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https://www.readbyqxmd.com/read/28720566/junior-doctor-contract-is-making-paediatric-rotas-more-difficult-to-fill-finds-survey
#1
Zosia Kmietowicz
No abstract text is available yet for this article.
July 18, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28716785/imbuing-medical-professionalism-in-relation-to-safety-a-study-protocol-for-a-mixed-methods-intervention-focused-on-trialling-an-embedded-learning-approach-that-centres-on-the-use-of-a-custom-designed-board-game
#2
Marie Ward, Eilish McAuliffe, Éidín Ní Shé, Ann Duffy, Una Geary, Una Cunningham, Catherine Holland, Nick McDonald, Karen Egan, Christian Korpos
INTRODUCTION: Healthcare organisations have a responsibility for ensuring that the governance of workplace settings creates a culture that supports good professional practice. Encouraging such a culture needs to start from an understanding of the factors that make it difficult for health professionals to raise issues of concern in relation to patient safety. The focus of this study is to determine whether a customised education intervention, developed as part of the study, with interns and senior house officers (SHOs) can imbue a culture of medical professionalism in relation to patient safety and support junior doctors to raise issues of concern, while shaping a culture of responsiveness and learning...
July 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28712410/achieving-self-sufficiency-training-australia-s-future-medical-workforce
#3
Brian Fernandes, Edward R Scheffer Cliff, Amelia Chowdhury
There is an oversupply of Australian junior doctors, but significant training bottlenecks are developing, and geographical maldistribution in rural and remote areas remains. Last year, the Federal Minister for Immigration rejected a Department of Health recommendation for the removal of 41 health roles from the Skilled Occupation List after concerns that rural and regional communities would be left without access to medical services in areas currently serviced by international medical graduates. In an effort to achieve workforce self-sufficiency, Australia must ensure access to high-quality vocational training places in rural and regional settings while managing immigration of overseas-trained health professionals...
July 17, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28682507/taking-on-the-doctor-role-in-whole-task-simulation
#4
Maggie Bartlett, Simon P Gay, Ruth Kinston, Robert McKinley
BACKGROUND: Untimed simulated primary care consultations focusing on safe and effective clinical outcomes were first introduced into undergraduate medical education in Otago, New Zealand, in 2004. We extended this concept and included a secondary care version for final-year students. We offer students opportunities to manage entire consultations, which include making and implementing clinical decisions with simulated patients (SPs). Formative feedback is given by SPs on the achievement of pre-determined outcomes and by faculty members on clinical decision making, medical record keeping and case presentation...
July 6, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28681546/a-national-survey-of-the-effects-of-fatigue-on-trainees-in-anaesthesia-in-the-uk
#5
L McClelland, J Holland, J-P Lomas, N Redfern, E Plunkett
Long daytime and overnight shifts remain a major feature of working life for trainees in anaesthesia. Over the past 10 years, there has been an increase in awareness and understanding of the potential effects of fatigue on both the doctor and the patient. The Working Time Regulations (1998) implemented the European Working Time Directive into UK law, and in August 2009 it was applied to junior doctors, reducing the maximum hours worked from an average of 56 per week to 48. Despite this, there is evidence that problems with inadequate rest and fatigue persist...
July 5, 2017: Anaesthesia
https://www.readbyqxmd.com/read/28676559/a-third-of-junior-doctors-say-rota-gaps-have-worsened-their-training-gmc-finds
#6
Abi Rimmer
No abstract text is available yet for this article.
July 4, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28674612/acute-kidney-injury-improving-the-communication-from-secondary-to-primary-care
#7
Clemency Nye, Suzanna Lake
Acute kidney injury (AKI) is a common but preventable event in secondary care. It is known to be associated with poorer outcomes for the patient's future health. Patients therefore require specific after-care in the community following an AKI, both in the short and long term. However, information about an inpatient AKI is often not communicated to primary care at discharge. Only 11.0% of discharge summaries contained full information about an AKI (including stage of AKI, changes to medications and follow-up required) in August 2015...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28673222/rational-clinical-pathology-assessment-in-the-intensive-care-unit
#8
K S Rachakonda, M Parr, A Aneman, S Bhonagiri, S Micallef
Blood tests are ordered on a daily basis in intensive care units (ICU). There are no widely accepted guidelines for testing requirements. This study investigated the impact on ICU laboratory test costs of a multi-strategy change in practice involving routine blood testing. A single centre, prospective, interventional study using historical controls was undertaken to investigate the impact of ICU specialist authorisation of high-volume routine tests on ICU laboratory test costs. Prior to commencement of the study, ICU nursing and junior ICU doctors were able to order tests...
July 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28669145/junior-doctors-preparedness-to-prescribe-monitor-and-treat-patients-with-the-antibiotic-vancomycin-in-an-australian-teaching-hospital
#9
Cameron J Phillips, Ross A McKinnon, Richard J Woodman, David L Gordon
Purpose: We aimed to assess preparedness of junior doctors to use vancomycin, and determined association between education and provision of a pocket guideline on self-reported confidence and objective knowledge. Methods: This was a two component cross-sectional study. A sixty-minute educational session and provision of a pocket guideline were implemented. Preparedness was evaluated by self-reported confidence survey in early and late stages of each training year, and by continuing medical education (CME) knowledge scores...
June 7, 2017: Journal of Educational Evaluation for Health Professions
https://www.readbyqxmd.com/read/28640735/improving-patient-safety-in-the-nhs-the-culture-change-agents
#10
John Tingle, Jen Minford
John Tingle, Reader in Health Law at Nottingham Trent University, and Jen Minford, Junior Doctor Coordinator, Nottingham University Hospitals NHS Trust, look at the role of patient safety culture change agents in the NHS.
