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Biomedical subjects

Sam Leinster

Publications and source records attributed to Sam Leinster.

10 recordsLinked to original sources
PubMed2004

Setting standards.

Explore the source record for details and available documents.

Education, Medical, Graduate↗
PubMed2004

European randomized, multicenter study of goserelin (Zoladex) in the management of mastalgia.

BACKGROUND: Breast pain is a common symptom in patients attending breast clinics. The purpose of this study was to evaluate the efficacy of goserelin (Zoladex) as compared with sham injection in patients with mastalgia. STUDY DESIGN: One hundred forty-seven premenopausal women were randomized to treatment with either goserelin injection (3.6 mg/month) or sham injection for a total of 6 injections. Patients' daily self-assessment of breast pain using Cardiff breast pain chart was recorded during the 6-month treatment period and for 6 months in the posttreatment period. RESULTS: A significant treatment difference between the 2 groups in favor of goserelin was noted during the treatment period. Mean breast pain score improved by 67% in the goserelin group and 35% in the sham group during the treatment period. The mean pain scores increased in both groups in the posttreatment period. No significant posttreatment difference was found between the two groups. Side effects were more common with goserelin than sham injection. Patients receiving goserelin experienced vaginal dryness, hot flushes, decreased libido, oily skin or hair, and a decrease in breast size more frequently than sham patients. CONCLUSION: Goserelin is an effective short-term treatment for mastalgia. However, side effects are common, and thus, goserelin should be kept in reserve for patients who are refractory to other forms of treatment. Potentially, goserelin could be used to induce a rapid relief of symptoms that could be maintained with alternative therapies.

Adult↗
PubMed2003

Standards in medical education in the European Union.

Standards in medical education are necessary to enable evaluation of programmes and comparison between institutions. EC Directive 93/16 lays down the standards for both the duration and content of basic medical education in the European Union but the directive is open to wide variations in interpretation. A new approach is needed and the development of common learning outcomes is suggested as a possible solution.

Curriculum↗
PubMed2002

Medical education and the changing face of healthcare delivery.

There is an increasing and inevitable breakdown between the roles of healthcare professionals. Effective performance as a healthcare professional is no longer predicated on memorizing a body of facts but depends on being able to assimilate, evaluate and use new information. Clinical and communication skills are not the sole domain of the medical profession but are common to a range of healthcare professionals. Developing proper attitudes is a major goal of the education of all healthcare professionals. These considerations suggest that a new approach to the education of healthcare professionals, including doctors, is needed.

Attitude of Health Personnel↗