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At least 19 recordsLinked to original sources
PubMed1979

Self-audit of prescribing habits and clinical care in general practice.

General practitioners' prescribing habits were studied using encounter forms during a period of three years. Analysis of the first year's forms revealed examples of inappropriate prescribing, so an audit was undertaken on the treatment of fungal skin infections and coughs and colds in children. Data collection was continued for a further year to measure any changes in prescribing. Analysis after audit showed that more appropriate prescribing had reduced the number of drugs prescribed as well as the number of repeat consultations needed before resolution of the problem. These findings suggest that the continuous use of encounter forms can accurately reveal the prescribing habits of general practitioners. Self-audit can then be performed on a continuing basis with little disruption of the general practitioner's normal routine.

Adolescent↗
PubMed1976

General practice observed. Child abuse and general practice.

In a general practice of 9250 patients with 1841 children under 10 there were 12 cases of actual abuse during 1973-6. In March 1976 30 children were at risk. A preventive scheme was set up and the short-term outcome was good. There were no cases of serious abuse among the children at risk.

Child Abuse↗
PubMed1978

Integrated residency training in family medicine and general practice dentistry.

General practice dental training and family practice medical training can be combined into one effective integrated program. This combination benefits the patients in a family practice model unit, enhances family practice resident education, and will ultimately benefit patient care delivery. This paper describes the experience of such an integrated program which is now well established.

Education, Dental↗
PubMed1979

Evaluation of behavior therapy intervention in general practice.

Thirty general practitioner consultations with patients with psychological problems referred to a clinical psychologist for behaviour therapy, were examined. Treatment was carried out wholly within the practice. Consultations for advice and psychotropic drug prescriptions were compared during one year, both before and after treatment, and were found to be reduced by over 50 per cent following treatment. Contact with clinical psychology services, therefore, considerably reduced the demand made by these patients for general practitioner time.

Adult↗
PubMed1978

Diagnosis of gout in general practice.

In a general practice survey of gout, an analysis was made of the criteria relating to the diagnosis in 604 patients. Approximately 60% of diagnoses were made within 1 month of the patient presenting with symptoms; in the remainder, there was often a considerable time lag before diagnosis and half of these patients had been wrongly diagnosed initially. Of the total cases, approximately 8% were diagnosed in hospital and only about 20% of cases were referred for diagnosis or subsequent management advice. Most diagnoses were based on the presentation by the patient of a typical acute arthritis, and a raised serum urate level was used as a confirmatory factor. Few patients presented with tophi and response to colchicine was infrequently used in diagnosis, as were diagnostic X-rays or synovial fluid examination for crystals.

Family Practice↗
PubMed1979

An evaluation of the A4 folder system in general practice.

All 63 general practices known to have introduced the A4 folder system were asked to complete questionnaires comparing A4 records with the traditional medical records envelope system. Of the 77 per cent who replied, an overwhelming majority favoured the A4 system and felt that it helped them to obtain higher standards of care for patients.

Family Practice↗
PubMed1978

Difficulties in consultations reported by doctors in general practice.

General-practitioner trainers in Scotland responded to a questionnaire on difficulties in consultation significantly more readily than did non-trainers. Their answers to some questions were significantly different.Trainer and trainee views of difficulties in communication with different types of patients and situations are broadly similar. Because of this similarity of views, the experienced doctor can plan an approach to training which is valid for the inexperienced trainee. He may, however, modify his estimate of the degree of difficulty for the trainee of consultation by involving some categories, for example, adolescents (easier for the trainee), dying patients (more difficult), patients of socioeconomic status which is different to that of the doctor (more difficult).SOME ASPECTS OF THE CONSULTATION MERIT SPECIAL ATTENTION: techniques such as those appropriate to ending the interview and discovering the patient's reasons for seeking medical help.While trainees' problems associated with lack of familiarity with patients and their circumstances are likely to decrease with time spent in the teaching practice, adequate records can help to diminish the trainees' insecurity.This survey confirms the need to continue to focus attention on patient management as a component of training as relevant as the detailed diagnosis and treatment of disease.

Adolescent↗
PubMed1992

What do medical students seek to learn from general practice? A study of personal learning objectives.

With the aim of stimulating learning which is more self directed, fourth year medical students in Liverpool are encouraged to set personal learning objectives for the general practice attachment. On average, a student defines seven objectives for the three week attachment. A classification of objectives derived from the 1989 cohort of students is presented and the objectives could be seen as focusing on the practice population and its health problems, the role of the general practitioner, the work of general practice, the management of general practice, general practice as a career, and general learning. The validity and reliability of the classification are considered. Along with the advantages of this approach in motivating students to learn, the findings are considered in relation to impending changes in undergraduate medical education and the future role of general practice teaching by departments and by practice based colleagues.

Curriculum↗
PubMed1978

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↗
PubMed1977

Classifying disease in general practice.

I have developed a system of classifying diseases in general practice based on headings relevant to general practice which are built up in a hierarchy. I believe this is better than abbreviating the International Classification of Disease with the addition of individual symptoms.Ideally, a classification ought to include occupational diseases and psychosocial problems, and it must be accompanied by a terminology defining as precisely as possible the different categories based on criteria relevant to ordinary general practice. It should still follow the main divisions of the International Classification of Disease as far as possible.I believe that general practice will not progress any further unless it is prepared to loosen its traditional allegiance to hospitalorientated disease classifications, which are, for our purpose, inappropriately rigid.

Disease↗
PubMed1979

The manpower debate -- what is the current position in relation to general practice?

With the changing situation in medical manpower, it is important that a close watch be kept on the total number of medical practitioners in the community and their distribution between salaried and self-employed work, between hospital and community practice, between city and country practice, between general and specialist practice and between the general specialties and subspecialties. More accurate manpower data are now being sought by the Medical Boards and what must be emphasized is that the collection of these data has to be regular and ongoing, with surveys being conducted each year at the time of registration, and not just spasmodically as the need arises. The groups involved in planning for medical manpower must be able to work with accurate information. Australia is a long way from defining how many medical practitioners are needed in the community, and the RACGP is certainly a long way from defining the number of general practitioners who are needed. As a result, it is probably inappropriate at present to evaluate the current numbers of general practitioners against any stated level of adequacy.

Australia↗
PubMed1978

Mianserin in the treatment of depressive illness and anxiety states in general practice.

1. In an initial study in general practice, mianserin was shown to be of similar antidepressant efficacy to imipramine. 2. A subsequent placebo-controlled study confirmed that mianserin is an effective as imipramine, and also demonstrated that both mianserin and imipramine are superior to placebo in the treatment of depression in general practice. 3. In a third trial, mianserin was found to be as effective as diazepam in the treatment of anxiety states in general practice. 4. The overall incidence of side-effects in this series of studies, either with mianserin or with the comparison drugs, was very low.

Adolescent↗