June 22, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28638754/report-on-the-world-medical-association-general-assembly-and-the-junior-doctors-network-meetings-taipei-2016
#11
Chiaki Mishima, Daisuke Kato, Maki Okamoto, Kouta Suzuki
No abstract text is available yet for this article.
December 2016: Japan Medical Association Journal: JMAJ
https://www.readbyqxmd.com/read/28607682/improving-inpatient-care-for-older-adults-implementing-dementia-commissioning-for-quality-and-innovation-cquin
#12
Judith R Harrison
Dementia is a common condition, and people with dementia occupy around 25% of hospital beds. Commissioning for Quality and Innovation (CQUIN) is an NHS payment framework that links part of English healthcare providers' income to quality improvement. The dementia CQUIN goals are designed to encourage the recognition of dementia in hospital. The Royal Surrey County Hospital, Guildford, introduced new procedures to meet the dementia CQUIN targets. Adherence to the changes was a problem. This project aimed to improve hospital's implementation strategy...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28601085/validity-of-humerus-fracture-classification-in-the-swedish-fracture-register
#13
David Wennergren, Stina Stjernström, Michael Möller, Mikael Sundfeldt, Carl Ekholm
BACKGROUND: The ability to correctly classify fractures is of importance for choosing the appropriate treatment and for providing appropriate data for research and quality registers. In the Swedish Fracture Register (SFR) fractures of all types are registered by the attending physician, often a junior doctor. For the majority of fractures, a modified AO/OTA classification is used. This study aimed to validate the accuracy of classification of humerus fractures in the SFR and also at providing insight into inherent classification uncertainties...
June 10, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28600343/a-longitudinal-and-multicentre-study-of-burnout-and-error-in-irish-junior-doctors
#14
Paul O'Connor, Sinéad Lydon, Angela O'Dea, Layla Hehir, Gozie Offiah, Akke Vellinga, Dara Byrne
BACKGROUND: Junior doctors have been found to suffer from high levels of burnout. AIMS: To measure burnout in a population of junior doctors in Ireland and identify if: levels of burnout are similar to US medical residents; there is a change in the pattern of burnout during the first year of postgraduate clinical practice; and burnout is associated with self-reported error. METHODS: The Maslach Burnout Inventory-Human Services Survey was distributed to Irish junior doctors from five training networks in the last quarter of 2015 when they were approximately 4 months into their first year of clinical practice (time 1), and again 6 months later (time 2)...
June 9, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28597704/foundation-year-one-training-in-neurosurgery-achieving-competency-a-5-year-review
#15
Shyam Pujara, Sandeep Solanki
INTRODUCTION: F1 doctors are a rare breed in Neurosurgery, featuring in only 4 out of 40 UK centres. It is widely perceived that Neurosurgery would only provide a highly specialised experience for F1s, limiting the opportunity to achieve the core practical and clinical competencies as highlighted by the United Kingdom Foundation Programme (UKFPO). Additionally, Health Education England have increased the number of community placements such as General Practice and Psychiatry further limiting F1 placements offered in specialities like Neurosurgery...
June 9, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28595475/a-novel-ent-ibook-what-do-junior-doctors-think
#16
Ali Al-Hussaini, Alun Tomkinson
Exposure to the specialty of Otolaryngology is limited. It may be consolidated by the use of an iBook as a self-study tool. The purpose of this study was to ascertain the perceptions of junior doctors on the clinical relevance of this novel educational resource. Three focus groups were formed each consisting of five junior doctors (eight female: seven male, median age 27 years). The iBook was found to be clinically relevant to the work of junior doctors, have a clear layout, with adequate interactivity and a good range of integrated multimedia elements...
April 2017: Journal of Visual Communication in Medicine
https://www.readbyqxmd.com/read/28592403/saliha-mahmood-junior-doctor-master-chef
#17
(no author information available yet)
No abstract text is available yet for this article.
June 7, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28588049/junior-doctors-hesitate-to-speak-up-over-unprofessional-behaviour-study-finds
#18
Matthew Limb
No abstract text is available yet for this article.
June 6, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28587868/-you-do-not-cross-them-hierarchy-and-emotion-in-doctors-narratives-of-power-relations-in-specialist-training
#19
Sophie Crowe, Nicholas Clarke, Ruairi Brugha
Studies of medical education often focus on experiences and socialisation processes among undergraduate students, with fewer examining emotionality among postgraduate trainees. This article explores the relationship between power and emotion, questioning how affective relations between senior and junior doctors are patterned on the hierarchical structure of medicine. The study employs qualitative methods of in-depth, face-to-face and telephone interviews with fifty doctors at initial and advanced stages of specialist postgraduate training in teaching hospitals across Ireland, conducted between May and July, 2015...
August 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28585274/junior-doctors-attitudes-to-opioids-for-refractory-breathlessness-in-patients-with-advanced-chronic-obstructive-pulmonary-disease
#20
Natasha Smallwood, Nicole Gaffney, Alexandra Gorelik, Louis Irving, Brian Le, Jennifer Philip
Refractory breathlessness is a common, distressing symptom in patients with advanced chronic obstructive pulmonary disease (COPD). The judicious, off-licence prescription of opioids, together with other management strategies, can improve breathlessness, however, internationally there is profound reluctance to prescribe opioids for breathlessness in COPD. AIMS: To understand Australian junior doctors' knowledge and attitudes regarding the management of refractory breathlessness and the role of opioids in COPD...
June 6, 2017: Internal Medicine Journal
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