scholarly journals Psychodynamic supervision for junior hospital doctors

1994 ◽  
Vol 18 (2) ◽  
pp. 85-87 ◽  
Author(s):  
Eileen McGinley ◽  
Josephine O'Reilly
Keyword(s):  
General Practice ◽  
Clinical Skills ◽  
Working Relationships ◽  
Supervision Group ◽  
Hospital Doctors ◽  
Set Up ◽  
Psychodynamic Supervision

This paper describes a supervision group for senior house officers which focused on the psychodynamics of their working relationships with patients. The SHOs worked in a variety of hospital specialties as well as general practice. The description includes details of how such a group was set up and some of the practical difficulties in maintaining the SHOs' attendance. Brief details are given of the types of cases the SHOs were most eager to discuss, and the nature of the leading anxieties connected with the cases. The SHOs found this type of supervision supportive and enlightening as they developed and improved their clinical skills.

scholarly journals How to set up a postmortem facility in a farm animal practice

Livestock ◽  
2021 ◽  
Vol 26 (4) ◽  
pp. 196-201
Author(s):  
John F Mee ◽  
Rhona Ley
Keyword(s):  
General Practice ◽  
General Practitioners ◽  
Diagnostic Tool ◽  
Small Ruminants ◽  
Farm Animal ◽  
Small Animals ◽  
Animal Medicine ◽  
Set Up ◽  
Postmortem Examinations

Postmortem examinations can be a useful diagnostic tool in farm animal medicine; however, they are often avoided in general practice because of a lack of appropriate facilities and expertise/familiarity with techniques. This article describes the setting up of a basic facility to allow general practitioners to perform postmortem examinations of calves, small ruminants and other small animals, e.g. poultry.

Acquisition of basic clinical skills in the general practice setting

1997 ◽  
Vol 31 (2) ◽  
pp. 99-104 ◽  
Author(s):  
J V Parle ◽  
S M Greenfield ◽  
J Skelton ◽  
H Lester ◽  
F D R Hobbs
Keyword(s):  
General Practice ◽  
Clinical Skills ◽  
Practice Setting ◽  
General Practice Setting

scholarly journals An established practice in new surroundings: concepts, challenges, pitfalls and guidelines for NCHD Balint Groups

2016 ◽  
Vol 34 (1) ◽  
pp. 1-5 ◽  
Author(s):  
L. Douglas ◽  
L. Feeney
Keyword(s):  
General Practice ◽  
Group Work ◽  
Group Leader ◽  
Balint Groups ◽  
The Face ◽  
Hospital Doctors

Balint groups are now mandatory for psychiatry trainees. Balint groups have been in existence in General Practice for several decades. Providing Balint groups for Psychiatry Non Consultant Hospital Doctors brings with it challenges for the group leader and participants. Many of these challenges are common place in any form of group work, while others are unique to this cohort. This article describes these challenges. Guidelines which offer the the group the best chance of success, in the face of these common challenges, are discussed.

Evaluation of the Impact of Clinical Skills Teaching on General Practice

1997 ◽  
pp. 299-301
Author(s):  
J. A. Spencer ◽  
A. L. Robinson ◽  
A. Corradine ◽  
D. D. Smith
Keyword(s):  
General Practice ◽  
Clinical Skills ◽  
The Impact

International work and leadership in UK general practice

2014 ◽  
Vol 27 (2) ◽  
pp. 87-103 ◽  
Author(s):  
Peter Young ◽  
Chris Smith ◽  
Luisa Pettigrew ◽  
Ha-Neul Seo ◽  
David Blane
Keyword(s):  
General Practice ◽  
Clinical Skills ◽  
High Income ◽  
Service Improvement ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
International Work ◽  
Low Middle Income Countries ◽  
The Uk

Purpose – The purpose of this paper is to present an exploration of the leadership competencies developed by UK GPs through having undertaken international work and the ability to transfer these competencies back to the UK. Design/methodology/approach – The approach taken is a cross-sectional survey. Findings – A total of 439 UK-based, ranging from GP specialty trainees to retired GPs who had worked overseas, responded to an online survey of UK general practice and international work. Doctors were asked to report competency development through international work using the domains of the Medical Leadership Competency Framework (MLCF). The most common competencies developed, to a “moderate or significant” degree, related to “personal qualities” (89 per cent) and “working in teams” (87 per cent). To a lesser extent Doctors developed competencies in “setting direction” (60 per cent), “managing services” (59 per cent), and “service improvement” (56 per cent), and found these competencies harder to transfer back to the UK. A common reason for limited transfer of competency was the lack of leadership opportunities for Doctors when returning to UK locum roles. Overseas posts were more common in low/middle income countries, and these Doctors reported a greater range of leadership roles, including in health policy, management and teaching, compared to high-income countries. Most doctors felt that they were able to develop their clinical skills overseas whilst relatively few Doctors performed research, especially in high-income countries. Originality/value – To the authors' knowledge this is the first cross-sectional survey exploring the international work of UK GPs and leadership development using the MLCF domains.

