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https://www.readbyqxmd.com/read/30039495/changes-in-australian-early-career-general-practitioners-benzodiazepine-prescribing-a-longitudinal-analysis
#1
Parker Magin, Amanda Tapley, Adrian J Dunlop, Andrew Davey, Mieke van Driel, Elizabeth Holliday, Simon Morgan, Kim Henderson, Jean Ball, Nigel Catzikiris, Katie Mulquiney, Neil Spike, Rohan Kerr, Simon Holliday
BACKGROUND: Australian and international guidelines recommend benzodiazepines and related drugs (hereafter "benzodiazepines") as second-line, short-term medications only. Most benzodiazepines are prescribed by general practitioners (GPs; family physicians). Australian GP registrars ("trainees" or "residents" participating in a post-hospital training, apprenticeship-like, practice-based vocational training program), like senior GPs, prescribe benzodiazepines at high rates...
July 23, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29929504/involving-general-practice-trainees-in-clinical-practice-guideline-adaptation
#2
Nicolas Delvaux, Martine Goossens, Paul Van Royen, Stijn Van de Velde, Robert Vanderstichele, Hanne Cloetens, Jan Vanschoenbeek, Bert Aertgeerts
BACKGROUND: It is unclear whether it is feasible to involve residents in guideline development or adaptation. We designed a multifaceted training program that combines training sessions, a handbook and a documentation tool to assist general practice (GP)-trainees in the adaptation of clinical practice guidelines (CPGs). The aim of this study is to adapt a database of CPGs by involving GP-trainees and to build evidence-based practice (EBP) learning capacity. METHODS: We assessed each adaptation process and surveyed all GP-trainees who enrolled in our training program on their views on the program...
June 22, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29895212/the-rule-of-thirds-a-consultation-scaffold-for-medical-students-and-trainees
#3
Jess Grundy
Consultation theory contains a wealth of useful suggestions but it can seem overwhelming to the novice. The Rule of Thirds describes a consistent consultation scaffold, which aids the teaching of respected consultation models and facilitates formation of individual consultation style. It is useful for medical students and trainees, particularly GP Specialty Trainees.
June 12, 2018: Education for Primary Care
https://www.readbyqxmd.com/read/29799287/early-predictors-of-summative-assessment-performance-in-general-practice-post-graduate-training-a-retrospective-cohort-study
#4
Rebecca Stewart, Nick Cooling, Graham Emblen, Allison Turnock, Amanda Tapley, Elizabeth Holliday, Jean Ball, Jennifer Juckel, Parker Magin
BACKGROUND: Success in summative general practice (GP) training assessments is one indicator of competence for practice. Early-training factors predictive of outcomes would facilitate targeted interventions aimed at preventing candidate failures. METHODS: We undertook a retrospective cohort study of Australian GP trainees in two training organizations over five years. Associations of pre-training and early-training predictors with summative examination scores in an Applied Knowledge Test (AKT), Key Features Paper (KFP), and Objective Structured Clinical Examination (OSCE), plus failure on any one of these, were tested via univariate and multivariable regression...
May 25, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29780265/does-focused-and-dedicated-teaching-improve-the-confidence-of-gp-trainees-to-diagnose-and-manage-common-acute-ent-pathologies-in-primary-care
#5
Vikas Acharya, Matthew Haywood, Naomi Kokkinos, Anisha Raithatha, Sinthuja Francis, Rishi Sharma
Background: General practitioners (GPs) are key members of the health care profession who are required to have a considerable breadth of knowledge to manage and treat patients effectively in the community. Their skills and experience varies depending on the medical school they attended and their foundation training and specialist GP training schemes. Exposure to ear, nose, and throat (ENT)-specific pathology is often insufficient due to the lack of formal otolaryngology rotations, minimal relevant teaching opportunities, and inconsistencies in curricula, despite ENT-related pathology presentations being one of the commonest consultations in primary care...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29699554/would-changing-the-selection-process-for-gp-trainees-stem-the-workforce-crisis-a-cohort-study-using-multiple-imputation-and-simulation
#6
Celia Taylor, I C McManus, Ian Davison
BACKGROUND: There is currently a shortage of qualified GPs in the UK and not all of the training posts available each year are filled. Changing the way in which GP trainees are selected could help increase the training post fill rate and the number of new entrants to the GP Register. The aim of this study was to model the impact of changing the selection process for GP training on the number of trainees obtaining GP Registration, either with or without extensions. METHOD: This was a cohort study using UK applications for GP training in 2011-14...
