Relevant bibliographies by topics / Medicine – Specialties and specialists

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
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Academic literature on the topic 'Medicine – Specialties and specialists'

Author: Grafiati
Published: 4 June 2021
Last updated: 30 July 2024

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Journal articles on the topic "Medicine – Specialties and specialists"

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Meltser, Alexander V., Nikolay I. Briko, Anna A. Pronina, Natalya V. Erastova, Tamara I. Aristova, Alla Ya Mindlina, Tatyana V. Kolomenskaya, and Anna N. Pavlova. "Training of the preventive medicine specialists: analysis of primary and primary specialized accreditation results." HEALTH CARE OF THE RUSSIAN FEDERATION 66, no. 5 (October 17, 2022): 410–16. http://dx.doi.org/10.47470/0044-197x-2022-66-5-410-416.

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Introduction. One of the main tasks of the improvement of federal sanitary and epidemiological surveillance is the development of its staff potential. The level of professional competence of young specialists is assessed during their accreditation. Materials and methods. The results of primary and primary specialized accreditation in an enlarged group of specialties and areas from 30 educational institutions of higher education providing of training 32.00.00 Health Sciences and Preventive Medicine in 2021 were analyzed. Results. Graduates in the specialty 32.05.01 Preventive medicine care undergo primary accreditation starting from 2017. Since 2021, primary specialized accreditation has been carried out in specialties classified as enlarged groups of specialties and areas of training 32.00.00 Health Sciences and Preventive Medicine. In 2021, primary accreditation was carried out in 30 educational organizations of higher education that train of preventive specialists. 96.8% of specialists successfully passed primary accreditation. Primary specialized accreditation was carried out in 22 educational institutions in 11 specialties. The share of accredited specialists was 95.5%. Study limitations. Limited time. Conclusion. Generally, primary and primary specialized accreditation were successfully carried out. Within the primary accreditation, 1437 specialists were accredited, within primary specialized accreditation - 443 specialists in 11 fields of training.
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Kar, Partha. "Is there a role for a diabetes specialist on the AMU?" Acute Medicine Journal 12, no. 1 (January 1, 2013): 35–36. http://dx.doi.org/10.52964/amja.0281.

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Many specialists have taken time to adjust to the development of acute medicine and Acute Medical Units (AMUs). As these concepts have evolved, so has the understanding of how specialists can better interact with their new acute medicine colleagues and how they help to ensure the smooth running of one of the most vital cogs of the hospital ‘machine’. For some specialties (Cardiology , Respiratory Medicine etc), it has been relatively straightforward to integrate into the new model – perhaps due to the sheer numbers of acute patients relevant to those specialties. However, for the chronic disease specialties such as diabetes, it has been less easy to understand how to optimize the interface with acute medicine.
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Staniforth, Paul. "Integration of accident specialists and specialties." Injury 23, no. 3 (January 1992): 148. http://dx.doi.org/10.1016/s0020-1383(05)80032-4.

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Alberti, Professor Sir George. "The Rebirth of General, ‘Acute’ Medicine: will the baby survive?" Acute Medicine Journal 10, no. 1 (January 1, 2011): 3–4. http://dx.doi.org/10.52964/amja.0438.

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During the 1980s and 1990s general medicine was progressively displaced by medical specialties as the major focus of a consultant physician’s career. Fewer and fewer people were appointed as ‘general physicians with a specialist interest’, which had been the norm prior to this. Specialists whose main focus was their ‘ology’ were continuing to be expected to take their share of acute medical “takes”. Training for most medical specialties still encompassed training in General Internal Medicine (GIM). However, this often was truncated in favour of the main specialty and was even resented, by some, as interfering with their “proper” training. None of this was surprising: medical specialties were becoming more complex & many more treatments, interventions and diagnostic tools were becoming available. Simultaneously, working hours were decreasing, and training was taking place within a much more formalised structure.
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Kim, Daeyoung, Nathan Jo, Jae-Kwan Cha, Hojin Choi, Sang Wuk Jeong, Im Seok Koh, Kwang Ik Yang, et al. "Workload in Emergency Rooms among Clinical Specialties and Overburdened Neurologists." Journal of the Korean Neurological Association 40, no. 2 (May 1, 2022): 127–36. http://dx.doi.org/10.17340/jkna.2022.2.3.

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Background: To evaluate workload in emergency rooms (ERs) among clinical specialties including neurology and investigate characteristics of neurological consultations in ER.Methods: A nationwide survey was conducted to evaluate the number of specialists, resident physicians/surgeons, and emergency consultations of each clinical specialty in Korean tertiary referral hospitals from 2018 to 2019. Characteristics of neurological emergency consultations during the same period were investigated in one of the hospitals that participated.Results: A total of 23 hospitals were included. Four irrelevant clinical specialties were excluded. The number of neurology specialists and resident physicians were 12.5/hospital (4.1% of all specialists) and 6.4/hospital (3.4% of all resident physicians/surgeons), respectively, while the mean numbers of specialists and resident physicians or surgeons per clinical specialty were 13.7/hospital and 8.6/hospital, respectively. Neurological consultations accounted for 11.0% of all ER consultations for severe patients (Korean Triage and Acuity Scale level 1-3). Annual ER consultations for severe patients per neurology specialist was 274.1, which was only second to pediatrics (290.0). Annual ER consultations for severe patients per resident physician was 406.6 which was 1.6 times higher than the second highest (internal medicine, 247.0). Frequent conditions for neurological ER consultation were dizziness (24.8%), motor weakness (23.9%), headache (10.6%), dysarthria (9.9%), and seizures (7.7%). Frequent primary diagnoses were cerebrovascular diseases (29.0%) and episodic and paroxysmal disorders (24.9%).Conclusions: Workloads of neurology specialists for ER consultation were significantly heavy, and the workload of neurology resident physicians was the heaviest among all specialties. This should be considered in health care policies.
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Šćepanović, Lidija, Goran Kecojević, and Milan Mirković. "How available are specialist medical doctors in Montenegro?" Srpski medicinski casopis Lekarske komore 4, no. 4 (2023): 373–86. http://dx.doi.org/10.5937/smclk4-47454.

