Identifying a Knowledge Deficit among Pediatric and General Practitioner Trainees in Pediatric and Adolescent Gynecology in an Irish Hospital: A Pilot Study

2021 ◽  
Author(s):  
E.J. Cosgrave ◽  
J.M. Geraghty ◽  
A.R. Geoghegan
Keyword(s):  
General Practitioner ◽  
Pilot Study ◽  
Knowledge Deficit ◽  
Irish Hospital ◽  
Adolescent Gynecology

scholarly journals Alopecia and Iron Deficiency: An Interventional Pilot Study in Primary Care to Improve the Request of Ferritin

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Maria Salinas ◽  
Maria Leiva-Salinas ◽  
Emilio Flores ◽  
Maite López-Garrigós ◽  
Carlos Leiva-Salinas
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
Pilot Study ◽  
Iron Deficiency ◽  
Laboratory Testing ◽  
Laboratory Tests ◽  
Young Female ◽  
Cross Sectional ◽  
Primary Care Patients ◽  
Cross Sectional Studies

Background. The aim was to study the demographic and laboratory pattern of primary care patients with alopecia undergoing laboratory testing, more specifically, the request of hemoglobin and ferritin and values showing anemia and iron deficiency, and to evaluate the effects of an intervention involving automatic ferritin registration and measurement when not requested. Methods. Retrospective and prospective observational cross-sectional studies were conducted, as well as an intervention to automatically register and measure ferritin when not requested by the general practitioner. Results. There were 343 and 1032 primary care laboratory requests prompted by alopecia in the retrospective and prospective studies. Hemoglobin was requested in almost every patient and ferritin in 88%. 5% of the cohort had anemia, and 25% had iron deficiency. The intervention registered and measured that 123 ferritin and 24 iron deficiencies were detected in patients with alopecia, all women, at a cost of 10.6€. Conclusion. Primary care patients with alopecia and laboratory tests request were mainly young female. Our intervention added ferritin when not requested, detecting iron deficiency in 27.9% of women, potentially avoiding the adverse effects of iron deficiency on hair loss.

scholarly journals Medical records: Doctors' and patients' experiences of copying letters to patients

2004 ◽  
Vol 28 (2) ◽  
pp. 40-42 ◽  
Author(s):  
Harpal Nandhra ◽  
Graham Murray ◽  
Nigel Hymas ◽  
Neil Hunt
Keyword(s):  
General Practitioner ◽  
Pilot Study ◽  
General Practitioners ◽  
Medical Records ◽  
Letter Writing ◽  
Initial Assessment ◽  
Clinical Implications ◽  
Usual Practice ◽  
To Receive ◽  
Writing Practice

Aims and MethodWe conducted a pilot study to determine patients' views on receiving a copy of the assessment letter sent to their general practitioner and to determine how psychiatrists' letter writing practice would be altered in the knowledge that patients would receive copies of such letters. Seventy-six consecutive new outpatients received copies of the initial assessment letter sent to general practitioners. Patients were asked to complete a short questionnaire on how the practice affected them. For each letter, psychiatrists were asked to provide details of anything of importance that had been omitted from the letter that in their normal practice they would have included.ResultsThere was a broad range of responses on how patients felt about the letters. Only two patients found the letters unhelpful, and 83% expressed a positive desire to continue receiving letters, even though initially 18% found the letter distressing. For 56 out of 76 patients, psychiatrists stated that they composed and sent out the letter to the GP in accordance with their usual practice and copied the letter to the patient in an unaltered form. For 17 patients, the psychiatrist stated that some information he/she would usually have included in the GP letter was omitted in the copy the patient received. In a further 3 cases, the psychiatrist sent no letter to the patient.Clinical ImplicationsPatients found it helpful to receive copies of their assessment letters. Psychiatrists might require training and reassurance about this policy before implementation.

scholarly journals General medical care of long-stay psychiatric patients: a pilot study

1992 ◽  
Vol 16 (6) ◽  
pp. 332-334
Author(s):  
Danny Allen ◽  
Sally Pugh-Williams
Keyword(s):  
Health Care ◽  
General Practice ◽  
General Practitioner ◽  
Pilot Study ◽  
Medical Care ◽  
Psychiatric Patients ◽  
The Elderly ◽  
General Medical Care ◽  
Psychiatric Units ◽  
Physical Morbidity

Studies have shown that significant physical morbidity exist within psychiatric units (Honig et al, 1989), yet general medical care is often left in the hands of psychiatrists who may not always be the most appropriate people to deliver it (Colenda et al, 1988). The new general practice contract places certain obligations on the general practitioner (GP) with regard to his or her patients, especially the elderly, yet these provisions do not extend to many of our patients. Our study looks at four areas of health care and examines how they are delivered to long-stay patients in a district pyschiatric unit with no GP input.

scholarly journals Identification of occlusal prematurity by clinical examination and cone-beam computed tomography

2013 ◽  
Vol 24 (1) ◽  
pp. 64-67 ◽  
Author(s):  
Naila Aparecida de Godoi Machado ◽  
João César Guimarães Henriques ◽  
Éverton Ribeiro Lelis ◽  
Marcelo Tavares ◽  
Guilherme de Araújo Almeida ◽  
...  
Keyword(s):  
Computed Tomography ◽  
General Practitioner ◽  
Pilot Study ◽  
Clinical Examination ◽  
Cone Beam Computed Tomography ◽  
Young Patients ◽  
Calculated Data ◽  
Clinical Analysis ◽  
Cone Beam ◽  
Professional Experience

