Over the past decade, the healthcare landscape has shifted for Ontario’s family physicians as government policies changed the availability of practice and compensation models. The most impacted population are early career family physicians. Given this changing healthcare environment, the factors that drive early career family physicians practice choices are unclear and not well-studied. Therefore, this thesis sought to answer the following research questions: 1. What factors shape family physician choice of practice and compensation models in Ontario? a. How do early career family physicians perceive the availability of practice and compensation models in Ontario? 2. From the perspective of Ontario family medicine residency administrators, how does residency influence family physician practice choices? This study was a part of a broader, cross-provincial study examining family medicine resident and early career family physician practice patterns in British Columbia, Nova Scotia, and Ontario. Nineteen early career physicians and 7 family medicine residency administrators were interviewed for their perceptions and understanding of the factors and policies affecting their (or in the case of administrators, residents’) career choices. In this thesis, I used thematic analysis as described by Braun and Clarke to answer the research questions. Patton and McMahon’s Systems Theory Framework (STF) provided a systems perspective that was used to model and assess the interactions between emergent themes. The factors that shaped family physician choice of practice and compensation models were divided into micro- and macro-level factors as described by the STF. Micro-level factors were ‘gender’, ‘health’, ‘interests’, and ‘world of work knowledge.’ Macro-level factors included ‘educational institutions’, ‘geographical location’, ‘historical trends’, ‘peers’, ‘family’, ‘community groups’, ‘workplace’, and ‘employment market.’ Finally, two additional factors were found: ‘flexibility’, and ‘financial considerations.’ The interaction between these factors was complex, where many linked themes gave rise to career decisions made by family physicians. A second perspective in the form of residency administrators helped develop a holistic description of these factors. Furthermore, a gap between physician training and practice opportunities after graduation was identified.

Background: Studies have described the aggregate results of federal funding for health professions education at the national level, but analysis of the long‐term impact of institutional participation in these programs has been limited. Purpose: To describe and assess federally supported curricular innovations at East Tennessee State University designed to promote family medicine and nurse practitioner graduate interest in rural and underserved populations. Methods: Descriptive analysis of a survey to determine practice locations of nurse practitioner graduates (1992‐2002) and graduates of 3 family medicine residencies (1978‐2002). Graduates’ (N = 656) practice locations were documented using specific federal designations relating to health professions shortages and rurality. Results: Overall, 83% of family medicine residency and 80% of nurse practitioner graduates selected practice locations in areas with medically underserved or health professions shortage designations; 48% of family physicians and 38% of nurse practitioners were in rural areas. Conclusions: Graduates who study in an educational setting with a mission‐driven commitment to rural and community health and who participate in curricular activities designed to increase their experience with rural and underserved populations choose, in high numbers, to care for these populations in their professional practice.

<p>Efficient strategies for diabetes management in primary care provide avenues through which the disease may be monitored and controlled, but systems and processes must be more than adequate. The use of Electronic Medical Record systems (EMRs) assist healthcare providers in delivering quality care to patients to help better manage chronic conditions, and integrate services throughout the healthcare system so that relevant chronic disease programs may be made available to individuals and communities. Usability issues have often been blamed for poor EMR adoption rates, underutilization of systems, endangerment of patient health and inadequacies in providing positive health outcomes for patients while improving the quality of chronic disease management.</p> <p>This thesis investigates the use of EMRs in managing diabetes within primary care, and evaluates their usability and its effects in managing diabetes in patients, with special reference to patient safety, healthcare provider workflow and adherence to clinical practice guidelines (CPGs).</p> <p>Existing evidence emphasizing the management of diabetes and the role of the EMR in primary care is presented, while three levels of usability and several usability guidelines are identified and investigated. Data gathered from the local environment, show the relationships between EMR usability, patient safety, clinician workflow and adherence to CPGs in managing diabetes, and three models of EMR usability are suggested.</p> <p>The primary proposition for this study is that EMRs provide promise in helping to control diabetes in patients. However EMR usability may present significant hindrances in maximizing outcomes for individuals and in providing support programs and services to communities.</p> / Master of Science (MSc)