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Introduction: Health workers, especially highly skilled and trained staff, with their knowledge, experience, and skills, should enable the implementation of health policy, with the aim of preserving and improving the health of the population. The aim of this study was to determine the availability of medical doctors and specialist medical doctors in Montenegro, by type of specialization, i.e., to determine their age and gender structure, as compared to other countries in the European Region (ER). Materials and methods: Medical doctors (specialists, residents, and medical doctors without specialist training) represented the unit of observation in this study. In addition to the application of descriptive methods (absolute and relative numbers), indices of change in the number of doctors for the period between 2009 and 2021, indices of change in the age structure of doctors for the period between 2008 and 2021, indices of change in the prevalence of specialist doctors aged above 55 years (55+), by specialty, were calculated, as well as the density of different specialists per 100,000 population. Data related to the public sector, collected and published by the Institute of Public Health of Montenegro, were used. Results: The total number of doctors (specialists, residents, and medical doctors without specialist training) in Montenegro, in 2021, in the public sector, was by a third higher than in 2009, while the number of specialists increased by a quarter. The increase in the number of specialist medical personnel was significantly higher in hospitals, as compared to outpatient facilities (increase in the number of specialist doctors by 46% and residents by 41%, compared to 23% and 5% in outpatient facilities). In 2021, the highest percentage of specialist staff was in the age group of 55 years and above (about 34%). Conclusion: The aforementioned statistical series of data, related to specialist doctors, residents, and medical doctors without specialist training, in outpatient and inpatient health care, indicate a significant shortage of these doctors in Montenegro, as compared to most countries in the European Region, as well as an inadequate age structure, especially for certain specialties where careful human resources planning should be applied. Better and more efficient management of human resources should provide for young doctors to begin with specialist training sooner.
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Tkachenko, Pavlo. "Structural Components of Professional Competence of Future Economists Studying at Professional Economic Colleges." Professional Education: Methodology, Theory and Technologies, no. 18 (December 20, 2023): 192–209. http://dx.doi.org/10.31470/2415-3729-2023-18-192-209.

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The article deals with the problem of forming the professional competence of future specialists in economic specialties who receive education in professional economic colleges. The relevance of the current study lies in the fact that the dynamics of the traditional methodological approach in the educational process, given the global world trends, determines the priority of focusing on the competence approach and requires a detailed development of the content of the concept of competence of future specialists in economic specialties. The aim of the article is to determine the structure of future economists’ professional competence and the peculiarities of its formation in the educational space of professional economic colleges. The study used general research methods, such as generalization, comparison, systematization and abstraction, analysis, synthesis, and specification. Results. The structure of professional competence of future specialists in economic specialties, which combines professional and personal components, is substantiated. The vectors of improving the educational process aimed at forming information and digital, communication and intercultural competence in future specialists in economic specialties as an important component of their overall professionalism are allocated. The article establishes that the need to actualize the phenomenon of professional competence is due to the specific requirements for the professional qualities of an economist, characterized by the specific content and specific focus of professional activity. Conclusions. In the course of the study, it has been found that one of the promising areas of the educational process is the formation of future specialist’s personal qualities, including his/her digital literacy, logical thinking and international communication skills. It has been found that further research need determining and substantiating the psychological and pedagogical conditions for implementing the model of forming the economic specialties students’ professional competence in vocational education of higher education institutions. In addition, the basic principles of implementation and development of the educational process interdisciplinary integration are characterized. The development of an algorithm for the formation of foreign language professional communicative competence in future specialists of the field is seen as a promising direction of future research on the outlined topic.
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Dembitska, Sofia, Iryna Kobylianska, Oleksandr Kobylianskyi, and Olga Kuzimenko. "TRAINING OF SPECIALISTS IN TECHNICAL SPECIALTIES TO PROFESSIONAL ACTIVITY ACCORDING TO THE REQUIREMENTS OF TRANSDISCIPLINARY APPROACH." Professional Pedagogics 1, no. 26 (November 11, 2023): 110–21. http://dx.doi.org/10.32835/2707-3092.2023.26.110-121.

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Relevance: based on the analysis of the features and the current state of training of specialists in technical specialties, it was established that there is an urgent need to form a new generation of employees who are able to systematically improve their professional level and implement measures and means to ensure the appropriate level of safety at their workplace. Objective: construct a structural and functional model of training specialists in technical specialties for labor protection professional activity according to the requirements of the integrative methodological approach. Methods: theoretical (analysis of scientific and methodical publications reflecting the problem of research, generalization of the best domestic and foreign pedagogical, regarding the training of specialists in technical specialties for labor protection professional activity); empirical (questionnaires, testing, surveys to find out the level of readiness of future specialists for labor protection professional activities; expert surveys; observation of the educational process). Results: modern approaches to the training of specialists in technical specialties for labor protection professional activity according to the requirements of a transdisciplinary methodological approach were analyzed; an appropriate structural and functional model has been proposed for the implementation of such training of specialists in technical specialties, which contains methodological, technological and diagnostic blocks. Conclusions: based on the results of the analysis of scientific and methodological publications and pedagogical practice on the problem under study and the conducted expert survey, a list of pedagogical conditions for training specialists in technical specialties for labor protection professional activity was created according to the requirements of an integrative methodological approach, and a list of pedagogical conditions for its implementation was determined (ensuring positive motivation of students regarding the acquisition of labor protection competencies, knowledge, abilities and skills; development of appropriate educational and methodological support; ensuring the professional orientation of labor protection disciplines and the use of information technologies at all stages of the professional training of future specialists in technical specialties)
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Oros, Mihaela. "Sleep medicine in Romania – The results of a questionnaire applied to doctors of various medical specialties." Romanian Journal of Pediatrics 63, no. 4 (December 31, 2014): 401–6. http://dx.doi.org/10.37897/rjp.2014.4.9.

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Pediatric sleep medicine is an area of intense research. The importance of screening for obstructive sleep apnea syndrome (OSAS) has been emphasized in the recently published international guidelines for the diagnosis and management of childhood OSA. In Romania, the first steps of diagnosis and treatment of sleep disorders in children have been recently made and we wanted to assess the current awareness and management option in a group of HCPs. A self-administered questionnaire was sent by email to pediatricians, family doctors, medical doctors of other specialties, including pneumologists, psychiatrists and ENT specialists. The results, important for the qualitative information, show that pediatric sleep disorders, mainly OSAS, are diagnosed rather by specialists than by family doctors, and that in most cases the management strategy was re-evaluation of the child and/or referral to another specialist. Half of the respondents completed the final open question showing the need for improvement, both theoretical and practical knowledge, for a better communication between specialists and improvement of access to diagnostic tools, as well as increase of education of parents and older children and adolescents. Further research is needed to confirm these qualitative data, however the questionnaire allowed the identification of poor areas for various working groups, finally elaborating recommendations for various interventions which might influence the development of this field in our country as well.
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Gharaei, Helen. "Time to move towards subspecialties (or super-specialties) of pain medicine." Anaesthesia, Pain & Intensive Care 26, no. 5 (October 18, 2022): 582–84. http://dx.doi.org/10.35975/apic.v26i5.2015.

