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Aim: We aim to promote discussion about an Indigenous Cultural Identity of Research Authors Standard (ICIRAS) for academic journal publications. Context: This is based on a gap in research publishing practice where Indigenous peoples' identity is not systematically and rigorously flagged in rural health research publications. There are widespread reforms, in different research areas, to counter the reputation of scientific research as a vehicle of racism and discrimination against the world's Indigenous peoples. Reflecting on these broader movements, the editorial teams of three rural health journals—the Australian Journal of Rural Health, the Canadian Journal of Rural Medicine, and Rural and Remote Health—recognised that Indigenous peoples' identity could be embedded in authorship details. Approach: An environmental scan (through a cultural safety lens where Indigenous cultural authority is respected, valued, and empowered) of literature was undertaken to detect the signs of inclusion of Indigenous peoples in research. This revealed many ways in which editorial boards of Journals could systematically improve their process so that there is 'nothing about Indigenous people, without Indigenous people' in rural health research publications. Conclusion: Improving the health and wellbeing of Indigenous peoples worldwide requires high quality research evidence. The philosophy of cultural safety supports the purposeful positioning of Indigenous peoples within the kaleidoscope of cultural knowledges as identified contributors and authors of research evidence. The ICIRAS is a call‐to‐action for research journals and institutions to rigorously improve publication governance that signals "Editing with IndigenUs and for IndigenUs". [ABSTRACT FROM AUTHOR]

In the article, the editors discuss the changes implemented by the journal and its sister publications as of July 2022, including the new editorial rules to include Indigenous peoples as authors and the proposed creation of the Indigenous Cultural Identity of Research Authors Standard (ICIRAS).

Introduction: Rural maternity care services matter. Obstetrical care in rural Canada has seen concerning trends of service closures and decreasing numbers of family physicians who predominantly provide this service. Such reductions have been shown to have a serious impact on maternal/foetal well-being. Methods: This study investigated the present state of obstetrical services in Northern Ontario, comparing results to those of the last similar survey in 1999. All 40 Northern Ontario communities with hospitals were surveyed, as were the 16 midwife practices in the region. Results: Of the 35 rural and 5 urban hospitals surveyed, the number not offering obstetrical care has risen from 37.5% in 1999 to 60% in 2020, with all the closures having been rural sites. There have been no re-openings of obstetrics in hospitals that did not offer obstetrics in 1999. Women in the 9 communities that had offered maternity services in 1999, but no longer do in 2020, now travel an average of over 1.5 h to access these services. In those communities that continue obstetrics, but stopped offering caesarean sections, women now travel 2.5 h for this surgery. Although the total number of general physicians remains at the 1999 level, the number offering intrapartum care has dropped by 65% in urban centres and by 49% in rural ones still providing maternity care. Conclusions: Like much of the rural United States, rural Northern Ontario is well on its way to becoming a maternity care desert. As proven in Southern Australia, supportive government policies and programmes should be established and education reform enacted to reverse this concerning trend. [ABSTRACT FROM AUTHOR]

The authors reflect on the position statement of the rural health journals "Canadian Journal of Rural Medicine" (CJRM), "Australian Journal of Rural Health" (AJRH), and "Rural and Remote Health" (RRH) on research and reconciliation with Indigenous peoples in academic journal publishing. Topics include the right of Indigenous Nations to determine, define and name their cultural identity, and the need to end research colonialism.

The author talks about food security in Canada. He discusses the places in Canada where food insecurity is particularly felt, the high levels of poverty with associated health outcomes and issues similar to remote areas suffered by rural communities, and the influence of rural doctors on their patients and rural communities.

The author reflects on the technological developments in the medical field that could eventually replace the services of generalist rural doctors, particularly in Canada. Among the said technologies are telemedicine, artificial intelligence (AI), and electronic medical records. Also cited are the key roles of nurse practitioners in said transformations, and his experiences as a rural generalist physician.

A personal narrative is presented which explores the author's experience of assisting pregnant women in giving birth and the car accident he experienced after one of his deliveries.

The author reflects on the art of rural generalist medicine, particularly in Canada. Topics include the issues and challenges facing rural physicians, the efforts by the Society of Rural Physicians of Canada to support physician leadership, and the appreciation to the physicians who are doing good work and practice in the rural areas.

