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Relevant bibliographies by topics / Physicians (General practice) – Victoria

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Academic literature on the topic 'Physicians (General practice) – Victoria'

Author: Grafiati

Published: 4 June 2021

Last updated: 29 January 2023

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Journal articles on the topic "Physicians (General practice) – Victoria"

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Simmons, David, Les E. Bolitho, Grant J. Phelps, Rob Ziffer, and Gary J. Disher. "Dispelling the myths about rural consultant physician practice: the Victorian Physicians Survey." Medical Journal of Australia 176, no. 10 (May 2002): 477–81. http://dx.doi.org/10.5694/j.1326-5377.2002.tb04519.x.

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Hallinan, Christine Mary, Jane Maree Gunn, and Yvonne Ann Bonomo. "Implementation of medicinal cannabis in Australia: innovation or upheaval? Perspectives from physicians as key informants, a qualitative analysis." BMJ Open 11, no. 10 (October 2021): e054044. http://dx.doi.org/10.1136/bmjopen-2021-054044.

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Objective We sought to explore physician perspectives on the prescribing of cannabinoids to patients to gain a deeper understanding of the issues faced by prescriber and public health advisors in the rollout of medicinal cannabis. Design A thematic qualitative analysis of 21 in-depth interviews was undertaken to explore the narrative on the policy and practice of medicinal cannabis prescribing. The analysis used the Diffusion of Innovations (DoI) theoretical framework to model the conceptualisation of the rollout of medicinal cannabis in the Australian context. Setting Informants from the states and territories of Victoria, New South Wales, Tasmania, Australian Capital Territory, and Queensland in Australia were invited to participate in interviews to explore the policy and practice of medicinal cannabis prescribing. Participants Participants included 21 prescribing and non-prescribing key informants working in the area of neurology, rheumatology, oncology, pain medicine, psychiatry, public health, and general practice. Results There was an agreement among many informants that medicinal cannabis is, indeed, a pharmaceutical innovation. From the analysis of the informant interviews, the factors that facilitate the diffusion of medicinal cannabis into clincal practice include the adoption of appropriate regulation, the use of data to evaluate safety and efficacy, improved prescriber education, and the continuous monitoring of product quality and cost. Most informants asserted the widespread assimilation of medicinal cannabis into practice is impeded by a lack of health system antecedents that are required to facilitate safe, effective, and equitable access to medicinal cannabis as a therapeutic. Conclusions This research highlights the tensions that arise and the factors that influence the rollout of cannabis as an unregistered medicine. Addressing these factors is essential for the safe and effective prescribing in contemporary medical practice. The findings from this research provides important evidence on medicinal cannabis as a therapeutic, and also informs the rollout of potential novel therapeutics in the future.

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Clayton, Alison. "Malaria therapy for general paralysis of the insane at the Sunbury Hospital for the Insane in Australia, 1925–6." History of Psychiatry 33, no. 4 (November 19, 2022): 377–93. http://dx.doi.org/10.1177/0957154x221120757.

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This paper, drawing on the published medical literature and unpublished medical record archives, provides an in-depth account of the introduction of malaria therapy for general paralysis of the insane into Australia in 1925–6, at Victoria’s Sunbury Hospital for the Insane. This study reveals a complex and ambiguous picture of the practice and therapeutic impact of malaria therapy in this local setting. This research highlights a number of factors which may have contributed to some physicians overestimating malaria therapy’s effectiveness. It also shows that other physicians of the era held a more sceptical attitude towards malaria therapy. Finally, this paper discusses the relevance of this history to contemporary psychiatry.

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Lahham, Aroub, Angela T. Burge, Christine F. McDonald, and Anne E. Holland. "How do healthcare professionals perceive physical activity prescription for community-dwelling people with COPD in Australia? A qualitative study." BMJ Open 10, no. 8 (August 2020): e035524. http://dx.doi.org/10.1136/bmjopen-2019-035524.