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Summary: The last one century has seen tremendous advancement in the field of medicine. In fact, the pace of this development has been so rapid, that each basic specialty had to be diversified into many new subspecialties to encompass the rapidly evolving technology, expertise and even newly identified diseases in the mankind. Pain medicine is unique, that this specialty has yet to be recognized as an independent specialty in many parts of the world, yet the development in this field has been exponential. Pain and pain medicine are an ocean, and it is impossible for a single human being to master every aspect of it. With this concept in mind, the Editor-in-Chief (THK) of this journal invited renowned pain specialists of the world to write on the concept of subspecialties (or super-specialties) in Pain Medicine to show the path to budding pain specialists. Citation: Gharaei H. Time to move towards subspecialties (or super-specialties) of pain medicine. Anaesth. pain intensive care 2022;26(5):582−584; DOI: 10.35975/apic.v26i5.2015
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Dissertations / Theses on the topic "Medicine – Specialties and specialists"

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Cheung, Sok-yee, and 張淑儀. "Determinants of outpatient satisfaction in a specialist clinic in HongKong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B3197160X.

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Landguth, David C. "Public health specializations and education needs to support homeland security." Thesis, Monterey, Calif. : Springfield, Va. : Naval Postgraduate School ; Available from National Technical Information Service, 2006. http://library.nps.navy.mil/uhtbin/hyperion/06Mar%5FLandguth.pdf.

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Thesis (M.A. in Security Studies (Homeland Security and Defense))--Naval Postgraduate School, March 2006.
Thesis Advisor(s): Anke Richter. "March 2006." Includes bibliographical references (p.175-178). Also available online.
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Wong, Sau-Yee, and 黃秀怡. "Determinants of patient satisfaction towards medication information inSOPD patients: DISMIS study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31972330.

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Yi, Yuxiang, and 易宇翔. "Factors affecting adherence to new specialist outpatient appointments among elderly patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B2662798X.

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Mountcastle, Keitha K. "Barriers to research utilization among clinical nurse specialists /." For electronic version search Digital dissertations database. Restricted to UC campuses. Access is free to UC campus dissertations, 2003. http://uclibs.org/PID/11984.

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Thesis (Ed. D.)--University of California, Davis, 2003.
Degree granted in Educational Leadership. Joint doctoral program with California State University, Fresno. Includes bibliographical references. Also available via the World Wide Web. (Restricted to UC campuses).
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Бідучак, Анжела Степанівна. "Training of specialists in sports medicine us and Ukraine." Thesis, Сучасні підходи до вищої медичної освіти в Україні (з дистанційним під’єднанням ВМ(Ф)НЗ України за допомогою відеоконференц-зв’язку) : матеріали XIV Всеукр. наук.-практ. конф. з міжнар. участю, присвяченої 60-річчю ТДМУ (Тернопіль, 18–19 трав. 2017 р.) : у 2 т. / Терноп. держ. мед. ун-т імені І. Я. Горбачевського. – Тернопіль : ТДМУ, 2017. – Т. 1. – 211 с, 2017. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/12389.

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Susanto, Steffenie. "Pediatric venipuncture| Child Life specialists' perspectives." Thesis, Mills College, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1538411.

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During procedures like venipuncture, Child Life Specialists are able to incorporate non-pharmacological measures when most medical staff focused on pharmacological measures. There is little research about what types of interventions Child Life Specialists believe are effective at minimizing children's pain and increasing coping skills during venipuncture. The purpose of the current study was to examine Child Life Specialists' perspectives on the different techniques available in the hospital setting. An online survey of 75 Certified Child Life Specialists asked about the types of techniques that Child Life Specialists use during venipuncture. Further, questions asked how Child Life Specialists felt about the efficacy of pharmacological and non-pharmacological techniques with a variety of different ages. Results revealed that Child Life Specialists felt that combining two techniques helps to minimize pain during venipuncture for pediatric patients more than the use of a single technique. These results applied to preschoolers, school-aged children and adolescents.

Keywords: child life specialist, venipuncture, pain, distress

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Williams, J. Gary. "Supervised autonomy : medical specialties and structured conflict in an Australian General Hospital /." Title page, contents and abstract only, 1991. http://web4.library.adelaide.edu.au/theses/09PH/09phw7242.pdf.

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Zweigenthal, Virginia E. M. "The contribution of public health medicine specialists to South Africa's health system." Doctoral thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/22843.

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Background: While South Africa's Constitution, health legislation and policies value public health (PH) approaches, Public Health Medicine (PHM) specialists are largely invisible in the health services. Despite this, many undertake specialist training. The reasons for this mismatch, for doctors' motivations for this training, and the career paths of PHM specialists are not known – nor is it known if their practice is aligned with the intentions of trainers, policy makers and employers. Postulates for their invisibility are that they are not required, are unknown, are interchangeable, not 'service-ready' or unavailable. Aims: This thesis investigates the match between 'desired', 'actual' and 'intended' use of doctors with PH expertise in contemporary South Africa. It explores the motivations of doctors undertaking PH studies, the actual careers of PHM specialists and the intended roles of this cadre of staff. Methods: Firstly, through an electronic survey, motivations for studying and career paths of doctors completing Master of Public Health (MPH) at the University of Cape Town – the foundational PH training for selected specialist training – were examined. Secondly, through focus groups and in-depth interviews, motivations for specialist training, anticipated career paths and perspectives of the future of PHM and of specialists-intraining (registrars), were probed. An on-line survey of PHM specialists' career paths, their reflections on the speciality's value and future was undertaken. Finally, through in-depth interviews, a qualitative study explored the perspectives of key stakeholders in South Africa's health service about PHM's value in the context of current health system reform. Findings: A number of factors underlie PHM's absence in the services. In post-apartheid South Africa, PH functions have been overshadowed by an inordinate focus on 'personal' curative services. Under current legislation, PHM is largely not a requirement for service positions, resulting in many participants (20%) not registering as specialists. PH practice is context-specific and its core functions are practised by others, resulting in overlapping boundaries between PHM and other trained professionals. Together with poor advocacy for the speciality, these resulted in PHM largely being eclipsed in health system design. In 2010, PHM comprised less than 200 specialists, mainly mature doctors who are increasingly female. There was a close match between 'desired', 'actual' and 'intended' roles of PHM specialists. Unlike doctors who undertook MPH studies to obtain research and technical skills, together with population approaches for career progression, PHM registrars and specialists trained to impact on health systems, underpinned by a commitment to social justice. Specialists' broad theoretical and experiential training produced versatile professionals able to work in complex service settings, with competencies spanning strategic and technical functions, which fast-tracked them for leadership. In 2010, a third of PHM specialists worked for the state health sector and a third for universities, mostly as managers or academics; the rest in NGOs, research institutions or independently. Besides those in 'joint appointment' health service and academic posts, less than a handful worked in designated service specialist posts. Specialists were highly satisfied with their careers. The majority had worked in the state sector at one time, but many had left to pursue academic and other careers. Although salaried specialists' remuneration had improved following the Occupational Specific Dispensation (OSD), this had not affected those in management and would not attract prospective specialists to management positions unless the work environment favouring autonomy and innovation improved. Despite an uneven presence, study participants agreed that the PHM's contribution centred on a 'public health intelligence' function – finding and interpreting information; supporting services through management and leadership; providing policy making and planning capacity and research at various levels. Some argued for PHM to be a requirement for senior line management posts in the future. Conclusions and recommendations: South Africa's current health reform is an opportunity for PHM to refine its professional identity, competencies and location. Being cognisant of its multi-disciplinary nature, it must locate itself in a common identity of a profession and workforce, in "a fabric of many professions dedicated to a common endeavour".10 A 'public health identity' needs to be constructed, reflecting the diverse PH professional functions.11 The desired size, shape and roles of the PH workforce, including PHM specialists, needs to be addressed through fora of PH stakeholders – the governmental health sector, civil society employers, universities, existing and prospective specialists - focussing on positions for specialists and PH professionals, the creation of posts, the design of training curricula, and registrar placements. Research that evaluates and explores the development of the PH workforce in South Africa, comparing it with other country settings, will inform the development and competency of the profession, and the health sector that aims to "improve quality of life for all".
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Hargrove, Tannis Mardece. "A phenomenological study of reiki practitioners and their perceptions of reiki as it relates to their personal health." CONNECT TO THIS TITLE ONLINE, 2008. http://etd.lib.umt.edu/theses/available/etd-05282008-162819/.

