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

Author: Grafiati

Published: 4 June 2021

Last updated: 29 January 2023

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1

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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6

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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7

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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8

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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9

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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10

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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11

Harris, Victoria. "Prescribing the resolution of conflict in general practice." Practice Nursing 33, no. 8 (August 2, 2022): 338–40. http://dx.doi.org/10.12968/pnur.2022.33.8.338.

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12

Ennis, Calvin S., P. D. Holmes, and John L. Grady. "Physicians' role in clinical practice guidelines." Postgraduate Medicine 100, no. 5 (November 1996): 55–56. http://dx.doi.org/10.1080/00325481.1996.11444265.

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13

Dawson, J. H. "Practice variations: a challenge for physicians." JAMA: The Journal of the American Medical Association 258, no. 18 (November 13, 1987): 2570. http://dx.doi.org/10.1001/jama.258.18.2570.

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14

Hansel, N. K., D. Koester, C. F. Webber, and R. Bastani. "Emergency room practice among family physicians." Academic Medicine 60, no. 11 (November 1985): 865–9. http://dx.doi.org/10.1097/00001888-198511000-00007.

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15

Kilo, Charles M. "Educating physicians for systems-based practice." Journal of Continuing Education in the Health Professions 28 (2008): 15–18. http://dx.doi.org/10.1002/chp.202.

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16

Andrews, Charles E. "Physicians and the Economics of Practice." Annals of Internal Medicine 109, no. 12 (December 15, 1988): 995. http://dx.doi.org/10.7326/0003-4819-109-12-995.

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17

Simmons, David, Amanda Fieldhouse, Leslie E. Bolitho, Grant J. Phelps, Rob Ziffer, and Gary J. Disher. "Addressing the shortage of rural physicians in Victoria: maximising rural trainee recruitment." Medical Journal of Australia 179, no. 4 (August 2003): 219–20. http://dx.doi.org/10.5694/j.1326-5377.2003.tb05509.x.

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18

Conti, C. Richard. "Can physicians practice cost-effective medicine?" Clinical Cardiology 21, no. 1 (January 1998): 2–3. http://dx.doi.org/10.1002/clc.4960210101.

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19

Parashkevova, B., J. Marinova, S. Simeonov, and V. Slavova. "JOB SATISFACTION AMONG PHYSICIANS IN BULGARIAN GENERAL PRACTICE." Trakia Journal of Sciences 18, Suppl.1 (2020): 194–201. http://dx.doi.org/10.15547/tjs.2020.s.01.035.

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Research on the professional satisfaction of doctors is especially relevant today, in relation to the crisis with medical staff. The purpose of this article is to study the factors of job satisfaction of general practitioners. An empirical sociological survey was conducted among general practitioners in the Stara Zagora region. The method used is a face-to-face interview. The approved Warr-Cook-Wall (WCW) toolkit is implemented - a questionnaire modified by the research team. The study includes 223 general practitioners, which determines the high responsiveness: 94.9%. The results show that GPs are mostly satisfied with the factors related to the autonomy of the profession. The clinical freedom defined as the ability of general practitioners to choose the method of treatment of their patients is assessed to the greatest extent as satisfactory. Physicians are most dissatisfied with the regulatory framework they have to comply with and with the constant change of activities required in their daily practice. The questionnaire for the assessment of job satisfaction of GPs is applied for the first time among Bulgarian physicians. This assessment is useful for the formation of policies for human resource management in health care, as it identifies adverse trends and leads to certain solutions. Models of professional satisfaction influence the professional behavior, important for staying and leaving certain medical area and the emerging shortage of doctors in some specialties.

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20

MacKenzie, A., and L. Roberts. "Personal maternal care reflections of general practice physicians." Family Practice 29, no. 1 (August 30, 2011): 96–102. http://dx.doi.org/10.1093/fampra/cmr052.

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21

Israilova, Darygul Kubanychbekovna, Guldeste Askarbekovna Askarbekova, Abdilatip Abdyrakhmanovich Shamshiev, and Yrysbek Abdyzhaparovich Aldashukurov. "TRAINING OF SPECIALISTS FOR GENERAL (FAMILY) PRACTICE PHYSICIANS." Bulletin of Osh State University, no. 3 (2022): 38–43. http://dx.doi.org/10.52754/16947452_2022_3_38.

