Pickles of Wensleydale.
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Biomedical subjects
Publications and source records attributed to R Moorhead.
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Some educational, training and politico-economic reasons for the decline in GP obstetrics in Adelaide, South Australia, are described. It is recommended that similar studies be done in other centres in Australia to evaluate the general nature of the findings.
The value of the practitioner's communication skills in the consultation is widely recognised. Many authors support communication skills training for general practice in such areas as public health, patient satisfaction, malpractice litigation, compliance, somatisation and clinical outcomes in chronic illness. There are many reports of the success of communication skills training worldwide for medical students, general practice trainees and experienced general practitioners.
Advocacy of communication skills training in medical curricula is common, but this paper highlights some paradoxes which become apparent when such training is instituted. Fourth-year medical students completed a standardized questionnaire measure of empathy, before and after intensive training in counselling and communication in general practice. Low rates of empathetic responding were shown, and no increase occurred after training. The results are discussed in terms of an emerging dilemma within medical education and practice, namely the conflict between the traditional view of the doctor as problem-solver and recent evidence of the health benefits of a more patient-centred style of medical practice.
Data from 143 consultations in general practice were assessed by factors relevant to the four-category descriptive system developed by the Royal Australian College of General Practitioners. It seems that there is no relationship between consultation length, apparent symptom seriousness or the occurrence of a physical examination. Suggestions are offered for improving the clarity of consultation descriptor categories.
Chronic disease is increasing as a percentage of all illnesses in Australia's health care system, in part because of the ageing of the population. New strategies are required to help manage these often incurable diseases. The general practitioner is well equipped to provide management expertise for chronic disease, provided he or she has access to community based allied health professionals.
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This article is the result of assessing 140 paired student and preceptor reports from the University of NSW Preceptorship Scheme. Its aim is to present, in an organised and readable form, the feelings of students and preceptors about their experiences in this scheme.
In 1972 a study of workload and morbidity was undertaken by a New South Wales general practitioner. The writer analysed 5,618 of his own face-to-face patient contacts and have been set out below. A comparison was also made between the writer's morbidity statistics and those of the Australian Morbidity Survey. Both surveys were conducted at the same time and it was interesting to note a marked similarity in the percentages of disease episodes when classified into broad groups (such as respiratory disease, for example). The results have been useful as a basis for future research, as an educational tool for undergraduates and graduates learning about general practice and as an aid in practice management planning.
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