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Books on the topic "Medicine – Specialties and specialists"

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Luci, Etheridge, ed. Clinical specialties. Oxford: Oxford University Press, 2010.

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Luci, Etheridge, ed. Clinical specialties. Oxford: Oxford University Press, 2010.

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Etheridge, Luci. Clinical specialties. Oxford: Oxford University Press, 2010.

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Taylor, Anita D. How to choose a medical specialty. 2nd ed. Philadelphia: Saunders, 1993.

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CMSS Interspecialty Cooperation Committee. and Council of Medical Specialty Societies (U.S.), eds. Choosing a medical specialty. Lake Forest, Ill. (P.O. Box 70, Lake Forest 60045): Council of Medical Specialty Societies, 1987.

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Panel on the Hospitals' role in the Health Community. Report on out-of-province specialists clinics. Montague, P.E.I: Hospital and Health Services Commission, 1990.

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Nicholson, Sean. Barriers to entering medical specialties. Cambridge, MA: National Bureau of Economic Research, 2003.

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Collier, J. A. B. Oxford handbook of clinical specialties. 2nd ed. Oxford: Oxford University Press, 1989.

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Collier, J. A. B. Oxford handbook of clinical specialties. 2nd ed. Oxford [England]: Oxford University Press, 1989.

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Collier, J. A. B. Oxford handbook of clinical specialties. 3rd ed. Oxford: Oxford University Press, 1991.

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Book chapters on the topic "Medicine – Specialties and specialists"

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Hogan, Teresita M., and Thomas Spiegel. "Emergency Medicine." In Geriatrics for Specialists, 107–20. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-31831-8_11.

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Stepczynski, Anna, Tejo K. Vemulapalli, and Mindy J. Fain. "Hospital Medicine." In Geriatrics for Specialists, 67–80. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-31831-8_7.

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Scott, Serena Jain, Tejo K. Vemulapalli, and Mindy J. Fain. "Hospital Medicine." In Geriatrics for Specialists, 71–85. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-76271-1_7.

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Hogan, Teresita M., Thomas Spiegel, and Jonathan Oskvarek. "Emergency Medicine." In Geriatrics for Specialists, 101–15. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-76271-1_10.

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Kruse, Derek A., and Kristina L. Bailey. "Pulmonary and Critical Care Medicine." In Geriatrics for Specialists, 325–37. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-31831-8_27.

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Kruse, Derek A., and Kristina L. Bailey. "Pulmonary and Critical Care Medicine." In Geriatrics for Specialists, 325–38. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-76271-1_25.

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Hubbard, John R., and Robert P. Albanese. "Alcohol and Other Drugs of Abuse." In Primary Care Medicine for Specialists and Non-Specialists, 1–22. Boston, MA: Springer US, 2003. http://dx.doi.org/10.1007/978-1-4615-0709-3_1.

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Hubbard, John R., and Robert P. Albanese. "Preventive Health Care." In Primary Care Medicine for Specialists and Non-Specialists, 123–28. Boston, MA: Springer US, 2003. http://dx.doi.org/10.1007/978-1-4615-0709-3_10.

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Hubbard, John R., and Robert P. Albanese. "Psychiatric Disorders." In Primary Care Medicine for Specialists and Non-Specialists, 129–35. Boston, MA: Springer US, 2003. http://dx.doi.org/10.1007/978-1-4615-0709-3_11.

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Hubbard, John R., and Robert P. Albanese. "Pulmonary Illnesses." In Primary Care Medicine for Specialists and Non-Specialists, 137–45. Boston, MA: Springer US, 2003. http://dx.doi.org/10.1007/978-1-4615-0709-3_12.

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Conference papers on the topic "Medicine – Specialties and specialists"

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Kalkmann, Gabriela Ferreira, Luíza Floriano, Têka Luila Borgo Menezes, Sonia Quézia Garcia Marques Zago, Laura Beatriz Martins, Valdecir Boeno Spenazato Júnior, Isabella Carla Barbosa Lima Angelo, et al. "Proportion of male and female professionals in neurosurgery." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.459.

