scholarly journals What influences postgraduate psychiatric trainees’ attitudes to clinical audit?

2017 ◽  
Vol 37 (2) ◽  
pp. 106-110
Author(s):  
S. McWilliams ◽  
S. Schofield
Keyword(s):  
Sample Size ◽  
Medical Practice ◽  
Clinical Audit ◽  
Initial Study ◽  
Formal Training ◽  
Ethical Practice ◽  
Specific Training ◽  
Direct Experience ◽  
Good Medical Practice ◽  
Positive Attitudes

IntroductionClinical audit is an important component of safe and ethical practice but many clinicians cite barriers to engagement in audit.MethodologyA total of 81 basic specialist trainees in psychiatry were surveyed in terms of their basic demographic details and their knowledge, direct experience and attitudes in relation to clinical audit.ResultsAmong the 49 (60.5%) who responded, 57.1% had received formal training in audit, but only 20.4% had received more than four hours of training in their whole career. The median positivity score was 30 out of a possible 54 (range 12–40), suggesting that participating trainees were barely more than ‘undecided’ overall when it comes to positive attitudes to clinical audit. Age, nationality and specific training did not predict attitudes to clinical audit. Gender, years of clinical experience and direct experience of clinical audit did not significantly predict attitudes to clinical audit, but these findings are at odds with some previous research.DiscussionMuch work is needed in improving postgraduate trainees’ attitudes to clinical audit, given that clinical audit is essential for good medical practice. Ours is an initial study of this area of training limited by sample size and the narrowness of the group tested. Further study of other specialities, higher trainees and consultant trainers would further enhance our understanding.

SMART tips for setting teaching objectives

2017 ◽  
Vol 10 (10) ◽  
pp. 614-617
Author(s):  
Yasmin Hughes
Keyword(s):  
Medical Practice ◽  
General Medical Council ◽  
Formal Training ◽  
Medical Council ◽  
Effective Teacher ◽  
Good Medical Practice ◽  
Teaching Objectives ◽  
And Training

‘Doctor’, derived from Latin, means ‘teacher’. As doctors, we teach our patients, students and colleagues. The General Medical Council makes reference to this in ‘Good Medical Practice’, stating that as a doctor ‘you should be prepared to contribute to teaching and training doctors and students’. The importance of teaching is echoed in the RCGP curriculum. Despite its importance, not every doctor has the opportunity of formal training on how to become an effective teacher. This article presents a simple guide that doctors can use to plan teaching sessions.

Structured learning for clinical ethics in anaesthesia

2016 ◽  
Vol 11 (4) ◽  
pp. 200-209
Author(s):  
Sri Logarajah ◽  
Sue Roff
Keyword(s):  
Medical Practice ◽  
Clinical Ethics ◽  
Ethics Education ◽  
Good Practice ◽  
General Medical Council ◽  
Structured Learning ◽  
Medical Council ◽  
Ethical Practice ◽  
Good Medical Practice ◽  
Education Decision

The ‘SLICE’ model for Structured Learning in Clinical Ethics provides a template to help medical professionals identify their own “moral compass” to provide guidance in complex ethical areas. The model has five domains – Conscience, Compliance, Concurrence, Conversation and Conversion. The use of ‘SLICE’ model as a tool for ethics education has been described in various undergraduate and postgraduate settings. These include teaching ethical aspects of transplantation; legislation for undergraduates and consent in paediatric anaesthesia. Its use as tool for teaching reflective ethical practice has been recently described demonstrating the potential of the SLICE model for supporting appraisal and professional development. In this article, we explore the suitability of the SLICE model to provide a general framework encompassing all the requirements for Ethical Clinical practice in anaesthesia. Good Medical Practice guidance produced by the General Medical Council and guidance provided jointly by the Royal College of Anaesthetists and Association of Anaesthetists of Great Britain and Ireland is used as the foundation for developing this framework. The Good Practice Guide for anaesthetic departments provides a solid ethical frame work for interpreting and applying Good Medical Practice guidance by the General Medical Council. Tools such as the SLICE model complement the guides produced by the professional organisations by providing a choice of different methods to facilitate education, decision making and reflective practice.

scholarly journals Postgraduate training course in the psychiatry of mental handicap

1991 ◽  
Vol 15 (4) ◽  
pp. 216-217
Author(s):  
Dora Kohen
Keyword(s):  
Medical Practice ◽  
Postgraduate Training ◽  
Professional Life ◽  
Formal Training ◽  
Senior Registrar ◽  
Mental Handicap ◽  
Training Course ◽  
Good Medical Practice ◽  
Training Courses

Among other things, good medical practice demands continuation of training at every level of professional life. Post-membership psychiatrists who have started their senior registrar (SR) jobs may face a lack of formal training. In many subspecialities of psychiatry this has been extensively remedied by various training courses and programmes.