Les maladies non transmissibles sont en forte hausse au Québec. La pratique régulière d’activités physiques (AP) permet d’agir en amont et de contribuer à la prévention de plusieurs de ces maladies. Cependant, une grande proportion de la population québécoise n’est pas suffisamment active pour en retirer des bienfaits pour sa santé. Plusieurs études portant sur l’efficacité des interventions de sensibilisation et de promotion de l’AP(SPAP) ont montré que les médecins omnipraticiens peuvent avoir une influence non négligeable sur le niveau de pratique d’AP de la population. Peu d’études à ce jour ont examiné la pratique de SPAP des médecins omnipraticiens du Québec auprès de leurs patients et quels sont les freins et facteurs facilitants. La présente étude vise à combler en partie cette lacune en documentant leur pratique de SPAP et en examinant dans quelle mesure les attitudes,perceptions, barrières, besoins et caractéristiques sociodémographiques influencent leur pratique. Une enquête anonyme a été retenue comme méthode pour dresser un portrait de la situation. L’échantillon de convenance est composé de 701 questionnaires recueillis lors de formations continues de la Fédération des médecins omnipraticiens du Québec. Les résultats montrent que deux répondants sur cinq (40 %) font de la SPAP auprès de la majorité de leurs patients en contexte de prévention primaire, et ce, bien que la presque totalité d’entre eux (98 %) croit que la SPAP fait partie de leur rôle fondamental. L’analyse de régression multiple a permis d’identifier les facteurs les plus souvent associés à la pratique de la SPAP chez les répondants : les médecins qui pratiquent eux-mêmes de l’AP de façon régulière, ceux qui ont plus de neuf ans d’expérience médicale, ceux qui sont moins affectés par la surcharge de travail et ceux qui ont l’impression d’être relativement efficaces dans leurs interventions de SPAP sont les plus susceptibles d’en faire auprès de leurs patients en contexte de prévention primaire. / The rate of non communicable diseases is increasing in Québec. Regular physical activity(PA) can help preventing many of these diseases. However, a great proportion of the Québec population does not meet the PA recommendations to reap the health benefits. Several researches on the effectiveness of PA awareness and promotion interventions have shown that primary care physicians can positively influence the adoption and increase of PA in the population. To date, few studies have documented the PA counselling and promotion (PACP) of Québec primary care physicians to their patients, and more specifically, what are the PACP barriers and facilitators. The aim of the current study is to address this shortcoming in documenting the Quebec general practitioners’ PACP and examining to what extent their attitudes, perceptions, barriers, needs and sociodemographic characteristics influence their behavior. We used an anonymous questionnaire survey to draw a picture of the current situation. The convenience sample consisted of 701 completed questionnaires collected during continuing medical education sessions of the Fédération des médecins omnipraticiens du Québec. Results showed that two respondents out of five (40%) reported PACP to their patients in the context of primary care, while almost the majority (98%) of them considers that it is an integral part of their professional role. A multiple logistic regression analysis allowed the identification of the factors predominantly associated with physicians’ PACP. Physicians who are personally physically active on a regular basis, who have more than nine years of medical experience, who are less affected by work overload, and who feel to be effective in the PACP interventions are more likely to promote PA to their patients.