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ObjectivesClinical practice guidelines recommend that people with chronic obstructive pulmonary disease (COPD) should be encouraged to increase their physical activity levels. However, it is not clear how these guidelines are applied in clinical practice. This study aimed to understand the perspectives of respiratory healthcare professionals on the provision of physical activity advice to people with COPD. These perspectives may shed light on the translation of physical activity recommendations into clinical practice.DesignA qualitative study using thematic analysis.SettingHealthcare professionals who provided care for people with COPD at two major tertiary referral hospitals in Victoria, Australia.Participants30 respiratory healthcare professionals including 12 physicians, 10 physical therapists, 4 nurses and 4 exercise physiologists.InterventionsSemistructured voice-recorded interviews were conducted, transcribed verbatim and analysed by two independent researchers using an inductive thematic analysis approach.ResultsHealthcare professionals acknowledged the importance of physical activity for people with COPD. They were conscious of low physical activity levels among such patients; however, few specifically addressed this in consultations. Physicians described limitations including time constraints, treatment prioritisation and perceived lack of expertise; they often preferred that physical therapists provide more comprehensive assessment and advice regarding physical activity. Healthcare professionals perceived that there were few evidence-based strategies to enhance physical activity. Physical activity was poorly differentiated from the prescription of structured exercise training. Although healthcare professionals were aware of physical activity guidelines, few were able to recall specific recommendations for people with COPD.ConclusionPractical strategies to enhance physical activity prescription may be required to encourage physical activity promotion in COPD care.

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DOMÍNGUEZ-RUÉ, EMMA. "Madwomen in the Drawing-Room: Female Invalidism in Ellen Glasgow's Gothic Stories." Journal of American Studies 38, no. 3 (December 2004): 425–38. http://dx.doi.org/10.1017/s0021875804008722.

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“Definitions belong to the definers, not the defined.” Toni Morrison, Beloved.Freud's psychoanalytic theories of fear of castration and penis-envy transformed woman into not-man, thus defining her as “other” and “lacking.” His studies also gave a sexual component to relationships among women, marking them as potentially lesbian and hence deviant. Medical men of Victorian England and America consciously or unconsciously helped to justify gender roles and women's seclusion in the domestic on the grounds that their specific physiology made them slaves of their reproductive system. As women's ovaries presumably controlled their lives and their behavior, genitals determined social roles, and doctors urged mothers to remind their daughters that any deviation from their “natural” and legitimate functions as wives and mothers could ruin their health forever. The cult of True Womanhood conveniently idealized maternity and defined the virtues of obedience, piety, and passivity as essentially feminine, while it condemned the desire for an education or the practice of birth control as unnatural and dangerous to women and to the whole of society. In the last decades of the nineteenth century, hysteria became the most fashionable of the so-called “female maladies” among middle- and upper-class women, a fact that illustrates how physicians failed to dissociate scientific evidence from social views of the period. Victorian psychologists and gynecologists mimicked contemporary male attitudes, which sanctioned the doctrine of separate spheres, while affectionate bonds between women were regarded with suspicion, as they could lead to homosexuality.

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Caton, Donald. "John Snow’s Practice of Obstetric Anesthesia." Anesthesiology 92, no. 1 (January 1, 2000): 247. http://dx.doi.org/10.1097/00000542-200001000-00037.

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The influence of Queen Victoria on the acceptance of obstetric anesthesia has been overstated, and the role of John Snow has been somewhat overlooked. It was his meticulous, careful approach and his clinical skills that influenced many of his colleagues, Tyler-Smith and Ramsbotham and the Queen's own physicians. The fact that the Queen received anesthesia was a manifestation that the conversion of Snow's colleagues had already taken place. This is not to say that this precipitated a revolution in practice. Medical theory may have changed, but practice did not, and the actual number of women anesthetized for childbirth remained quite low. This, however, was a reflection of economic and logistical problems, too few women were delivered of newborn infants during the care of physicians or in hospitals. Conversely, it is important to recognize that John Snow succeeded in lifting theoretical restrictions on the use of anesthesia.

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Samaroo, Bethan. "Assessing Palliative Care Educational Needs of Physicians and Nurses: Results of a Survey." Journal of Palliative Care 12, no. 2 (June 1996): 20–22. http://dx.doi.org/10.1177/082585979601200205.