Ethics in occupational health

2019 ◽  
pp. 85-102
Author(s):  
Steve Boorman ◽  
Diana Kloss
Keyword(s):  
Occupational Health ◽  
Medical Practice ◽  
Occupational Medicine ◽  
Ethics Committee ◽  
Ethical Practice ◽  
Multiple Stakeholders ◽  
Good Medical Practice ◽  
Complex Interactions ◽  
Ongoing Work ◽  
Conflicting Interests

Ethics describes the differentiation between right and wrong and is an essential part of good medical practice. Occupational medicine may involve potentially complex interactions between multiple stakeholders with potential for conflicting interests. A good knowledge of ethics is essential to effective occupational medicine practice. The authors have much experience in this field and are both longstanding members of the Faculty of Occupational Medicine Ethics Committee. This updated chapter coincides with ongoing work to update the Faculty of Occupational Medicine Ethics Guidance, due for release in 2018. Ethical practice has not changed significantly; the updated chapter reflects changes to legislation and updated advice following issues referred to the Faculty of Occupational Medicine in recent years.

The effect of the implementation of a good medical practice booklet on nursing home residents’ drug prescriptions: a difference-in-differences analysis based on data from electronic pill dispensers (Preprint)

2019 ◽  
Author(s):  
Stéphane Sanchez ◽  
Cécile Payet ◽  
Marie Herr ◽  
Anne Dazinieras ◽  
Caroline Blochet ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Medical Practice ◽  
Intervention Group ◽  
Medication Use ◽  
Nursing Home Residents ◽  
Control Group ◽  
Multilevel Regression ◽  
Difference In Differences ◽  
Good Medical Practice ◽  
The Impact

BACKGROUND The elderly are particularly exposed to adverse events from medication. Among the various strategies to reduce polypharmacy, educational approaches have shown promising results. OBJECTIVE We aimed to evaluate the impact of the implementation of a good medical practice booklet on polypharmacy in nursing homes. METHODS We identified nursing homes belonging to a geriatric care provider that had launched a policy of proper medication use using a good medical practice booklet delivered to prescribers and pharmacists. Data were derived from electronic pill dispensers. The effect of the intervention on polypharmacy was assessed with multilevel regression models, with a control group to account for natural trends over time. The main outcomes were the average daily number of times when medication was administered and the number of drugs with different presentation identifier codes per resident per month. RESULTS 96,216 residents from 519 nursing homes were included between 1 January 2011 and 31 December 2014. The intervention group and the control group both decreased their average daily use of medication (-0.05 and -0.06). The good medical practice booklet did not have a statistically significant effect (exponentiated difference-in-differences coefficient 1.00, 95% confidence interval 0.99-1.02, P=.45). CONCLUSIONS Although the good medical practice booklet itself did not seem effective in decreasing medication use, our data show the effectiveness of a higher-level policy to decrease polypharmacy.

scholarly journals Could Personalised Self-Inking Stamps Improve Identification Standards in Medical Records?

2012 ◽  
Vol 94 (4) ◽  
pp. 128-130
Author(s):  
Sac MacKeith ◽  
Svelusamy ◽  
A Pajaniappane ◽  
P Jervis
Keyword(s):  
Medical Practice ◽  
Medical Records ◽  
General Medical Council ◽  
Case Note ◽  
Medical Council ◽  
Patient Records ◽  
Medical Case ◽  
Good Medical Practice ◽  
Professional Contact

Doctors' handwriting has long been criticised as being difficult to read or even illegible. In more recent years research has confirmed that it is not uncommon to find medical case note entries that are deficient, illegible or unidentifiable. In Good Medical Practice the General Medical Council (GMC) asks that doctors 'keep clear, accurate, legible and contemporaneous patient records'. In addition, the GMC 'expects that all doctors will use their reference numbers widely to identify themselves to all those with whom they have professional contact'. This includes encouragement for its use in case note entries and prescribing.

Good medical practice for occupational health

The Lancet ◽  
2002 ◽  
Vol 359 (9309) ◽  
pp. 895
Author(s):  
MJ Henderson ◽  
K Holland-Elliot
Keyword(s):  
Occupational Health ◽  
Medical Practice ◽  
Good Medical Practice

TWO MISTAKEN DIAGNOSES OF FATAL ILLNESS IN BROTHERS

PEDIATRICS ◽  
1967 ◽  
Vol 40 (3) ◽  
pp. 390-394
Author(s):  
Richard Winkelmayer ◽  
A. Bradford Judd ◽  
Richard P. Stearns
Keyword(s):  
Medical Practice ◽  
Physical Illness ◽  
Emotional Impact ◽  
Fatal Disease ◽  
Art Of Medicine ◽  
Good Medical Practice ◽  
Fatal Illness ◽  
Difficult Challenge

Understanding the emotional impact of physical illness is generally recognized as an indispensable aspect of good medical practice. The diagnosis of fatal illness and the feelings connected with it possibly present the most difficult challenge in the art of medicine. We have tried to present some of the factors that led a mother to influence independent specialists to supply her with diagnoses of fatal diseases for two of her children. We feel that such processes are quite often at work, and we might have dismissed the untenable diagnosis of a fatal disease with the remark, "such things happen," were it not for the fact that this unlikely event happened twice in the same family. As physicians, we should all like to believe that our knowledge of the science of medicine is sufficient to remove us from the possibility of parental or other influence in such an instance. However, we are always exposed to these influences, and we may be swayed by them more often than we care to admit.

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