Educational Programmes for General Practitioners and Clinical Assistants in the Mental Handicap Service

1984 ◽  
Vol 8 (8) ◽  
pp. 154-155 ◽  
Author(s):  
J. Bicknell
1984 ◽  
Vol 8 (8) ◽  
pp. 154-155
Author(s):  
Joan Bicknell

The current trend towards community care for mentally handicapped people means that general practitioners have greater opportunities to meet mentally and multiply handicapped people living in the family home or in small units in the community. In addition, an increasing number of large long-stay mental handicap hospitals have delegated the reponsibility for primary care to local GPs, frequently employed as clinical assistants for this purpose. This is having the welcome effect of allowing the psychiatrist and the trainee in psychiatry to follow their particular interests and develop their own treatment skills.


1992 ◽  
Vol 55 (5) ◽  
pp. 183-185 ◽  
Author(s):  
Martin McMahon ◽  
N J Dudley

A random sample of general practitioners was surveyed by postal questionnaire to determine their knowledge of wheelchairs and wheelchair prescribing, and their opinion of the usefulness of the A0F5G for wheelchair prescribing. Seventy-four per cent considered their knowledge of wheelchairs to be ‘not very good’ or worse, and one-third found the A0F5G to be inadequate for prescribing and difficult to complete. Inadequacy of training was identified as the likely cause of these findings. Improved educational programmes for doctors at both an undergraduate and a postgraduate level would raise the standards of wheelchair prescribing.


BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e043926
Author(s):  
Evelyne Harkemanne ◽  
Marie Baeck ◽  
Isabelle Tromme

BackgroundGeneral practitioners (GPs) play a key role in early melanoma detection. To help GPs deal with suspicious skin lesions, melanoma diagnostic training programmes have been developed. However, it is unclear whether these programmes guarantee the acquisition of skills that will be applied by GPs in their daily clinical practice and maintained over time.ObjectivesThis scoping review aimed to examine and compare educational programmes designed to train GPs in melanoma diagnosis using clinical (naked eye) examination alone or dermoscopy±clinical examination, and sought to inform on the long-term sustainability of the GPs’ acquired skills.Eligibility criteriaStudies eligible for inclusion evaluated educational programmes for teaching diagnosis of melanoma to GPs. MEDLINE, EMBASE and Cochrane databases were searched for relevant articles from 1995 to May 2020.ResultsForty-five relevant articles were found assessing 31 educational programmes. Most programmes that improved the diagnostic accuracy and long-term performances of the GPs, that is, increase in confidence, decrease in dermatologist referral for benign skin lesions and improvement in the benign/malignant ratio of excised skin lesions, trained the GPs in clinical diagnosis, followed by dermoscopy. To maintain long-term performances, these programmes provided refresher training material.ConclusionThis review shows that studies generally report positive outcomes from the training of GPs in melanoma diagnosis. However, refresher training material seemed necessary to maintain the acquired skills. The optimal form and ideal frequency for these updates have yet to be defined.


1997 ◽  
Vol 14 (2) ◽  
pp. 43-46 ◽  
Author(s):  
Fiona McNicholas

AbstractObjective: To ascertain the views of Irish GPs with regard to local child psychiatry provision.Method: 180 randomly selected general practitioners were sent a questionnaire designed to ascertain their views on child psychiatry services. They were asked to rate service provisions, professional staff and therapies offered in terms of priority.Results: 74 (41%) returned completed questionnaires. Written reports, short waiting list times and emergency inpatient provisions were accorded the highest priority by the largest number of GPs (77%, 64.9%, and 63.5% respectively). Expertise in child sexual abuse, mental handicap and alcohol/drug addiction were also prioritised (77%, 66.2%, & 58.1% respectively). The core staffing required included child psychiatrists, community psychiatry nurses, psychologists and social workers. Family therapy followed by counselling were the most popular treatment modalities. However, more than two thirds (68.6%) of the sample rated their current service as unsatisfactory.Conclusion: In planning service provision it is important to take into account the needs of the community, referrers' views and accessibility in order to provide optimum services for both users and referrers.


2005 ◽  
Vol 173 (4S) ◽  
pp. 10-11
Author(s):  
Markus Fatzer ◽  
Michael Muentener ◽  
Raeto T. Strebel ◽  
Dieter Hauri ◽  
Hubert A. John

VASA ◽  
2011 ◽  
Vol 40 (4) ◽  
pp. 271-279 ◽  
Author(s):  
Wagner

Lymphedema and lipedema are chronic progressive disorders for which no causal therapy exists so far. Many general practitioners will rarely see these disorders with the consequence that diagnosis is often delayed. The pathophysiological basis is edematization of the tissues. Lymphedema involves an impairment of lymph drainage with resultant fluid build-up. Lipedema arises from an orthostatic predisposition to edema in pathologically increased subcutaneous tissue. Treatment includes complex physical decongestion by manual lymph drainage and absolutely uncompromising compression therapy whether it is by bandage in the intensive phase to reduce edema or with a flat knit compression stocking to maintain volume.


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