
0 -1.2381 TD
0.001 Tc
0.114 Tw
[(risks. )55(A health)5(y debate on this topic could,)-365(and perhaps)]TJ
0 -1.23809 TD
-0.01 Tc
0.125 Tw
[(should,)-365(f)1(oster colla)-1(b)1(o)-1(ra)1(tion and ultimatel)-1(y strengthen our)]TJ
0 -1.2381 TD
0 Tw
(discipline.)Tj
0.85714 -1.23809 TD
0.023 Tw
(Is there a problem with our current system? On the posi-)Tj
-0.85714 -1.23809 TD
0.111 Tw
[(ti)25(v)14(e side,)-351(the quality of emer)18(genc)15(y care in this country is)]TJ
0 -1.2381 TD
0 Tc
(g)Tj
0.51859 0 TD
0.019 Tc
0.096 Tw
[(e)1(n)1(e)1(r)1(a)1(l)1(l)1(y e)14(xcellent. Canadian EM sch)1(o)1(l)1(a)1(r)1(s ha)20(v)15(e)1( )1(m)1(a)1(d)1(e)]TJ
-0.51859 -1.23809 TD
-0.01 Tc
0 Tw
(enor)Tj
1.73663 0 TD
0.081 Tw
(mous contr)Tj
4.45218 0 TD
[(ib)20(utions to the w)9(orld literature. In general,)]TJ
-6.18881 -1.2381 TD
0.125 Tw
(EPs fr)Tj
2.53824 0 TD
(om the 2 pr)Tj
4.85056 0 TD
0 Tc
(o)Tj
0.49041 0 TD
(g)Tj
0.49041 0 TD
-0.01 Tc
[(rams ha)20(v)14(e w)10(or)-1(k)10(ed well tog)-1(ether and)]TJ
-8.36962 -1.23811 TD
0.014 Tc
0.1 Tw
[(ha)20(v)14(e encountered fe)24(w limitations in their career pat)-1(h)-1(s)-1(.)]TJ
0 -1.23809 TD
-0.01 Tc
0.059 Tw
[(Scholarly)65(,)-299(administrati)25(v)14(e and political leaders in our disci-)]TJ
T*
0 Tw
[(pline ha)20(v)15(e ar)-1(isen from both training streams.)]TJ
0.85714 -1.23809 TD
-0.015 Tc
(Ho)Tj
1.16702 0 TD
0 Tc
(w)Tj
0.70692 0 TD
-0.015 Tc
0.036 Tw
[(e)25(v)15(er)39(,)-271(there are clearly do)25(wnsides associa)-1(ted with be-)]TJ
-2.73109 -1.2381 TD
0.117 Tw
[(ing a di)25(vided discipline. )18(There ar)-1(e EDs with e)15(xclusi)25(v)15(e r)-1(e)1(-)]TJ
0 -1.23809 TD
0 Tw
(cr)Tj
0.74661 0 TD
0.057 Tw
(uitment policies. Residents fr)Tj
11.44123 0 TD
(om 1 str)Tj
3.27216 0 TD
(eam ha)Tj
2.80701 0 TD
0 Tc
(v)Tj
0.4701 0 TD
-0.015 Tc
(e been pr)Tj
3.64412 0 TD
0 Tw
(e-)Tj
-22.38124 -1.23811 TD
0 Tc
(c)Tj
0.42885 0 TD
-0.015 Tc
0.023 Tw
(luded fr)Tj
3.03972 0 TD
(om v)Tj
1.96545 0 TD
0 Tw
(alua)Tj
1.60552 0 TD
0 Tc
(b)Tj
0.485 0 TD
-0.015 Tc
0.023 Tw
(le c)Tj
1.37805 0 TD
(linical e)Tj
3.0655 0 TD
0 Tw
(xper)Tj
1.71661 0 TD
0.023 Tw
(iences with f)Tj
4.94891 0.00001 TD
(aculty from)Tj
-18.63361 -1.23812 TD
0.069 Tw
[(the other stream. )18(This is most unfor)-1(tunate as there are out-)]TJ
0 -1.23809 TD
0.044 Tw
[(standing EM teachers across the countr)-1(y from each stream.)]TJ
0 Tc
(T)'
0.59584 0.00001 TD
-0.015 Tc
0.039 Tw
(he coe)Tj
2.51586 0.00001 TD
(xistence of the 2 pr)Tj
7.52014 0 TD
[(ograms ine)25(vitably leads to com-)]TJ
-10.63184 -1.23811 TD
-0.001 Tc
0.111 Tw
(petition f)Tj
3.74141 0.00001 TD
(or r)Tj
1.52335 0.00001 TD
0 Tw
(esour)Tj
2.16191 0.00001 TD
0.111 Tw
[(ces and lost opportunities for syner)18(g)-1(y)65(.)]TJ
-7.42667 -1.23811 TD
-0.012 Tc
0.122 Tw
[(Moreo)15(v)14(er)40(,)-360(ha)19(ving 2 streams is confusing for medical stu-)]TJ
0 -1.2381 TD
-0.015 Tc
0.08 Tw
[(dents who are considering a career in EM,)-316(making it dif)25(f)20(i-)]TJ
0 -1.23809 TD
0.052 Tw
[(cult for them to choose the most appropr)-1(iate program.)]TJ
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
5.25 0 0 5.25 263.0931 245.5625 Tm
0 0 0 1 k
(8)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
10.5 0 0 10.5 268.657 242 Tm
0 0 0 1 k
-0.015 Tc
(Be-)Tj
-21.72924 -1.2381 TD
0.058 Tw
[(cause both programs ha)20(v)15(e specif)19(ic goals be)15(yond producing)]TJ
T*
-0.004 Tc
0.114 Tw
[(prof)19(icient clinical EPs,)-360(both are inherently inef)25(f)19(icient. In)]TJ
0 -1.23809 TD
0 Tc
(f)Tj
0.308 0.00001 TD
-0.015 Tc
0.118 Tw
[(act,)-353(it could be ar)18(gued that w)-1(e do not ha)20(v)15(e a program in)]TJ
-0.308 -1.2381 TD
0 Tw
(Canada tha)Tj
4.32021 0.00001 TD
(t specif)Tj
2.77527 0.00001 TD
(icall)Tj
1.64619 0.00001 TD
(y aims to produce clinical EPs!)Tj
-7.88452 -1.23811 TD
-0.025 Tc
0.024 Tw
(An ongoing dialogue about the optimal structure and func-)Tj
-0.85714 -1.23809 TD
0.051 Tw
(tion of EM tr)Tj
5.07628 0.00001 TD
(aining is r)Tj
3.82571 0.00001 TD
0 Tw
(equir)Tj
1.92947 0.00001 TD
(ed)Tj
0.89387 0.00001 TD
(. )Tj
0.48299 0.00001 TD
0.051 Tw
[(The practice of EM is gro)25(w-)]TJ
-12.20831 -1.23812 TD
0.001 Tc
0.099 Tw
[(ing in comple)15(xity)65(. F)14(aced with the looming demogr)1(aphic)]TJ
0 -1.2381 TD
-0.025 Tc
0.02 Tw
[(changes of our population and our w)10(orkf)-1(orce,)-245(we need an ef-)]TJ
0 -1.23809 TD
-0.013 Tc
0.117 Tw
[(f)19(icient w)10(ay)-1( )-1(t)-1(o)-1( )-1(p)-1(r)-2(o)-1(d)-1(u)-1(c)-1(e)-1( )-1(a)-1( )-1(s)-1(i)-1(g)-1(ni)-2(f)19(icant number of competent)]TJ
0 -1.2381 TD
0.118 Tw
[(clinical EPs. Unfo)1(r)1(tunat)1(e)1(l)1(y neither e)15(xisting stream is we)1(l)1(l)]TJ
T*
-0.02 Tc
0.063 Tw
(positioned to do this. )Tj
8.41161 -0.00001 TD
(The CCFP(EM) may appear to be the)Tj
-8.41161 -1.23809 TD
0.007 Tc
0.098 Tw
[(most ef)25(f)20(icient pr)-1(ogram. Ho)25(we)24(v)15(er)39(,)-355(the amount of f)10(amily)]TJ