April 27, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29683050/how-preferred-learning-approaches-change-with-time-a-survey-of-gps-and-gp-specialist-trainees
#7
Pamela Curtis, Gordon Taylor, Michael Harris
Background The Approaches and Study Skills Inventory for Students (ASSIST) questionnaire assesses whether learners prefer a deep, strategic or surface approach to learning. This study aimed to establish the effect of time since qualification, gender and work role on ASSIST scores of General Practitioners (GPs) and GP Specialist Trainees (GPSTs). Methods An anonymous online questionnaire with demographic questions and the ASSIST survey was completed by 1005 GPs and GPSTs from across the United Kingdom. Results Of the 544 GPs and 461 GPSTs completing the survey, 96...
April 23, 2018: Education for Primary Care
https://www.readbyqxmd.com/read/29666050/home-office-drops-deportation-case-against-gp-trainee
#8
Abi Rimmer
No abstract text is available yet for this article.
April 17, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29609529/video-recording-consultations-for-educational-purposes-in-out-of-hours-primary-care-patients-and-physicians-are-willing-to-participate
#9
Bertwin Krug, Annelies Colliers, Jan Matthys, Sibyl Anthierens, Hilde Philips, Jorn Damen, Samuel Coenen, Roy Remmen
Background Video-recordings of consultations are used by general practitioner (GP) trainees to enable reflection on aspects of knowledge, skills and attitudes. Typically, these recordings are made during office hours in general practice, but little is known about using video-recording during out of hours (OOH) care, which is an important and distinct part of a GP's work. To be able to record consultations during OOH care (i.e. at the emergency department (ED) and at the General Practitioner Cooperative (GPC)), patients must be willing to cooperate and give informed consent...
April 2, 2018: Acta Clinica Belgica
https://www.readbyqxmd.com/read/29573572/general-practice-tasters-for-foundation-doctors
#10
Bryony Sales, Mike Masding, Samantha Scallan
BACKGROUND: General practice (GP) is currently not viewed positively as a career choice, compared with other specialties, with GP training programmes struggling to fill posts. Opportunities to change this mindset in the early years of training are limited. Trainees may find themselves applying for entry into GP specialty training just 3-4 months after completing Foundation Year 1 (FY1), yet there are few GP attachments during FY1 that can provide experience of primary care and positively inform career choice...
March 24, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29541934/dedicated-general-practitioner-education-sessions-can-improve-diagnostic-capabilities-and-may-have-a-positive-effect-on-referral-patterns-for-common-skin-lesions
#11
Suzanne M Beecher, Cillian Keogh, Claragh Healy
INTRODUCTION: General practitioners (GPs) require the necessary skills to identify potentially malignant skin lesions and refer patients in an appropriate and timely manner. We examined the impact of a single consultant delivered education session to GP trainees on their diagnosis of common skin lesions. METHODS: A prospective analysis of baseline knowledge was assessed using a photographic questionnaire. A dedicated education session was delivered by a consultant plastic surgeon...
March 14, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29535997/a-discussion-of-virtual-reality-as-a-new-tool-for-training-healthcare-professionals
#12
Caroline Fertleman, Phoebe Aubugeau-Williams, Carmel Sher, Ai-Nee Lim, Sophie Lumley, Sylvie Delacroix, Xueni Pan
Background: Virtual reality technology is an exciting and emerging field with vast applications. Our study sets out the viewpoint that virtual reality software could be a new focus of direction in the development of training tools in medical education. We carried out a panel discussion at the Center for Behavior Change 3rd Annual Conference, prompted by the study, "The Responses of Medical General Practitioners to Unreasonable Patient Demand for Antibiotics--A Study of Medical Ethics Using Immersive Virtual Reality" (1)...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29523512/jury-finds-trainee-gp-not-guilty-of-sexually-assaulting-five-patients
#13
Clare Dyer
No abstract text is available yet for this article.