The aim of this study was to evaluate the ability to identify occlusal prematurity by images from paraxial slices of cone-beam computed tomography (CBCT). For such purpose, a pilot study was performed in which 16 asymptomatic young patients were subjected to a clinical examination, including a careful occlusal analysis and then individual deprogrammer devices (“Lucia's JIG”) were fabricated. Premature contacts were clinically identified in centric relation (CR) for each patient by jaw manipulation and interocclusal marking with articulating paper (Accufilm). Subsequently, these devices were adjusted in CR and used during the tomographic exams in such a way that CBCT in CR could be obtained. After routine processing, the images were analyzed in order to identify occlusal prematurity on the displayed images by 30 professionals divided according to areas of activity (occlusion specialist, general practitioner and radiologist; n=10 per area) and time of professional experience (less than 5, between 5 and 10, and over 10 years). By comparing the premature contacts identified in the clinical analysis and CBCT images, an agreement index between these two variables was calculated. Data were analyzed statistically by ANOVA and Scott-Knott test (α=0.05). The results showed that the identification of occlusal prematurity by paraxial CBCT slices was proven to be a method of average reliability.

scholarly journals Development and preliminary validation of the competency model for rural general practitioner in China

2020 ◽  
Author(s):  
Yun Wei ◽  
Yanli Liu ◽  
Xuexue Zhao ◽  
Guanghui Jin ◽  
Yali Zhao ◽  
...  
Keyword(s):  
General Practitioner ◽  
Pilot Study ◽  
Rural Areas ◽  
Panel Discussion ◽  
Reliability And Validity ◽  
Internal Consistency Reliability ◽  
Competency Model ◽  
Face Validity ◽  
Validity And Reliability ◽  
Good Reliability

Abstract Background There is a shortage of rural general practitioners (GPs) in China. Training programs have been initiated to meet the needs of GP workforce in the rural areas; however, there is an absence of validated tool to assess their competencies. Objective This study aimed to develop a competency model for rural general practitioner (CMRGP) after training in China and to examine its validity and reliability. Methods A multistage process was adopted to develop the CMRGP comprised literature review, panel discussion and expert consultation, and the initial version of CMRGP was reduced from 10 domains and 77 items to 7 domains and 54 items. A pilot study was conducted among 202 rural GPs for the psychometric evaluation and application of the initial version of CMRGP, in which a questionnaire on the importance of items and self-evaluation was completed by the GPs. Results In the pilot study, 132 completed questionnaires (65.3%) were returned. Acceptability and face validity of the CMRGP were supported by high importance scores of the items, in which 52 out of 54 items achieved score higher than 4.00 (possible score from 0 to 5). Factor analysis supported the construct validity. After the modification, the final version of CMRGP contained 6 domains and 47 items. Good reliability was supported by internal consistency reliability (Cronbach’s α was 0.98) and split-half reliability (Spearman–Brown coefficient was 0.99). Conclusions The CMRGP demonstrated good reliability and validity. Pilot study showed its potential for application in the rural general practice and training program.

Physiotherapists’ attitudes and practices towards physiologic monitor alarms in critical care: A single-centre pilot study

2021 ◽  
pp. 1-10
Author(s):  
Deirdre O’Dowd ◽  
Annette Harte ◽  
Catherine O’Sullivan
Keyword(s):  
Critical Care ◽  
Pilot Study ◽  
Online Survey ◽  
Alarm Fatigue ◽  
Care Experience ◽  
Attitudes And Practices ◽  
Self Confidence ◽  
Irish Hospital ◽  
Monitor Alarms ◽  
Key Barrier

BACKGROUND: Desensitisation to alarms, or alarm fatigue, is a concern for healthcare staff. Little is known about how physiotherapists relate to, or are affected by clinical alarms. This pilot study aimed to explore physiotherapists’ attitudes and practices towards physiologic monitor alarms (PMA) in critical care. METHODS: An online survey of physiotherapists with critical care experience working at a Model 4 Irish Hospital. A sample of convenience was used with all eligible physiotherapists invited to complete the online survey via email (n = 33). Demographic information was captured, as well as information on experiences, practices, and barriers and facilitators to managing PMA. RESULTS: The response rate was 76% (25/33). All respondents worked on-call and weekends, with one respondent managing a current day-to-day critical care caseload. The majority of respondents (20/25, 80%) perceived all PMA as clinically important, but a workplace distraction (19/25, 76%). Negative emotions were commonly experienced by respondents on hearing PMA. All respondents (25/25, 100%) reported to notice their patient’s PMA, feeling they had a responsibility to respond. Respondents indicated varying levels of self-confidence in responding to PMA but commonly assessed the cause of the alarm (24/25, 96%) and checked the patient’s condition (24/25, 96%). Education and training was identified as a key barrier and facilitator for physiotherapists in terms of managing alarms in critical care. CONCLUSION: This study provides preliminary data on physiotherapists’ attitudes and practices towards PMA in critical care. Additional studies are necessary in order to verify the findings of this pilot study and further explore alarm fatigue amongst critical care physiotherapists.

Sign in / Sign up

Export Citation Format

Share Document