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Questions for this month's clinical challenge are based on articles in this issue. The clinical challenge is endorsed by the RACGP Quality Improvement and Continuing Professional Development (QI&CPD) program and has been allocated four Category 2 points (Activity ID:59922). Answers to this clinical challenge are available immediately following successful completion online at Clinical challenge quizzes may be completed at any time throughout the 2014-16 triennium; therefore, the previous months' answers are not published...
September 2016: Australian Family Physician
Ajit Narayanan, Michael Greco
The number of data-based research articles focusing on patient sociodemographic profiling and experience with healthcare practices is still relatively small. One of the reasons for this relative lack of research is that categorizing patients into different demographic groups can lead to significant reductions in sample numbers for homogeneous subgroups. The aim of this article is to identify problems and issues when dealing with big data that contains information at two levels: patient experience of their general practice, and scores received by practices...
March 2016: Big Data
(no author information available yet)
Questions for this month's clinical challenge are based on articles in this issue. The clinical challenge is endorsed by the RACGP Quality Improvement and Continuing Professional Development (QI&CPD) program and has been allocated 4 Category 2 points (Activity ID:47512).Answers to this clinical challenge are available immediately following successful completion online at Clinical challenge quizzes may be completed at any time throughout the 2014-16 triennium; therefore, the previous months' answers are not published...
May 2016: Australian Family Physician
Stephen Leeder, Stephen Corbett, Tim Usherwood
BACKGROUND: Public health is the organised efforts of society to prevent disease, promote health and prolong life in the population. While the focus of general practice is on the care of individuals and families, general practitioners (GPs) have an essential role in promoting the health of the population. OBJECTIVE: The objectives of this article are to explore the links between public health and general practice, and to consider their implications for general practice registrar training...
May 2016: Australian Family Physician
Fiona Patterson, Emma Rowett, Robert Hale, Marcia Grant, Chris Roberts, Fran Cousans, Stuart Martin
BACKGROUND: Evidence for the predictive validity of situational judgement tests (SJTs) and multiple-mini interviews (MMIs) is well-established in undergraduate selection contexts, however at present there is less evidence to support the validity of their use in postgraduate settings. More research is also required to assess the extent to which SJTs and MMIs are complementary for predicting performance in practice. This study represents the first longitudinal evaluation of the complementary roles and predictive validity of an SJT and an MMI for selection for entry into postgraduate General Practice (GP) specialty training in Australia...
2016: BMC Medical Education
Simon Morgan, Gerard Ingham, Susan Wearne, Tony Saltis, Rosa Canalese, Lawrie McArthur
BACKGROUND: Within the apprenticeship model of general practice training, the majority of teaching and learning occurs in the practice under the guidance of the general practice supervisor. One of the foundations of a high-quality general practice training program is the delivery of relevant, evidence-based educational continuing professional development (EdCPD) for general practice supervisors. Despite The Royal Australian College of General Practitioners (RACGP) and the Australian College of Rural and Remote Medicine (ACRRM) standards requiring EdCPD, there is currently no standardised educational curriculum for Australian general practice supervisors...
2015: Australian Family Physician
Ross MacKenzie, Wendy Rogers
Patient visits are an important opportunity for general practitioners (GPs) to discuss the risks of smoking and cessation strategies. In Australia, the guidelines on cessation published by the Royal Australian College of General Practitioners (the Guidelines) represent a key resource for GPs in this regard. The predominant message of the Guidelines is that pharmacotherapy should be recommended as first-line therapy for smokers expressing an interest in quitting. This, however, ignores established evidence about the success of unassisted quitting...
November 2015: Public Health Ethics
Jane Taggart, Siaw-Teng Liaw, Hairong Yu
OBJECTIVE: To examine whether a structured data quality report (SDQR) and feedback sessions with practice principals and managers improve the quality of routinely collected data in EHRs. METHODS: The intervention was conducted in four general practices participating in the Fairfield neighborhood electronic Practice Based Research Network (ePBRN). Data were extracted from their clinical information systems and summarised as a SDQR to guide feedback to practice principals and managers at 0, 4, 8 and 12 months...
December 2015: International Journal of Medical Informatics
Martin Basedow, Helena Williams, E Michael Shanahan, William B Runciman, Adrian Esterman
BACKGROUND: Osteoarthritis (OA) is a highly disabling and costly condition with an escalating prevalence in Australia due to the ageing and increasing obesity of the population. The general practitioner (GP) plays a central role in the management of this condition. The aim of this study was to examine opinions about the management of OA by Australian GPs following the release of the Royal Australian College of General Practitioners Guideline for the non-surgical management of hip and knee OA (RACGP OA CPG), and to compare the results with an earlier survey administered by the National Prescribing Service...
2015: BMC Research Notes
Christine A M Smith, Karine Toupin-April, Jeffrey W Jutai, Ciarán M Duffy, Prinon Rahman, Sabrina Cavallo, Lucie Brosseau
OBJECTIVES: The objectives of this review are to: 1) appraise the methodological quality of clinical practice guidelines (CPGs) in juvenile idiopathic arthritis (JIA) providing pharmacological and/or non-pharmacological intervention recommendations, and 2) summarize the recommendations provided by the included CPGs and compare them where possible. METHODS: A systematic search was performed. Three trained appraisers independently evaluated the methodological quality of the CPGs using a validated and reliable instrument, the Appraisal of Guidelines in Research and Evaluation II...