March 9, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29483074/trainee-gp-who-falsified-timesheet-is-suspended-for-four-months-after-gmc-intervened
#14
Clare Dyer
No abstract text is available yet for this article.
February 26, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29439086/using-photography-to-enhance-gp-trainees-reflective-practice-and-professional-development
#15
Rutherford, Emer Forde, Jacqueline Priego-Hernandez, Aurelia Butcher, Clare Wedderburn
The capacity and the commitment to reflect are integral to the practice of medicine and are core components of most general practitioners (GP) training programmes. Teaching through the humanities is a growing area within medical education, but one which is often considered a voluntary 'add-on' for the interested doctor. This article describes an evaluation of a highly innovative pedagogical project which used photography as a means to enhance GP trainees' reflective capacity, self-awareness and professional development...
February 8, 2018: Medical Humanities
https://www.readbyqxmd.com/read/29370852/multiple-mini-interview-mmi-for-general-practice-training-selection-in-australia-interviewers-motivation
#16
Annette Burgess, Chris Roberts, Premala Sureshkumar, Karyn Mossman
BACKGROUND: Multiple Mini Interviews (MMIs) are being used by a growing number of postgraduate training programs and medical schools as their interview process for selection entry. The Australian General Practice and Training (AGPT) used a National Assessment Centre (NAC) approach to selection into General Practice (GP) Training, which include MMIs. Interviewing is a resource intensive process, and implementation of the MMI requires a large number of interviewers, with a number of candidates being interviewed simultaneously...
January 25, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29359997/scotland-s-gp-paediatric-scholarship-an-evaluation
#17
Ronald MacVicar, Lyndsey Borland, Sharon McHale, Dayeel Goh, Alex Potter
In a previous publication we described the implementation and early evaluation of general practice paediatric scholarships in Scotland. We suggested that it was too early to be able to determine whether this significant investment will produce a return for Scotland in terms of enhanced roles in providing, leading or developing children's services in primary care or at the primary care/secondary care interface. This paper presents the results of a survey of the impact of the scholarship for the first six cohorts of the scholarship (119 General Practitioners)...
May 2018: Education for Primary Care
https://www.readbyqxmd.com/read/29304729/optional-part-time-and-longer-gp-training-modules-in-gp-practices-associated-with-more-trainees-becoming-gps-a-cohort-study-in-switzerland
#18
Lara Studerus, Regina Ahrens, Christian Häuptle, Adrian Goeldlin, Sven Streit
BACKGROUND: Switzerland, like many other countries, has a shortage of General Practitioners (GPs). Optional GP training modules in GP practices were offered during the at least 5-year GP training program to increase student and trainee interest in becoming a GP. The training modules had not yet been evaluated. We determined how many Swiss GP trainees became practicing GPs after they completed optional training modules, and if longer modules were associated with higher rates of GP specialization...
January 5, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29303045/general-practitioner-gp-trainees-experience-of-a-1-h-protected-supervision-model-given-during-psychiatry-placements-in-the-united-kingdom
#19
Gareth Thomas, Helen McNeill
Background A '1-hour protected supervision model' is well established for Psychiatry trainees. This model is also extended to GP trainees who are on placement in psychiatry. AIM: To explore the experiences of the '1-hour protected supervision model' for GP trainees in psychiatry placements in the UK. Methods Using a mixed methods approach, an anonymous online questionnaire was sent to GP trainees in the North West of England who had completed a placement in Psychiatry between February and August 2015...
May 2018: Education for Primary Care
https://www.readbyqxmd.com/read/29303043/-the-best-laid-schemes-o-mice-an-men-a-workshop-to-teach-the-application-of-evidence-based-medicine-in-low-and-middle-income-countries
#20
Rakesh Narendra Modi, Laura Chapman, Camille Gajria, Eugene Yee Hing Tang
Background Evidence-Based Medicine (EBM) is often an ideal, with beginnings in positivist science. More recent relativism, rights and ethics have challenged a binary view of EBM. Medical volunteering is a paradigm as GPs and trainees often run EBM projects in low- and middle-income countries (LMICs), which require significant contextual adaptation. We created a workshop to enable GPs and GP trainees to reflect on and plan for the factors important in the application of EBM in LMICs. We describe the first running at the 21st WONCA Europe Conference...
March 2018: Education for Primary Care
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