Education for Primary Care最新文献_第6页

Using immersive simulation to enhance preparedness for challenging and dynamic roles: experiences of UK Defence General Practitioners. 使用沉浸式模拟来增强对具有挑战性和动态角色的准备：英国国防全科医生的经验。

IF 1.5

Education for Primary Care Pub Date : 2025-05-01 Epub Date: 2025-03-26 DOI: 10.1080/14739879.2025.2476165

Michael Smith, Toby Holland, Cara Swain, Kate King

{"title":"Using immersive simulation to enhance preparedness for challenging and dynamic roles: experiences of UK Defence General Practitioners.","authors":"Michael Smith, Toby Holland, Cara Swain, Kate King","doi":"10.1080/14739879.2025.2476165","DOIUrl":"10.1080/14739879.2025.2476165","url":null,"abstract":"This article describes the Academic Department of Military General Practice's experiences of the Defence Medical Services General Practice Specialist Training operational preparedness training programme, which culminates in an immersive simulation exercise. Our premise is that additional training is required to close the delta between the civilian GP training pathway and the military operational role on completion of training. Specifically, effective preparatory training optimises a clinicians' performance, while safeguarding their mental and physical health, thereby improving patient outcomes. A key focus has been to facilitate the development of a personal growth mindset in response to adversity, and in so doing contribute to workforce resilience and enduring mission success.The course has been developed using feedback from the General Practice Specialist Trainees, simulated patients and an external independent observers. We present a consolidated educational approach to medical operational preparedness training, through experiential learning. We believe that many of the lessons identified from adopting this approach are transferrable to the Defence educational and training community, our international partner forces and wider civilian humanitarian medical providers. We have concentrated on co-creating an immersive educational environment that utilises a formative assessment approach, capitalising on emergent learning opportunities provided by contemporary operations.","PeriodicalId":46436,"journal":{"name":"Education for Primary Care","volume":" ","pages":"109-115"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The green journal book reviewThe doctor as the patient: doctors recount their experiences on the other side of the consultation desk, edited by Rodger Charlton, Sharon Worcester and David Orlans, Solihull, UK, What's in a Story Publishing, 364 pp., £15.00 (plus postage and packing) available from the publisher's website directly, ISBN 978-1-0686053-0-7. 绿色杂志书评《医生作为病人：医生在咨询台的另一边讲述他们的经历》，由罗杰·查尔顿、莎伦·伍斯特和大卫·奥尔兰编辑，英国索利赫尔，《故事里的故事》出版，364页，15英镑（邮资和包装），可从出版商的网站直接获得，ISBN 978-1-0686053-0-7。

IF 1.5

Education for Primary Care Pub Date : 2025-04-16 DOI: 10.1080/14739879.2025.2489984

David Cunningham

引用次数: 0

The value of virtual simulation in training GP residents in advance care planning conversations. 虚拟模拟在培训全科住院医生进行预先护理计划对话中的价值。

IF 1.5

Education for Primary Care Pub Date : 2025-01-01 Epub Date: 2024-11-28 DOI: 10.1080/14739879.2024.2417941

Willemijn Tros, Jenny T van der Steen, Mattijs E Numans, Petra G van Peet, Nienke J A Boogaard

{"title":"The value of virtual simulation in training GP residents in advance care planning conversations.","authors":"Willemijn Tros, Jenny T van der Steen, Mattijs E Numans, Petra G van Peet, Nienke J A Boogaard","doi":"10.1080/14739879.2024.2417941","DOIUrl":"10.1080/14739879.2024.2417941","url":null,"abstract":"Introduction: Advance care planning (ACP) aims at empowering patients with chronic progressive disease to express and communicate their preferences for future care, but is not yet consistently applied in general practice. We explored GP residents' experiences with practicing ACP conversations through virtual simulation and its educational value.Methods: Our study with Dutch GP residents in their first year of training used a hermeneutic phenomenological approach. Eleven participants were observed while engaging in virtual simulation, followed by an in-depth interview. Data was analysed in an iterative manner, starting from the first interview.Results: Although the virtual simulation was mostly experienced as not realistic because it lacked the possibility of nuanced wording and personal adjustments, the GP residents did find it valuable to learn what topics can be addressed and how. The learning experience was primarily shaped by GP residents' prior real-life ACP experiences.Discussion: Virtual simulation is a valuable part of a blended curriculum, facilitating residents to get started with or refresh the basic knowledge and skills of ACP. It is crucial that virtual simulation is followed by critical reflection with peers and supervising GPs and practice with actors or real patients to ensure GP residents can further develop their skills regarding ACP conversations.","PeriodicalId":46436,"journal":{"name":"Education for Primary Care","volume":" ","pages":"31-39"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The inevitability of gradualness. 渐进性的必然性。

IF 1.5

Education for Primary Care Pub Date : 2025-01-01 Epub Date: 2025-03-07 DOI: 10.1080/14739879.2025.2449884

Simon Gay

引用次数: 0

Challenging the validity and fairness of workplace-based assessments in general practice. 质疑全科医生工作场所评估的有效性和公平性。

IF 1.5

Education for Primary Care Pub Date : 2025-01-01 Epub Date: 2024-11-28 DOI: 10.1080/14739879.2024.2432019

Supianto

引用次数: 0

Teaching patient safety in remote consulting. 在远程咨询中教授患者安全知识。

IF 1.5

Education for Primary Care Pub Date : 2025-01-01 Epub Date: 2024-09-16 DOI: 10.1080/14739879.2024.2383457

