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family, medicine, practice, GP

Simon Morgan, Andy Morgan, Rohan Kerr, Amanda Tapley, Parker Magin
OBJECTIVE: To assess the effectiveness of an educational intervention on test-ordering attitudes and intended practice of GP trainees, and any associations between changes in test ordering and trainee characteristics. DESIGN: Preworkshop and postworkshop survey of attitudes to test ordering, intended test-ordering practices for 3 clinical scenarios (fatigue, screening, and shoulder pain), and tolerance for uncertainty. SETTING: Three Australian regional general practice training providers...
September 2016: Canadian Family Physician Médecin de Famille Canadien
Pieter van den Hombergh, Arna van Doorn-Klomberg, Stephen Campbell, Michel Wensing, Jozé Braspenning
BACKGROUND: In 2006 The Dutch Health Care system changed to a market oriented system. The GP remuneration changed from ± 2/3 capitation patients and 1/3 private patients before 2006 to a mixed payment scheme. From 2006 onward every patient was insured and the GP received partly capitation, partly fees for consultations and for specific services. This change coincided with many other organisational changes in General Practice care. Our research question was if during the years after 2006 patient experiences of Dutch family practice had changed...
2016: BMC Family Practice
Andrew Lilley
INTRODUCTION: The local Clinical Commissioning Group has funded an innovative one-year pilot project to assess the value of providing specialist paediatric pharmacist and physiotherapist support direct to families and health care professionals (GP's, community pharmacists, practice nurses etc.) regarding asthma in the primary care setting. Community pharmacies are the one service that asthmatic children come in contact with in order to pick up their medications it was decided to encourage staff to provide interventions at the point of collection...
September 2016: Archives of Disease in Childhood
Grant S Hoekzema, Lisa Maxwell, Joseph W Gravel, Walter W Mills, William Geiger, J David Honeycutt
BACKGROUND: In 2013, the World Organisation of Family Doctors published training standards for post-graduate medical education (GME) in Family Medicine/General Practice (FP/GP). GME quality has not been well-defined, other than meeting accreditation standards. In 2009, the Association of Family Medicine Residency Directors (AFMRD) developed a tool that would aid in raising the quality of family medicine residency training in the USA. OBJECTIVE: We describe the development of this quality improvement tool, which we called the residency performance index (RPI), and its first three years of use by US family medicine residency (FMR) programmes...
September 2016: Education for Primary Care
Jo Buchanan, Roar Maagaard, Mario R Sammut, Adam Windak
No abstract text is available yet for this article.
September 2016: Education for Primary Care
Angelo Cavicchi, Simona Venturini, Ferdinando Petrazzuoli, Nicola Buono, Dario Bonetti
INTRODUCTION: In Italy the course to become a general practitioner (GP) lasts 3 years and includes both theoretical and practical study. Different from the theoretical part, until recently the practical activity has not been assessed at all. The Emilia Romagna Regional Health Authority has developed a special program called INFORMEG (Management of Tutoring during the Triennial Specific Training in General Practice), aimed at assessing primary doctor trainees' practical skills. INFORMEG includes a list of pre-defined cases of specific diseases, conditions or health problem, a web application and a smartphone app, aimed at assisting trainee self-management and helping the tutor in the assessment of trainee performance...
July 2016: Rural and Remote Health
Olav Thorsen, Miriam Hartveit, Jan Olav Johannessen, Lars Fosse, Geir Egil Eide, Jörn Schulz, Anders Bærheim
BACKGROUND: GPs' individual decisions to refer and the various ways of working when they refer are important determinants of secondary care use. The objective of this study was to explore and describe potential characteristics of GPs' referral practice by investigating their opinions about referring and their self-reported experiences of what they do when they refer. METHODS: Observational cross-sectional study using data from 128 Norwegian GPs who filled in a questionnaire with statements on how they regarded the referral process, and who were invited to collect data when they actually referred to hospital during one month...