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22

Tripey, V., J.-M. Monsallier, R. Morello, and C. Hamel-Desnos. "French sclerotherapy and compression: Practice patterns." Phlebology: The Journal of Venous Disease 30, no. 9 (October 8, 2014): 632–40. http://dx.doi.org/10.1177/0268355514554024.

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Based on the recommendations of experts, and supported by a low level of proof, compression after sclerotherapy is applied all over the world. Objective: Investigating the practice of French vascular physicians for sclerotherapy and the use of post-sclerotherapy compression. Methods: A questionnaire concerning their practices was sent to French vascular physicians through their regional vascular medicine professional development associations. Results: A total of 366 vascular physicians replied to the questionnaire, of whom 63% (229/366) were in private practice, 6% (21/366) in hospitals and 31% (115/366) had a mixed private–hospital practice. Sclerotherapy was practised by 88% (323/366) of them. Two-thirds of the vascular physicians used sclerosing foam and practised sclerotherapy using ultrasound guidance. Less than one-third of the vascular physicians regularly applied compression after sclerotherapy. When compression was applied, it was usually after treatment of saphenous or accessory saphenous veins and, in most cases, medical compression stockings of 15–20 mm Hg were used. With respect to the period recommended for wearing compression, this ranged from 48 h to 1 week for 65% (193/299) of the vascular physicians questioned. Conclusion: The great majority of vascular physicians who answered the questionnaire employ ultrasound guidance to perform sclerotherapy and use sclerosing foam. Compression after sclerotherapy is diversely applied in France and does not comply with the recommendations of the French Health Authorities who recommend wearing a stocking of 15–20 or 20–36 mm Hg for a period of 4–6 weeks. Thus, less than one-third of the vascular physicians regularly used elastic compression and when they did, it was usually a medical compression stocking of 15–20 mm Hg, for 1 week or less.

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23

Stewart, Barry L., Cleo H. Macmillan, and William J. Ralph. "Survey of dental practice/dental education in Victoria. Part IV. Specialist dental practice." Australian Dental Journal 35, no. 3 (June 1990): 294–98. http://dx.doi.org/10.1111/j.1834-7819.1990.tb05410.x.

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24

King, L., and JL Lee. "Perceptions of collaborative practice between Navy nurses and physicians in the ICU setting." American Journal of Critical Care 3, no. 5 (September 1, 1994): 331–36. http://dx.doi.org/10.4037/ajcc1994.3.5.331.

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BACKGROUND: Despite strong evidence for the benefits of collaborative practice between nurses and physicians, this model remains the exception rather than the rule. OBJECTIVES: To examine the extent to which Navy nurses and physicians perceive that collaborative practice exists in the ICU, and to examine the difference in perceived use of collaborative practice by Navy nurses and physicians in the ICU. METHODS: Ninety nurses and 49 physicians working in ICUs at the Navy's four teaching hospitals and aboard the Navy's two hospital ships deployed in Southwest Asia were surveyed using the Collaborative Behavior Scale-Part I and the Collaborative Practice Scales. RESULTS: There was a significant difference between nurses' and physicians' perceptions of collaborative practice behavior. Physicians reported that collaborative practice behavior existed to a greater extent than did nurses in the study. There was no significant difference between nurses' and physicians' perceived use of collaborative practice behavior. CONCLUSIONS: Navy ICU nurses and physicians perceived that they were involved in collaborative practice behavior at a moderate level. Physicians, however, reported perceiving collaborative practice to a greater extent than did nurses. Further research, in different populations, is required to test the theorized constructs of the instruments used to measure perceptions of collaborative practice behavior in this study.

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Liu, Joe. "The Best Practice of Investing for Physicians." American Journal of Medicine 134, no. 9 (September 2021): e501. http://dx.doi.org/10.1016/j.amjmed.2021.04.004.

