We appreciate Dr Laycock’s letter about our Clinic. We have just a few comments:
• The risk assessment tools and modifiable risk factors we focus on are based on the most widely accepted guidelines based on the best current scientific evidence. We agree with Dr Laycock that obesity reduction is important for reducing breast cancer risk.
• Primary care providers are crucial to effective cancer prevention, and we salute Dr Laycock’s commitment to this in his practice. However, as shown in the National Canadian Family Physician Cancer and Chronic Disease Prevention Survey, many primary care physicians do not include full counseling about risk factors in their practice, with the most common barrier being lack of time. Even when patients are counseled by their physicians, they generally need to hear a message more than once, particularly through a specialty clinic such as this one. We see our clinic as complementing primary care.
• The clinic is a pilot project. We are not proposing that women across the province come to Vancouver for the purpose of attending it. However, based on the overwhelmingly positive responses we have received from clinic attendees so far, we are considering ways to provide clinic services to a broader population through e-health technology.
If readers of the BCMJ are interested in making this kind of program available to their patients, we invite them to contact us.
—Carolyn Gotay, PhD, Bonnie McCoy, MA,
Marliese Dawson, BA, Joseph Ragaz, MD
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
- Only the first three authors are listed, followed by "et al."
- There is no period after the journal name.
- Page numbers are not abbreviated.
For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org