The authors present a position statement regarding the publication of articles about Indigenous people or communities in rural health journals, particularly "Australian Journal of Rural Health," "Canadian Journal of Rural Health" and "Rural and Remote Health." The move is aimed at showing respect to Indigenous cultural identity and to enhance all aspects of academic publishing. Also cited is the effort to promote and support Indigenous authors and rural research.

The author discusses issues related to the Northern Ontario School of Medicine (NOSM) in Canada as of October 2019. Topics mentioned include percentage of graduates practising in Northern Ontario, the goal of NOSM to deal with unmet needs for physicians in the territory, and percentage of NOSM-trained students per year entering rural practice across all of Northern Ontario.

The author expresses his appreciation for the simple rhythms of life as a rural physician and the joy of simple day-to-day life choices in Canada. He mentions his medical degree at Queens University in Kingston, Ontario. He argues why he considered the university and the city to be the small end of urban. He also explains the consequence when the web of connectivity is tight.

The author conveys his thoughts about the role and characteristics of a rural remote doctor. The rural remote doctor often works alone and with the least amount of support. He uses the island of Campobello in New Brunswick as a scenario where there is a nursing home, a grocery, and a Royal Canadian Mounted Police detachment. He adds that to be a rural remote doctor who helps the community cope and thrive takes strength of character.

A personal narrative is presented which explores a rural doctor's experience of moving his clinic to a municipal building including information on the cost-effectiveness of renovating an underused space, the chance of providing best practices, and the opportunities to meet a group of colleagues.

The article discusses various topics published within the issue including the medical graduates at the Memorial University of Newfoundland, the stressors of rural practice and the outcome of a medical school outreach and mentorship program for rural secondary school students.

The author discusses the quantum theory of rural medicine. He explains the two physics of the world namely Newtonian and the molecular and submolecular levels. He mentions one approach to define rural medicine, that is by what rural doctors do. He also comments on the challenge regarding the right number of doctors a town needs.

An introduction to the journal is presented in which the editor discusses reports published within the issue including the Aboriginal health curriculum at the Northern Ontario School of Medicine, values of Inuit midwives and midwifery students and the high incidence of community acquired pneumonia in local Aboriginal population.

The article presents step-by-step instructions that physicians can use to remove a corneal foreign body from a patient's eye.

An introduction is presented to an article within the issue by David Howe which describes the procedure for administering caudal epidural steroid injections in rural medical practice.

The author reflects on distributed education in Canada in which medical students are sent to rural locations to gain an understanding of rural medicine and a chance to see what a career in rural medicine consists of. He suggests that distributive education is as effective as conventional medical education. He argues that the standard training which is offered to general practitioners is not adequate for physicians working in rural locations

The author reflects on the impact that being on-call has on physicians' ability to attend medical conferences and perform activities, including taking a vacation or celebrating an anniversary, that non-physicians take for granted. He suggests that being on-call provides a physician with an incentive to limit the scope of his or her practice since it becomes harder to get away from the office. He argues that there are effective ways for rural physicians to lessen the burden of being on-call.

Discusses the developments that led to the rural physicians movement in Australia. Reduction of after-hours premiums resulting to mass resignation of rural physicians; Founding of the Rural Doctors Association of Australia (RDAA); Negotiations between the RDAA and the Royal Australian College of General Practitioners (RACGP); Deterioration of the rural training stream of the RACGP residency program.

The author discusses the health policy idea that volume substitutes quality although volume does not predict quality as high volumes only guarantee large number of affected people. Topics discussed include finding by S. Gryzbowski that adjusted odds ratios for perinatal mortality in newborns in rural British Columbia was 3.17 and how Canada will benefit from more rural doctors and hospitals that provide more services.

The article offers information on continuing medical education (CME) webinar. The author states that in order to make an effective CME, cameras should be panned to show participants who are part of a community of practice. Featured community activity is Project ECHO (Extension for Community Healthcare Outcomes).

The author reflects on the opportunities and challenges in family medicine rural training. He argues about the Triple C Competency-based Curriculum as to how its success can be measured and the particular competency that should be evaluated. An overview of how residents in urban settings can be competent in diagnosing, investigating and managing conditions in the rural setting is given. The author suggests that rural doctors should be allowed to make their curriculum with their rural training.