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The Greater Victoria Hospital Society (GVHS) Palliative Care Committee surveyed medical and nursing staff from four hospitals and The Victoria Hospice Society in February, 1993. The purpose of the survey was to identify physicians’ and nurses’ perceived educational needs related to death and dying. Programs that focus on the dying process; patient pain, symptom, and comfort control; and patient and family support were identified as necessary to meet the educational needs of physicians and nurses in providing quality palliative care. Physicians and nurses identified communication skills as being paramount. Communications concerning ethical issues were highlighted as the most difficult to cope with.

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Over, Ray, Ann Parry, Joy Geddes, and Mary Levens. "Psychologists in private practice in victoria." Australian Psychologist 20, no. 3 (November 1985): 239–50. http://dx.doi.org/10.1080/00050068508256170.

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Hueston, W. J. "Family Physicians' Satisfaction With Practice." Archives of Family Medicine 7, no. 3 (June 1, 1998): 242–47. http://dx.doi.org/10.1001/archfami.7.3.242.

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MacIsaac, Peter, Tere Snowdon, Rob Thompson, Lisa Crossland, and Craig Veitch. "GENERAL PRACTITIONERS LEAVING RURAL PRACTICE IN WESTERN VICTORIA." Australian Journal of Rural Health 8, no. 2 (April 2000): 68–72. http://dx.doi.org/10.1046/j.1440-1584.2000.00232.x.

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Dissertations / Theses on the topic "Physicians (General practice) – Victoria"

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McCall, Louise 1965. "Can continuing medical education in general practice psychiatry aid GPs to deal with common mental disorders ? : a study of the impact on doctors and their patients." Monash University, Faculty of Education, 2001. http://arrow.monash.edu.au/hdl/1959.1/8363.

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Holt, Jackie. "Psychological distress amongst general practitioners /." [St. Lucia, Qld.], 2002. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe17113.pdf.

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Hays, Richard B. "Improving standards in rural general practice /." St. Lucia, Qld, 2003. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe17837.pdf.

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Moorhead, Robert George. "Communication skills training for general practice." Title page, contents and abstract only, 2000. http://web4.library.adelaide.edu.au/theses/09MD/09mdm825.pdf.

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Bibliography: leaves 554-636. Examines aspects of teaching medical students communication skills at a time when they are entering their clinical years. Integrates reports of 12 data-gathering exercises centred on medical student communication skills with the international literature, and with the author's reflections as an experienced educator and G.P. Recommends that communication skills training in a general practice setting should be a crucial factor in all future training of medical students.

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Buhler, Patricia Lynn. "Prenatal care : a comparative evaluation of nurse-midwives and general practitioners." Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24489.

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The practice of midwifery by those other than physicians is illegal in Canada and despite recommendations of nursing, medical and consumer groups, no trials evaluating the effectiveness of the nurse-midwife as a member of the modern obstetrical team have occurred here. To demonstrate a nurse-midwifery model, four nurse-midwives provided primary care to forty-seven childbearing women and their families over a twenty-two month period in a maternity teaching hospital. This clinic presented a unique opportunity for comparing the prenatal care provided by nurse-midwives with that of general practitioners who attended deliveries in the same setting. Utilizing a retrospective chart audit, case control study design, the nurse-midwife cases (NM cases) were each matched to two general practitioner controls (GP controls) through the use of the hospital's prenatal data base. The matching characteristics included low risk status, date of delivery, age, parity, gravidity, previous pregnancy losses and census tract income. Prenatal criteria that had been developed and tested in "The Burlington Randomized Clinical Trial of the Nurse Practitioner" for assessing the quality of care were reviewed and updated for this study. With these criteria two blinded abstractors audited the prenatal record forms of all the subjects and scored them as either "superior", "adequate" or "inadequate". Seventy-seven percent of the records of the NM cases received a "superior" score, where as 60% of the GP controls' records received an "inadequate" score [mathematical formula omitted] Overall, the general practitioners' records indicated more erratic care than those of the nurse-midwives. Although the physicians met most of the initial assessment criteria, they failed to meet the criteria that evaluated the ongoing routine assessment process by recording an inadequate number of prenatal visits (36%), or by omitting urine test results (38$) and blood pressure readings (21%). No differences were found in variables relating to labour and delivery with the exception of the incidence of episiotomies. The results indicate that nurse-midwives as part of an obstetrical team are able to provide safe prenatal care to a low risk population in a Canadian urban context, and that their records are thorough and more consistent than those of general practitioners.
Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate

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McCleary, Nicola. "Relationships between perceived decision difficulty, decision time, and decision appropriateness in General Practitioners' clinical decision-making." Thesis, University of Aberdeen, 2015. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=229003.

