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Biomedical subjects

J G Gostomzyk

Publications and source records attributed to J G Gostomzyk.

At least 37 records · Page 2Linked to original sources
PubMed1996

[Prescribing strong opioids for pain therapy and for substitution therapy by established physicians].

The prescription of strong opioid by general practitioners was studied, particularly for the treatment of chronic pain. In a medium-sized town (around 250 000 inhabitants) 17,839 prescriptions of strong opioids were issued by 455 doctors over 5 years (1 January 1990 until 31 December 1994) to 1,939 patients. Of these patients 37.8-48.3 % of them received only one prescription for 6 months, 60.5-75.8 % received between 1 and 4 prescriptions for 6 months, and only 20.9-35.7 % of all patients received 5 or more prescriptions for 6 months. The amount of strong opioids prescribed for cancer pain relief seems to be almost the same in 1992 as 10 years ago. The consumption of oral morphine has steadily increased compared to 1982 and constitutes almost one-half of all narcotics prescribed for pain treatment by general practitioners. For pain treatment the value of strong opioids is recognized by both patients and physicians in contrast to the prescription of levomethadone as substitution therapy for drug-addicted patients. The 6.7 % of the physicians who participated in methadone substitution therapy prescribed more strong opioids (52.4 % of prescriptions) than all other physicians together prescribe for pain treatment. In order to safeguard the quality of medical care for pain treatment by strong opioid analgesics, unbiased training of physicians and a clear definition of narcotics is required. It is suggested that the expression "narcotic prescription" be changed related to the legislative terminology in the pharmacology-related expression "analgesic prescription". The prescribing regulations should not constrain medical treatment, but create a basic rule for the prescription of strong opioids.

English Abstract↗
PubMed1996

[Evaluation of the educational curriculum in psychosocial fields and general medicine in human medicine subjects--results of a total Germany pilot study in the 1995 summer semester].

With the discussion of the quality of medical education in Germany the importance of evaluating the curriculum has grown. A working group of representatives of the German scientific societies for general medicine and the so-called "psychosocial" disciplines in medical education had adapted a questionnaire from Harvard Medical School and tested this version for the first time in summer 1995. 56 teachers and 1250 students took part in this pilot study. The instrument proved to be sufficiently valid to evaluate the quality of different types of teaching lessons. The disciplines (Medical Sociology, Medical Psychology, Social Medicine, General Medicine, Psychotherapy/Psychosomatics) were valued equally with concern to their relevance for medical education. They got significantly better values for quality of teaching and teaching engagement of the professors. It is recommended to notice these results in the actual debate on the reform of the medical curriculum and to include other disciplines in further evaluative investigations.

Curriculum↗
PubMed1993

[Providing educational goals in social medicine for the practicing physician in basic medical education].

Social Medicine has a long and successful tradition in providing public medical care, but it does not have a long-standing academic tradition. To this very date, some medical faculties have neither a representative of the discipline nor a corresponding institute. Although the topics of Social Medicine are manifold, there is a discrepancy in the time allotted for teaching within the medical curriculum. Social Medicine must offer practical and orientational knowledge. In the medical faculties, Social Medicine also represents the health sciences, and in the Schools of Public Health it has the function of a bridge discipline and is the most prominent representative of medicine.

Clinical Competence↗
PubMed1992

[Drug-assisted treatment of substance dependence (Drug and Alcohol Symposium, Basel 1992)].

The report on the symposium is an interim account of the treatment of drug addiction in Switzerland. The spread of drugs could not be halted by prohibition. The ideal of a drug-free society does not seem to be translatable into reality. Hence, it is unrealistic to set up continence or sobriety as a goal in the treatment of all addicts, for a proportion of drug dependents or addicts is bypassed or not addressed at all. New approaches based on pharmaceuticals an assisting medication, combined with a diversified allocation of drugs, are under discussion.

Acquired Immunodeficiency Syndrome↗