scholarly journals An evaluation of the clinical skills and experience within an orthopaedic Integrated Clinical Assessment and Treatment Service

BJGP Open ◽  
2017 ◽  
Vol 1 (4) ◽  
pp. bjgpopen17X101217
Author(s):  
Simon Feist-Wilson ◽  
Neil Heron
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Northern Ireland ◽  
Clinical Assessment ◽  
Clinical Skills ◽  
Treatment Service ◽  
Exercise Medicine ◽  
Assessment And Treatment ◽  
The Uk ◽  
High Level

BackgroundGeneral practice in the UK is ‘in crisis’. With 20% of GP workload relating to musculoskeletal (MSK) problems, an orthopaedic Integrated Clinical Assessment and Treatment Service (ICATS) could help support assessment of these patients in primary care, alleviating pressure on GPs. However, practitioners in ICATS must be trained appropriately to ensure its effectiveness.AimThis evaluation aimed to identify the training levels of doctors in one Northern Ireland orthopaedic ICATS system, what their future training needs are, and suggestions for how this service could be improved to better support general practice.Design & settingA questionnaire study in an orthopaedic ICATS, Northern Ireland.MethodAll seven doctors working within the Southern Trust orthopaedic ICATS were asked to complete a questionnaire detailing their training and experience in MSK medicine. Their views on how the service could be improved were elicited.ResultsSix of seven questionnaires were returned. All responders were Members of the Royal College of General Practitioners (MRCGP), while five of six held a Diploma in Sports and Exercise Medicine (Dip SEM). Half of responders suggested that MSK ultrasound could be beneficial within ICATS. However, it was viewed that extensive training would be required before paediatric MSK patients could be included.ConclusionHigh levels of training and experience were reported by responders, suggesting ICATS provides a high-level MSK service. Furthermore, it was noted that inclusion of MSK ultrasound and paediatric patients into this service could be beneficial but not without undertaking further training. With appropriate funding and support the ICATS service has the potential to expand the clinical services it offers to general practice, helping to reduce work pressures in primary care at this time of crisis for UK general practice.

scholarly journals Use of office spirometers in Flemish general practice: results of a telephone survey

2016 ◽  
Vol 65 (3) ◽  
Author(s):  
N. Boffin ◽  
V. Van der Stighelen ◽  
D. Paulus ◽  
P. Van Royen
Keyword(s):  
General Practice ◽  
Small Groups ◽  
Telephone Survey ◽  
Training Needs ◽  
Knowledge And Skills ◽  
Routine Basis ◽  
Marked Preference ◽  
Set Up ◽  
Insufficient Knowledge

Background. While office spirometry is seen as potentially useful and feasible in general practice, little is known about its use in Flemish general practice. Our aim was to describe the use of spirometers by Flemish GPs, characteristics of their spirometry practice, training needs and preferences, and attitudes towards office spirometry. Methods. A telephone survey was set up in a random sample of Flemish GPs. Interviews were carried out by a GP researcher using a structured piloted questionnaire. Results. 197 out of 243 eligible GPs (81%) were interviewed. Most GPs (66%) had never used an office spirometer, 17.3% were using one and 16.7% stopped using one. Time constraints (54%) and insufficient knowledge and skills (27%) were the main reasons for not using an office spirometer (any longer). GPs particularly used their spirometer to diagnose COPD and asthma, and less frequently in follow-up. GPs (67.9%), especially current users (91.2%), considered spirometry as a GP task. Spirometry training should be provided (86%) and spirometry by GPs should be reimbursed (79.5%). More information on spirometry would be very useful (62.3%), with a marked preference for training in small groups (86.8%). Conclusion. Although office spirometry is not widespread in Flemish general practice, GPs show an undoubted interest in it. They need educational and financial support to overcome prevailing barriers in establishing office spirometry on a routine basis.

Mere Tokenism or Best Practice: The Illawarra Division of General Practice Consumer Consultative Committee

2002 ◽  
Vol 8 (2) ◽  
pp. 81 ◽  
Author(s):  
David Perkins ◽  
Kate Senior ◽  
Alan Owen
Keyword(s):  
General Practice ◽  
Patient Care ◽  
Population Health ◽  
Best Practice ◽  
Improve Patient Care ◽  
Consumer Participation ◽  
Consultative Committee ◽  
Two Cultures ◽  
Set Up ◽  
Improve Patient

Divisions of General Practice were set up to improve links between GPs and consumers, to develop a population health perspective in general practice, and to improve patient care. The Illawarra Division of General Practice established a consumer consultative committee as part of a broader strategy to achieve these objectives. An interview study with committee members indicates the difficulties experienced in this task and the persistence of two cultures. Various options are identified by which consumer participation might be improved as means of fostering better links, improved care and a population health perspective amongst GPs. The first step is a more sophisticated understanding of the strengths and weaknesses of current consultative arrangements.

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