No Brasil, a qualificação dos recursos humanos para trabalhar na Estratégia Saúde da Família é baixa. Considerando a importância do Estado de São Paulo como pólo formador de recursos humanos para a área da saúde, estudou-se a situação dos egressos dos Programas de Residência em Medicina de Família e Comunidade (PRMFC) do Estado de São Paulo (ESP), que finalizaram a residência entre 2000 e 2009. Foi caracterizado o perfil sociodemográfico desses médicos e suas trajetórias profissionais após o término da residência médica, além da satisfação com o trabalho. Os dados foram coletados em 2012, por meio de um questionário eletrônico, dividido nos seguintes blocos: perfil sócio-econômico, atuação profissional, e atividades de Medicina de Família e Comunidade (MFC). Do universo de 234 egressos de 17 PRMFC do ESP, foram incluídos no estudo 129 pessoas de 14 instituições. A maior parte é do sexo feminino (58,1%) e está na faixa etária de 30 a 34 anos (55,8%). Moram predominantemente no ESP (79,1%) e em municípios de grande porte ou em metrópoles (89,1%). A graduação em medicina foi realizada principalmente na região sudeste (92,3%), sendo majoritária a participação do ESP (72,1%). Dos egressos respondentes, 98,4% atuam na área da saúde, sendo que 74,6% atuam na Medicina de Família e Comunidade e 48,1% atuam na docência. Referiram trabalhar em um posto de trabalho 33,9%, dois postos 33,9% e três postos 15,0%, estes não relacionados à docência. O local de trabalho atual mais frequente foi a Estratégia Saúde da Família (49,6%), seguida da Urgência e Emergência (26,7%), consultório particular e Unidade de Saúde Tradicional, com 19,7% cada e, por último, a gestão/gerência (18,9%). Em relação à trajetória acadêmica após a residência de MFC, 10,1% dos egressos fizeram outra residência médica, 57% realizaram especialização lato sensu e 31,8% stricto sensu. Possuem título de especialista em MFC 41,9% dos entrevistados. Mais da metade dos egressos participam da formação de médicos de família (52,7%), sendo que 83,7% têm interesse em realizar esse tipo de atividade. Dos médicos de família que atuam na área da MFC, a maioria está satisfeita ou muito satisfeita e 44,8% deles estão motivados. Conclui-se que os médicos de família egressos de PRMFC do ESP são predominantemente jovens e mulheres e moram em grandes centros urbanos, tendendo a se fixar mais no próprio ESP, local onde fizeram a residência médica. O local de atuação dos egressos é bastante diverso, já que a formação em MFC é ampla. Muitos egressos participam de atividades relacionadas à formação dos médicos de família sendo, portanto, peças fundamentais para a formação de novos profissionais capacitados para atuarem na Atenção Primária à Saúde. Além disso, a maioria deles está satisfeita com o trabalho na MFC, mas ainda faltam reconhecimento e valorização da especialidade. / In Brazil, human resource qualification to work in the Family Health Strategy is low. Considering that the State of São Paulo (SSP) is an important human resource forming center for healthcare, the situation of graduates in Residency Programs in Family and Community Medicine (RPFCM), who finalized their residency between 2000 and 2009, was assessed. The sociodemographic profile from these physicians was characterized, along with their professional careers after residency and job satisfaction. The data was collected in 2012 through an online questionnaire, which was divided into the following sections: socioeconomic profile, professional performance, and activities in Family and Community Medicine (FCM). From the total of 234 graduates from 17 RPFCMs of SSP, this study included 129 people from 14 institutions. The majority of participants are females (58.1%) and between the ages of 30 and 34 (55.8%). Most of them live in SSP (79.1%) and in larger cities or metropolitan areas (89.1%). Their medical degree was predominantly obtained in the southeast region (92.3%), mostly from the SSP (72.1%). From the 129 participants, 98.4% are healthcare practitioners. From these, 74.6% work in Family and Community Medicine and 48.1% work in education. They reported having one (33.9%), two (33.9%), or three (15.0%) job positions, not related to education. The most frequently reported current workplace was Family Health Strategy (49.6%), followed by Urgency and Emergency (26.7%), private practice (19.7%), Traditional Health Unit (19.7%) and healthcare management (18.9%). Regarding academic career after FCM residency, 10.1% did another residency, 57.0% obtained a lato sensu specialization and 31.8% acquired a stricto sensu degree. A specialization in FCM was perfomed by 41.9% of the participants. Over half of the participants are training the next generation of family physicians (52.7%), while 83.7% of these intend to follow this career. The majority of family physicians working in FCM are satisfied or very satisfied in the chosen career, and 44.8% of them are motivated. In conclusion, residency graduates from RPFCM-SSP are predominantly women and young, living in large urban centers, tending to locate in SSP where their residency was acquired. The working environment of the graduates is quite diverse, since the aptitude learned at FCM is ample. Many graduates actively participate in activities related to the training of family physicians, therefore, are a fundamental part in training new professionals to work in Primary Health Care. Moreover, most of them are satisfied with their jobs in FCM, despite the lack in recognition and appreciation for this healthcare specialty.

