Sir David Bruce lecture 1993. The primary care team.
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Biomedical subjects
Publications and source records attributed to J C Hasler.
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During the 1970s and 1980s, vocational training for general practice developed from experimental beginnings to become established nationwide. Committees were set up nationally and regionally and methods devised for the approval of training practices. Important publications related to the discipline of general practice and to educational methodology appeared. The problems that remain include the absence of a compulsory assessment prior to entering general practice and the low remuneration for course organizers.
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This is the third paper on criteria and methods for approving trainers and training practices drawn up in the Oxford region. In this paper we discuss how they were evaluated.
This is the second paper of three on criteria for approval of trainers of general practitioners drawn up for the Oxford region. This paper describes assessment of trainers and training practices by a team of general practitioners who visit for one day.
New criteria for approving practices for training general practitioners have been accepted by the Oxford regional postgraduate subcommittee for general practice. These criteria cover the trainer, the practice, and the training. Two further papers will discuss new methods of assessment and their evaluation.
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In 1976, a group practice in South Oxfordshire established a counselling service. The counsellor is available in the health centre for three half-day sessions per week, and we describe a survey of the subjective and objective effects of counselling on the first 80 patients who used this service. There was an improvement, as measured by the feelings of the patients and doctors, and by some reduction of psychotropic drugs and medical consultations. The majority of the patients who returned the questionnaires said they preferred to see the counsellor rather than the general practitioner for their problem.
Considerably more time for training has been made available by trainers in the Oxford region since July 1976, with regular tutorials being held in all training practices. However, in spite of this by January 1978 nearly half the trainees still received training which was largely unplanned, and some of the reasons for this are briefly discussed.
A residential course for 21 general-practitioner vocational trainees and student health visitors is described. The aim was to introduce the two groups of trainee professionals to each other in an attempt to modify attitudes, increase knowledge of each other's work, and induce a more positive approach towards teamwork in their ultimate careers. Both groups achieved an improvement by the end, and over half said they understood the others' role better
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A discussion group course for treatment-room nurses was organized in the spring of 1971 by the Thames Valley Faculty of the Royal College of General Practitioners. Twenty-eight nurses took part. Some were from local authorities but most were privately employed. Questionnaires were completed by participants. The course has had several consequences, and it is felt that some form of specific training for this branch of nursing should be established.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.