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Introduction: The specialty of neurosurgery over time has become increasingly sought after. Even with the gradual increase in women specialists in neurosurgery, they are still represented by a very small number in comparison to the number of male neurosurgeons. Objectives: Present the gender gap within neurosurgery. Methods: This is a systematic literature review, with the search terms: “gender” AND “women” AND “Neurology” AND “Neurosurgery”, resulting in 645 articles on the Pubmed, Lilacs, Scielo, Cochrane and TripDataBase search platforms. The inclusion criteria were: original studies published in any language. Published articles that prevented full access, as well as systematic reviews or not, were excluded. After applying the inclusion and exclusion criteria, 6 articles were included. Results: The databases of the American Association of Neurological Surgeons (AANS) and American Board of Neurological Surgery (ABNS) revealed that women represent only 12.0% of residents in neurosurgery. Most of them left training in the first 3 years and remained in Medicine, looking for other specialties. In addition, the female conflict rate with the team was 17.0% compared to a 5.3% male rate. The low number of women in neurosurgical residency programs can result in a consequent decrease in female tutors, lack of rise in female professionals and non-adherence of medical students in residency programs. Conclusions: The percentage of women in medicine has increased in recent years, however the number of women who pursue a neurosurgical career is still very small, when compared to the total number of neurosurgeon men.
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Bocharin, I., A. Martusevich, and L. Dilenyan. "COMPLEX SCRINING OF SPECIALTIES OF HEART RATE VARIABILITY IN STUDENTS AT MEGAPOLIS." In XIV International Scientific Conference "System Analysis in Medicine". Far Eastern Scientific Center of Physiology and Pathology of Respiration, 2020. http://dx.doi.org/10.12737/conferencearticle_5fe01d9c9d03c8.92975024.

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The aim of the study was to study the state of systemic hemodynamics in students of the main higher educational institutions of Nizhny Novgorod during the inter-sessional period. It was found that this group of individuals has good adaptive reserves, but some of the surveyed students have signs of sympathicotonia and a moderate risk of arrhythmogenic events
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Koroleva, Elena Nikolaevna, and Arina Iurevna Timofeeva. "Features of the formation of critical thinking skills in future specialists in the service economy." In All-Russian scientific and practical conference with international participation. Publishing house Sreda, 2022. http://dx.doi.org/10.31483/r-104598.

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The article presents the results of an empirical study of the features of the formation of critical thinking skills in future service economics specialists - students of secondary vocational education in technical and creative specialties; it was found out whether there are significant differences between the levels of formation of the studied skills.
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Bajan, Maia. "Probleme aferente predării disciplinelor contabile la specialitățile economice." In Învățământul superior contabil: provocări și soluții: Colocviu științific cu participare internațională in memoriam profesorului Viorel Ţurcanu. Academy of Economic Studies of Moldova, 2024. http://dx.doi.org/10.53486/isc2023.19.

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The mission of teaching accounting subjects to economic specialties within higher education institutions resides in the formation of the skills and competencies necessary for young specialists for their immediate employment after graduating from university. The purpose of the given paper is to establish the problems that arise in the teaching of accounting subjects for economic specialties (with the exception of the Accounting specialty) within higher education institutions. Starting from the small number of accounting subjects and the small number of hours, the volume of accounting information based on specific accounting procedures and principles is very difficult to capture the interest of students from other economic specialties to master these subjects after general economic training.
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Sagdat, Tazhibayeva, Mun Grigoryi, Irmukhametova Galiya, Ongarbayev Yerdos, Myltykbaeva Zhannur, and Musabekova Altynai. "Organization of the Ph-doctoral studies on the chemical specialties." In HEAd'16 - International Conference on Higher Education Advances. Valencia: Universitat Politècnica València, 2016. http://dx.doi.org/10.4995/head16.2016.2627.

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Problem of globalization of the educational process and integration into the international educational space is one of the most urgent problems for the Kazakh universities. In this regard, generalization of experience in training of PhD students is of particular interest, since training of PhD students is different in different countries. The example of the organization of educational process and scientific research in the PhD studies of chemical specialties at Faculty of Chemistry and Chemical Technology Al-Farabi Kazakh National University shows the peculiarities of the organization and defense of dissertations in Kazakhstan universities. It is shown that the training of specialists - doctoral students at Kazakhstan universities is carried out on the basis of theoretical and practical tests. At the same time currently the state of theoretical training and practical research is 1:1,5 however there is a tendency of decrease of the theoretical training. Conditions for preparation and defense of PhD-dissertations are described. The main requirements for the defense are marked: fulfillment of theoretical training and practical research in amount of 75 credits, the publication of results in journals with non-zero impact factor and approbation of the results in international scientific conferences.
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Derevyanchuk, Oleksandr V., Vasyl Kovalchuk, Valery Kramar, Hanna Kravchenko, Denis Kondryuk, Andrii Kovalchuk, and Bohdan Onufriichuk. "Implementation of STEM education in the process of training of future specialists of engineering and pedagogical specialties." In International Conference Correlation Optics (COR2023), edited by Oleg V. Angelsky and Claudia Yu Zenkova. SPIE, 2024. http://dx.doi.org/10.1117/12.3012996.

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Chikova, T. S., E. P. Fedorenchik, D. I. Radziuk, and E. P. Borbotko. "IMPLEMENTATION OF INTERDISCIPLINARY RELATIONS IN THE PHYSICAL LABORATORY WORKSHOP FOR ENVIRONMENTAL SPECIALTIES." In SAKHAROV READINGS 2022: ENVIRONMENTAL PROBLEMS OF THE XXI CENTURY. International Sakharov Environmental Institute of Belarusian State University, 2022. http://dx.doi.org/10.46646/sakh-2022-1-67-71.

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The role of a physical laboratory workshop in the system of training of specialists in ecological profile at International Sakharov Environmental Institute of Belarusian State University is analyzed. The features of conducting laboratory work in physics in the first year are considered. It is shown that the implementation of interdisciplinary connections between physics, higher mathematics, informatics and ecology increases the efficiency of mastering theoretical educational material, obtaining skills in working with physical instruments and equipment, as well as processing, presenting and analyzing experimental results.
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Moskovkin, Alexey, Roman Sidorov, and Alexey Romanenko. "RELATIONSHIP BETWEEN THE VOLUMES OF DIGESTIVE SECRETIONS IN ATHLETES OF DIFFERENT SPECIALTIES UNDER THE INFLUENCE OF EMOTIONAL STRESS." In XIX INTERNATIONAL INTERDISCIPLINARY CONGRESS NEUROSCIENCE FOR MEDICINE AND PSYCHOLOGY. LCC MAKS Press, 2023. http://dx.doi.org/10.29003/m3315.sudak.ns2023-19/204-205.

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Kovalchuk, T. A. "PROBLEMS OF FORMATION OF PROFESSIONAL COMPETENCES OF LIBRARY SPECIALISTS NECESSARY TO WORK WITH OBJECTS OF MUSEUM SIGNIFICANCE IN LIBRARIES." In БИБЛИОТЕКИ В ИНФОРМАЦИОННОМ ОБЩЕСТВЕ: СОХРАНЕНИЕ ТРАДИЦИЙ И РАЗВИТИЕ НОВЫХ ТЕХНОЛОГИЙ. ООО «Ковчег», 2020. http://dx.doi.org/10.47612/978-985-884-010-5-2020-268-277.