No Brasil, a qualificação dos recursos humanos para trabalhar na Estratégia Saúde da Família é baixa. Considerando a importância do Estado de São Paulo como pólo formador de recursos humanos para a área da saúde, estudou-se a situação dos egressos dos Programas de Residência em Medicina de Família e Comunidade (PRMFC) do Estado de São Paulo (ESP), que finalizaram a residência entre 2000 e 2009. Foi caracterizado o perfil sociodemográfico desses médicos e suas trajetórias profissionais após o término da residência médica, além da satisfação com o trabalho. Os dados foram coletados em 2012, por meio de um questionário eletrônico, dividido nos seguintes blocos: perfil sócio-econômico, atuação profissional, e atividades de Medicina de Família e Comunidade (MFC). Do universo de 234 egressos de 17 PRMFC do ESP, foram incluídos no estudo 129 pessoas de 14 instituições. A maior parte é do sexo feminino (58,1%) e está na faixa etária de 30 a 34 anos (55,8%). Moram predominantemente no ESP (79,1%) e em municípios de grande porte ou em metrópoles (89,1%). A graduação em medicina foi realizada principalmente na região sudeste (92,3%), sendo majoritária a participação do ESP (72,1%). Dos egressos respondentes, 98,4% atuam na área da saúde, sendo que 74,6% atuam na Medicina de Família e Comunidade e 48,1% atuam na docência. Referiram trabalhar em um posto de trabalho 33,9%, dois postos 33,9% e três postos 15,0%, estes não relacionados à docência. O local de trabalho atual mais frequente foi a Estratégia Saúde da Família (49,6%), seguida da Urgência e Emergência (26,7%), consultório particular e Unidade de Saúde Tradicional, com 19,7% cada e, por último, a gestão/gerência (18,9%). Em relação à trajetória acadêmica após a residência de MFC, 10,1% dos egressos fizeram outra residência médica, 57% realizaram especialização lato sensu e 31,8% stricto sensu. Possuem título de especialista em MFC 41,9% dos entrevistados. Mais da metade dos egressos participam da formação de médicos de família (52,7%), sendo que 83,7% têm interesse em realizar esse tipo de atividade. Dos médicos de família que atuam na área da MFC, a maioria está satisfeita ou muito satisfeita e 44,8% deles estão motivados. Conclui-se que os médicos de família egressos de PRMFC do ESP são predominantemente jovens e mulheres e moram em grandes centros urbanos, tendendo a se fixar mais no próprio ESP, local onde fizeram a residência médica. O local de atuação dos egressos é bastante diverso, já que a formação em MFC é ampla. Muitos egressos participam de atividades relacionadas à formação dos médicos de família sendo, portanto, peças fundamentais para a formação de novos profissionais capacitados para atuarem na Atenção Primária à Saúde. Além disso, a maioria deles está satisfeita com o trabalho na MFC, mas ainda faltam reconhecimento e valorização da especialidade. / In Brazil, human resource qualification to work in the Family Health Strategy is low. Considering that the State of São Paulo (SSP) is an important human resource forming center for healthcare, the situation of graduates in Residency Programs in Family and Community Medicine (RPFCM), who finalized their residency between 2000 and 2009, was assessed. The sociodemographic profile from these physicians was characterized, along with their professional careers after residency and job satisfaction. The data was collected in 2012 through an online questionnaire, which was divided into the following sections: socioeconomic profile, professional performance, and activities in Family and Community Medicine (FCM). From the total of 234 graduates from 17 RPFCMs of SSP, this study included 129 people from 14 institutions. The majority of participants are females (58.1%) and between the ages of 30 and 34 (55.8%). Most of them live in SSP (79.1%) and in larger cities or metropolitan areas (89.1%). Their medical degree was predominantly obtained in the southeast region (92.3%), mostly from the SSP (72.1%). From the 129 participants, 98.4% are healthcare practitioners. From these, 74.6% work in Family and Community Medicine and 48.1% work in education. They reported having one (33.9%), two (33.9%), or three (15.0%) job positions, not related to education. The most frequently reported current workplace was Family Health Strategy (49.6%), followed by Urgency and Emergency (26.7%), private practice (19.7%), Traditional Health Unit (19.7%) and healthcare management (18.9%). Regarding academic career after FCM residency, 10.1% did another residency, 57.0% obtained a lato sensu specialization and 31.8% acquired a stricto sensu degree. A specialization in FCM was perfomed by 41.9% of the participants. Over half of the participants are training the next generation of family physicians (52.7%), while 83.7% of these intend to follow this career. The majority of family physicians working in FCM are satisfied or very satisfied in the chosen career, and 44.8% of them are motivated. In conclusion, residency graduates from RPFCM-SSP are predominantly women and young, living in large urban centers, tending to locate in SSP where their residency was acquired. The working environment of the graduates is quite diverse, since the aptitude learned at FCM is ample. Many graduates actively participate in activities related to the training of family physicians, therefore, are a fundamental part in training new professionals to work in Primary Health Care. Moreover, most of them are satisfied with their jobs in FCM, despite the lack in recognition and appreciation for this healthcare specialty.