The author reflects on the work that rural physicians in Canada do on a regular basis. He suggests that rural physicians work to the breadth of their licenses and do more than urban physicians. He argues that research has shown that cesarean sections which are performed by rural physicians who are not gynecologists or obstetricians lead to good outcomes and are safe.

In this article the author reflects on the work that rural physicians in Canada do on a regular basis. He suggests that rural physicians work to the breadth of their licenses and do more than urban physicians. He argues that research has shown that cesarean sections which are performed by rural physicians who are not gynecologists or obstetricians lead to good outcomes and are safe.

The author reflects on a shortage of medical testing supplies and equipment which is seen in rural health care facilities in Canada. He suggests that rural practitioners are capable of providing quality care to their patients despite the fact that they often lack commonly used machines and testing supplies. He argues that a lack of commonly used equipment may expand the abilities and knowledge of rural physicians and that there is a lack of evidence to support many common medical tests.

The author reflects on a shortage of medical testing supplies and equipment which is seen in rural health care facilities in Canada. He suggests that rural practitioners are capable of providing quality care to their patients despite the fact that they often lack commonly used machines and testing supplies. He argues that a lack of commonly used equipment may expand the abilities and knowledge of rural physicians and that there is a lack of evidence to support many common medical tests.

The author reflects on a need for rural generalist surgeons which exists in Canada. He suggests that there are only 280 specialist surgeons in rural Canada and that the skills needed by rural generalist surgeons are no longer being taught. He argues that it is time for rural-orientated medical schools to take control of their general surgical training programs to train for the needs of rural generalist surgery.

The author reflects on a need for rural generalist surgeons which exists in Canada. He suggests that there are only 280 specialist surgeons in rural Canada and that the skills needed by rural generalist surgeons are no longer being taught. He argues that it is time for rural-orientated medical schools to take control of their general surgical training programs to train for the needs of rural generalist surgery.

An introduction is presented to an article within the issue by David Howe which describes the procedure for administering caudal epidural steroid injections in rural medical practice.

The author reflects on distributed education in Canada in which medical students are sent to rural locations to gain an understanding of rural medicine and a chance to see what a career in rural medicine consists of. He suggests that distributive education is as effective as conventional medical education. He argues that the standard training which is offered to general practitioners is not adequate for physicians working in rural locations.

The article notes a Rural and Remote Medicine conference where the author spoke to Dr. John Wootton, president of the Society of Rural Physicians of Canada (SRPC), about the association's listserv electronic discussion group. A brief overview is presented of the RuralMed listserv which started on May 11, 1995.

The article notes a Rural and Remote Medicine conference where the author spoke to Dr. John Wootton, president of the Society of Rural Physicians of Canada (SRPC), about the association's listserv electronic discussion group. A brief overview is presented of the RuralMed listserv which started on May 11, 1995.

The author reflects on the 15th anniversary of the "Canadian Journal of Rural Medicine." He suggests that the journal has become an authoritative, perhaps even respected, voice of rural medicine. He argues that despite the fact that the journal has been published for 15 years, there is still much that needs to be written and published about issues related to rural medicine.

The author reflects on the 15th anniversary of the "Canadian Journal of Rural Medicine." He suggests that the journal has become an authoritative, perhaps even respected, voice of rural medicine. He argues that even though the journal has been published for 15 years there is still much that needs to be written and published about issues related to rural medicine.

The author reflects upon the necessity of a diversion for physicians practicing rural medicine. He relates his experience of sailing in the summertime as a way to relax from the demands of his job and discusses the importance of physicians' ability to be part of the community in a capacity other than that of a doctor.

The author reflects upon the necessity of a diversion for physicians practicing rural medicine. He relates his experience of sailing in the summertime as a way to relax from the demands of his job and discusses the importance of physicians' ability to be part of the community in a capacity other than that of a doctor.

The author reflects on the need of quality measures for rural health hospitals in Canada. He comments on the services of the nurses, the equipment and the supports which rural hospitals represents. He mentions the study of the Canadian Institute for Health Information showing that only 3 rare and specialized surgeries that rural hospitals don't do require volume for best outcome.