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NICASSIO, PERRY M., J. KIRBY PATE, DEBRA R. MENDLOWITZ, and NANCY WOODWARD. "Insomnia: Nonpharmacologic Management by Private Practice Physicians." Southern Medical Journal 78, no. 5 (May 1985): 556–60. http://dx.doi.org/10.1097/00007611-198505000-00015.

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Pasternak, Derick P., Howard L. Smith, and Michael R. Shainline. "Creating a Satisfying Practice Setting for Physicians." Hospital Topics 71, no. 3 (July 1993): 20–28. http://dx.doi.org/10.1080/00185868.1993.9950555.

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Cockey, Carolyn Davis. "Private Practice Physicians Have Higher Episiotomy Rates." AWHONN Lifelines 8, no. 2 (April 2004): 110. http://dx.doi.org/10.1111/j.1552-6356.2004.tb00191.x.

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Lavelle, John P., Mickey Karram, Franklin M. Chu, Roger Dmochowski, Scott A. MacDiarmid, David R. Staskin, Peter K. Sand, Rodney Appell, and Nurum Erdem. "Management of Incontinence for Family Practice Physicians." American Journal of Medicine 119, no. 3 (March 2006): 37–40. http://dx.doi.org/10.1016/j.amjmed.2005.12.015.

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30

Nixon, Robert L., and Fernando Jaramillo. "Impact of Practice Arrangements on Physicians' Satisfaction." Hospital Topics 81, no. 4 (January 2003): 19–25. http://dx.doi.org/10.1080/00185860309598030.

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31

Glenister, Kristen, Rebecca Disler, Alana Hulme, David Macharia, and Julian Wright. "The mosaic of general practice bulk billing in regional Victoria." Australian Journal of General Practice 48, no. 1-2 (January 1, 2019): 77–78. http://dx.doi.org/10.31128/ajgp-07-18-4659.

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32

Taylor, T. L. "A practice profile of native American physicians." Academic Medicine 64, no. 7 (July 1989): 393–6. http://dx.doi.org/10.1097/00001888-198907000-00012.

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33

Nash, D. B., L. E. Markson, S. Howell, and E. A. Hildreth. "Evaluating the competence of physicians in practice." Academic Medicine 68, no. 2 (February 1993): S19–22. http://dx.doi.org/10.1097/00001888-199302000-00024.

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Sidorov, J. "Retraining specialist physicians for primary care practice." Academic Medicine 72, no. 4 (April 1997): 248–9. http://dx.doi.org/10.1097/00001888-199704000-00006.

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35

Mylopoulos, Maria, Lynne Lohfeld, Geoffrey R. Norman, Gurpreet Dhaliwal, and Kevin W. Eva. "Renowned Physicians’ Perceptions of Expert Diagnostic Practice." Academic Medicine 87, no. 10 (October 2012): 1413–17. http://dx.doi.org/10.1097/acm.0b013e31826735fc.

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James, Brent C., and M. Elizabeth H. Hammond. "The Challenge of Variation in Medical Practice." Archives of Pathology & Laboratory Medicine 124, no. 7 (June 1, 2000): 1001–3. http://dx.doi.org/10.5858/2000-124-1001-tcovim.

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Abstract Medicine has been identified as a profession for almost 3000 years based on a core premise that physicians have the right to evaluate their own quality. Because medicine is a profession and because of the special privileges granted to physicians by society, quality-based principles that evolved in the manufacturing business have been difficult to adapt to medical practice. Physicians learn from other physicians and medical literature. This leads to wide variation in what is considered best practice. Variation has complex association, including the variation in expert opinion, the complexity of medical knowledge, the variation in physician decision-making potential, and human error. Guidelines or algorithms are a strategy that are finding favor as a solution. The control of variation through guideline development, iterative refinement of guidelines, and feedback to physicians will improve medical practice. By removing variation, physicians can honor the fiduciary trust that they have made to patients, make reasoned decisions, improve outcomes, and focus attention on making medical improvements.