2016: BMC Family Practice
Dennis Kreptul, Roger E Thomas
BACKGROUND AND OBJECTIVES: Family Medicine trainees are often assessed in Objective Structured Clinical Examinations (OSCEs). The purpose of this survey is to document the quality in terms of psychometrics and standard setting of OSCEs as used in Family Practice (FP)/General Practice (GP) training programs. METHODS: Nine electronic data bases were searched from inception to December 2015 and included articles were searched in the PubMed single citation matcher. Two authors independently assessed all titles/abstracts/full texts and abstracted data...
July 13, 2016: Education for Primary Care
John McKay, Laura Pickup, Sarah Atkinson, Duncan McNab, Paul Bowie
In the third article in the series, we describe the outputs from a series of roundtable discussions by Human Factors experts and General Practice (GP) Educational Supervisors tasked with examining the GP (family medicine) training and work environments through the lens of the systems and designed-centred discipline of Human Factors and Ergonomics (HFE). A prominent issue agreed upon proposes that the GP setting should be viewed as a complex sociotechnical system from a care service and specialty training perspective...
May 2016: Education for Primary Care
Arun L Singh, Jeffrey C Klick, Courtney E McCracken, Kiran B Hebbar
BACKGROUND: Hospice and Palliative Medicine (HPM) competencies are of growing importance in training general pediatricians and pediatric sub-specialists. The Accreditation Council for Graduate Medical Education (ACGME) emphasized pediatric trainees should understand the "impact of chronic disease, terminal conditions and death on patients and their families." Currently, very little is known regarding pediatric trainee education in HPM. METHODS: We surveyed all 486 ACGME-accredited pediatric training program directors (PDs) - 200 in general pediatrics (GP), 57 in cardiology (CARD), 64 in critical care medicine (CCM), 69 in hematology-oncology (ONC) and 96 in neonatology (NICU)...
April 26, 2016: American Journal of Hospice & Palliative Care
Asam Latif, Justin Waring, Deborah Watmough, Nick Barber, Anthony Chuter, James Davies, Nde-Eshimuni Salema, Matthew J Boyd, Rachel A Elliott
BACKGROUND: Community pharmacies are increasingly commissioned to deliver new, complex health interventions in response to the growing demands on family doctors and secondary health care services. Little is known about how these complex interventions are being accommodated and translated into the community pharmacy setting and whether their aims and objectives are realized in practice. The New Medicine Service (NMS) is a complex medicine management intervention that aims to support patients' adherence to newly prescribed medicines for a long-term condition...
December 29, 2015: Research in Social & Administrative Pharmacy: RSAP
Emily-Charlotte Frances Allen, Bruce Arroll
BACKGROUND: There is a debate in medicine about the use and value of self-disclosure by the physician as a communication tool. There is little empirical evidence about GPs and self-disclosure. AIM: To explore what GPs' attitudes, skills, and behaviour are with regard to self-disclosure during a clinical consultation and whether there is a need for the development of training resources. DESIGN AND SETTING: Mixed methods using open-ended and semi-structured interviews in Auckland, New Zealand, and the surrounding districts...
September 2015: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Pascale Thierry, Andrea Lasserre, Louise Rossignol, Solen Kernéis, Fanette Blaizeau, Chantal Stheneur, Thierry Blanchon, Daniel Levy-Bruhl, Thomas Hanslik
In France, vaccination against human papilloma virus (HPV) was recommended in 2007 for all 14-year-old girls as well as "catch-up" vaccination for girls between 15-23 y of age either before or within one year of becoming sexually active. We evaluated the vaccine coverage according to the eligibility for vaccination in a sample of young girls aged 14 to 23 years, who were seen in general practices. A survey was proposed to 706 general practitioners (GPs) and carried out from July to September 2010. GPs, also called "family doctor," are physicians whose practice is not restricted to a specific field of medicine but instead covers a variety of medical problems in patients of all ages...
2016: Human Vaccines & Immunotherapeutics
Anna Sayburn
No abstract text is available yet for this article.