2015: PloS One
Siaw-Teng Liaw, Chun Wah Michael Tam
BACKGROUND: The underlying moral principles and values, and the virtues held as desirable for a researcher, should be reflected upon and embedded in the research. The foundation step is to download the National Health and Medical Research Council's (NHMRC's) National Statement on Ethical Conduct in Human Research and the NHMRC's Guidelines for Ethical Conduct in Aboriginal and Torres Strait Islander Health Research to use as references. OBJECTIVE: This paper draws on the experience of The Royal Australian College of General Practitioners' (RACGP's) National Research and Evaluation Ethics Committee to provide an eight-step approach to the research ethics process...
June 2015: Australian Family Physician
Stephen Burgess, Jenny Davis, Amee Morgans
BACKGROUND: More than 169,000 people live in residential aged care facilities (RACFs). As people age they use health services, particularly general practitioner (GP) services, more frequently but many GPs do not attend patients in RACFs. AIMS: To examine GPs' perceptions of barriers to providing care to patients in RACFs. METHODS: This study was conducted in June 2014 in the Bayside Medicare Local (BML) region in Victoria, Australia; all participants were drawn from this region...
2015: Australasian Medical Journal
Gerard Ingham, Simon Morgan, Leigh Kinsman, Jennifer Fry
BACKGROUND: The new Royal Australian College of General Practitioners' vocational training standards emphasise patient safety and matching the level of supervision to registrar competence. METHODS: All supervisors attending a regional training provider's annual education workshop were surveyed about their overall confidence in assessing the safety of their registrars' patients, their registrars' competence across the five RACGP domains of general practice and supervision methods used...
April 2015: Australian Family Physician
Gavin Andrews
BACKGROUND: Gotzsche, in Lancet Psychiatry, argued that antidepressants produce more harm than good and should be used sparingly. Ka-range et al showed that GP prescriptions of antidepressants in Australia are continuing to rise, especially in children. A rethink about the treatment of depression is indicated. OBJECTIVE: This paper provides a summary of the evidence for internet-delivered cognitive behaviour therapy, and looks at the three RACGP Handbook of Non-Drug Intervention (HANDI) recommendations for non-drug treatments for depression and arranged for the developers to comment...
December 2014: Australian Family Physician
David Greenfield, Mike Civil, Andrew Donnison, Anne Hogden, Reece Hinchcliff, Johanna Westbrook, Jeffrey Braithwaite
BACKGROUND: The study objective was to identify and describe the process, resources and expertise required for the revision of accreditation standards, and report outcomes arising from such activities. METHODS: Secondary document analysis of materials from an accreditation standards development agency. The Royal Australian College of General Practitioners' (RACGP) documents, minutes and reports related to the revision of the accreditation standards were examined...
2014: BMC Health Services Research
John Stevens, Mary-Anne Cole, Andrew Binns, John Dixon, Garry Egger
BACKGROUND: In some countries, shared medical appointments (SMAs) have been shown to be more effective than single consultations for managing chronic diseases. Our study was designed as the first stage of a Royal Australian College of General Practitioners (RACGP) funded project to assess potential patient and provider support for SMAs if they were to become available in Australia. METHODS: We conducted focus groups with healthcare providers and patients with diabetes in four large regional health centres in NSW...
November 2014: Australian Family Physician
Emily Farrell, Parker J Magin, Marie Pirotta, Mieke L van Driel
BACKGROUND: Critical thinking and research are important career skills for general practitioners. Vocational training in this aspect of The Royal Australian College of General Practitioners (RACGP) curriculum varies between regional training providers (RTPs). METHODS: A cross-sectional audit examining the delivery of the 'critical thinking and research' component of the RACGP curriculum at the RTP level, and documenting factors related to capacity and competence to deliver this training...
April 2013: Australian Family Physician
Constance D Pond, Henry Brodaty, Nigel P Stocks, Jane Gunn, John Marley, Peter Disler, Parker Magin, Nerida Paterson, Graeme Horton, Susan Goode, Bronwen Paine, Karen E Mate
BACKGROUND: Dementia is increasing in prevalence as the population ages. An earlier rather than later diagnosis allows persons with dementia and their families to plan ahead and access appropriate management. However, most diagnoses are made by general practitioners (GPs) later in the course of the disease and are associated with management that is poorly adherent to recommended guidelines. This trial examines the effectiveness of a peer led dementia educational intervention for GPs. METHODS: The study is a cluster randomised trial, conducted across three states and five sites...
2012: BMC Family Practice
Lyn Clearihan, Heather McGarry, Melanie Cheng, Peter Bratuskins, Mark Rowe
Regional training providers face many challenges in delivering vocational training to general practice registrars across Australia. They need to be able to respond to new learning theories and the ever expanding volume of medical knowledge, as well as the changing medical workforce. In 2008, the Victorian Metropolitan Alliance (VMA) embarked on a project to map the new Royal Australian College of General Practitioners curriculum to the VMA program. The aim of this article is to describe the processes through which the VMA created a curriculum guide for peer learning workshops, supervisors and registrars, designed to be adaptable to various Australian curricula and to be flexible and robust, as well as accessible to the intended users...
November 2010: Australian Family Physician
M W Heffernan
Faculty development, particularly that aspect of it concerned with increasing the educational and teaching skills of faculty members, is currently a major issue for medicine in general-and family medicine in particular. This article presents the author's views about what might be aspects of the guiding philosophy and content of such a program of faculty development, where it is concerned with increasing teaching skills.These views have been distilled over several years of personal growth and development, whilst working in this area as an educator within the RACGP's family medicine program, as a participant and facilitator in international workshops examining related topics, and most recently as a visiting professor within the McGill Department of Family Medicine at Jewish General Hospital, Montreal...
May 1979: Canadian Family Physician Médecin de Famille Canadien
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