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Benavent, D., V. Navarro-Compán, C. Plasencia, D. Peiteado, A. Villalva, and A. Balsa. "AB0670 AXIAL MANIFESTATIONS IN PATIENTS WITH AXIAL SPONDYLOARTHRITIS AND PSORIATIC ARTHRITIS: ARE THEY SIMILAR?" Annals of the Rheumatic Diseases 79, Suppl 1 (June 2020): 1630.1–1630. http://dx.doi.org/10.1136/annrheumdis-2020-eular.1703.

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Background:Spondyloarthritis (SpA) is a group of heterogeneous diseases that includes axial SpA (axSpA), such as ankylosing spondylitis and axial non-radiographic SpA, and Psoriatic Arthritis (PsA) with peripheral and/or axial involvement (axPsA). Currently, it is not well known if the characteristics and burden of the disease in patients with axPsA are similar to that of patients with axSpA.Objectives:To compare the demographic, clinical and structural features between patients with axSpA and axPsA.Methods:Data from an observational prospective cohort including all patients with SpA initiating biological therapy because of predominant axial manifestations from 2002-2019 in a university hospital were analyzed. AxSpA and axPsA were defined in clinical practice according to the prescribing rheumatologist, based on clinical features and complementary examinations. Demographic information, laboratory tests, disease presentation, sacroiliitis according to modified New York criteria in the pelvis X-ray, disease activity indexes (ASDAS and BASDAI) and concomitant treatment before starting biological drug were collected from the electronic medical record and biologic database. In the statistical analysis, chi square or the exact Fisher’s test was used for categorical and t-student or U-Mann Whitney for continuous variables, according to the distribution of the data. Then, the association between demographic and clinical features and each disease was analysed using univariable and multivariable logistic regression models.Results:Out of 352 included patients, 287 (81.5%) had axSpA, and 65 had axPsA (18.5%). Baseline characteristics are shown in Table 1. Mean baseline ASDAS was 3.3±0.9 and 3.1±1.0 for axSpA and axPsA, respectively. Biological therapies initiated can be seen in Figure 1. No significant differences at baseline were observed between axSpA and axPsA for most of the characteristics including: gender, age at diagnosis, age at starting biologic, disease duration before biologic, smoking habit, CRP, disease activity, enthesitis, dactylitis, inflammatory bowel disease (IBD), patient global assessment and sulfasalazine use. However, there were differences between diseases in some relevant characteristics. AxSpA patients had less peripheral involvement (41.5 vs. 78.5 %, p=0.004), more uveitis (15.3 vs. 3.1 %, p=0.03) and were more frequently HLA-B*27 positive (72.3 vs 34.1 %, p<0.001), in comparison to axPsA patients. They also had better physician global assessments (PhGA) (37.4 vs 44.4, p=0.02), and a higher grade of radiographic sacroiilitis. AxSpA patients used less global baseline concomitant therapy (p=0.001), methotrexate (p<0.001) and prednisone (p<0.01), whereas they used more sulfasalazine (p=0.003) than axPsA patients in our cohort. After running multivariate analyses, the absence of peripheral manifestations (OR=4.7; p<0.001) and the positivity of HLA-B27 (OR=5.4; p<0.001) were independently associated with axSpA.Table 1. Baseline stratified characteristics. Results are shown as absolute numbers (percentages) or mean ± standard deviation.Conclusion:Despite being spondyloartrithis with many common traits, axSpA and axPsA present some differences in clinical practice. Whereas axSpA patients are more frequently HLA-B27 positive, axPsA have more peripheral involvement. These differences in clinical presentation between both diseases may contribute to variances in therapeutic management, such as increased use of baseline concomitant therapy in axPsA patients who initiate biological therapy.Figure 1.Biological therapies initiated in axSpA and axPsADisclosure of Interests:Diego Benavent: None declared, Victoria Navarro-Compán Consultant of: Abbvie, Lilly, Novartis, Pfizer, UCB, Speakers bureau: AbbVie, MSD, Lilly, Novartis, Pfizer, UCB, Chamaida Plasencia: None declared, Diana Peiteado: None declared, Alejandro Villalva: None declared, Alejandro Balsa Grant/research support from: BMS, Roche, Consultant of: AbbVie, Gilead, Lilly, Pfizer, UCB, Sanofi, Sandoz, Speakers bureau: AbbVie, Lilly, Sanofi, Novartis, Pfizer, UCB, Roche, Nordic, Sandoz

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Dutta, Asok Kumar. "Medical Ethics in Clinical Practice." Journal of Chittagong Medical College Teachers' Association 27, no. 2 (February 25, 2017): 9–11. http://dx.doi.org/10.3329/jcmcta.v27i2.62319.