0 -1.2381 TD
-0.02 Tc
(medicine content pr)Tj
7.75653 0.00001 TD
[(o)15(vided o)15(v)15(er the 3 y)-1(ears is considerably)]TJ
-7.7565 -1.2381 TD
0.08 Tw
[(more than is requir)-1(ed for those)-324(r)-15(e)-15(s)-15(i)-15(d)-15(e)-15(n)-15(t)-15(s)-15( )-15(p)-15(l)-15(a)-15(n)-15(n)-15(i)-15(n)-15(g)-15( )-15(t)-15(o)-15( )-15(w)-6(o)-15(r)-15(k)]TJ
24.85714 60.66667 TD
-0.003 Tc
0.118 Tw
[(a)-5(s)-5( )-5(f)-5(u)-5(l)-5(l)-5(-)-5(time EPs. Polic)14(y-mak)10(ers also ha)19(v)15(e concerns with)]TJ
0 -1.2381 TD
0.003 Tc
0.112 Tw
[(the collateral ef)24(f)1(ects of this str)-1(eam,)-365(as it tends to di)25(v)15(ert)]TJ
T*
-0.01 Tc
0.077 Tw
[(ph)5(ysicians trained in f)10(amil)-1(y medicine a)15(w)10(ay from compre-)]TJ
0 -1.23809 TD
0.021 Tw
[(hensi)25(v)15(e practice)-1(. )18(The FRCP(EM) progr)1(am is long and pro-)]TJ
0 -1.2381 TD
0.028 Tw
[(duces academic EPs who tend to w)10(ork in ter)-1(tiary care cen-)]TJ
T*
0 Tw
[(tres,)-240(o)-1(ft)1(e)-1(n wit)1(h )-1(less than a full-time c)1(linical shift load.)]TJ
0.85714 -1.23809 TD
-0.007 Tc
0.122 Tw
[(What Canada needs is a single EM residenc)14(y program)]TJ
-0.85714 -1.2381 TD
-0.01 Tc
0.119 Tw
[(that ef)25(f)20(icientl)-1(y and ef)25(f)1(ecti)24(v)15(ely produces competent EPs. I)]TJ
T*
0.063 Tw
[(belie)25(v)15(e that this could be accomplished with a 3-year pro-)]TJ
0 -1.23809 TD
0.027 Tw
[(gram. )18(There should be a route into this program from f)10(am)-1(-)]TJ
0 -1.2381 TD
-0.002 Tc
0.117 Tw
[(ily medicine and rele)24(v)25(ant training should be recognized,)]TJ
0 -1.23809 TD
-0.01 Tc
0.082 Tw
[(shortening the program length for f)10(amil)-1(y medicine gr)1(adu-)]TJ
T*
0.123 Tw
[(ates. )55(After completion of the base EM program,)-363(an addi-)]TJ
T*
0.073 Tw
[(tional 1 to 2 years should be a)20(v)24(ailable for those interested)]TJ
0 -1.2381 TD
0.054 Tw
[(in de)25(v)15(eloping a subspecialty or academic focus. )18(The fle)14(xi-)]TJ
0 -1.23809 TD
0.063 Tw
[(bility of this program w)10(ould support the de)25(v)15(elopment of a)]TJ
0 -1.2381 TD
0 Tw
(wide array of career paths while unifying EM training.)Tj
0.85714 -1.23809 TD
0.023 Tc
0.092 Tw
[(It is unclear whether either of our national colle)14(g)1(es)]TJ
-0.85714 -1.23809 TD
-0.01 Tc
0.05 Tw
[(w)10(ould be adaptable enough to de)25(v)14(elop and accredit such a)]TJ
0 -1.2381 TD
0 Tw
(pr)Tj
0.81277 0 TD
0.095 Tw
[(ogram. )18(This could be an opportunity for the colle)15(ges to)]TJ
-0.81277 -1.23809 TD
0 Tw
(colla)Tj
1.89338 0 TD
(bor)Tj
1.30278 0 TD
0.093 Tw
(ate on a conjointly accredited program. It may be)Tj
-3.19616 -1.2381 TD
0 Tw
(tha)Tj
1.19169 0 TD
0.072 Tw
(t our discipline doesn\325)Tj
8.88326 0 TD
(t f)Tj
0.88314 0 TD
(it w)Tj
1.5599 0.00001 TD
(ell with the mandate of ei-)Tj
-12.518 -1.23811 TD
0.01 Tc
0.105 Tw
[(ther colle)15(ge,)-364(as w)-1(e are both specialists and generalists.)]TJ
0 -1.23809 TD
-0.01 Tc
0.099 Tw
[(Thus the possibility of a Canadian Colle)15(ge of Emer)18(genc)15(y)]TJ
T*
-0.009 Tc
0.124 Tw
[(Ph)5(ysicians,)-365(as suggested pre)25(viously)65(,)]TJ
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
5.25 0 0 5.25 453.4167 388.5625 Tm
0 0 0 1 k
(2)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
10.5 0 0 10.5 459.8255 385 Tm
0 0 0 1 k
-0.009 Tc
0.124 Tw
(has merit and could)Tj
-15.07862 -1.23809 TD
-0.01 Tc
0 Tw
(be consider)Tj
4.4711 0 TD
(ed)Tj
0.92386 0 TD
0 Tc
(.)Tj
-4.53782 -1.2381 TD
-0.006 Tc
0.121 Tw
[(Residenc)15(y pro)-1(grams should be designed with 2 funda-)]TJ
-0.85714 -1.23809 TD
0.024 Tc
0.091 Tw
(mental g)Tj
3.75431 0 TD
0 Tw
(oals:)Tj
2.37352 0 TD
0.091 Tw
(1\) to meet the educa)Tj
8.95148 0 TD
(tional needs of the)Tj
-15.07931 -1.2381 TD
-0.002 Tc
0 Tw
(tr)Tj
0.60716 0 TD
0.117 Tw
(ainees; and 2\) to pr)Tj
8.09587 0 TD
(oduce g)Tj
3.24239 0 TD
0 Tc
(r)Tj
0.33105 0 TD
-0.002 Tc
0 Tw
(adua)Tj
1.88082 0 TD
0.117 Tw
(tes w)Tj
2.19066 0 TD
(ho will meet the)Tj
-16.34794 -1.23811 TD
-0.01 Tc
0.101 Tw
[(needs of society)65(. Ideally)65(,)-341(these goals should be unfettered)]TJ
0 -1.23809 TD
-0.004 Tc
0.119 Tw
[(by the political ag)1(endas of colle)14(g)1(es or uni)24(v)16(e)1(rsity dep)1(a)1(r)1(t-)]TJ
T*
-0.01 Tc
0 Tw
(ments,)Tj
2.91809 0.00001 TD
0.1 Tw
(the needs of educa)Tj
7.53158 0.00001 TD
0 Tw
(tor)Tj
1.08061 0 TD
0.1 Tw
(s or the service requirements)Tj
-11.53028 -1.23811 TD
0.01 Tc
0.105 Tw
(of teac)Tj
2.86958 0.00001 TD
(hing hospitals. )Tj
6.42892 0.00001 TD
0 Tc
(W)Tj
0.91446 0.00001 TD
0.01 Tc
[(ith these goals in mind,)-366(I )1(ha)19(v)15(e )]TJ
-10.21296 -1.23811 TD
-0.01 Tc
0 Tw
(2 other concerns with postgraduate EM training.)Tj
0.85714 -1.2381 TD
-0.015 Tc
0.069 Tw
[(First,)-305(it is important that we produce EPs for all practice)]TJ
-0.85714 -1.23809 TD
0.081 Tw
[(en)40(vir)-1(onments in the country and a)20(v)20(oid the current trend of)]TJ
0 -1.2381 TD
0.016 Tw