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The article outlines some problems of the formation of professional competencies of library specialists necessary for working with objects of museum significance in libraries. The analysed problems have been caused by absence in the curriculum for the specialty «1-23 01 11 Library and Information Activities (by specialties)» of disciplines directly aimed at the formation of the designated competencies. The article indicates the necessity of introduction into the educational process of an optional discipline «Organization and Technology of Work with Museum Collections of Libraries» at the Faculty of Information and Documentary Communications of the Educational Institution «Belarusian State University of Culture and Arts».
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Horbatiuk, Roman, Uliana Dudka, Vitalii Kabak, Liliia Rebukha, Olga Serdiuk, and Ivan Riznitskii. "Using the LearningApps.org Online Service in the Moodle System in the Process of Training of Specialists in Economic Specialties." In Symposium on Advances in Educational Technology. SCITEPRESS - Science and Technology Publications, 2020. http://dx.doi.org/10.5220/0010932200003364.

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Reports on the topic "Medicine – Specialties and specialists"

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Belokonova, Nadezhda, Elena Ermishina, Natalya Kataeva, Natalia Naronova, and Kristina Golitsyna. E-learning course "Chemistry". SIB-Expertise, January 2024. http://dx.doi.org/10.12731/er0770.29012024.

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The electronic training course ""Chemistry"" was created as an auxiliary resource to accompany the chemistry curriculum for the specialties of General Medicine, Pediatrics, and Dentistry. The purpose of studying the course is to form ideas about the structure and transformations of organic and inorganic substances that underlie life processes and influence these processes, in direct connection with the biological functions of these compounds. Course objectives: - formation of knowledge and skills about the basic laws of thermodynamics and bioenergy; about the structure and chemical properties of bioorganic compounds and their derivatives; - formation of knowledge necessary when considering the physical and chemical essence of processes occurring in the human body at the molecular and cellular levels; - developing the ability to carry out, when necessary, calculations of the parameters of these processes, which will allow a deeper understanding of the functions of individual systems of the body and the body as a whole, as well as its interaction with the environment; - training of a specialist who has a sufficient level of knowledge, skills, abilities, and is able to think independently and be interested in research work. The labor intensity of the course is 108 hours. The course consists of 3 didactic units. Each course topic contains theoretical material, a practice test to test your understanding of the theory, and a final test. Each final test on a topic is equivalent to a control event according to a point-rating system. Laboratory work is presented in the form of a video file and a test for it. In this way, an electronic form of completing a report for laboratory work is carried out. The materials presented in the course can be used by teachers as basic when testing students or as additional to those methodological developments that are currently used at the department.
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Terah, E. I. Practical classes in general chemistry for students of specialties «General Medicine», «Pediatrics», «Dentistry». SIB-Expertise, April 2022. http://dx.doi.org/10.12731/er0556.13042022.

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Videos of 11 practical lessons on general chemistry are presented. The following topics are considered – chemical thermodynamics and kinetics, chemical equilibrium, methods of expressing the concentration of solutions, electrolyte solutions, pH, buffer solutions, hydrolysis, redox pro-cesses. For each topic, the main theoretical provisions are given, as well as a detailed solution of typical calculation problems is given. The total dura-tion of the video lessons is 8 hours 21 minutes.
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Iatsyshyn, Anna V., Valeriia O. Kovach, Yevhen O. Romanenko, Iryna I. Deinega, Andrii V. Iatsyshyn, Oleksandr O. Popov, Yulii G. Kutsan, Volodymyr O. Artemchuk, Oleksandr Yu Burov, and Svitlana H. Lytvynova. Application of augmented reality technologies for preparation of specialists of new technological era. [б. в.], February 2020. http://dx.doi.org/10.31812/123456789/3749.

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Augmented reality is one of the most modern information visualization technologies. Number of scientific studies on different aspects of augmented reality technology development and application is analyzed in the research. Practical examples of augmented reality technologies for various industries are described. Very often augmented reality technologies are used for: social interaction (communication, entertainment and games); education; tourism; areas of purchase/sale and presentation. There are various scientific and mass events in Ukraine, as well as specialized training to promote augmented reality technologies. There are following results of the research: main benefits that educational institutions would receive from introduction of augmented reality technology are highlighted; it is determined that application of augmented reality technologies in education would contribute to these technologies development and therefore need increase for specialists in the augmented reality; growth of students' professional level due to application of augmented reality technologies is proved; adaptation features of augmented reality technologies in learning disciplines for students of different educational institutions are outlined; it is advisable to apply integrated approach in the process of preparing future professionals of new technological era; application of augmented reality technologies increases motivation to learn, increases level of information assimilation due to the variety and interactivity of its visual representation. Main difficulties of application of augmented reality technologies are financial, professional and methodical. Following factors are necessary for introduction of augmented reality technologies: state support for such projects and state procurement for development of augmented reality technologies; conduction of scientific research and experimental confirmation of effectiveness and pedagogical expediency of augmented reality technologies application for training of specialists of different specialties; systematic conduction of number of national and international events on dissemination and application of augmented reality technology. It is confirmed that application of augmented reality technologies is appropriate for training of future specialists of new technological era.
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Terah, E. I. Methodical instructions: Tasks for classroom and extracurricular independent work of students in bioorganic chemistry for students of the specialties « General medicine», «Pediatrics». SIB-Expertise, January 2023. http://dx.doi.org/10.12731/er0666.20012023.

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The paper presents guidelines for preparing students for practical classes. For practical exercises, control questions, basic terms on the topic, calculation and situational tasks, test tasks are given. Tasks for independent extracurricular work of students, topics of essays are also given.
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Roslaya, N. A., N. V. Nozhkina, A. А. Kosova, I. V. Rusakova, I. A. Cherniaev, and A. S. Nechitaylo. Organization of health care and public health: basic provisions (for residents of the enlarged group of specialties 3.32.00.00"HEALTH SCIENCES AND PREVENTIVE MEDICINE")". SIB-Expertise, December 2022. http://dx.doi.org/10.12731/er0659.15122022.