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Medical ethics is important for every medical practitioner. A doctor should acquire sound knowledge on medical ethics which is very much important in clinical practice. Medical ethics is a system of moral principles that apply values and judgments to the practice of medicine. Medical ethics derive from numerous sources. Physicians face ethical dilemmas more frequently as community relies on physicians for critical services. Ethics are a useful element for solving these dilemmas. Medical ethics based on four basic principles: autonomy, beneficence, nonmaleficence and justice. Physicians are expected to have higher standards than the law. The code of medical ethics provides a guide line in the context of doctor patient relationship and the society. JCMCTA 2016 ; 27 (2) : 9 - 11

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Warwick, Sophia, Laura Kantor, Erin Ahart, Katie Twist, Terrance Mabry, and Ky Stoltzfus. "Physician Advocacy: Identifying Motivations for Work Beyond Clinical Practice." Kansas Journal of Medicine 15, no. 3 (December 19, 2022): 433–36. http://dx.doi.org/10.17161/kjm.vol15.18255.

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Introduction. Advocacy is a perceived social and professional obligation of physicians, yet many feel their training and practice environment don’t support increased engagement in advocacy. The aim of this qualitative project was to delineate the role advocacy plays in physicians’ careers and the factors driving physician engagement in advocacy. Methods. We identified physicians engaged in health advocacy in Kansas through personal contacts and referrals through snowball sampling. They received an email invitation to participate in a short in-person or phone interview which was recorded using Apple Voice Memos and Google Dictation. Two team members independently identified themes from interview transcripts, while a third member served as a moderator if themes identified were dyssynchronous. Results. Of the 19 physicians invited to participate, 13 were interviewed. The most common reasons for engaging in advocacy included the desire to change policy, obligation to go beyond regular clinic duties, giving patients a voice, and avoiding burnout. Physicians reported passion for patients and past experiences with disparities as the most common inspiration. Most physicians did not have formal advocacy training in school or residency, but identify professional societies and peers as informal guides. Common support for advocacy were professional organizations, community partners, and employers. Time was the most common barrier to conducting advocacy work. Conclusions. Physicians have a broad number of reasons for the importance of doing advocacy work, but identify key professional barriers to further engagement. Providing accessible opportunities through professional organizations and community partnerships may increase advocacy participation.

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Bethune, Cheri, Wendy Graham, and Thomas Heeley. "Adaptive family physicians." Canadian Family Physician 67, no. 4 (April 2021): 239–41. http://dx.doi.org/10.46747/cfp.6704239.

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Bell, Victoria. "The journey to becoming a newly qualified nurse in general practice." Practice Nursing 30, no. 10 (October 2, 2019): 512–13. http://dx.doi.org/10.12968/pnur.2019.30.10.512.

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Practice Nursing is keen to encourage more students to get excited about a career in general practice. Victoria Bell kindly shares her experience of placements and job hunting in the hope that more students will see that working in general practice is an option them

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Potera, Carol. "Advanced Practice Nurses and Physicians Provide Comparable Care." AJN, American Journal of Nursing 111, no. 11 (November 2011): 15. http://dx.doi.org/10.1097/01.naj.0000407290.32502.bf.

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Loy, Cameron S., R. Bruce Warton, and James A. Dunbar. "Workforce trends in specialist and GP obstetric practice in Victoria." Medical Journal of Australia 186, no. 1 (January 2007): 26–30. http://dx.doi.org/10.5694/j.1326-5377.2007.tb00784.x.

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44

Stewart, Barry L., Cleo H. Macmillan, and William J. Ralph. "Survey of dental practice/dental education in Victoria. Part III. Trends in general dental practice." Australian Dental Journal 35, no. 2 (April 1990): 169–80. http://dx.doi.org/10.1111/j.1834-7819.1990.tb05884.x.