[(training ph)4(ysicians who are best prepared for practice in ur-)]TJ
T*
0.003 Tw
[(ban academic centres. Graduates need to be a)14(w)10(are of the re-)]TJ
0 -1.23809 TD
0.041 Tw
(alities of di)Tj
4.36 0.00001 TD
[(v)15(erse pr)-1(actice settings. )55(All EM programs should)]TJ
-4.36 -1.2381 TD
0.013 Tc
0 Tw
(pr)Tj
0.85967 0.00001 TD
0 Tc
(o)Tj
0.49855 0.00001 TD
0.013 Tc
0.097 Tw
(vide cor)Tj
3.45244 0.00001 TD
[(e rotations in community and r)-1(ural centres,)]TJ
-4.81066 -1.23811 TD
-0.015 Tc
0 Tw
[(where v)25(aluable insights and e)14(xperiences w)10(ould be g)5(ained.)]TJ
0.85714 -1.23809 TD
-0.009 Tc
(Second)Tj
2.89 0.00001 TD
0 Tc
(,)Tj
0.60607 0.00001 TD
-0.009 Tc
0.124 Tw
(I belie)Tj
2.56262 0.00001 TD
0 Tc
(v)Tj
0.47617 0.00001 TD
-0.009 Tc
(e tha)Tj
1.9948 0.00001 TD
(t all EM programs should include)Tj
-9.3868 -1.23812 TD
-0.003 Tc
0.118 Tw
[(f)10(amily medicine rota)-1(tions in th)1(e)-1(i)1(r cor)-1(e curriculum. Con-)]TJ
0 -1.2381 TD
-0.01 Tc
0.071 Tw
[(sider ho)25(w often we advise patients to follo)24(w up with their)]TJ
0 -1.23809 TD
0.037 Tw
[(f)10(amily doctor)55(. Our graduates must ha)19(v)15(e insight into the re-)]TJ
0 -1.2381 TD
-0.009 Tc
0.123 Tw
[(alities of f)10(amil)-1(y practice and what can reasonabl)-1(y be ac-)]TJ
T*
-0.01 Tc
0.032 Tw
(complished in a comm)Tj
8.97613 -0.00001 TD
[(unity of)25(f)20(ice setting. )18(This w)10(ould al)-1(so)]TJ
-8.97613 -1.23809 TD
0.08 Tw
[(pro)15(vide future EPs with a better understanding of the f)9(ac-)]TJ
0 -1.2381 TD
-0.005 Tc
0 Tw
(tor)Tj
1.09734 0.00001 TD
0.119 Tw
[(s in)40(v)19(olv)15(ed in f)9(amily)-1( )-1(p)-1(h)4(ysicians\325)-291(decisions to ref)-1(er pa-)]TJ
-1.09734 -1.2381 TD
-0.01 Tc
0.044 Tw
[(tients to the ED. Be)15(yond the v)25(aluable system perspecti)24(v)15(es,)]TJ
ET
0.5 w
0 0 0 0.3 K
40.5 45.1389 m
544.5 45.1389 l
S
Q
/GS2 gs
/GS1 gs
q
BT
/F0 1 Tf
8.556 0 0 9.3 40.5 32.8886 Tm
0 0 0 1 k
(March \245 mars 2008; 10 (2))Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F1 1 Tf
8.556 0 0 9.3 271.0284 33.0195 Tm
0 0 0 1 k
(C)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 282.5579 31.6525 Tm
1 Tr
0 0 0 1 K
(C)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 275.6483 33.0195 Tm
0 0 0 1 k
(J)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 287.3746 31.6525 Tm
1 Tr
0 0 0 1 K
(J)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 278.2884 33.0195 Tm
0 0 0 1 k
(E)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 290.127 31.6525 Tm
1 Tr
0 0 0 1 K
(E)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 282.7284 33.0195 Tm
0 0 0 1 k
(M)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 294.756 31.6525 Tm
1 Tr
0 0 0 1 K
(M)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 289.2684 33.0195 Tm
0 0 0 1 k
( )Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
0 0 0 1 K
S
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 290.8284 33.0195 Tm
0 0 0 1 k
Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 303.2008 31.6525 Tm
1 Tr
0 0 0 1 K
Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 293.4684 33.0195 Tm
0 0 0 1 k
( )Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
0 0 0 1 K
S
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 295.0284 33.0195 Tm
0 0 0 1 k
(J)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 307.5797 31.6525 Tm
1 Tr
0 0 0 1 K
(J)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 297.6684 33.0195 Tm
0 0 0 1 k
(C)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 310.332 31.6525 Tm
1 Tr
0 0 0 1 K
(C)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 302.2884 33.0195 Tm
0 0 0 1 k
(M)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 315.1487 31.6525 Tm
1 Tr
0 0 0 1 K
(M)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 308.8284 33.0195 Tm
0 0 0 1 k
(U)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 321.9671 31.6525 Tm
1 Tr
0 0 0 1 K
(U)Tj
ET
Q
Q
Q
/GS2 gs
/GS1 gs
q
BT
/F0 1 Tf
8.556 0 0 9.3 530.231 32.8886 Tm
0 0 0 1 k
(109)Tj
ET
Q
endstream
endobj
33 0 obj
<<
/Filter /FlateDecode
/Length 241
>>
stream
xmK0:T\]I:6;fA;Ӫ[ׁy}ybI/ӻ/_~[/pZim>VR+.c,| FTqλl(ez38jlÆ~3NpE/0ervKs3>*ri┄,`HѓnM4qgLw;,H1 ;F+
^yvAK
7
endstream
endobj
34 0 obj
<<
/Type /Annot
/Subtype /Link
/Rect [7.7999997 14.264648 133.62 22.189453]
/Border [0 0 0]
/A 58 0 R
>>
endobj
35 0 obj
<<
/Filter /FlateDecode
/Length 10
>>
stream
x+ |
endstream
endobj
36 0 obj
<<
/Length 16609
>>
stream
/GS0 gs
1 g
0 783 0 0 re
f
q
/GS1 gs
0 0 0 0 k
40.5 728.4 504 21 re
f
0.5 w
0 0 0 0.5 K
43.5 733.775 m
541.5 733.775 l
S
Q
/GS1 gs
q
BT
/F0 1 Tf
8.5 0 0 8.5 43.5 743.025 Tm
0 0 0 1 k
(Rutledge)Tj
ET
0.5 w
0 0 0 0.3 K
40.5 45.1389 m
544.5 45.1389 l
S
Q
/GS2 gs
/GS1 gs
q
BT
/F0 1 Tf
8.556 0 0 9.3 40.5 32.8886 Tm
0 0 0 1 k
(110)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F1 1 Tf
8.556 0 0 9.3 271.0284 33.0195 Tm
0 0 0 1 k
(C)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 282.5579 31.6525 Tm
