Biomedical subjects

Justin Tse

Publications and source records attributed to Justin Tse.

4 recordsLinked to original sources

PubMed2006

Information mastery and the 21st century doctor: change management for general practitioners.

The Internet and computers have brought immense change in how society deals with information. Uptake of these technologies has been disjointed and has occurred in a non-uniform way among general practitioners, compared with other professionals. Information mastery is a key 21st century skill that GPs should acquire. Applying "change management" concepts may help improve uptake of information mastery skills in general practice.

Biomedical Technology↗

PubMed2005

Peer learning, lectures and online learning--putting it all together.

INTRODUCTION: This paper evaluates usage of discussion forums forming part of an integrated online learning environment that supplements a face to face general practice registrar training program. METHOD: Basic general practice registrars were given training in the use of the online learning environment, which was explicitly linked to their other educational activities. A group of advanced registrars was given access to the online environment without any formal training or support and without specific curriculum linkage. Usage data were in the form of quantitative analysis of site logs, posts to discussion forums before and after a website redesign, and qualitative feedback from focus groups. RESULTS: The majority of basic registrars accessed forums to read messages. Only one third posted messages. The number of registrars to access forums was similar before and after site redesign. Log data indicated greater exploration of resources in the redesigned environment. The group of advanced registrars used the online resources significantly less than the basic registrars. DISCUSSION: These data underscore the importance of linking curriculum to online learning resources, and of providing adequate information technology training and support.

Australia↗

PubMed2004

RACGP training registrars' perceptions and practice of prostate cancer screening.

AIM: To examine the perceptions, knowledge and reported intended practice of prostate cancer screening by general practice registrars. METHOD: A descriptive study using a mail survey of all Victorian general practice registrars and supplementary interviews. RESULTS: The response rate to the questionnaire was 74% (n = 148). The reported correct answer for the sensitivity and specificity of digital rectal examination (DRE) and prostate specific antigen (PSA) test was 48% and 52%, and 30% and 35% respectively. Responses to questions about registrar's knowledge of screening guidelines indicated respondents believe that men aged 50 years and over should undergo annual screening. Over 50% of respondents were not familiar with any Australian guidelines for prostate cancer screening. However, reported intended practice was consistent with guidelines, with 73% of respondents indicating they would not perform a PSA test as part of a 55 year old man's check up. Qualitative interviews highlighted the importance of The Royal Australian College of General Practitioners supervisor, peer learning at release sessions, and study group preparation for college examination in their clinical decision making. Online learning and access were seen to be potential areas for further development. DISCUSSION: While knowledge about the characteristics of tests for prostate cancer and Australian prostate screening guidelines is poor, most registrars practice according to current guidelines. The potential of online learning and increased access to the internet needs further study.

Australia↗

PubMed2003

Falls prevention within the Australian general practice data model: methodology, information model, and terminology issues.

The iterative development of the Falls Risk Assessment and Management System (FRAMS) drew upon research evidence and early consumer and clinician input through focus groups, interviews, direct observations, and an online questionnaire. Clinical vignettes were used to validate the clinical model and program logic, input, and output. The information model was developed within the Australian General Practice Data Model (GPDM) framework. The online FRAMS implementation used available Internet (TCP/IP), messaging (HL7, XML), knowledge representation (Arden Syntax), and classification (ICD10-AM, ICPC2) standards. Although it could accommodate most of the falls prevention information elements, the GPDM required extension for prevention and prescribing risk management. Existing classifications could not classify all falls prevention concepts. The lack of explicit rules for terminology and data definitions allowed multiple concept representations across the terminology-architecture interface. Patients were more enthusiastic than clinicians. A usable standards-based online-distributed decision support system for falls prevention can be implemented within the GPDM, but a comprehensive terminology is required. The conceptual interface between terminology and architecture requires standardization, preferably within a reference information model. Developments in electronic decision support must be guided by evidence-based clinical and information models and knowledge ontologies. The safety and quality of knowledge-based decision support systems must be monitored. Further examination of falls and other clinical domains within the GPDM is needed.

Accidental Falls↗