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S Handysides

Publications and source records attributed to S Handysides.

At least 19 recordsLinked to original sources

A new journal is born.

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Communicable Disease Control

CDR review's editorial process in 1997 and the introduction of blinded peer review prepare the way for Communicable Disease and Public Health.

Openness about a journal's editorial process fosters confidence among its authors and readers. The time taken to accomplish steps in the Communicable Disease Report (CDR) Review's editorial process to be accomplished is described for papers published in 1997, and compared with similar data on papers published in 1995 and 1996. Over half of the papers published in 1997 had been submitted less than six months earlier. The introduction of blinded peer review was associated with an increase in quality of reviewers' reports. Communicable Disease and Public Health will follow the same procedures.

Bibliometrics

CDR Review's editorial process: a survey of papers published in 1995.

Readers and authors of scientific material need and deserve to know how journal editors select and prepare papers for publication. Editors need to keep track of their procedures to avoid delay and ensure that there is always material to publish. This paper presents data on the time taken for the 48 papers published in the Communicable Disease Report Review in 1995 to be processed. The mean time from receipt to publication was five months. All papers were sent out to at least one referee and most to two. This paper describes the editorial process and suggests the adoption of blinded peer review.

England

New roles for general practitioners.

General practice is likely to change greatly over the next few years. Increases in care in the community and day surgery will lead to more work, and the demand for better data on practice activity will mean the development of audit and epidemiological work. To make time general practitioners will have to learn to delegate work that does not require a doctor. Fundholding has already stimulated some practices to bring services to patients rather than send patients to hospital, and this trend seems set to continue. It is important to pool resources, not only within practices but among other practices in the area--joint action will increase the ability to improve the services for patients. If general practitioners take the opportunity to gain control of the changes the morale of the profession should improve.

Career Choice

A career structure for general practice.

Training for general practitioners usually provides little experience in research, business management, or dealing with chronic disease. It is these areas that could provide scope for further training after becoming a general practitioner principal and provided career goals. Formally recognised research practices, perhaps with one partner coordinating research but all participating, and district research facilitators could increase both the quality and the quantity of research in general practice. Recognising the different skills of doctors in the partnership and referring patients to the most appropriate partner will improve care for patients as well as provide career development. Further training could be aimed at filling gaps in the practice's pool of skills. Good management skills are becoming more important as practice teams get bigger and fundholding spreads. Some doctors may wish to become full time or part time managers and the idea of accredited courses for management has been raised.

Accreditation

Building morale through personal development.

Once general practitioners have established themselves as principals it may seem there is little else to work for. Lack of stimulation may lead to demoralisation, and it is essential that they have other ways to continue to develop their careers. Meeting other doctors to discuss cases and problems and postgraduate education often help but many doctors want to take on extra roles. The options available include undergraduate teacher, tutor for postgraduate education, and participation in medical audit advisory groups, local medical committees, or royal college faculties. Some general practitioners work part time to allow them to fit in these activities. It may also be possible to obtain extended study leave or a sabbatical to broaden experience. Others even more practice to provide new challenges.

Career Choice

Morale in general practice: is change the problem or the solution.

Despite the pervading gloom about morale in general practice it can still offer a rewarding career. This article, which is the first in a series examining ways to improve general practitioners' job satisfaction, weighs the evidence for low morale in the profession and examines the factors that cause most dissatisfaction. The main causes of discontent seem to be increased paperwork and out of hours work, and many blame the 1990 contract for their problems. Dissatisfaction was growing before the contract was introduced, however, and some doctors believe that it has had positive effects. Further change seems inevitable if general practice is to offer a stimulating career for life.

Family Practice

Taking babies' temperatures: science versus social taboos in battle over Baby Check.

Baby Check, a scoring system for assessing the severity of illness in babies under 6 months old, has not met with the success its developers expected. The inclusion of rectal temperature in the assessment was strongly opposed by the Royal College of Midwives, which refused to alter its view despite evidence of the safety and accuracy of rectal thermometry. British parents appear not to like rectal thermometers either. Most other medical bodies have supported Baby Check and the reason for midwives' opposition may have more to do with professional pique at not being consulted than clinical wisdom.

Body Temperature