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The aim of this project was to use patient scenarios (clinical/case vignettes) to explore three aspects of General Practitioners' (GPs') clinical decision-making: how difficult decisions are perceived to be, the time taken to make decisions, and the appropriateness of decisions relative to evidence-based clinical guideline recommendations. A systematic review synthesised the results of published scenario studies. A secondary analysis of scenario studies which investigated antibiotic prescribing for upper respiratory tract infection (URTI) and x-ray referral for low back pain was performed. Relationships between the three aspects of decision-making were investigated, and scenario and GP characteristics associated with these aspects were identified. An online scenario study further refined these relationships for two specific URTI types: sore throat and otitis media. Cognitive processes involved in clinical decision-making were investigated in a Think-Aloud interview study, where GPs verbalised their thoughts while making prescribing decisions for URTI scenarios. There was some evidence that inappropriate antibiotic prescribing for URTI was associated with greater decision difficulty and longer decision time. Decisions made using a more effortful cognitive process may therefore be less likely to be appropriate. Illness durations of four or more days and, in otitis media, unilateral ear examination findings were related to inappropriate prescribing. Based on these results, suggestions have been made for informing the design of interventions to support GPs in making appropriate decisions. A secondary aim was to provide an overview of the methodology and reporting of scenario studies. The systematic review indicated a lack of consistency in methodologies, while reporting is often inadequate. Formats less similar to real consultations (e.g. written scenarios) are commonly used: the results of studies using these formats may be less likely to reflect real practice decision-making than studies using more realistic formats (e.g. videos). Based on these findings, methodological recommendations for scenario studies have been developed.

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Askew, Deborah Anne. "A study of research adequacy in Australian general practice /." [St. Lucia, Qld.], 2005. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe18717.pdf.

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Louw, Charmaine. "General practitioners' familiarity attitudes and practices with regard to attention deficit hyperactivity disorder in children and adults." Thesis, Link to the online version, 2006. http://hdl.handle.net/10019/433.

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Nelson, Mark 1957. "Aspects of pharmacological management of hypertension in general practice." Monash University, Dept. of Epidemiology and Preventive Medicine, 2002. http://arrow.monash.edu.au/hdl/1959.1/7923.

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Blaney, David. "The learning experiences of general practice registrars in the South East of Scotland." Thesis, University of Stirling, 2005. http://hdl.handle.net/1893/2003.

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To train to be a general practitioner in the U.K. a doctor must spend two years in hospital training posts and one year in general practice as a general practice registrar (GPR). Concern has been expressed in the literature about both the duration and adequacy of general practice training. A literature review identified that there was limited knowledge of and understanding about the learning experiences of GPRs. The aim of the study was to describe and interpret the learning experiences of GPRs in the South East of Scotland during their year in general practice. The methodology was derived from Denzin's concept of Interpretivism and involved in depth interviews over time with GPRs and thick description to capture and interpret the GPRs learning experiences. Two cohorts of 24 GPRs were recruited, cohort one ran from September 2002 to July 2003 and cohort two from September 2003 to August 2004. The GPRs were interviewed on three occasions during their year. In addition to the interviews six GPR focus groups and six GP trainer focus groups were held over the period December 2002 to September 2003. 21 GPRs in cohort one completed all three interviews and 20 GPRs in cohort two. All the participating GPRs completed at least two interviews. The results were interpreted within the educational concept of the curriculum. Four main curricula were identified during the GPR year: these were the formal, assessment, individual and hidden. Each independently contributed to the GPRs learning and also interacted synergistically at various times during the year. In the last quarter of the year there was a tension between the requirements of the assessment and individual curricula. The individual curriculum which was composed of the GPRs clinical experiences and in particular epiphanies was the main driver of GPR learning. Epiphanies were identified by GPRs as having the most significant impact on their learning. Central to this learning was the contribution of their general practice trainer who supported their learning both through the development of the practice learning environment and the promotion of reflection and self directed learning. GPR learning during the year was an iterative process, which involved a reflective and supported interaction between the GPR, their clinical experiences, epiphanies and their trainer. Through this process the GPRs became self directed and reflective learners and developed individual learning networks which led to changes in the way they practiced medicine. This process also led to the socialisation of their learning and promoted their integration into the culture of working general practice, through which they were exposed to the working realities of life as a general practitioner and these experiences had a critical effect on their future career choice. A number of important policy implications were identified which have implications for the present and future direction of training for general practice. The process of thick description and the longitudinal nature of the study allowed for a new interpretation of the learning experiences of GPRs and added to the knowledge and understanding of how GPRs learn during their training.

