Clinical communication training for the general practice of medicine – A case for including discourse analytical findings from real-world practice

2018 ◽  
Vol 13 (1-3) ◽  
pp. 254-275
Author(s):  
Catherine O'Grady
Keyword(s):  
General Practice ◽  
Real World ◽  
Communication Training ◽  
Clinical Communication ◽  
Practice Of Medicine

Informed Consent

2014 ◽  
pp. 10-14
Author(s):  
Gregory Davis
Keyword(s):  
Mental Health ◽  
General Practice ◽  
Informed Consent ◽  
Mental Health Treatment ◽  
Medical Conditions ◽  
Health Treatment ◽  
Legal Requirement ◽  
Practice Of Medicine

Chapter 2 deals specifically with the topic of informed consent, an essential legal requirement for the general practice of medicine. Some of the cases are specific to mental health treatment, but most are critical to defining the standards of informed consent and are related to more purely medical conditions. Cases described here include Natanson v. Kline, Canterbury v. Spence, Kaimowitz v. Michigan Department of Mental Health, Truman v. Thomas, Clites v. Iowa, and Zinermon v. Burch.

scholarly journals Real‐world prevalence of the inclusion criteria for the LEADER trial: Data from a national general practice network

2019 ◽  
Vol 21 (7) ◽  
pp. 1661-1667 ◽  
Author(s):  
William Hinton ◽  
Michael Feher ◽  
Neil Munro ◽  
Megan Walker ◽  
Simon Lusignan
Keyword(s):  
General Practice ◽  
Real World ◽  
Trial Data ◽  
Inclusion Criteria ◽  
Practice Network

scholarly journals Impact of ISBAR Communication Training on Interpersonal Communication and Teamwork of Residents in General Practice Standardized Training

2020 ◽  
Vol 11 ◽  
pp. 76-83
Author(s):  
Min Chen ◽  
Jianhao Yin ◽  
Rui Jia ◽  
Hao Zhang ◽  
Rong Yan ◽  
...  
Keyword(s):  
General Practice ◽  
Interpersonal Communication ◽  
Communication Skills ◽  
Clinical Education ◽  
Training Model ◽  
Communication Training ◽  
Control Group ◽  
Observation Group ◽  
Communication Ability ◽  
The Impact

Interpersonal communication and teamwork is one of the training objectives of standardized training for residents. The ISBAR (Identify, Situation, Background, Assessment, Request) communication training model can effectively improve physicians’ clinical communication skills and teamwork ability. Our research aims to explore the impact of the ISBAR communication training on the interpersonal communication and teamwork of residents in general practice standardized training. A total of 92 general practitioners (GP) who participated in the Standardized Residency Training in the First Affiliated Hospital of Xi’an Jiaotong University in September 2018 were randomly recruited and divided into observation group（n=46） and control group（n=46） using simple random grouping method. GP in the observation group was trained by the ISBAR communication training model, whereas GP in the control group was trained by the traditional clinical education model. Six different scales were used to assess the interpersonal communication ability and teamwork ability of the two groups at different time points. After two weeks of training，the scores of interpersonal communication ability and teamwork ability in the observation group were higher than those in the control group（P<0.05）. ISBAR communication training model may significantly improve the interpersonal communication skills and teamwork ability of residents in general practice standardized training.

scholarly journals Principles for Real-World Implementation of Bedside Predictive Analytics Monitoring

2021 ◽  
Vol 12 (04) ◽  
pp. 888-896 ◽  
Author(s):  
Liza Prudente Moorman
Keyword(s):  
Real World ◽  
Predictive Analytics ◽  
Clinical Care ◽  
Health Care Environment ◽  
Clinical Role ◽  
Care Environment ◽  
Practice Of Medicine ◽  
New Development ◽  
Clinical Action ◽  
New Ideas

AbstractA new development in the practice of medicine is Artificial Intelligence-based predictive analytics that forewarn clinicians of future deterioration of their patients. This proactive opportunity, though, is different from the reactive stance that clinicians traditionally take. Implementing these tools requires new ideas about how to educate clinician users to facilitate trust and adoption and to promote sustained use. Our real-world hospital experience implementing a predictive analytics monitoring system that uses electronic health record and continuous monitoring data has taught us principles that we believe to be applicable to the implementation of other such analytics systems within the health care environment. These principles are mentioned below:• To promote trust, the science must be understandable.• To enhance uptake, the workflow should not be impacted greatly.• To maximize buy-in, engagement at all levels is important.• To ensure relevance, the education must be tailored to the clinical role and hospital culture.• To lead to clinical action, the information must integrate into clinical care.• To promote sustainability, there should be periodic support interactions after formal implementation.

scholarly journals Improving the Management of Atrial Fibrillation in General Practice: Protocol for a Mixed Methods Study (Preprint)

2020 ◽  
Author(s):  
Simon de Lusignan ◽  
F D Richard Hobbs ◽  
Harshana Liyanage ◽  
Filipa Ferreira ◽  
Manasa Tripathy ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Primary Care ◽  
General Practice ◽  
Real World ◽  
Early Recognition ◽  
Phase 1 ◽  
Second Phase ◽  
National Guidelines ◽  
Sentinel Network ◽  
The Impact

BACKGROUND Atrial fibrillation (AF) is one of the commonest arrhythmias observed in general practice. The thromboembolic complications of AF include transient ischemic attack, stroke, and pulmonary embolism. Early recognition of AF can lead to early intervention with managing the risks of these complications. OBJECTIVE The primary aim of this study is to investigate if patients are managed in general practice according to current national guidelines. In addition, the study will evaluate the impact of direct oral anticoagulant use with respect to AF complications in a real-world dataset. The secondary aims of the study are to develop a dashboard that will allow monitoring the management of AF in general practice and evaluate the usability of the dashboard. METHODS The study was conducted in 2 phases. The initial phase was a quantitative analysis of routinely collected primary care data from the Oxford Royal College of General Practitioners Research and Surveillance Center (RCGP RSC) sentinel network database. AF cases from 2009 to 2019 were identified. The study investigated the impact of the use of anticoagulants on complications of AF over this time period. We used this dataset to examine how AF was managed in primary care during the last decade. The second phase involved development of an online dashboard for monitoring management of AF in general practice. We conducted a usability evaluation for the dashboard to identify usability issues and performed enhancements to improve usability. RESULTS We received funding for both phases in January 2019 and received approval from the RCGP RSC research committee in March 2019. We completed data extraction for phase 1 in May 2019 and completed analysis in December 2019. We completed building the AF dashboard in May 2019. We started recruiting participants for phase 1 in May 2019 and concluded data collection in July 2019. We completed data analysis for phase 2 in October 2019. The results are expected to be published in the second half of 2020. As of October 2020, the publications reporting the results are under review. CONCLUSIONS Results of this study will provide an insight into the current trends in management of AF using real-world data from the Oxford RCGP RSC database. We anticipate that the outcomes of this study will be used to guide the development and implementation of an audit-based intervention tool to assist practitioners in identifying and managing AF in primary care. INTERNATIONAL REGISTERED REPORT RR1-10.2196/21259

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