Review of Current Primary Care Physician Attitudes and Practices in Obesity Counseling and Potential Resources Relevant to the Primary Care Setting

2015 ◽  
Vol 39 ◽  
pp. S51
Author(s):  
Christine Petrin ◽  
Scott Kahan
2001 ◽  
Vol 111 (9) ◽  
pp. 15-20 ◽  
Author(s):  
Steven Z Pantilat ◽  
Peter K Lindenauer ◽  
Patricia P Katz ◽  
Robert M Wachter

2006 ◽  
Vol 88 (4) ◽  
pp. 363-366 ◽  
Author(s):  
Paul W Foster ◽  
Alastair WS Ritchie ◽  
David J Jones

INTRODUCTION Testicular cancer is a relatively uncommon, treatable condition. A general practitioner would expect to see, on average, one case of testicular cancer in the whole of their career. Benign scrotal conditions are extremely common and the source of many primary care consultations. The main patient expectations of these attendances are accurate diagnosis and adequate re-assurance as often they are the source of much anxiety and perceived embarrassment. The aim of this study was to examine the content and referral practice of primary care referral of testicular pathology and the resultant findings of the specialist practitioner. PATIENTS AND METHODS A total of 201 patients referred with scrotal pathology were prospectively analysed at the time of specialist practitioner assessment by means of data recording in a urological surgery unit and regional peripheral community clinics. RESULTS In the study group, 53 patients were referred under the 2-week rule. Of these, 9 (17%) were found to have testicular cancer. Five (36%) cancers were referred outside the 2-week rule referrals; 1 cancer was missed and 2 diagnoses delayed. In total, 44% of final clinical diagnoses differed between the referring primary care physician and the specialist practitioner. Of the 71 (35%) patients referred with a suspicion of cancer, 62 (87%) were subsequently found to be of clinically benign pathology. Overall, 80% of patients were referred more urgently than the opinion of the specialist practitioner. CONCLUSIONS Scrotal examination in the primary care setting appears to be of variable accuracy. Many patients referred with a high suspicion of cancer are found to have benign pathology. Two-week rule referrals have an acceptable positive predictive value for testicular cancer (17%). Disagreements exist in the referral priority of patients.


2011 ◽  
Vol 123 (5) ◽  
pp. 214-219 ◽  
Author(s):  
Gregory D. Salinas ◽  
Terry A. Glauser ◽  
James C. Williamson ◽  
Goutham Rao ◽  
Maziar Abdolrasulnia

2004 ◽  
Vol 12 (3) ◽  
pp. 129-138 ◽  
Author(s):  
Anne Kittler ◽  
Lisa Pizziferri ◽  
Lynn Volk ◽  
Yamini Jagannath ◽  
Jonathan Wald ◽  
...  

Author(s):  
Elspeth Wise

For many patients their first presentation to a medical professional with a musculoskeletal complaint is in a primary care setting. They may have as little as 10 minutes to explain their problem, be examined, and have a management plan determined. Quite commonly the musculoskeletal problem may present as an aside—by the way doctor, while I'm here'. All of this presents a challenge to the assessing primary care physician, who may have had little specific training for what makes up a large part of their workload. What training they have had may be inappropriate for their day-to-day job, as it is often secondary care led. The conditions that are classically seen in a secondary care setting and that are emphasized in the medical school curriculum are rarely seen in primary care. Patients also may not necessarily present with the classical symptoms described in textbooks; often it is over time, and with repeated contact, that the diagnosis may become more obvious. This chapter looks at the prevalence data for primary care and discusses the routine workload of a primary care physician.


2021 ◽  
Vol 2 (10) ◽  
pp. e212932
Author(s):  
Harald Schmidt ◽  
Andrew J. Spieker ◽  
Tianying Luo ◽  
Julia E. Szymczak ◽  
David Grande

2021 ◽  
Vol 49 (2) ◽  
pp. 170-177
Author(s):  
Grigorios Chatziparasidis ◽  
Sotirios Fouzas ◽  
Ahmad Kantar

Cough is a defense mechanism, but when it becomes persistent and troublesome, it must be carefully assessed. Chronic cough, that is, cough persisting for more than 4 weeks, has a proven negative impact on a child’s quality of life; it interferes with daily activities, sleep, and schooling and may involve frequent health care visits and long-lasting treatments. Currently, there is a plethora of algorithms in the literature aiming to assist in the assessment of chronic cough in children; however, referring to complex flowcharts may be impractical for the usually busy primary care physician. Herein, we provide a simplified tool for the assessment of children with chronic cough in the primary care setting, presenting a basic approach to the most common causes along with hints to avoid common pitfalls in everyday practice. Finally, the most common clinical scenarios are analyzed, aiming to assist primary care physicians in providing the appropriate care to these patients.


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