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Tyrimo tikslas – Įvertinti moterų motyvaciją dalyvauti gimdos kaklelio vėžio profilaktikos programoje bei šeimos gydytojo institucijos vaidmenį vykdant šią programą Šilalės rajone. Tyrimo metodika. Tyrimas buvo atliekamas vykdant 25-60 m. amžiaus moterų, besikreipiančių į šeimos gydytoją, anketinę apklausą. Apklausa atlikta aštuoniose Šilalės rajono gydymo įstaigose. Bendras tiriamųjų skaičius N=250. Rezultatai. Įvertinus moterų, besikreipiančių į šeimos gydytoją Šilalės rajone, aktyvumą dalyvaujant gimdos kaklelio vėžio profilaktikos programoje, nustatyta, kad beveik visos (88 proc.) apklausoje dalyvavusios moterys buvo bent kartą gyvenime pasitikrinusios dėl gimdos kaklelio vėžio. Aktyviau tikrinosi moterys asmeniškai informuotos šeimos gydytojo apie vykdomą gimdos kaklelio vėžio profilaktikos programą telefonu, žinančios, kad pasitikrinimas dėl gimdos kaklelio vėžio moterims nuo 25 iki 60 metų amžiau moterims yra nemokamas, manančios, kad programa yra vykdoma tinkamai bei nurodžiusios, kad šeimos gydytojo vaidmuo vykdant gimdos kaklelio vėžio profilaktikos programą yra svarbus. Tepinėlis dėl gimdos kaklelio vėžio buvo daugiau kartų paimtas moterims, kurios asmeniškai buvo informuotos šeimos gydytojo apie gimdos kaklelio vėžio profilaktikos programą, per pastaruosius 12 mėn. pas savo šeimos gydytoją lankėsi 2-ą kartą ir daugiau, savo sveikatą vertino blogai ir buvo 45-60 metų amžiaus. Beveik pusė (45 proc.) apklaustųjų dėl gimdos kaklelio vėžio bent kartą gyvenime... [toliau žr. visą tekstą] / Aim of the study. To evaluate the motivation of women to participate in cervical cancer prevention program and the role of family physician’s in this program. Methods. Study was carried out among women, aged 25-60 years, who were seeking for family physician’s consultation. The survey was conducted in eight primary health care centers in Šilalė district. The total number of respondents was 250. Results of The Research. Almost all of the women (88%) who participated in the research were checked up for cervical cancer at least once in their life. More active women in cheek-up were those who were personally informed - by telephone, or were - informed by their family doctors, also those who knew that - the Prevention Programme of Cervical Cancer for women aged 25 – 60 is free of charge, who indicated that the role of family doctor‘s is very important in the context of this programme and that the programme is implemented properly. A smear of cervical cancer has been taken more times for women who were informed personally about the Prevention Programme of Cervical Cancer. 45% of the respondents decided to participate in this programme themselves. The main reason why women actively participate in the Prevention Programme of Cervical Cancer is the opportunity to protect themselves from the consequences of serious disease. The respondens pointed out some disadvantages of this programme: the lack of important information about the programme; insufficient public information; not... [to full text]

Lietuvoje PSP reforma yra vykdoma jau beveik dvidešimt metų.Labai svarbu įvertinti jos privalumus ir trūkumus, iškylančias problemas. 1994 ir 2004 metais atlikti tyrimai, kuriuos lyginant stebėti teigiami ir neigiami šeimos gydytojų veiklos pokyčiai ir netolygumai, susiję su gydytojų kvalifikacine kilme (persikvalifikavę pediatrai, terapeutai, šeimos gydytojai po rezidentūros), darbovietės steigėju (privatus ar valstybinis PSPC), urbanizacija (apskrities centras, miestas, mestelis ar kaimas), vykdoma veikla.Vertintas paslaugų prieinamumas, išaiškintos šeimos gydytojų veiklos problemos. Išryškėjo poreikis kitiems tyrimams, gautiems rezultatams patikslinti, atsakyti į naujai iškilusius klausimus. Todėl, siekiant įvertinti tolimesnius šeimos gydytojų veiklos kitimus per penkiolikąreformos metų, 2010 metais atliktas naujas tyrimas, papildytas ir pataisytas atsižvelgus į buvusių tyrimų trūkumus ir naujai iškilusias aktualijas.Šio šeimos gydytojų veiklos tyrimo užibrėžti uždaviniai: 1. Nustatyti ir palyginti šeimos gydytojų darbo krūvio ir veiklos apimčių pokyčius per 15 PSP reformos metų. 2. Įvertinti šeimos gydytojo normoje numatytų ir praktikoje atliekamų procedūrų dažnius. 3. Ištirti šeimos gydytojų nuomonės apie jų atliekamą darbą ir jo organizacinius aspektus pokyčius vykstant PSP reformai. 