PubMed HealthSearch

Biomedical subjects

T S Murray

Publications and source records attributed to T S Murray.

At least 19 recordsLinked to original sources

Doctors accept a challenge: self-assessment exercises in continuing medical education.

A new approach to continuing medical education by distance learning has been implemented. A series of six patient-management problems or challenges were posted to 20 000 doctors throughout Britain. Each doctor had to decide on the diagnosis, investigations, and treatment of the patients described. The challenges covered problems that were important in the doctor's day-to-day work and were designed so that he could obtain immediate feedback about his decisions and compare his own responses with those of a specialist and those of his colleagues. Additional information was available by telephone and by post on request. The series has been well received and is being widely used.

Attitude of Health Personnel

Use of recording booklets to evaluate teaching in general practice.

Recording booklets have been introduced for students during their course of general practice teaching at the University of Glasgow. The booklets guide the students with patients in the community who have chronic and complicated diseases. Each case history in the booklet was marked and this provided an evaluation of the teaching. This showed an improvement in the students' overall ability but was most marked in the areas of social history and problem list, thus fulfilling the aims of the teaching.

Education, Medical, Undergraduate

Early treatment of myocardial infarction in the community.

The prehospital management of acute myocardial infarction by general practitioners and emergency-treatment service physicians was analysed in 53 patients. The correct clinical diagnosis was made or suggested before admission in 47 patients. Only 25 patients received analgesics from the general practitioner, and 32 were still in pain and needed diamorphine on admission to hospital. Only one patient received antiarrythmic treatment. The findings suggest that, despite accurate clinical diagnosis of acute myocardial infarction, deficiencies exist in the prehospital phase of management and that education programmes are worth consideration.

Analgesics

Attitudes of medical undergraduates in Glasgow to computer-assisted learning.

Computer-assisted learning (CAL) has been introduced as part of the undergraduate teaching course in general practice during the penultimate year of the medical course. The student is given an opportunity to make clinical decisions and to manage a case over a significant time scale. The attitudes of the students are favourable to this method of instruction.

Attitude of Health Personnel

Evaluation of structured and unstructured training for general practice.

Twenty-four general-practice trainees were assessed at the beginning and end of their training year. They improved significantly in their factual recall and problem-solving ability. Sixteen young principals who had had an unstructured training for general practice were assessed at the same time and were initially of the same standard but their results showed no difference over the same year.

Education, Medical, Graduate

Medical undergraduate teaching of paediatrics in the community.

The undergraduate teaching of childhood illness in the community is described. This teaching includes a cross-section of acute childhood illness together with some contact with handicapped children in their own homes. Although there were only four teaching sessions, the frequency of conditions studied approximated to that in general practice

Child

Introduction of recording booklets in general practice teaching.

A system of recording booklets had been introduced for fifth-year students during their course of teaching in general practice. The booklets guide the student in his study of the development, presentation and future prognosis of patients with chronic and complicated disease in the community. The students abilities and the teaching were assessed using case histories in a system of computer assisted learning.

Computer-Assisted Instruction

Barbiturates and serum calcium in the elderly.

In a retrospective study, based on a biochemical survey of people aged 65 and over in a general practice, subjects taking a barbiturate preparation for indications other than epilepsy had a significantly lower serum calcium concentration than did those taking nitrazepam or diazepam. Ordinary doses of barbiturate may adversely affect vitamin D metabolism in the elderly.

Aged

The workload of a commercial deputizing service.

The analysis of 1,098 calls to a commercial deputizing service during a period of four weeks is described. Approximately 20 per cent of the calls were for illnesses considered potentially life-threatening while in 22 per cent telephone advice was given and the patient was not visited by the deputy on call.

Adolescent

Computer-assisted learning in undergraduate medical teaching.

A programme of computer-assisted learning has been introduced for fifth-year medical students at Glasgow University during the teaching course in general practice. The programme allows students to make decisions on all aspects of patient care, and has the potential for combining a learning situation with an objective evaluation of skills and attitudes. The programme is popular with students and could have considerable potential in medical education.

Adult

Attitudes towards the content of general practice teaching.

In a study of attitudes towards the content of general practice teaching, it was found that there was good agreement between fifth year medical students and their general practitioner tutors. The social aspects of illness were considered the most important by students and both groups emphasized the value of seeing patients in their homes with time for discussion of cases. These findings are discussed in the context of the development of teaching in general practice at Glasgow University.

Attitude of Health Personnel