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Books on the topic "Physicians (General practice) – Victoria"

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Victoria. Parliament. Family and Community Development Committee. Inquiry on the impact on the Victorian community and public hospitals of the diminishing access to after hours and bulk billing general practitioners. Melbourne: Family and Community Development Committee, 2004.

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Forum, Australian College of Rural and Remote Medicine Scientific. Rural medicine: Integration-working together for rural medicine : proceedings of the ACRRM Scientific Forum, held jointly with the RWAV Victorian Rural General Practice Conference. Melbourne, Vic: Australian College of Rural & Remote Medicine, 2002.

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Hayter, Philippa. Morale in general practice. Southampton, Hampshire: Institute for Health Policies, 1996.

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Michael, Drury, ed. Clinical negligence in general practice. Abingdon: Radcliffe Medical, 2000.

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Freeman, Rosslynne. Mentoring in general practice. Oxford: Butterworth Heinemann, 1998.

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A textbook of general practice. 3rd ed. London: Hodder Arnold, 2011.

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Anne, Stephenson, ed. A textbook of general practice. London: Arnold, 1998.

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McPhee, John. Heirs of general practice. New York: Farrar, Straus, Giroux, 1986.

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General practice at a glance. Chichester, West Sussex: Wiley-Blackwell, 2013.

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Research in general practice. 2nd ed. London: Chapman & Hall, 1989.

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Book chapters on the topic "Physicians (General practice) – Victoria"

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Gadeholt, Gaut. "Influence on Physicians’ Prescribing Habits by Drug Licensing Authorities: Norway as an Example." In Rationale Pharmakotherapie in der Allgemeinpraxis / Rational Pharmacotherapy in General Practice, 7–15. Berlin, Heidelberg: Springer Berlin Heidelberg, 1991. http://dx.doi.org/10.1007/978-3-642-76731-9_2.

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Contreras, Eduardo C., and Gustavo J. Puente. "How to Identify Rheumatic Diseases by General Physicians." In Advances in Medical Technologies and Clinical Practice, 136–66. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-5225-0248-7.ch006.

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A large part of the population in countries in process of development ignores what Rheumatic Diseases are, and general practitioners are in most cases unaware of enough information to identify them and the treatments to successfully control them. A proposal to help those general practitioners to detect if an articular condition belongs to a Rheumatic Disease case is to present them the clinical semiology that should lead them to redirect the given conditions to a specialist on the subject, a rheumatologist. The clinical semiology is presented by an automated algorithm inside a goal-based software agent, containing all the necessary information to identify the seven most common inflammatory Rheumatic Diseases, and fourteen of the non-inflammatory ones. The purpose of this tool is to provide the general practitioner with the correct information to redirect the patient with a rheumatologist, in order for it to receive the appropriate medication to be controlled.

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Sharpe, Michael. "General introduction." In Oxford Textbook of Medicine, edited by Michael Sharpe, 6445–46. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198746690.003.0619.

