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https://www.readbyqxmd.com/read/29730960/partial-adoption-of-minimal-core-curriculum-in-undergraduate-teaching-of-family-medicine-a-cross-sectional-study-among-central-and-south-eastern-european-medical-schools
#1
Irena Zakarija-Grković, Venija Cerovečki, Davorka Vrdoljak
BACKGROUND: In 2011, Tandeter et al. published a list of 15 themes, based on a Delphi survey among representatives of the European Academy of Teachers in General Practice and Family Medicine (EURACT), and suggested this be the 'minimal core curriculum' (MCC) for undergraduate education in family medicine. OBJECTIVES: To determine: (1) if medical schools in the former Yugoslavia region are familiar with the MCC; and (2) to what degree it is being taught to medical students...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/29701780/change-in-frequency-of-patient-requests-for-diagnostic-screening-and-interventions-during-primary-care-encounters-from-1985-to-2014
#2
Jenny van den Broek, Kees van Boven, Hans Bor, Annemarie A Uijen
Background: The reason why patients contact a care provider, the reason for encounter (RFE), reflects patients' personal needs and expectations regarding medical care. RFEs can be symptoms or complaints, but can also be requests for diagnostic or therapeutic interventions. Objectives: Over the past 30 years, we aim to analyse the frequency with which patients consult a GP to request an intervention, and to analyse the impact of these requests on the subsequent diagnostic process...
April 26, 2018: Family Practice
https://www.readbyqxmd.com/read/29564249/diversity-in-family-medicine-the-art-of-thinking-independently-together-reflections-on-the-rcgp-exchange-2016
#3
Ana Beatriz Figueiredo, Gabriella Pesolillo, Sidra Kanwal, Amelia Tezen
This narrative summarizes the reflections of a UK conference exchange experience of four young general practitioners (GPs) from Peru, Portugal, Italy, and Pakistan. This article was written after participating in a RCGP exchange program in October 2016. This consisted of 2 days of observation in a GP practice in Liverpool followed by attendance at the RCGP preconference and annual conference. The exchange was organized by the RCGP Junior International Committee, which links to the Vasco da Gama Movement, a European network of new and future GPs...
October 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29285763/gp-practices-as-a-one-stop-shop-how-do-patients-perceive-the-quality-of-care-a-cross-sectional-study-in-thirty-four-countries
#4
Willemijn L A Schäfer, Wienke G W Boerma, François G Schellevis, Peter P Groenewegen
OBJECTIVE: To contribute to the current knowledge on how a broad range of services offered by general practitioners (GPs) may contribute to the patient perceived quality and, hence, the potential benefits of primary care. STUDY SETTING: Between 2011 and 2013, primary care data were collected among GPs and their patients in 31 European countries, plus Australia, Canada, and New Zealand. In these countries, GPs are the main providers of primary care, mostly specialized in family medicine and working in the ambulatory setting...
December 29, 2017: Health Services Research
https://www.readbyqxmd.com/read/29243572/development-dissemination-and-applications-of-a-new-terminological-resource-the-q-code-taxonomy-for-professional-aspects-of-general-practice-family-medicine
#5
Marc Jamoulle, Melissa Resnick, Julien Grosjean, Ashwin Ittoo, Elena Cardillo, Robert Vander Stichele, Stefan Darmoni, Marc Vanmeerbeek
BACKGROUND: While documentation of clinical aspects of General Practice/Family Medicine (GP/FM) is assured by the International Classification of Primary Care (ICPC), there is no taxonomy for the professional aspects (context and management) of GP/FM. OBJECTIVES: To present the development, dissemination, applications, and resulting face validity of the Q-Codes taxonomy specifically designed to describe contextual features of GP/FM, proposed as an extension to the ICPC...
December 2018: European Journal of General Practice
https://www.readbyqxmd.com/read/28965617/detection-of-familial-hypercholesterolemia-in-patients-from-a-general-practice-database
#6
Manuela Casula, Alberico L Catapano, Luigi Rossi Bernardi, Marco Visconti, Alberto Aronica
OBJECTIVES: Familial hypercholesterolemia (FH) is the most common monogenic lipid disorder associated with premature coronary heart disease. Early cholesterol-lowering therapy could effectively reduce cardiovascular disease morbidity and mortality in these patients. However, the majority of people with FH are undiagnosed, also due to low awareness and knowledge of FH in general practice, despite the high number of contacts GPs have with most of their patients which allows a systematic and effective approach to the detection of this condition...