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Электронное учебно-методическое пособие «Организация здравоохранения и общественного здоровья: основные положения (для ординаторов УГС 3.32.00.00 «Науки о здоровье и профилактическая медицина»)» разработано в соответствии с квалификационными требованиями ФГОС ВО по укрупненной группе специальностей 3.32.00.00 «Науки о здоровье и профилактическая медицина» с учетом профессиональных стандартов и предназначено для самостоятельной аудиторной и внеаудиторной работы ординаторов укрупненной группы специальнстей «Науки о здоровье и Профилактическая медицина)». В 6 тематических модулях предложен информационный материал, формирующий знания о понятиях общественного здоровья, правовой основе и организации системы здравоохранения в Российской Федерации, организации контроля качества и безопасности медицинской деятельности, анализу состояния здоровья населения, управлении и экономике в здравоохранении. Каждый модуль сопровождается практическими работами, контрольными вопросами, необходимыми для оценки уровня подготовки ординаторов к практическим занятиям. Модули включают видеолекции и интерактивные элементы, для самоконтроля и закрепления информации ординаторами каждый модуль снабжен оценочными средствами в виде тестовых заданий и ситуационных задач. Материалы электронного учебно-методического пособия соответствуют требованиям основных образовательных программ высшего образования – программ ординатуры всех специальностей «Науки о здоровье и профилактическая медицина» со сроком освоения 72 академических часа и способствуют формированию у ординаторов компетенций, необходимых для осуществления организационно-управленческой деятельности.
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Sentcоv, Valentin, Andrei Reutov, and Vyacheslav Kuzmin. Electronic training manual "Acute poisoning with alcohols and alcohol-containing liquids". SIB-Expertise, January 2024. http://dx.doi.org/10.12731/er0778.29012024.

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In the structure of acute poisonings, ethanol poisoning currently accounts, according to various sources, from 10 to 20%. The mortality rate in poison control centers for ethanol poisoning is 1-2%, but the mortality rate is much higher due to those who died before medical care was provided. The widespread use of methanol and ethylene glycol in various industries and the high mortality rate with late recognition of poisoning with these alcohols determine the high relevance of a detailed study of the clinic, diagnosis and treatment of these poisonings by doctors of various specialties. In particular, toxicologists from health care institutions, anesthesiologists and resuscitators from health care institutions, doctors from specialized emergency medical services teams, and disaster medicine doctors. Competent and timely diagnosis, hospitalization in a specialized hospital and previously started treatment greatly increases the patient’s chances of life and its further quality. This electronic educational resourse consists of six theoretical educational modules: general issues of clinical toxicology, acute poisoning with veratrine, acute poisoning with ethanol, poisoning with methanol, poisoning with ethylene glycol, acute poisoning with other alcohols. The theoretical block of modules is presented by presentations, the text of lectures with illustrations. Control classes in the form of test control accompany each theoretical module. After studying all modules, the student passes the final test control. Mastering the electronic educational resourse will ensure a high level of readiness to provide specialized toxicological care by doctors of various specialties.
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Sentcоv, Valentin, Andrei Reutov, and Vyacheslav Kuzmin. Electronic training manual "Acute drug poisoning". SIB-Expertise, January 2024. http://dx.doi.org/10.12731/er0776.29012024.

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The widespread use in modern medicine of hypnotics, sedatives, tricyclic antidepressants, antihypertensive drugs and antipyretics, even in therapeutic dosages, sometimes leads to adverse consequences for the patient. Accidental or intentional excess of therapeutic dosages leads to severe poisoning. This fact indicates the high relevance of doctors’ knowledge of any clinical specialty and the treatment of poisoning by these groups of drugs. This electronic educational resourse consists of six theoretical educational modules: poisoning with barbituric acid derivatives, acute poisoning with tricyclic antidepressants, acute poisoning with beta-blockers, poisoning with clonidine, acute poisoning with anti-tuberculosis drugs, acute poisoning with paracetamol. The theoretical block of modules is presented by presentations, the text of lectures with illustrations. Control classes in the form of test control accompany each theoretical module. After studying all modules, the student passes the final test control. Mastering the electronic educational resourse will ensure a high level of readiness to provide specialized toxicological care by doctors of various specialties.
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Pinchuk, O. P., and A. A. Prokopenko. Model of a computer-orient-ed methodological system for the development of digital competence of officers of the military administration of the Armed Forces of Ukraine in the system of qualification improvement. Національна академія Державної прикордонної служби України імені Б. Хмельницького, 2023. http://dx.doi.org/10.33407/lib.naes.736836.

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Pedagogical modeling of modern educational environments remains an urgent task of educational sciences. Research on the formation and development of digital competence of specialists, although they have common features, differ and acquire characteristic features depending on the field of application. This is due to the focus on mastering specific professional skills and increasing the professional level. We found out that, compared to the social and humanitarian sphere and medicine, the development of digital competence of specialists in the military and defense industry is little discussed in scientific sources. The development of digital competence of military personnel, in particular military management officers, is an urgent problem that requires an immediate solution. On the one hand, the armed aggression of the Russian Federation adds to the criticality of the situation, on the other hand, scientific and technical progress and, as a result, the appearance of new types of weapons and the complexity of digital tools in the environments of military specialists. Scientific approaches and conceptual principles regarding the formation of digital competence of the Armed Forces of Ukraine and NATO member countries are described. Problems, contradictions and trends in the development of digital education of military specialists in the system of professional development are singled out. The article clarifies the concept of “digital competence of military command officers” of the Armed Forces of Ukraine. The authors developed and substantiated a theoretical model of a computer-oriented methodical system for the development of digital competence of officers of the military administration of the Armed Forces of Ukraine in the system of professional development, which is presented in an informative scheme with a description of individual modules combined into conceptual, target, content-methodical, procedural, technological and effective blocks. The built model ensures systematicity and consistency of the educational process in the digital educational environment of higher military education institutions for the development of digital competencies of military management officers. The technological unit contains a variety of software for training and training. In particular, specialized computer programs and multimedia guides. In the content-methodical block, among other things, the following modules are presented: cloud services; information-didactic and educational-methodical learning tools, multimedia objects, VR/AR tools, AI elements that allow selection of existing ones or creation of new learning materials; Training Course; diagnostic tools, etc. The prospect is the verification of the developed model during distance training.
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Shabelnyk, Tetiana V., Serhii V. Krivenko, Nataliia Yu Rotanova, Oksana F. Diachenko, Iryna B. Tymofieieva, and Arnold E. Kiv. Integration of chatbots into the system of professional training of Masters. [б. в.], June 2021. http://dx.doi.org/10.31812/123456789/4439.