1 Tr
0 0 0 1 K
(C)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 275.6483 33.0195 Tm
0 0 0 1 k
(J)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 287.3746 31.6525 Tm
1 Tr
0 0 0 1 K
(J)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 278.2884 33.0195 Tm
0 0 0 1 k
(E)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 290.127 31.6525 Tm
1 Tr
0 0 0 1 K
(E)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 282.7284 33.0195 Tm
0 0 0 1 k
(M)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 294.756 31.6525 Tm
1 Tr
0 0 0 1 K
(M)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 289.2684 33.0195 Tm
0 0 0 1 k
( )Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
0 0 0 1 K
S
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 290.8284 33.0195 Tm
0 0 0 1 k
Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 303.2008 31.6525 Tm
1 Tr
0 0 0 1 K
Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 293.4684 33.0195 Tm
0 0 0 1 k
( )Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
0 0 0 1 K
S
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 295.0284 33.0195 Tm
0 0 0 1 k
(J)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 307.5797 31.6525 Tm
1 Tr
0 0 0 1 K
(J)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 297.6684 33.0195 Tm
0 0 0 1 k
(C)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 310.332 31.6525 Tm
1 Tr
0 0 0 1 K
(C)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 302.2884 33.0195 Tm
0 0 0 1 k
(M)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 315.1487 31.6525 Tm
1 Tr
0 0 0 1 K
(M)Tj
ET
Q
Q
Q
q
BT
/F1 1 Tf
8.556 0 0 9.3 308.8284 33.0195 Tm
0 0 0 1 k
(U)Tj
ET
q
0.95917 0 0 1.04257 0 0 cm
q
0.2676 w
BT
/F1 1 Tf
8.92025 0 0 8.92025 321.9671 31.6525 Tm
1 Tr
0 0 0 1 K
(U)Tj
ET
Q
Q
Q
/GS2 gs
/GS1 gs
q
BT
/F0 1 Tf
8.556 0 0 9.3 442.7702 32.8886 Tm
0 0 0 1 k
(March \245 mars 2008; 10 (2))Tj
ET
0 0 0 0 k
40.5 313.791 504 393.209 re
f
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
10.5 0 0 10.5 40.5 697 Tm
0 0 0 1 k
0.016 Tc
0.099 Tw
[(there are man)14(y important lessons to learn from f)9(amily)]TJ
0 -1.2381 TD
-0.002 Tc
0.117 Tw
[(medicine educators,)-365(particular)-1(l)1(y their emphasis on a hu-)]TJ
T*
0.003 Tc
0.112 Tw
[(manistic,)-366(patient-focused approach to car)-1(e. I w)10(ould add)]TJ
0 -1.23809 TD
-0.01 Tc
0.045 Tw
[(that there is more o)14(v)15(erlap in the roles of f)9(amily ph)5(ysicians)]TJ
0 -1.2381 TD
0.077 Tw
[(and EPs than is generally appr)-1(eciated. I certainly feel that)]TJ
T*
0 Tw
[(my f)10(amily medicine training has serv)14(ed me well.)]TJ
0.85714 -1.23809 TD
0.089 Tw
[(Whate)25(v)14(er form our postgraduate training programs tak)10(e)]TJ
-0.85714 -1.2381 TD
0.033 Tc
0.082 Tw
[(in the future,)-364(we need to re)1(a)1(c)1(h a point wher)-1(e EM in)]TJ
T*
-0.01 Tc
0.05 Tw
[(Canada is vie)25(wed by all as 1 united discipline. Our educa-)]TJ
0 -1.23809 TD
0.01 Tw
[(tion system should foster collaborati)25(v)14(e and supporti)25(v)15(e rela-)]TJ
0 -1.2381 TD
0.004 Tc
0.11 Tw
[(tionships among all ph)5(ysicians who will practise EM. I)]TJ
0 -1.23809 TD
0.008 Tc
0.107 Tw
[(don\325)18(t ha)19(v)16(e the ans)-1(w)1(e)1(r)1(s to all the dif)24(f)21(icult questions w)-1(e)]TJ
T*
-0.01 Tc
0.02 Tw
[(must tackle,)-260(b)20(ut ther)-1(e is 1 central tenet that seems ob)15(vious:)]TJ
T*
-0.004 Tc
0.119 Tw
[(emer)18(genc)14(y medicine is 1 discipline and it should ha)20(v)15(e a)]TJ
0 -1.2381 TD
-0.01 Tc
0.067 Tw
[(unif)20(ied training prog)-1(r)1(am. I belie)25(v)14(e it is time for a national)]TJ
0 -1.23809 TD
0.098 Tw
[(forum on this matter that should be led by CAEP)111(. )55(As our)]TJ
0 -1.2381 TD
0.052 Tw
[(professional association,)-292(CAEP must pla)-1(y a central role in)]TJ
0 -1.23809 TD
0.006 Tc
0.109 Tw
[(shepherding the for)-1(mulation of a shared vision of what)]TJ
T*
-0.01 Tc
0.024 Tw
[(emer)18(genc)14(y medicine is in Canada,)-264(and what it will be. Our)]TJ
0 -1.2381 TD
0.003 Tc
0 Tw
(de)Tj
0.93611 0 TD
0.111 Tw
[(g)-1(ree of success in addressing these important matter)-1(s)]TJ
-0.93611 -1.23809 TD
0.01 Tc
0.105 Tw
(will impact the futur)Tj
8.71669 0 TD
(e w)Tj
1.55077 0 TD
[(elf)9(are of our discipline and,)-365(in)]TJ
-10.26746 -1.2381 TD
-0.01 Tc
0 Tw
(tur)Tj
1.08061 0 TD
(n,)Tj
0.97002 0 TD
(the br)Tj
2.24447 0 TD
(oader health car)Tj
6.22435 0.00001 TD
(e system.)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F5 1 Tf
12 0 0 12 301.68 697.2 Tm
0 0 0 1 k
(R)Tj
ET
q
0.36 w
BT
/F5 1 Tf
12 0 0 12 301.68 697.2 Tm
1 Tr
0 0 0 1 K
(R)Tj
ET
Q
Q
q
BT
/F5 1 Tf
12 0 0 12 310.14 697.2 Tm
0 0 0 1 k
(e)Tj
ET
q
0.36 w
BT
/F5 1 Tf
12 0 0 12 310.14 697.2 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
12 0 0 12 315.3 697.2 Tm
0 0 0 1 k
(f)Tj
ET
q
0.36 w
BT
/F5 1 Tf
12 0 0 12 315.3 697.2 Tm
1 Tr
0 0 0 1 K
(f)Tj
ET
Q
Q
q
BT
/F5 1 Tf
12 0 0 12 319.56 697.2 Tm
0 0 0 1 k
(e)Tj
ET