October 2017: Atherosclerosis. Supplements
https://www.readbyqxmd.com/read/28830385/strengthening-general-practice-family-medicine-in-europe-advice-from-professionals-from-30-european-countries
#7
Natalia Zarbailov, Stefan Wilm, Howard Tandeter, Francesco Carelli, Mette Brekke
BACKGROUND: Substantial variations are still to be found in the strength of general practice/family medicine (GP/FM) across Europe regarding governance, workforce competence and performance, as well as academic development and position. Governments are encouraged by the WHO to secure high quality primary health care to their population, a necessity for reaching the goal "Health for all". The present study aimed at investigating the opinions of council members of the European Academy of Teachers in General Practice (EURACT) on necessary actions to strengthen the position of GP/FM in their country...
August 22, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/28793952/maintaining-capacity-for-in-practice-teaching-and-supervision-of-students-and-general-practice-trainees-a-cross-sectional-study-of-early-career-general-practitioners
#8
Nigel Catzikiris, Amanda Tapley, Simon Morgan, Elizabeth G Holliday, Jean Ball, Kim Henderson, Taryn Elliott, Neil Spike, Cathy Regan, Parker Magin
Objectives Expanding learner cohorts of medical students and general practitioner (GP) vocational trainees and the impending retirement of the 'baby boomer' GP cohort threaten the teaching and supervisory capacity of the Australian GP workforce. Engaging newly qualified GPs is essential to sustaining this workforce training capacity. The aim of the present study was to establish the prevalence and associations of in-practice clinical teaching and supervision in early career GPs.Methods The present study was a cross-sectional questionnaire-based study of recent (within 5 years) alumni of three of Australia's 17 regional general practice training programs...
August 10, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28645968/development-of-a-meta-algorithm-for-guiding-primary-care-encounters-for-patients-with-multimorbidity-using-evidence-based-and-case-based-guideline-development-methodology
#9
Cathleen Muche-Borowski, Dagmar Lühmann, Ingmar Schäfer, Rebekka Mundt, Hans-Otto Wagner, Martin Scherer
OBJECTIVE: The study aimed to develop a comprehensive algorithm (meta-algorithm) for primary care encounters of patients with multimorbidity. We used a novel, case-based and evidence-based procedure to overcome methodological difficulties in guideline development for patients with complex care needs. STUDY DESIGN: Systematic guideline development methodology including systematic evidence retrieval (guideline synopses), expert opinions and informal and formal consensus procedures...
June 22, 2017: BMJ Open
https://www.readbyqxmd.com/read/28592581/the-stop-ab-trial-protocol-efficacy-and-safety-of-discontinuing-patient-antibiotic-treatment-when-physicians-no-longer-consider-it-necessary
#10
Carl Llor, Ana Moragas, Carolina Bayona, Josep M Cots, José M Molero, Joana Ribas, Julio Francisco Fóthy, Isabel Gutiérrez, Coro Sánchez, Jesús Ortega, Javier Arranz, Jenifer Botanes, Purificación Robles
INTRODUCTION: Since 2011, the Spanish Society of Family Medicine has recommended general practitioners (GPs) to ask their patients to stop taking antibiotics when they suspect a viral infection. However, this practice is seldom used because uncertainty about diagnosis, and fear of consequences of discontinuing antibiotic therapy, as well as perceived pressure to continue prescribing antibiotics and potential conflict with patients are more of a concern for GPs than antibiotic resistance...
June 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28586939/-urgent-visits-to-nursing-homes-a-general-practitioner-s-perspective
#11
Markus Bleckwenn, David Ashrafnia, Rieke Schnakenberg, Klaus Weckbecker
Aim of the study Due to demographic changes, home visits to nursing care facilities are increasing. Urgent home visits represent a challenge for general practitioners. There are no recommendations for the implementation of urgent home visits. Therefore, in this study, we investigated how GP practices deal with urgent home visits and what improvements can be made to the medical emergency care. Methods A total of 15 teaching doctors of the Department of Family Medicine at the University of Bonn were interviewed using semi-structured interviews on the subject...
