RT Journal Article SR Electronic T1 Thumbs up and down JF Canadian Medical Association Journal JO CMAJ FD Canadian Medical Association SP E711 OP E712 DO 10.1503/cmaj.109-3911 VO 183 IS 11 A1 Walkinshaw, Erin YR 2011 UL http://www.cmaj.ca/content/183/11/E711.abstract