q
0.36 w
BT
/F5 1 Tf
12 0 0 12 319.56 697.2 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
12 0 0 12 324.48 697.2 Tm
0 0 0 1 k
(r)Tj
ET
q
0.36 w
BT
/F5 1 Tf
12 0 0 12 324.48 697.2 Tm
1 Tr
0 0 0 1 K
(r)Tj
ET
Q
Q
q
BT
/F5 1 Tf
12 0 0 12 330.18 697.2 Tm
0 0 0 1 k
(e)Tj
ET
q
0.36 w
BT
/F5 1 Tf
12 0 0 12 330.18 697.2 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
12 0 0 12 335.46 697.2 Tm
0 0 0 1 k
(n)Tj
ET
q
0.36 w
BT
/F5 1 Tf
12 0 0 12 335.46 697.2 Tm
1 Tr
0 0 0 1 K
(n)Tj
ET
Q
Q
q
BT
/F5 1 Tf
12 0 0 12 342 697.2 Tm
0 0 0 1 k
(c)Tj
ET
q
0.36 w
BT
/F5 1 Tf
12 0 0 12 342 697.2 Tm
1 Tr
0 0 0 1 K
(c)Tj
ET
Q
Q
q
BT
/F5 1 Tf
12 0 0 12 347.22 697.2 Tm
0 0 0 1 k
(e)Tj
ET
q
0.36 w
BT
/F5 1 Tf
12 0 0 12 347.22 697.2 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
12 0 0 12 352.5 697.2 Tm
0 0 0 1 k
(s)Tj
ET
q
0.36 w
BT
/F5 1 Tf
12 0 0 12 352.5 697.2 Tm
1 Tr
0 0 0 1 K
(s)Tj
ET
Q
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
9 0 0 9 305.91 675 Tm
0 0 0 1 k
0.012 Tc
0.103 Tw
[(1)22(.)-425(College of Family Physicians of Canada, Canadian Medical )]TJ
1.17667 -1.11111 TD
0.0249 Tc
(A)Tj
0.74694 0.00001 TD
0.025 Tc
0.09 Tw
(ssociation, Royal College of Physicians and Surgeons of)Tj
-0.74694 -1.11111 TD
-0.0047 Tc
(C)Tj
0.6623 0.00001 TD
-0.005 Tc
0.12 Tw
(anada, Canadian Institute for Health Information and Health)Tj
-0.6623 -1.11112 TD
-0.0251 Tc
(C)Tj
0.64193 0.00001 TD
-0.025 Tc
0.098 Tw
(anada. 2004 National Physician Survey. Available: www.nation)Tj
-0.64193 -1.11112 TD
-0.009 Tc
0.109 Tw
(alphysiciansurvey.ca/nps/2004_Survey/2004nps-e.asp \(accessed)Tj
0 -1.11111 TD
-0.01 Tc
0 Tw
(2008 Jan 7\).)Tj
-1.17667 -1.28889 TD
0.106 Tw
[(2.)-447(Etherington J. An immodest proposal: the future of emergency)]TJ
1.17667 -1.11111 TD
0.012 Tc
0.103 Tw
(medicine training in Canada. CAEP Communiqu\216 1997\32098;)Tj
T*
-0.01 Tc
0 Tw
(Winter:16-9.)Tj
-1.17667 -1.28889 TD
0.086 Tw
[(3.)-447(The FRCPC vs. the CCFP(EM) [Letters to the Editor]. See ex)1(-)]TJ
1.17667 -1.11111 TD
0 Tw
(change of letters in: CAEP Communiqu\216 1998;Spring:7-9.)Tj
-1.17667 -1.28889 TD
0.013 Tw
[(4.)-447(Ducharme J, Innes G. The FRCPC vs. the CCPP(EM): Is there a)]TJ
1.17667 -1.11111 TD
0.042 Tc
0.073 Tw
(difference 10 years after residency? CAEP Communiqu\216)Tj
T*
-0.01 Tc
0 Tw
(1997;Fall:1-4.)Tj
-1.17667 -1.28889 TD
0.086 Tw
[(5.)-447(The FRCPC vs. the CCFP(EM) [Letters to the Editor]. See ex)1(-)]TJ
1.17667 -1.11112 TD
0 Tw
(change of letters in: CAEP Communiqu\216 1997\32098;Winter:7-13.)Tj
-1.17667 -1.28889 TD
0.015 Tc
0.1 Tw
[(6)25(.)-422(Murray M. Challenges for 1998 [President\325s Letter]. CAEP)]TJ
1.17667 -1.11111 TD
-0.01 Tc
0 Tw
(Communiqu\216 1997\32098;Winter:14-15.)Tj
-1.17667 -1.28889 TD
0.073 Tw
[(7.)-447(On unified training [Letters to the Editor]. See exchange of let)1(-)]TJ
1.17667 -1.11111 TD
0 Tw
(ters in: CAEP Communiqu\216 1998;Summer:7-11.)Tj
-1.17667 -1.28889 TD
0.006 Tc
0.109 Tw
[(8)16(.)-431(Gray S. Emergency residency training [Letter to the Editor].)]TJ
1.17667 -1.11111 TD
-0.01 Tc
0 Tw
(CAEP Communiqu\216 1998;Fall:5.)Tj
-1.17667 -1.28889 TD
0.009 Tc
0.106 Tw
[(9)19(.)-428(Ducharme J. Preparing emergency physicians for the future.)]TJ
1.17667 -1.11111 TD
-0.01 Tc
0 Tw
(CMAJ 2003;168:1548-9.)Tj
-1.66667 -1.2889 TD
(10.)Tj
1.66667 0 TD
0.003 Tw
(Steiner IP. Emergency medicine practice and training in Canada.)Tj
0 -1.11112 TD
0 Tw
(CMAJ 2003;168:1549-50.)Tj
-1.66667 -1.28889 TD
0.007 Tc
0.108 Tw
[(1)17(1)17(.)-430(How to train emerg docs. See exchange of letters in: CMAJ)]TJ
1.66667 -1.11111 TD
-0.01 Tc
0 Tw
(2003;169:389-92.)Tj
-1.66667 -1.28889 TD
-0.015 Tc
0.034 Tw
[(1)-5(2)-5(.)-452(Grunfeld AF. The Task Force on Emergency Medicine Training.)]TJ
1.66667 -1.11111 TD
-0.01 Tc
0 Tw
(CAEP Communiqu\216 1998;Summer:1-2.)Tj
ET
0 0 0 0 k
40.5 351.829 243 52.511 re
f
Q
/GS2 gs
/GS1 gs
q
BT
/F5 1 Tf
9 0 0 9 40.635 398.175 Tm
0 0 0 1 k
(C)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 40.62 398.16 Tm
1 Tr
0 0 0 1 K
(C)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 47.055 398.175 Tm
0 0 0 1 k
(o)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 47.04 398.16 Tm
1 Tr
0 0 0 1 K
(o)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 51.435 398.175 Tm
0 0 0 1 k
(m)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 51.42 398.16 Tm
1 Tr
0 0 0 1 K
(m)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 58.815 398.175 Tm
0 0 0 1 k
(p)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 58.8 398.16 Tm
1 Tr
0 0 0 1 K
(p)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 63.735 398.175 Tm
0 0 0 1 k
(e)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 63.72 398.16 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 67.575 398.175 Tm
0 0 0 1 k
(t)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 67.56 398.16 Tm
1 Tr
0 0 0 1 K