June 6, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/28444317/undocumented-and-documented-migrants-with-chronic-diseases-in-family-practice-in-the-netherlands
#12
Jonathan S O van de Sande, Maria E T C van den Muijsenbergh
Background: Undocumented migrants (UM) face many barriers in accessing healthcare. It is unknown how these affect the care of UM with chronic diseases in general practices. In the Netherlands, a General practitioner (GP) is the gatekeeper to the healthcare system and primary care provider for UM. Objective: To get insight into GP care for chronic diseases in UM compared with documented migrants (DM). Methods: A survey study of medical records of UM and DM in five general practices in the Netherlands with extensive experience in caring for UM...
November 16, 2017: Family Practice
https://www.readbyqxmd.com/read/28423837/a-terminology-in-general-practice-family-medicine-to-represent-non-clinical-aspects-for-various-usages-the-q-codes
#13
Marc Jamoulle, Julien Grosjean, Melissa Resnick, Ashwin Ittoo, Arthur Treuherz, Robert Vander Stichele, Elena Cardillo, Stéfan J Darmoni, Frank S Shamenek, Marc Vanmeerbeek
The hereby proposed terminology called "Q-Codes" can be defined as an extension of the International Classification of Primary Care (ICPC-2). It deals with non-clinical concepts that are relevant in General Practice/Family Medicine (GP/FM). This terminology is a good way to put an emphasis on underestimated topics such as Teaching, Patient issues or Ethics. It aims at indexing GP/FM documents such as congress abstracts and theses to get a more comprehensive view about the GP/FM domain. The 182 identified Q-Codes have been very precisely defined by a college of experts (physicians and terminologists) from twelve countries...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28003897/use-of-prescription-drugs-and-investigations-by-doctors-in-primary-care-settings-in-oman-and-the-uk
#14
Robin Davidson
OBJECTIVES: This audit aimed to investigate the use of prescription drugs and investigations by trainee doctors in primary care settings in Oman and the UK. METHODS: This audit took place between February and April 2015. The medical records of consecutive patients seen by five family medicine trainee doctors at a primary care setting in Oman were retrospectively reviewed. These data were compared to those gathered from two trainees at a general practice clinic in the UK as well as an experienced general practitioner (GP) who had practiced in both countries...
November 2016: Sultan Qaboos University Medical Journal
https://www.readbyqxmd.com/read/27997259/a-new-comprehensive-model-for-continuous-professional-development
#15
Niels Kristian Kjaer, Marianne Vedsted, James Høpner
BACKGROUND: It is generally agreed that continuing professional development (CPD) for GPs is important for quality of care. Internationally, however, different approaches to identify the learning objectives and the CPD content have been chosen. OBJECTIVES: To improve GPs' CPD in Denmark we explore how general practitioners' (GPs) self-experienced learning needs can be combined with learning needs experienced from a societal perspective and still make sense for GPs...
December 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/27834818/the-knowledge-awareness-and-practices-of-portuguese-general-practitioners-regarding-multimorbidity-and-its-management-qualitative-perspectives-from-open-ended-questions
#16
Filipe Prazeres, Luiz Santiago
Multimorbidity's high prevalence and negative impact has made it a subject of worldwide interest. The main aim of this study was to access the Portuguese knowledge, awareness, and practices of general practitioners (GPs) regarding multimorbidity and its management, in order to aid in the development of interventions for improving outcomes in multimorbid patients in primary care. A web-based qualitative descriptive study was carried out in the first trimester of 2016 with primary care physicians working in two districts of the Centre region of Portugal...
November 8, 2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27629671/test-ordering-by-gp-trainees-effects-of-an-educational-intervention-on-attitudes-and-intended-practice
#17
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
https://www.readbyqxmd.com/read/27561993/patient-experiences-with-family-medicine-a-longitudinal-study-after-the-dutch-health-care-reforms-in-2006
#18
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...
August 25, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27540234/assessing-the-benefits-that-community-pharmacies-can-have-on-childhood-asthma-outcomes
#19
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
https://www.readbyqxmd.com/read/27538717/quality-assessment-and-improvement-of-post-graduate-family-medicine-training-in-the-usa
#20
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
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