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The article presents and describes innovative technologies of training in the professional training of Masters. For high-quality training of students of technical specialties, it becomes necessary to rethink the purpose, results of studying and means of teaching professional disciplines in modern educational conditions. The experience of implementing the chatbot tool in teaching the discipline “Mathematical modeling of socio-economic systems” in the educational and professional program 124 System Analysis is described. The characteristics of the generalized structure of the chatbot information system for investment analysis are presented and given: input information, information processing system, output information, which creates a closed cycle (system) of direct and feedback interaction. The information processing system is represented by accounting and analytical data management blocks. The investment analysis chatbot will help masters of the specialty system analysis to manage the investment process efficiently based on making the right decisions, understanding investment analysis in the extensive structure of financial management and optimizing risks in these systems using a working mobile application. Also, the chatbot will allow you to systematically assess the disadvantages and advantages of investment projects or the direction of activity of a system analyst, while increasing interest in performing practical tasks. A set of software for developing a chatbot integrated into training is installed: Kotlin programming, a library for network interaction Retrofit, receiving and transmitting data, linking processes using the HTTP API. Based on the results of the study, it is noted that the impact of integrating a chatbot into the training of Masters ensures the development of their professional activities, which gives them the opportunity to be competent specialists and contributes to the organization of high-quality training.
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MacFarlane, Andrew. 2021 medical student essay prize winner - A case of grief. Society for Academic Primary Care, July 2021. http://dx.doi.org/10.37361/medstudessay.2021.1.1.

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As a student undertaking a Longitudinal Integrated Clerkship (LIC)1 based in a GP practice in a rural community in the North of Scotland, I have been lucky to be given responsibility and my own clinic lists. Every day I conduct consultations that change my practice: the challenge of clinically applying the theory I have studied, controlling a consultation and efficiently exploring a patient's problems, empathising with and empowering them to play a part in their own care2 – and most difficult I feel – dealing with the vast amount of uncertainty that medicine, and particularly primary care, presents to both clinician and patient. I initially consulted with a lady in her 60s who attended with her husband, complaining of severe lower back pain who was very difficult to assess due to her pain level. Her husband was understandably concerned about the degree of pain she was in. After assessment and discussion with one of the GPs, we agreed some pain relief and a physio assessment in the next few days would be a practical plan. The patient had one red flag, some leg weakness and numbness, which was her ‘normal’ on account of her multiple sclerosis. At the physio assessment a few days later, the physio felt things were worse and some urgent bloods were ordered, unfortunately finding raised cancer and inflammatory markers. A CT scan of the lung found widespread cancer, a later CT of the head after some developing some acute confusion found brain metastases, and a week and a half after presenting to me, the patient sadly died in hospital. While that was all impactful enough on me, it was the follow-up appointment with the husband who attended on the last triage slot of the evening two weeks later that I found completely altered my understanding of grief and the mourning of a loved one. The husband had asked to speak to a Andrew MacFarlane Year 3 ScotGEM Medical Student 2 doctor just to talk about what had happened to his wife. The GP decided that it would be better if he came into the practice - strictly he probably should have been consulted with over the phone due to coronavirus restrictions - but he was asked what he would prefer and he opted to come in. I sat in on the consultation, I had been helping with any examinations the triage doctor needed and I recognised that this was the husband of the lady I had seen a few weeks earlier. He came in and sat down, head lowered, hands fiddling with the zip on his jacket, trying to find what to say. The GP sat, turned so that they were opposite each other with no desk between them - I was seated off to the side, an onlooker, but acknowledged by the patient with a kind nod when he entered the room. The GP asked gently, “How are you doing?” and roughly 30 seconds passed (a long time in a conversation) before the patient spoke. “I just really miss her…” he whispered with great effort, “I don’t understand how this all happened.” Over the next 45 minutes, he spoke about his wife, how much pain she had been in, the rapid deterioration he witnessed, the cancer being found, and cruelly how she had passed away after he had gone home to get some rest after being by her bedside all day in the hospital. He talked about how they had met, how much he missed her, how empty the house felt without her, and asking himself and us how he was meant to move forward with his life. He had a lot of questions for us, and for himself. Had we missed anything – had he missed anything? The GP really just listened for almost the whole consultation, speaking to him gently, reassuring him that this wasn’t his or anyone’s fault. She stated that this was an awful time for him and that what he was feeling was entirely normal and something we will all universally go through. She emphasised that while it wasn’t helpful at the moment, that things would get better over time.3 He was really glad I was there – having shared a consultation with his wife and I – he thanked me emphatically even though I felt like I hadn’t really helped at all. After some tears, frequent moments of silence and a lot of questions, he left having gotten a lot off his chest. “You just have to listen to people, be there for them as they go through things, and answer their questions as best you can” urged my GP as we discussed the case when the patient left. Almost all family caregivers contact their GP with regards to grief and this consultation really made me realise how important an aspect of my practice it will be in the future.4 It has also made me reflect on the emphasis on undergraduate teaching around ‘breaking bad news’ to patients, but nothing taught about when patients are in the process of grieving further down the line.5 The skill Andrew MacFarlane Year 3 ScotGEM Medical Student 3 required to manage a grieving patient is not one limited to general practice. Patients may grieve the loss of function from acute trauma through to chronic illness in all specialties of medicine - in addition to ‘traditional’ grief from loss of family or friends.6 There wasn’t anything ‘medical’ in the consultation, but I came away from it with a real sense of purpose as to why this career is such a privilege. We look after patients so they can spend as much quality time as they are given with their loved ones, and their loved ones are the ones we care for after they are gone. We as doctors are the constant, and we have to meet patients with compassion at their most difficult times – because it is as much a part of the job as the knowledge and the science – and it is the part of us that patients will remember long after they leave our clinic room. Word Count: 993 words References 1. ScotGEM MBChB - Subjects - University of St Andrews [Internet]. [cited 2021 Mar 27]. Available from: https://www.st-andrews.ac.uk/subjects/medicine/scotgem-mbchb/ 2. Shared decision making in realistic medicine: what works - gov.scot [Internet]. [cited 2021 Mar 27]. Available from: https://www.gov.scot/publications/works-support-promote-shared-decisionmaking-synthesis-recent-evidence/pages/1/ 3. Ghesquiere AR, Patel SR, Kaplan DB, Bruce ML. Primary care providers’ bereavement care practices: Recommendations for research directions. Int J Geriatr Psychiatry. 2014 Dec;29(12):1221–9. 4. Nielsen MK, Christensen K, Neergaard MA, Bidstrup PE, Guldin M-B. Grief symptoms and primary care use: a prospective study of family caregivers. BJGP Open [Internet]. 2020 Aug 1 [cited 2021 Mar 27];4(3). Available from: https://bjgpopen.org/content/4/3/bjgpopen20X101063 5. O’Connor M, Breen LJ. General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study. BMC Medical Education. 2014 Mar 27;14(1):59. 6. Sikstrom L, Saikaly R, Ferguson G, Mosher PJ, Bonato S, Soklaridis S. Being there: A scoping review of grief support training in medical education. PLOS ONE. 2019 Nov 27;14(11):e0224325.
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