(t)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 70.515 398.175 Tm
0 0 0 1 k
(i)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 70.5 398.16 Tm
1 Tr
0 0 0 1 K
(i)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 72.915 398.175 Tm
0 0 0 1 k
(n)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 72.9 398.16 Tm
1 Tr
0 0 0 1 K
(n)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 77.775 398.175 Tm
0 0 0 1 k
(g)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 77.76 398.16 Tm
1 Tr
0 0 0 1 K
(g)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 82.155 398.175 Tm
0 0 0 1 k
( )Tj
ET
q
0.27 w
0 0 0 1 K
S
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 85.095 398.175 Tm
0 0 0 1 k
(i)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 85.08 398.16 Tm
1 Tr
0 0 0 1 K
(i)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 87.495 398.175 Tm
0 0 0 1 k
(n)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 87.48 398.16 Tm
1 Tr
0 0 0 1 K
(n)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 92.355 398.175 Tm
0 0 0 1 k
(t)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 92.34 398.16 Tm
1 Tr
0 0 0 1 K
(t)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 95.295 398.175 Tm
0 0 0 1 k
(e)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 95.28 398.16 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 99.135 398.175 Tm
0 0 0 1 k
(r)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 99.12 398.16 Tm
1 Tr
0 0 0 1 K
(r)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 103.035 398.175 Tm
0 0 0 1 k
(e)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 103.02 398.16 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 106.935 398.175 Tm
0 0 0 1 k
(s)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 106.92 398.16 Tm
1 Tr
0 0 0 1 K
(s)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 110.355 398.175 Tm
0 0 0 1 k
(t)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 110.34 398.16 Tm
1 Tr
0 0 0 1 K
(t)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 113.235 398.175 Tm
0 0 0 1 k
(s)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 113.22 398.16 Tm
1 Tr
0 0 0 1 K
(s)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 116.655 398.175 Tm
0 0 0 1 k
(:)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 116.64 398.16 Tm
1 Tr
0 0 0 1 K
(:)Tj
ET
Q
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
9 0 0 9 122.5861 398.0491 Tm
0 0 0 1 k
-0.01 Tc
0.084 Tw
(Dr. Tim Rutledge has CCFP-EM emergency)Tj
-9.12068 -1.2 TD
-0.02 Tc
0.017 Tw
(medicine certification and is a Fellow of College of Family Physicians)Tj
0 -1.19999 TD
-0.01 Tc
0.041 Tw
(of Canada. He holds an appointment as an associate professor in the)Tj
0 -1.2 TD
-0.009 Tc
0.124 Tw
(Department of Family and Community Medicine at the University)Tj
T*
-0.01 Tc
0 Tw
(of Toronto.)Tj
ET
0 0 0 0 k
40.5 324.804 243 20.96 re
f
Q
/GS2 gs
/GS1 gs
q
BT
/F5 1 Tf
9 0 0 9 40.635 339.615 Tm
0 0 0 1 k
(K)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 40.62 339.6 Tm
1 Tr
0 0 0 1 K
(K)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 47.535 339.615 Tm
0 0 0 1 k
(e)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 47.52 339.6 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 51.435 339.615 Tm
0 0 0 1 k
(y)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 51.42 339.6 Tm
1 Tr
0 0 0 1 K
(y)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 55.875 339.615 Tm
0 0 0 1 k
(w)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 55.86 339.6 Tm
1 Tr
0 0 0 1 K
(w)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 62.295 339.615 Tm
0 0 0 1 k
(o)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 62.28 339.6 Tm
1 Tr
0 0 0 1 K
(o)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 66.675 339.615 Tm
0 0 0 1 k
(r)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 66.66 339.6 Tm
1 Tr
0 0 0 1 K
(r)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 70.575 339.615 Tm
0 0 0 1 k
(d)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 70.56 339.6 Tm
1 Tr
0 0 0 1 K
(d)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 75.495 339.615 Tm
0 0 0 1 k
(s)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 75.48 339.6 Tm
1 Tr
0 0 0 1 K
(s)Tj
ET
Q
Q
q
BT
/F5 1 Tf
9 0 0 9 78.915 339.615 Tm
0 0 0 1 k
(:)Tj
ET
q
0.27 w
BT
/F5 1 Tf
9 0 0 9 78.9 339.6 Tm
1 Tr
0 0 0 1 K
(:)Tj
ET
Q
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
9 0 0 9 85.2643 339.473 Tm
0 0 0 1 k
-0.006 Tc
0.121 Tw
(education, emergency medicine, certification, training,)Tj
-4.97381 -1.19999 TD
-0.01 Tc
0 Tw
(residency)Tj
ET
0 0 0 0 k
301 314 243 37.568 re
f
0.25 w
0 0 0 1 K
301 351.443 m
544 351.443 l
S
Q
/GS2 gs
/GS1 gs
q
BT
/F5 1 Tf
8 0 0 8 301.14 339.42 Tm
0 0 0 1 k
(C)Tj
ET
q
0.24 w
BT
/F5 1 Tf
8 0 0 8 301.14 339.42 Tm
1 Tr
0 0 0 1 K
(C)Tj
ET
Q
Q
q
BT
/F5 1 Tf
8 0 0 8 306.84 339.42 Tm
0 0 0 1 k
(o)Tj
ET
q
0.24 w
BT
/F5 1 Tf
