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Junior doctor

Cate Swannell
No abstract text is available yet for this article.
June 18, 2018: Medical Journal of Australia
Stephen Bradley, John P Egan, Marcus Henning
AIM: Paediatric team handovers provide medical professionals and students with the opportunity to exchange clinically relevant information about patients. This study explored the extent to which learning opportunities existed and were utilised within paediatric team handovers in New Zealand secondary hospitals. METHODS: We undertook a qualitative, two-site case study within two paediatric departments in 2014 and 2015, and interviewed 29 participants, including medical students, junior doctors and consultants...
June 8, 2018: New Zealand Medical Journal
David Johnston, Owen McMurray, Michael McKee, Michael McConville, Niall Leonard
No abstract text is available yet for this article.
May 2018: Ulster Medical Journal
Agnes Ayton, Ali Ibrahim
BACKGROUND: Eating disorders affect 1%-4% of the population and they are associated with an increased rate of mortality and multimorbidity. Following the avoidable deaths of three people the parliamentary ombudsman called for a review of training for all junior doctors to improve patient safety. OBJECTIVE: To review the teaching and assessment relating to eating disorders at all levels of medical training in the UK. METHOD: We surveyed all the UK medical schools about their curricula, teaching and examinations related to eating disorders in 2017...
June 4, 2018: Postgraduate Medical Journal
Bernhard von Below, Stig Rödjer, Bengt Mattsson, Dominique Hange, Mats Wahlqvist
Objectives: The study aimed to explore and identify factors motivating junior doctors to engage as long-term clinical tutors in undergraduate medical education. Methods: In this qualitative study, twenty-seven participants were recruited among junior doctors attending preparatory tutor courses at the Sahlgrenska Academy, University of Gothenburg, and the Primary Healthcare system, West Sweden. They were asked to respond to open-ended questions and write a short account of their needs as clinical tutors for medical students...
May 31, 2018: International Journal of Medical Education
Tarsh Pandit, Robin A Ray, Sabe Sabesan
Introduction: Historically, the use of videoconference technologies in emergency medicine training has been limited. Whilst there are anecdotal reports of the use of teletraining for emergency medicine by rural doctors in Australia, minimal evidence exists in the literature. This paper aimed to explore the use of teletraining in the context of managing emergency presentations in rural hospitals. Methods: Using a qualitative approach, a mixture of junior and senior doctors were invited to participate in semistructured interviews...
2018: International Journal of Telemedicine and Applications
William J Scotton, Susan P Mollan, Thomas Walters, Sandra Doughty, Hannah Botfield, Keira Markey, Andreas Yiangou, Shelley Williamson, Alexandra J Sinclair
OBJECTIVES: Patients with idiopathic intracranial hypertension (IIH) usually require multiple lumbar punctures (LPs) during the course of their disease, and often report significant morbidity associated with the procedure. The aim of this study was to assess the patient's experience of diagnostic LP in IIH. DESIGN, METHODS AND PARTICIPANTS: A cross-sectional study of patients with IIH was conducted using an anonymous online survey, with the questions designed in collaboration with IIH UK (the UK IIH charity)...
May 30, 2018: BMJ Open
Wendy Zi Wei Teo
This article attempts to tackle the ethically and morally troubling issue of emigration of physicians from the United Kingdom, and whether it can be justified. Unlike most research that has already been undertaken in this field, which looks at migration from developing countries to developed countries, this article takes an in-depth look at the migration of physicians between developed countries, in particular from the United Kingdom (UK) to other developed countries such as Canada, Australia, New Zealand, and the United States (US)...
July 2018: Cambridge Quarterly of Healthcare Ethics: CQ: the International Journal of Healthcare Ethics Committees
Alexander J Martin, Benjamin J Beska, Greta Wood, Nicola Wyatt, Anthony Codd, Gillian Vance, Bryan Burford
BACKGROUND: Under-representation of some socio-economic groups in medicine is rooted in under-representation of those groups in applications to medical school. This study aimed to explore what may deter school-age children from applying to study medicine. METHODS: Workshops were undertaken with school students aged 16-17 years ('Year 12', n = 122 across three workshops) and 13-14 years ('Year 9', n = 295 across three workshops). Workshops used a variety of methods to identify and discuss participants' perceptions of medicine, medical school and the application process...
May 30, 2018: BMC Medical Education
Chevonne Brady, Mark Zarb
As a junior doctor in what is an increasingly struggling healthcare system, I am concerned to see that many of my junior and senior colleagues have opted not to continue onto the next stage of training. Whilst entrepreneurship, leadership and management are now accepted as important skills for doctors to be exposed to, this is clearly not filtering through to medical education at the undergraduate level. We have surveyed final year medical students regarding this and used these results to develop a national teaching programme which aims to provide junior doctors with skills such as management, leadership and enterprise which they would otherwise not be exposed to...