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All physicians experience situations in which they need the knowledge, skills, and attitudes commonly thought of as belonging to psychiatry. This section of the book aims to help physicians to acquire these. It includes: (1) guidance on how to assess medical patients for psychiatric illness; (2) information about psychiatric presentations and the differential diagnoses most relevant to general medical practice; (3) brief reviews of the psychiatric disorders most commonly seen in general medical practice and the practical management of these; (4) guidance on the use of psychotropic drugs and psychological treatments when given as part of general medical care; (5) evidence-based strategies for helping patients who are smoking, using alcohol excessively, or who are overweight.

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Wijdicks, Eelco F. M. "The Physician in Practice." In Cinema, MD, 1–24. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190685799.003.0001.

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Celluloid physicians emerged early in cinema. When medicine changed and became more sophisticated, cinema took notice and changed in parallel. The family physician became a hospital specialist, primarily saving lives, but then physicians’ vulnerability (and misjudgments) entered screenplays. The cinematic history of general practitioners shows film doctors doing very little actual doctoring. Many specialties are absent in film because they are less understood or provide no inspiration for a plot line. The psychiatrist, gynecologist, and surgeon have common appearances due to the preferred topic matter. This chapter discusses the portrayal of physicians by actors and how this could affect the audience’s perception of the profession. This chapter reviews the authenticity of the doctor. What does cinema think we are?

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Sharpe, Michael. "General introduction." In Oxford Textbook of Medicine, 5257–58. Oxford University Press, 2010. http://dx.doi.org/10.1093/med/9780199204854.003.2601.

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All physicians who deal with patients experience situations where psychiatric knowledge, skills, and attitudes are relevant. This section of the book provides (1) guidance on how to take a psychiatric history and perform a mental state examination in a medical patient; (2) information about those psychiatric diagnoses most relevant to general medical practice; (3) practical advice on the management of depression and anxiety when it coexists with disease, medically unexplained somatic symptoms, deliberate self-harm, and acute behavioural problems; and (4) detailed information on the common and clinically important problems of alcohol and substance misuse....

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Rothstein, William G. "Training in Primary Care." In American Medical Schools and the Practice of Medicine. Oxford University Press, 1987. http://dx.doi.org/10.1093/oso/9780195041866.003.0028.

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Training in primary care has received limited attention in medical schools despite state and federal funding to increase its emphasis. Departments of internal medicine, which have been responsible for most training in primary care, have shifted their interests to the medical subspecialties. Departments of family practice, which have been established by most medical schools in response to government pressure, have had a limited role in the undergraduate curriculum. Residency programs in family practice have become widespread and popular with medical students. Primary care has been defined as that type of medicine practiced by the first physician whom the patient contacts. Most primary care has involved well-patient care, the treatment of a wide variety of functional, acute, self-limited, chronic, and emotional disorders in ambulatory patients, and routine hospital care. Primary care physicians have provided continuing care and coordinated the treatment of their patients by specialists. The major specialties providing primary care have been family practice, general internal medicine, and pediatrics. General and family physicians in particular have been major providers of ambulatory care. This was shown in a study of diaries kept in 1977–1978 by office-based physicians in a number of specialties. General and family physicians treated 33 percent or more of the patients in every age group from childhood to old age. They delivered at least 50 percent of the care for 6 of the 15 most common diagnostic clusters and over 20 percent of the care for the remainder. The 15 clusters, which accounted for 50 percent of all outpatient visits to office-based physicians, included activities related to many specialties, including pre- and postnatal care, ischemic heart disease, depression/anxiety, dermatitis/eczema, and fractures and dislocations. According to the study, ambulatory primary care was also provided by many specialists who have not been considered providers of primary care. A substantial part of the total ambulatory workload of general surgeons involved general medical examinations, upper respiratory ailments, and hypertension. Obstetricians/ gynecologists performed many general medical examinations. The work activities of these and other specialists have demonstrated that training in primary care has been essential for every physician who provides patient care, not just those who plan to become family physicians, general internists, or pediatricians.

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Sharpe, Michael, and Simon Wessely. "Psychological treatment in medical practice." In Oxford Textbook of Medicine, 5338–40. Oxford University Press, 2010. http://dx.doi.org/10.1093/med/9780199204854.003.260602.