8 0 0 8 306.84 339.42 Tm
1 Tr
0 0 0 1 K
(o)Tj
ET
Q
Q
q
BT
/F5 1 Tf
8 0 0 8 310.8 339.42 Tm
0 0 0 1 k
(r)Tj
ET
q
0.24 w
BT
/F5 1 Tf
8 0 0 8 310.8 339.42 Tm
1 Tr
0 0 0 1 K
(r)Tj
ET
Q
Q
q
BT
/F5 1 Tf
8 0 0 8 314.28 339.42 Tm
0 0 0 1 k
(r)Tj
ET
q
0.24 w
BT
/F5 1 Tf
8 0 0 8 314.28 339.42 Tm
1 Tr
0 0 0 1 K
(r)Tj
ET
Q
Q
q
BT
/F5 1 Tf
8 0 0 8 317.76 339.42 Tm
0 0 0 1 k
(e)Tj
ET
q
0.24 w
BT
/F5 1 Tf
8 0 0 8 317.76 339.42 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
8 0 0 8 321.3 339.42 Tm
0 0 0 1 k
(s)Tj
ET
q
0.24 w
BT
/F5 1 Tf
8 0 0 8 321.3 339.42 Tm
1 Tr
0 0 0 1 K
(s)Tj
ET
Q
Q
q
BT
/F5 1 Tf
8 0 0 8 324.36 339.42 Tm
0 0 0 1 k
(p)Tj
ET
q
0.24 w
BT
/F5 1 Tf
8 0 0 8 324.36 339.42 Tm
1 Tr
0 0 0 1 K
(p)Tj
ET
Q
Q
q
BT
/F5 1 Tf
8 0 0 8 328.74 339.42 Tm
0 0 0 1 k
(o)Tj
ET
q
0.24 w
BT
/F5 1 Tf
8 0 0 8 328.74 339.42 Tm
1 Tr
0 0 0 1 K
(o)Tj
ET
Q
Q
q
BT
/F5 1 Tf
8 0 0 8 332.7 339.42 Tm
0 0 0 1 k
(n)Tj
ET
q
0.24 w
BT
/F5 1 Tf
8 0 0 8 332.7 339.42 Tm
1 Tr
0 0 0 1 K
(n)Tj
ET
Q
Q
q
BT
/F5 1 Tf
8 0 0 8 337.08 339.42 Tm
0 0 0 1 k
(d)Tj
ET
q
0.24 w
BT
/F5 1 Tf
8 0 0 8 337.08 339.42 Tm
1 Tr
0 0 0 1 K
(d)Tj
ET
Q
Q
q
BT
/F5 1 Tf
8 0 0 8 341.46 339.42 Tm
0 0 0 1 k
(e)Tj
ET
q
0.24 w
BT
/F5 1 Tf
8 0 0 8 341.46 339.42 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
8 0 0 8 344.94 339.42 Tm
0 0 0 1 k
(n)Tj
ET
q
0.24 w
BT
/F5 1 Tf
8 0 0 8 344.94 339.42 Tm
1 Tr
0 0 0 1 K
(n)Tj
ET
Q
Q
q
BT
/F5 1 Tf
8 0 0 8 349.32 339.42 Tm
0 0 0 1 k
(c)Tj
ET
q
0.24 w
BT
/F5 1 Tf
8 0 0 8 349.32 339.42 Tm
1 Tr
0 0 0 1 K
(c)Tj
ET
Q
Q
q
BT
/F5 1 Tf
8 0 0 8 352.86 339.42 Tm
0 0 0 1 k
(e)Tj
ET
q
0.24 w
BT
/F5 1 Tf
8 0 0 8 352.86 339.42 Tm
1 Tr
0 0 0 1 K
(e)Tj
ET
Q
Q
q
BT
/F5 1 Tf
8 0 0 8 356.34 339.42 Tm
0 0 0 1 k
( )Tj
ET
q
0.24 w
0 0 0 1 K
S
Q
Q
q
BT
/F5 1 Tf
8 0 0 8 358.56 339.42 Tm
0 0 0 1 k
(t)Tj
ET
q
0.24 w
BT
/F5 1 Tf
8 0 0 8 358.56 339.42 Tm
1 Tr
0 0 0 1 K
(t)Tj
ET
Q
Q
q
BT
/F5 1 Tf
8 0 0 8 361.14 339.42 Tm
0 0 0 1 k
(o)Tj
ET
q
0.24 w
BT
/F5 1 Tf
8 0 0 8 361.14 339.42 Tm
1 Tr
0 0 0 1 K
(o)Tj
ET
Q
Q
q
BT
/F5 1 Tf
8 0 0 8 365.1 339.42 Tm
0 0 0 1 k
(:)Tj
ET
q
0.24 w
BT
/F5 1 Tf
8 0 0 8 365.1 339.42 Tm
1 Tr
0 0 0 1 K
(:)Tj
ET
Q
Q
/GS2 gs
/GS1 gs
q
BT
/F7 1 Tf
8 0 0 8 370.053 339.3176 Tm
0 0 0 1 k
-0.005 Tc
0.032 Tw
(Dr. Tim Rutledge, North York General Hospital, 4001)Tj
-8.63163 -1.25 TD
0 Tw
(Leslie St., Suite 630N, Toronto ON M2K 1E1; t.rutledge@utoronto.ca)Tj
ET
Q
/GS2 gs
/GS1 gs
q
BT
/F11 1 Tf
12 0 0 12 217.4839 221.6412 Tm
0 0 0 1 k
(Abbott Laboratories, Limited)Tj
4.13965 -2.39999 TD
(Biaxin XL)Tj
-1.16736 -2.4 TD
[(1/3 page, 4 clr)55(.)]TJ
-2.05628 -2.39999 TD
(Repeat of January 2008)Tj
ET
Q
endstream
endobj
37 0 obj
<<
/Filter /FlateDecode
/Length 241
>>
stream
xmK0:T\]I:6;fA;Ӫ[ׁy}ybK/ӻ/_~[/pZim>VR+.c,| FTqλl(ez38jlÆ~3NpE/0ervKs3>*ri┄,`HѓnM4qgLw;,H1 ;F+
^yvAK
k7
endstream
endobj
38 0 obj
<<
/LastChar 121
/FontDescriptor 59 0 R
/BaseFont /Helvetica
/Encoding 60 0 R
/FirstChar 32
/Name /F11
/Widths [278 0 0 0 0 0 0 0 0 0
0 0 278 0 278 278 556 556 556 556
556 0 0 0 556 0 0 0 0 0
0 0 0 667 667 0 0 0 0 0
0 0 500 0 556 0 0 0 0 0
722 0 0 0 0 0 667 0 0 0
0 0 0 0 0 556 556 500 556 556
278 556 0 222 0 0 222 833 556 556
556 0 333 500 278 556 0 0 500 500]
/Subtype /Type1
/Type /Font
>>
endobj
39 0 obj
<<
/Type /Annot
/Subtype /Link
/Rect [7.7999997 14.264648 133.62 22.189453]
/Border [0 0 0]
/A 61 0 R
>>
endobj
40 0 obj
<<
>>
endobj
41 0 obj
<<
/XHeight 762
/FontName /Frutiger-Roman
/StemV 94
/FontBBox [-169 -250 1000 935]
/ItalicAngle 0
/Ascent 750
/FontFile3 62 0 R
/Flags 32
/Descent -210
/Type /FontDescriptor
/StemH 0
/CapHeight 698
>>
endobj
42 0 obj
<<
/BaseEncoding /MacRomanEncoding
/Type /Encoding
/Differences [32 /space 40 /parenleft /parenright 44 /comma /hyphen /period 48
/zero /one /two /three 56 /eight /nine /colon /semicolon 65
/A 67 /C /D /E /F /G /H 76 /L
/M /N /O /P 82 /R 84 /T /U 89
/Y 97 /a 99 /c /d /e /f /g /h
/i 107 /k /l /m /n /o /p 114 /r
/s /t /u /v /w /x /y 142 /eacute /egrave
153 /ocircumflex 165 /bullet 213 /quoteright]
>>
endobj
43 0 obj
<<
/XHeight 737
/FontName /Helvetica
/StemV 88
/FontBBox [-166 -224 1000 931]
/ItalicAngle 0
/Ascent 717
/FontFile3 63 0 R
/Flags 34
/Descent -194
/Type /FontDescriptor
/StemH 0
/CapHeight 687
>>
endobj
44 0 obj
<<
/BaseEncoding /MacRomanEncoding
/Type /Encoding
/Differences [32 /space]
>>
endobj
45 0 obj
<<
/XHeight 676
/FontName /Times-Roman
/StemV 84
/FontBBox [-168 -218 1000 898]
/ItalicAngle 0
/Ascent 683
/FontFile3 64 0 R
/Flags 34
/Descent -217
/Type /FontDescriptor
/StemH 0
/CapHeight 662
>>
endobj
46 0 obj
<<
/BaseEncoding /MacRomanEncoding
/Type /Encoding
/Differences [32 /space /exclam 40 /parenleft /parenright 44 /comma /hyphen /period
/slash /zero /one /two /three /four /five /six /seven /eight
/nine /colon /semicolon 63 /question /at /A /B /C /D
/E /F /G /H /I /J /K /L /M /N
/O /P /Q /R /S /T /U /V /W 89
/Y 91 /bracketleft 93 /bracketright 95 /underscore 97 /a /b
