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Biomedical subjects

L Piterman

Publications and source records attributed to L Piterman.

9 recordsLinked to original sources
PubMed1992

Hearing loss in the elderly. A survey in general practice.

OBJECTIVE: To determine the prevalence of undiagnosed hearing impairment in people aged 60 years or over in a general practice setting. DESIGN: A self-administered questionnaire followed by physical examination and audiometry. SETTING: A group general practice in the Melbourne suburb of Moorabbin. PATIENTS: Two hundred and one people aged 60 years or over who were not known to be hearing impaired. OUTCOME MEASURE: Results of air-conduction audiometry. RESULTS: Seventy-five of the 201 people had undiagnosed hearing loss (37%). The assessments of hearing ability by the patients and their relations were good predictors of the outcome of the audiogram (P < 0.001). Occupational history, medical history and physical examination were poor predictors (P > 0.05). CONCLUSIONS: The use of audiometry for screening for hearing impairment in older general practice patients is likely to have a high yield. A large proportion of people with abnormal audiograms will, however, refuse a hearing aid.

Aged↗
PubMed1992

Preventive care in general practice.

Preventive care is an integral component of general practice teaching in all Australian medical schools. While curriculum time and teaching methods vary, the overriding emphasis remains on integrating both epidemiological and behavioural science approaches into the primary care setting. Preventive aspects are stressed during attachments with general practitioners. Use of appropriate theoretical frameworks and models allows the role of the general practitioner in disease prevention to be formalized. Undergraduate teaching is further reinforced by programs within the Family Medicine Programme at a vocational training level, and the Royal Australian College of General Practitioners at a continuing medical education level.

Australia↗
PubMed1991

Hospital interns' and residents' perceptions of rural training and practice in Victoria.

OBJECTIVE: To examine the attitudes of junior hospital doctors toward rural training and practice in Victoria. DESIGN AND PARTICIPANTS: A cross-sectional survey of 300 randomly selected Victorian hospital interns, junior and senior resident medical officers was undertaken in 1988 using a mailed self-administered questionnaire. The questionnaire was developed after a literature review, interviews and pilot testing and consisted of categorical and non-categorical items. STATISTICAL METHODS: Responses to the questionnaire were subjected to univariate, bivariate and factor analysis of variables. Testing for differences between those doctors choosing to train and work in rural areas and those choosing metropolitan areas was carried out by chi 2 test for discrete variables and Student's t test for means. RESULTS: A 64% response rate was achieved (n = 192). Only 15% indicated a preference for rural training the following year. Those from a rural background were more likely to express intention to train and practise in the country (P less than 0.05). The most important determinants in choosing a rural training post to emerge on factor analysis were the perceived quality of education and training facilities and the view of the doctors' partners or spouses. The decision to practise in the country was more likely to be influenced by "family" than "professional" factors (P less than 0.05). CONCLUSION: Perceptions regarding the academic status of rural hospitals as well as failure to address the needs of doctors' spouses or partners were major deterrents to rural training. These areas need to be addressed if the shortage of rural practitioners is to be reversed.

Attitude of Health Personnel↗
PubMed1991

GPs as learners.

Explore the source record for details and available documents.

Australia↗
PubMed1991

Attitudes of senior medical students from two Australian schools towards rural training and practice.

Australia, like many other countries, continues to face a perennial shortage of doctors in rural areas. This 1988 study of final-year medical students at the two universities in Victoria, Australia, sought to assess their attitudes towards the choice of location for postgraduate training as well as ultimate practice location. The authors gave a cross-sectional, self-administered questionnaire to 360 students; 314 (87%) responded. The majority of the students expressed a desire to do their internships and postgraduate training in a metropolitan hospital. To identify the students' attitudes that might have influenced their choices, factor analysis was carried out. The "education and training" factor accounted for the highest percentage of the variance observed. As in most other similar studies, a strong relationship was observed between a student's rural background and the student's subsequent intention to train and work in a rural area.

Attitude to Health↗
PubMed1990

Perceptions of the FRACGP examination. A study of Victorian candidates.

It is proposed that by 1995 Fellowship of the Royal Australian College of General Practitioners will be the only recognised endpoint of vocational training in general practice in Australia. Currently however only one in six eligible general practitioners and one in three college members holds the FRACGP in Victoria. This case-controlled study carried out by survey questionnaire was designed to compare and contrast perceptions of the FRACGP examination of a group of candidates with a group of demographically matched non candidates. The study suggested that those who sat the examination did so to improve their self esteem, and wished their knowledge, competence and skills to be 'peer reviewed'.

Adult↗