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Muruga, Kirathimo. "MANAGEMENT MODEL TO MEASURE AND EVALUATE PHYSICIANS DUAL PRACTICE (DP)." European Journal of Business and Strategic Management 4, no. 1 (November 30, 2022): 19–28. http://dx.doi.org/10.47604/ejbsm.1711.

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Purpose: The aim of this study was to develop a Management model that can measure and evaluate physicians Dual Practice in the Kenyan health sector. Methodology: The paper adopted a desk top research design. The design involves a review of existing studies relating to the research topic. Desk top research is usually considered as a low cost technique compared to other research designs (Beal et al., 2012). In this case, the researcher collected information relating to physicians Dual Practice. Results: Based on past literature, the study concluded that several factors are vital in influencing physicians having Dual Practice. These factors included; infrastructure, working environment, doctor’s promotion and income level. The cost/value of DP was also highlighted as an important determinant. Further, the study concluded that legal framework has a significant moderating influence on physicians having Dual Practice. In addition, the study concluded that the level of physicians’ satisfaction determined their tendency to engage in Dual Practice. Unique Contribution to Theory, Practice and Policy: Based on the findings, the study recommended the need for stakeholders in the health sector to understand the concept of Dual Practice. In particular, there is need to understand the causes and implications of Dual Practice. The study also recommended the need to develop a management model that can measure and evaluate physicians Dual Practice. It is not advisable to completely ban Dual Practice since it has some positive impact. At the same time, excessive Dual Practice can be counterproductive and could be a threat to the efficiency, quality and equity of health services, especially in the public sector. Hence, the need to develop a management approach and management model that can ensure improved cost-benefit of physicians having Dual Practice.

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Whitfield, Michael, and Anthony Hughes. "Hypertension management in general practice." Journal of the Royal Society of Medicine 90, no. 1 (January 1997): 12–15. http://dx.doi.org/10.1177/014107689709000105.

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The views of 542 general practitioners (GPs) and 64 consultant physicians about the management of patients with hypertension in general practice were sought by postal questionnaire. 325 (60%) of the GPs and 45 (70%) of the consultant physicians completed the questionnaire. For a 40-year-old man with no other cardiovascular risk factors most general practitioners would intervene with drugs at blood pressure levels specified in published guidelines, whereas many local consultants and older GPs would consider drug treatment at lower levels. About 75% of GPs, compared with 87% of consultants, would suggest drug treatment in a woman of 70 years with a BP of 180/ 100 mmHg. Although consultants tended to expect GPs to order more tests when investigating a patient with hypertension than the GPs actually did, both GPs and consultants would order similar types of investigations apart from imaging. Consultants had different expectations about the frequency with which general practitioners should record patients' blood pressure and the GPs' ability to prevent cardiovascular events in hypertensive patients. Many older GPs and consultants seem to have unrealistic expectations of the value of treating patients with hypertension.

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Sheehan, M. Patricia, Earl L. Loschen, and Gabrielle M. D’Elia. "Career Changes of Physicians From General Practice to Psychiatry." Journal of Psychiatric Education 10, no. 1 (March 1986): 15–25. http://dx.doi.org/10.1007/bf03500806.

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Studdert, David M., Matthew J. Spittal, Yifan Zhang, Derek S. Wilkinson, Harnam Singh, and Michelle M. Mello. "Changes in Practice among Physicians with Malpractice Claims." New England Journal of Medicine 380, no. 13 (March 28, 2019): 1247–55. http://dx.doi.org/10.1056/nejmsa1809981.

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Haynes, R. B. "Physicians' and patients' choices in evidence based practice." BMJ 324, no. 7350 (June 8, 2002): 1350. http://dx.doi.org/10.1136/bmj.324.7350.1350.

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Bray, James H., and John C. Rogers. "Linking psychologists and family physicians for collaborative practice." Professional Psychology: Research and Practice 26, no. 2 (April 1995): 132–38. http://dx.doi.org/10.1037/0735-7028.26.2.132.

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