/c /d /e /f /g /h /i /j /k /l
/m /n /o /p /q /r /s /t /u /v
/w /x /y /z 136 /agrave 141 /ccedilla /eacute /egrave
/ecircumflex 148 /icircumflex 153 /ocircumflex 157 /ugrave /ucircumflex 199 /guillemotleft
/guillemotright 203 /Agrave 207 /oe /endash 213 /quoteright]
>>
endobj
47 0 obj
<<
/XHeight 762
/FontName /Frutiger-Italic
/StemV 94
/FontBBox [-169 -250 1091 930]
/ItalicAngle -12
/Ascent 750
/FontFile3 65 0 R
/Flags 96
/Descent -210
/Type /FontDescriptor
/StemH 0
/CapHeight 698
>>
endobj
48 0 obj
<<
/BaseEncoding /MacRomanEncoding
/Type /Encoding
/Differences [67 /C 69 /E 74 /J 77 /M 85 /U]
>>
endobj
49 0 obj
<<
/XHeight 691
/FontName /Times-Bold
/StemV 139
/FontBBox [-168 -218 1000 935]
/ItalicAngle 0
/Ascent 676
/FontFile3 66 0 R
/Flags 262178
/Descent -203
/Type /FontDescriptor
/StemH 0
/CapHeight 676
>>
endobj
50 0 obj
<<
/BaseEncoding /MacRomanEncoding
/Type /Encoding
/Differences [32 /space 58 /colon 65 /A 67 /C /D /E
/F 73 /I 75 /K /L /M 79 /O 82
/R 84 /T 97 /a 99 /c /d /e /f
/g /h /i 108 /l /m /n /o /p 114
/r /s /t /u /v /w 121 /y 131 /Eacute
141 /ccedilla /eacute 144 /ecircumflex 213 /quoteright]
>>
endobj
51 0 obj
<<
/XHeight 710
/FontName /Minion-BoldCondensedItalic
/StemV 115
/FontBBox [-124 -252 1036 849]
/ItalicAngle -12
/Ascent 695
/FontFile3 67 0 R
/Flags 262242
/Descent -245
/Type /FontDescriptor
/StemH 0
/CapHeight 639
>>
endobj
52 0 obj
<<
/BaseEncoding /MacRomanEncoding
/Type /Encoding
/Differences [32 /space 67 /C 69 /E 74 /J 77 /M
85 /U 165 /bullet]
>>
endobj
53 0 obj
<<
/XHeight 762
/FontName /Frutiger-Bold
/StemV 140
/FontBBox [-166 -250 1000 935]
/ItalicAngle 0
/Ascent 750
/FontFile3 68 0 R
/Flags 262176
/Descent -210
/Type /FontDescriptor
/StemH 0
/CapHeight 698
>>
endobj
54 0 obj
<<
/BaseEncoding /MacRomanEncoding
/Type /Encoding
/Differences [48 /zero /one 52 /four 56 /eight 65 /A 67
/C /D /E /F /G /H /I 76 /L 78
/N /O /P 82 /R /S /T 86 /V 88
/X 130 /Ccedilla 203 /Agrave]
>>
endobj
55 0 obj
<<
/Type /Font
/Subtype /CIDFontType2
/BaseFont /AAAZFE+NotoSans
/CIDSystemInfo 69 0 R
/FontDescriptor 70 0 R
/W [0 [600]
3 [260]
17 [268 372 572 572]
22 [572 572 572]
26 [572 572 572 268]
38 [632]
51 [605]
54 [549]
56 [731]
68 [561 615]
71 [615 564]
74 [615 618 258]
79 [258 935 618 605 615]
85 [413 479 361 618 508]
92 [510]
]
/CIDToGIDMap 71 0 R
>>
endobj
56 0 obj
<<
/Filter /FlateDecode
/Length 322
>>
stream
x]j }
/hBt\ b؋9ißߧIUj|Q7x[ao^L:+ֱ$y
0ԶYQ3nN|s4X
^j⺹9w,œ^[mk
}1t|xJAZ
W`.8JgBRxH+($BpO% Sr"əe".ȲZ
$J!TT({A0'Hν$H%Ɋ $V(yJr|.L?mZ[x|#7%1
endstream
endobj
57 0 obj
<<
/S /URI
/URI (https://doi.org/10.1017/S1481803500009799)
>>
endobj
58 0 obj
<<
/S /URI
/URI (https://doi.org/10.1017/S1481803500009799)
>>
endobj
59 0 obj
<<
/XHeight 737
/FontName /Helvetica
/StemV 88
/FontBBox [-166 -224 1000 931]
/ItalicAngle 0
/Ascent 717
/FontFile3 72 0 R
/Flags 32
/Descent -194
/Type /FontDescriptor
/StemH 0
/CapHeight 687
>>
endobj
60 0 obj
<<
/BaseEncoding /MacRomanEncoding
/Type /Encoding
/Differences [32 /space 44 /comma 46 /period /slash /zero /one /two
/three /four 56 /eight 65 /A /B 74 /J 76
/L 82 /R 88 /X 97 /a /b /c /d
/e /f /g 105 /i 108 /l /m /n /o
/p 114 /r /s /t /u 120 /x /y]
>>
endobj
61 0 obj
<<
/S /URI
/URI (https://doi.org/10.1017/S1481803500009799)
>>
endobj
62 0 obj
<<
/Subtype /Type1C
/Length 18995
/Length1 18995
>>
stream
Frutiger-Roman 4 =|;
/ I Copyright (c) 1988, 1990, 1994 Adobe Systems Incorporated. All Rights Reserved.Frutiger is a trademark of Linotype-Hell AG and/or its subsidiaries. The digitally encoded machine readable software for producing the
Typefaces licensed to you is copyrighted (c) 1988, 1990, 1994 Adobe Systems.
All Rights Reserved. This software is the property of Adobe Systems
Incorporated and its licensors, and may not be reproduced, used,
displayed, modified, disclosed or transferred without the express
written approval of Adobe.
The digitally encoded machine readable outline data for producing
the Typefaces licensed to you is copyrighted (c) 1981 Linotype-Hell
AG and/or its subsidiaries. All Rights Reserved.
This data is the property of Linotype-Hell AG and/or its subsidiaries
and may not be reproduced, used, displayed, modified, disclosed or
transferred without the express written approval of Linotype-Hell AG
and/or its subsidiaries. Frutiger 55 RomanFrutiger 5 \ \Pt=2
!Hp _
+
-p?
`
{
3m:Lf4w\*hGBzSZdw,4-Pt#9^1^+F`~ & _ !!4!""1"##[#$$6$%1%%%&,&&'Y''(*(p(()")***+A+w+,s,-0--.k.//00\0011@1s12c23^34p45D556V667D78{99:k;";<<= =n==>>:>???@K@ACABBlBC9CDvwpN(X-vY3Y3*3-vd,ld
ndd,,d?nd
d?nd ?y!?a
-!9WGkivrT^o_a~QU3 `@Qmw][ZNQ'+|?E&+Zdz}Q`f+xŋMH\n
o. &(tO䴵͇6^b2O;EzCpn
o. &(\tO䴵͇6^b2OKu;v
;]p`"6լ90('9WH\^-eMO! =ȢĽBGȪ̔_Oи*>?C_b^dgk-t
'%n#2-m?ORg.~}Ë4L.pۚ!PE}z]2ʋm;2&rCS-v3wppn33]#]9-EcrNNjZ'2;Z8Nb`-}%-$clxO-QsDrD[qMZQ3DW$@Q[y]\xO@cC79bٺڱ@J-vNNN9-26 L7X齫="7=2ICg7nKM.I
TEQcHEDƞijg{)XӬuI[p9L-Y-QؕҀqZQ3cDW*4$,ŻL^`gֳݴ:I=\M8