January 1, 2018: Scottish Medical Journal
Gareth Drake, Amanda C de C Williams
BACKGROUND AND AIMS: Pain management for hospital inpatients remains suboptimal. Previously identified barriers to optimal pain management include staff communication difficulties, confusion around pain management roles and a lack of suitable resources for clinical staff. The emotional, relational and contextual complexities of gastrointestinal (GI) pain create particular challenges for frontline clinical staff attempting to implement a biopsychosocial approach to its management. The current study took place over 2 years, comprised an ethnographic and a feedback phase, and aimed to examine pain management processes with clinical staff in order to generate hypotheses and initiatives for improvement...
May 9, 2018: Scandinavian Journal of Pain
Atena Barat, Michael J Goldacre, Trevor W Lambert
Objective: To report UK-trained doctors' career choices for dermatology, career destinations, and factors influencing career pathways. Methods: Multicohort multipurpose longitudinal surveys of UK-trained doctors who graduated between 1974 and 2015. Results: In all, 40,412 doctors (58% of graduates) responded in year 1, 31,466 (64%) in year 3, and 24,970 (67%) in year 5. One year after graduation, 1.7% of women and 0.6% of men made dermatology their first choice but by five years after graduation the respective figures were 1...
2018: Dermatology Research and Practice
Mark G Williams, Zachary Jeffery, Henry W Corner, John Charity, Marina Quantick, Natalie Sartin
BACKGROUND: A clear imperative exists to optimize the preoperative pain management of hip fracture patients. Increasingly, fascia iliaca compartment blocks (FICBs) are being effectively utilized as an adjunct to oral analgesia in the emergency department. PURPOSE: We investigated the feasibility, safety, and delivery rate when junior doctors and specialist nurses are trained in FICBs delivery, alongside the introduction of a step-by-step proforma. METHODS: We conducted a retrospective study of hip fractures patients presenting preinterventions (n = 138) between October and December 2014 and postinterventions (n = 246) between April and August 2015...
May 2018: Orthopaedic Nursing
Gareth Iacobucci
No abstract text is available yet for this article.
May 19, 2018: BMJ: British Medical Journal
K Somasundram, H Spence, A J Colquhoun, C Mcilhenny, C S Biyani, S Jain
OBJECTIVE: We have designed an exercise to train newly appointed Urology trainees in non-technical skills on ward rounds as a part of a simulation 'boot camp'. This paper reports our experience, including a qualitative analysis of participant feedback on the utility of this method of training. PATIENTS AND METHODS: The simulations took place in a high-fidelity simulated ward bay. Forty-eight doctors with formal Urology training ranging between 2-60 months (mean 19...
May 19, 2018: BJU International
Deborah Cohen
No abstract text is available yet for this article.
May 18, 2018: BMJ: British Medical Journal
Sebastian C K Shaw, John L Anderson
This article explores the experiences of U.K. medical students with dyslexia, using an interpretive phenomenological approach. This project began with a review of the literature, highlighting a void of qualitative research. We then conducted a collaborative autoethnography. This paper forms the next stage in this series of research. We aimed to elicit meaning and understanding from the lived experiences of our participants. Eight U.K. junior doctors with dyslexia were interviewed over the telephone in an in-depth, unstructured manner...
May 10, 2018: Dyslexia: the Journal of the British Dyslexia Association
Maysam Ali Abdulwahid, Janette Turner, Suzanne M Mason
INTRODUCTION: Despite the focus during the last decade on introducing interventions such as senior doctor initial assessment or senior doctor triage (SDT) to reduce emergency department (ED) crowding, there has been little attempt to identify the views of emergency healthcare professionals on such interventions. The aim of this study was to gain an understanding of SDT from the perspective of emergency hospital staff. A secondary aim of this study was to develop a definition of SDT based on the interview findings and the available literature on this process...
May 10, 2018: Emergency Medicine Journal: EMJ
Oliver J Dyar, Dilip Nathwani, Dominique L Monnet, Inge C Gyssens, Cecilia Stålsby Lundborg, Céline Pulcini
Background: In an era of antibiotic resistance, medical students must be prepared to prescribe antibiotics responsibly. Objectives: To assess self-reported preparedness among final-year medical students at European universities, using a comprehensive set of topics related to prudent antibiotic use. Methods: We conducted a cross-sectional, multicentre, web-based survey. All medical-degree students in their final year of studies at European universities were eligible to participate...
May 9, 2018: Journal of Antimicrobial Chemotherapy
Noëlle Junod Perron, Cédric Lanier, Sanae Mazouri
Transition from postgraduate training to independent practice in primary care can be experienced as very stressful. This may be partly explained by the fact that in Switzerland, only six months training in ambulatory medicine are required as part of a five year training for the title of primary care physician. This seems largely insufficient given the diversity of tasks and skills to master. This article aims to make junior doctors aware of the medical and non medical skills they should acquire before entering in primary care independent practice (practice management, insurance, medico-legal issues)...
May 9, 2018: Revue Médicale Suisse
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