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Patients have minds as well as bodies, and medical treatment must often address both if it is to be effective. Psychological treatments—these may be divided into general and specialist types. All medical consultations have an important and inescapable psychological effect, hence all physicians are general psychotherapists. All medical consultations have the potential for both psychological help and for harm. Helpful consultations educate the patient, reassure them, and achieve adherence to treatment. Harmful consultations leave the patient confused or with inaccurate ideas about their health, increase anxiety, and make adherence to the physician’s treatment less likely. Being able to deliver a psychologically helpful consultation is therefore a core medical skill....

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"Appendix: General Guidelines Related to the Maintenance of Boundaries in the Practice of Psychotherapy by Physicians (Adult Patients)." In The Therapeutic Alliance, 297–302. Yale University Press, 2017. http://dx.doi.org/10.12987/9780300146301-006.

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Rothstein, William G. "Graduate Medical Education." In American Medical Schools and the Practice of Medicine. Oxford University Press, 1987. http://dx.doi.org/10.1093/oso/9780195041866.003.0027.

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Graduate medical education has become as important as attendance at medical school in the training of physicians. Up to 1970, most graduates of medical schools first took an internship in general medicine and then a residency in a specialty. After 1970, practically all medical school graduates entered residency training in a specialty immediately after graduation. Residency programs have been located in hospitals affiliated with medical schools and have been accredited by specialty boards, which have been controlled by medical school faculty members. This situation has led to insufficient breadth of training and lax regulation of the programs. The internship, which followed graduation from medical school until its elimination after 1970, consisted of one or two years of hospital training, usually unconnected with any medical specialty. It was designed to provide gradually increasing responsibility for patient care, supplemented by formal teaching in rounds and seminars. In practice, as George Miller observed in 1963, it was “virtually impossible to find an internship [program with] a graded and sequential course of study leading to relatively well-defined goals.” This was also the finding of several surveys of interns and physicians. A 1959 survey of 2,616 interns found that the two most frequently cited deficiencies of internships were lack of “sufficient review and criticism of your work with patients,” cited by 47 percent, and “adequate instruction in the application of scientific knowledge to patient care,” cited by 34 percent. A 1952 survey of 6,662 graduates of the medical school classes of 1937 and 1947 and a later survey of over 3,000 interns and residents produced similar findings. Formal instruction during the internship was usually casual and unsystematic. Stephen Miller's study of one university hospital found that interns spent only a few hours per week in formal lectures and conferences and on rounds. In teaching on rounds, “the visiting physician does not prepare a lecture or other teaching material. He simply walks onto the ward and responds to patients and their problems with opinions and examples from his own clinical experience.” The educational value of rounds therefore depended on the illnesses of the patients and the relevant skills of the physicians.

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Rothstein, William G. "Undergraduate Medical Education." In American Medical Schools and the Practice of Medicine. Oxford University Press, 1987. http://dx.doi.org/10.1093/oso/9780195041866.003.0026.

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Undergraduate medical education has changed markedly in the decades after mid-century. The basic medical sciences have been de-emphasized; clinical training in the specialties has replaced that in general medicine; and both types of training have been compressed to permit much of the fourth year to be used for electives. The patients used for teaching in the major teaching hospitals have become less typical of those found in community practice. Innovations in medical education have been successful only when they have been compatible with other interests of the faculty. As medicine and medical schools have changed, major differences of opinion have developed over the goals of undergraduate medical education. Practicing physicians have continued to believe that the fundamentals of clinical medicine should be emphasized. A survey in the 1970s of 903 physicians found that over 97 percent of them believed that each of the following was “a proper goal of medical school training:” “knowing enough medical facts;” “being skillful in medical diagnosis;” “making good treatment plans;” “understanding the doctor-patient relationship;” “understanding the extent to which emotional factors can affect physical illness;” “being able to keep up with new developments in medicine;” and being able to use and evaluate sources of medical information. Only 52 percent felt that “being able to carry out research” was a proper goal of medical school training. Medical students have also believed that undergraduate medical education should emphasize clinical training. Bloom asked students at one medical school in the early 1960s whether they would prefer to “work at some interesting research problem that does not involve any contact with patients,” or to “work directly with patients, even though tasks are relatively routine.” About 25 percent of the students in all four classes chose research, while 58 percent of the freshmen and 70 percent of the juniors and seniors chose patient care. The same study also asked students their criteria for ranking classmates “as medical students.” Clinical skills were the predominant criteria used by students, with “ability to carry out research” ranking far down on the list. Faculty members, on the other hand, have emphasized the basic and preliminary nature of undergraduate medical education.