4. Išanalizuoti pacientų požiūrį į savo sveikatą, jos stiprinimą ir šeimos gydytojo vaidmenį kontroliuojant LNL rizikos veiksnius. / In Lithuania PHC reform has been carried out for nearly twenty years. It is very important to assess its benefits and shortcomings, and to acknowledge emerging problems. Research was conducted in 1994 and 2004. Researchers compared positive and negative changes and differences in family physicians’ practices in relation to physicians training (retrained pediatricians, internists and residency trained family physicians), type of PHCC (private or public), urbanization (region center, town, small town or village) and provided services. They evaluated access to services and revealed problems in family physicians’ work. The need for additional research emerged in order to further explore the results and to answer newly posed questions. For that reason new survey was conducted in 2010 with the purpose to assess further changes in family physicians practice over last 15 years of health care reform. It was changed and developed according to shortcomings of previous research and newly emerged questions. The objectives of this research were: 1. To identify and compare the changes in family physicians’ workload and services during fifteen years of primary health care reform. 2. To assess the use of the procedures named in family physicians’ norm in practice. 3. To investigate the changes of family physicians’ opinion about their work and its organizational aspects during PHC reform. 4. To analyze the patients’ attitude towards their health, its strengthening and family physicians’ role... [to full text]

Les maladies non transmissibles sont en forte hausse au Québec. La pratique régulière d’activités physiques (AP) permet d’agir en amont et de contribuer à la prévention de plusieurs de ces maladies. Cependant, une grande proportion de la population québécoise n’est pas suffisamment active pour en retirer des bienfaits pour sa santé. Plusieurs études portant sur l’efficacité des interventions de sensibilisation et de promotion de l’AP(SPAP) ont montré que les médecins omnipraticiens peuvent avoir une influence non négligeable sur le niveau de pratique d’AP de la population. Peu d’études à ce jour ont examiné la pratique de SPAP des médecins omnipraticiens du Québec auprès de leurs patients et quels sont les freins et facteurs facilitants. La présente étude vise à combler en partie cette lacune en documentant leur pratique de SPAP et en examinant dans quelle mesure les attitudes,perceptions, barrières, besoins et caractéristiques sociodémographiques influencent leur pratique. Une enquête anonyme a été retenue comme méthode pour dresser un portrait de la situation. L’échantillon de convenance est composé de 701 questionnaires recueillis lors de formations continues de la Fédération des médecins omnipraticiens du Québec. Les résultats montrent que deux répondants sur cinq (40 %) font de la SPAP auprès de la majorité de leurs patients en contexte de prévention primaire, et ce, bien que la presque totalité d’entre eux (98 %) croit que la SPAP fait partie de leur rôle fondamental. L’analyse de régression multiple a permis d’identifier les facteurs les plus souvent associés à la pratique de la SPAP chez les répondants : les médecins qui pratiquent eux-mêmes de l’AP de façon régulière, ceux qui ont plus de neuf ans d’expérience médicale, ceux qui sont moins affectés par la surcharge de travail et ceux qui ont l’impression d’être relativement efficaces dans leurs interventions de SPAP sont les plus susceptibles d’en faire auprès de leurs patients en contexte de prévention primaire. / The rate of non communicable diseases is increasing in Québec. Regular physical activity(PA) can help preventing many of these diseases. However, a great proportion of the Québec population does not meet the PA recommendations to reap the health benefits. Several researches on the effectiveness of PA awareness and promotion interventions have shown that primary care physicians can positively influence the adoption and increase of PA in the population. To date, few studies have documented the PA counselling and promotion (PACP) of Québec primary care physicians to their patients, and more specifically, what are the PACP barriers and facilitators. The aim of the current study is to address this shortcoming in documenting the Quebec general practitioners’ PACP and examining to what extent their attitudes, perceptions, barriers, needs and sociodemographic characteristics influence their behavior. We used an anonymous questionnaire survey to draw a picture of the current situation. The convenience sample consisted of 701 completed questionnaires collected during continuing medical education sessions of the Fédération des médecins omnipraticiens du Québec. Results showed that two respondents out of five (40%) reported PACP to their patients in the context of primary care, while almost the majority (98%) of them considers that it is an integral part of their professional role. A multiple logistic regression analysis allowed the identification of the factors predominantly associated with physicians’ PACP. Physicians who are personally physically active on a regular basis, who have more than nine years of medical experience, who are less affected by work overload, and who feel to be effective in the PACP interventions are more likely to promote PA to their patients.