2015: BMJ: British Medical Journal
Davorka Vrdoljak, Dragomir Petric, Ines Diminić Lisica, Ksenija Kranjčević, Sanja Došen Janković, Ita Delija, Livia Puljak
BACKGROUND: Regular use of evidence-based medicine (EBM) among general practitioners (GP) is insufficient. OBJECTIVE: To analyse whether knowledge and attitudes about EBM can be improved among mentors in general practice by involving sixth-year medical students as academic detailers. METHODS: An interventional non-randomized before-and-after study included 98 GPs (49 in the intervention group of mentors and 49 controls) and 174 medical students attending family medicine clinical rotations...
2015: European Journal of General Practice
Sven Streit, Vladimir Kaplan, André Busato, Sima Djalali, Oliver Senn, Damian N Meli
BACKGROUND: Patients requiring anticoagulation suffer from comorbidities such as hypertension. On the occasion of INR monitoring, general practitioners (GPs) have the opportunity to control for blood pressure (BP). We aimed to evaluate the impact of Vitamin-K Antagonist (VKA) monitoring by GPs on BP control in patients with hypertension. METHODS: We cross-sectionally analyzed the database of the Swiss Family Medicine ICPC Research using Electronic Medical Records (FIRE) of 60 general practices in a primary care setting in Switzerland...
2015: BMC Cardiovascular Disorders
Timucin Atayoglu, Noor Buchholz, Ayten Guner Atayoglu, Mujgan Caliskan
INTRODUCTION: The holistic approach in medicine is a framework that considers and treats all aspects of a patient's needs, as it relates to their health. The goal of such an approach is to prevent illness, and to maximise the well-being of individuals and families. Holistic medicine is also referred to as integrative, which has been interpreted by some professionals as the combination of evidence-based medicine and complementary medicine. THE PROBLEM: The speciality of Family Medicine (FM) is often referred to as General Practice (GP), a terminology which emphasises the holistic nature of that discipline...
March 2014: Arab Journal of Urology
R P J C Ramanayake, A H W De Silva, D P Perera, R D N Sumanasekera, L A C L Athukorala, K A T Fernando
INTRODUCTION: Worldwide Family Medicine has gained an important place in the undergraduate medical curriculum over the last few decades and general practices have become training centers for students. Exposure to patients early in the disease process, out patient management of common problems, follow up of chronic diseases and psychosocial aspects of health and disease are educational advantages of community based training but such training could have varying impact on patients, students and trainers...
April 2015: Journal of Family Medicine and Primary Care
Hebatallah Nour-Eldein, Nadia M Mansour, Abdulmajeed A Abdulmajeed
BACKGROUND: The completion of a thesis is a significant requirement for both a Master's and a doctorate degree in general practice/family medicine (GP/FM). A postgraduate thesis is a well-planned, time-intensive activity carried out over several years. The quality of the theses can be judged by the proportion of published papers. OBJECTIVE: This study aimed to describe Master's and doctoral theses in family medicine and their publications between 1982 and 2014. MATERIALS AND METHODS: GP/FM degree theses were reviewed at the Faculty of Medicine and central Suez Canal libraries...
April 2015: Journal of Family Medicine and Primary Care
C Krieger, D Stephan, B Aleil
BACKGROUND: The new direct oral anticoagulants (DOA) such as dabigatran, rivaroxaban or apixaban are an evolution in the management of patients requiring curative anticoagulation. However, behind the simplicity of prescribing and monitoring, several questions remain about their daily use. The aim of this prospective study was to measure the feelings of general practitioners (GP), angiologists (AP) and cardiologists (CP), potential prescribers of this new anticoagulant family. METHOD: Between December 2012 and May 2013, a questionnaire including five open questions and 11 questions using a positioning on an analogic visual scale (AVS 0 to 10) was subjected to GP, AP and CP in Alsace...
April 2015: Annales de Cardiologie et D'angéiologie
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