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Conference papers on the topic "Physicians (General practice) – Victoria"

1

Demchuk, Anna V., Tetyana V. Konstantynovych, and Yuriy M. Mostovoy. "Management of asthma exacerbations in the practice of general physicians (GP)." In ERS International Congress 2020 abstracts. European Respiratory Society, 2020. http://dx.doi.org/10.1183/13993003.congress-2020.2700.

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Akbar, Sairah, Rosemary Grattan, and Lesley Nairn. "P169 Audit of epilepsy practice in a district general hospital." In Faculty of Paediatrics of the Royal College of Physicians of Ireland, 9th Europaediatrics Congress, 13–15 June, Dublin, Ireland 2019. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-epa.524.

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Sajdeya, Ruba, Jennifer Jean-Jacques, Anna Shavers, Yan Wang, Nathan Pipitone, Martha Rosenthal, Almut Winterstein, and Robert Cook. "Information Sources and Training Needs on Medical Marijuana- Preliminary Results from a State-wide Provider Survey." In 2020 Virtual Scientific Meeting of the Research Society on Marijuana. Research Society on Marijuana, 2021. http://dx.doi.org/10.26828/cannabis.2021.01.000.22.

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Medical marijuana (MMJ) is legal in the state of Florida for the treatment of specific qualifying medical conditions.1,2 As of July 2020, over 2,450 physicians are authorized to order MMJ, and 360,000 patients are registered in Florida’s MMJ program.3 With this rapid uptake come concerns regarding physicians’ knowledge about MMJ,4–7 and the lack of preparing physicians-in-training to manage MMJ.4,7,8 We conducted a state-wide survey of certified MMJ providers in Florida. The survey was developed by the Consortium for Medical Marijuana Clinical Outcomes research team. The aim of the survey was to inform physicians of the mission of the consortium, which is to support and disseminate research. The survey items were developed accordingly, and the survey was pilot tested with a small group of physicians. We identified all physicians licensed to certify patients for MMJ who care currently practicing in the State of Florida (n=1609), to investigate their information sources and training needs regarding MMJ. The survey was disseminated via mail and email, including a $40 incentive for survey completion. Preliminary responses from 51 (5%) providers (mean age 56, 74% male) are summarized here. The sample included providers from 22 Florida counties and represented a broad range of medical specialties. The majority (92%) practiced in both medical marijuana and traditional medical practice. To learn about MMJ, 98% used research articles, 90% used online sources, 86% learned from dispensary staff, 84% learned from discussions with other providers, 72% used books, 65% used conferences, 61% used magazines, and 35% had a personal experience with marijuana. The sources most cited as “very useful” were conferences (51%), research articles (50%), discussions with other providers (47%), and online sources (47%). Topics rated as a high priority for training included drug-MMJ interactions (80%), strategies to help patients reduce their use of opioids or other drugs (80%), information about the selection of doses and CBD: THC ratios (80%), evidence for managing specific medical conditions or symptoms (78%), information about the effect of different phytocannabinoids and terpenes (75%), advantages and disadvantages of specific modes of delivery (71%), general updates on research findings (71%), educational information about the endocannabinoid system (67%), the safety of medical marijuana use (55%), identification and management of cannabis use disorder (51%), and comparison of products available in different dispensaries (49%). The majority of providers either strongly agreed or agreed (77%) that they could provide better care if they knew which products their patients receive at dispensaries. Physicians use a blend of primary research, online sources, and exchanges with colleagues to learn about MMJ. Perceived needs for more pharmacological information and indication-specific detail for treatment regimen were high. Most physicians believe that details on dispensed MMJ would improve patient care.

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