Kate King, Rebecca Payne

{"title":"Teaching patient safety in remote consulting.","authors":"Kate King, Rebecca Payne","doi":"10.1080/14739879.2024.2383457","DOIUrl":"10.1080/14739879.2024.2383457","url":null,"abstract":"A significant proportion of primary care consultations now happen remotely. Although the vast majority occur safely, a recent study highlighted areas of risk which may be compounded by the limited training many GPs have received in remote consulting. To provide safe remote services, consideration needs to be given to adapting practice workflow to optimise remote care. Patients less suitable for remote consulting, either due to disease, extremes of age, disability or for social reasons should be identified and prioritised for face-to-face encounters. Training supports both the development of individual communication skills for remote care, and effective team working. Practice-based group learning events can be used to share experiences, identify resources, and consider the risks in remote care and how they can be mitigated. The paper presents some fictionalised cases, illustrating where patients came to harm, as a result of a remote consultation, and where harm was averted due to actions taken by practice teams. These can be used to support critical thinking and discussion within practice development meetings and tutorials with trainee GPs and other practice staff. Using the paper as a basis for reflection, teaching and action can facilitate the delivery of safer remote care.","PeriodicalId":46436,"journal":{"name":"Education for Primary Care","volume":" ","pages":"2-5"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Widening the diversity of clinical academic staff: an enquiry. 扩大临床学术人员的多样性：一项调查。

IF 1.5

Education for Primary Care Pub Date : 2025-01-01 Epub Date: 2025-02-20 DOI: 10.1080/14739879.2024.2435611

Sajni Chopra, Charlotte Petrie, Hugh Alberti

{"title":"Widening the diversity of clinical academic staff: an enquiry.","authors":"Sajni Chopra, Charlotte Petrie, Hugh Alberti","doi":"10.1080/14739879.2024.2435611","DOIUrl":"10.1080/14739879.2024.2435611","url":null,"abstract":"Introduction: Lack of diversity in academic staff is a national problem. At an interview for academic GP positions at our institution, there were no applicants of ethnic minority background. This does not represent our undergraduate GP teacher workforce.Methods: To understand reasons behind the lack of applicant diversity, we held two focus groups of GP teachers at our institution's annual GP teaching fora. These were recorded, transcribed and thematically analysed.Results: Six key themes emerged. The major theme attributed the barriers to applying for an academic GP post to individual, institutional and cultural factors. Individual factors included a concern of being under-qualified, out of comfort-zone as well as a lack of awareness of the role. Institutional factors noted insufficient ethnic minority academic role models and inaccessible advertising. Cultural factors illustrate increased challenge, disproportionate stress and paucity of contacts. Our participants discussed their recommendations for change and reflected on their positive experiences.Discussion: Our research highlights the interplay of factors affecting applicant diversity in academic GP posts. Intersectional theory helps explain the disadvantage, and role modelling is a mechanism to break free. Change is achievable. Interventions can be targeted at both individuals and institutions, to provide momentum for cultural rehabilitation.","PeriodicalId":46436,"journal":{"name":"Education for Primary Care","volume":" ","pages":"40-46"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Supervised independence facilitated by the inspirational GP teacher. 在鼓舞人心的全科医生老师的指导下，独立自主。

IF 1.5

Education for Primary Care Pub Date : 2025-01-01 Epub Date: 2024-12-17 DOI: 10.1080/14739879.2024.2435615

Carl Fernandes, Jim Price, Max Cooper

{"title":"Supervised independence facilitated by the inspirational GP teacher.","authors":"Carl Fernandes, Jim Price, Max Cooper","doi":"10.1080/14739879.2024.2435615","DOIUrl":"10.1080/14739879.2024.2435615","url":null,"abstract":"General practitioners (GPs) are role models with the potential to influence the career choice of medical students. Post-Covid-19, the clinical learning environment in general practice has employed new ways of working, including a greater proportion of telephone consultations. This study aimed to identify teaching solutions and strategies utilised by GP supervisors to create positive learning opportunities for final-year medical students at Brighton and Sussex Medical School (BSMS) during the academic year 2021-22. The data arose from a medical student evaluation survey, with applied thematic analysis used to identify emerging themes. The overarching theme was the use of 'supervised independence' to facilitate learning. Supervised independence involved giving learners responsibility alongside practical support which included integration into the general practice team. Five main types of learning opportunity were identified, all of which are deliverable in general practice placements more widely. The skill of facilitating supervised independence is a key attribute of an inspirational GP supervisor, which should be promoted among prospective teachers during preparation for teaching.","PeriodicalId":46436,"journal":{"name":"Education for Primary Care","volume":"36 1-2","pages":"58-60"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Generalists and specialists. 通才和专才。

IF 1.5

Education for Primary Care Pub Date : 2025-01-01 Epub Date: 2024-11-28 DOI: 10.1080/14739879.2024.2432031

Denis Pereira Gray

引用次数: 0

What if the patient reads this? A student guide to writing in the GP electronic patient record. 如果病人读到这个怎么办？一个学生指南，在全科医生的电子病历中写作。

IF 1.5

Education for Primary Care Pub Date : 2025-01-01 Epub Date: 2024-12-17 DOI: 10.1080/14739879.2024.2435613

Caroline Sprake, Catja Schmitgen, Juliet Brown, Janet Lefroy, Sarah Graham, Sarah Shepherd, Louise Smith, Louise Ward, Andrew Ward, Jon Ward, Katharine Weetman

{"title":"What if the patient reads this? A student guide to writing in the GP electronic patient record.","authors":"Caroline Sprake, Catja Schmitgen, Juliet Brown, Janet Lefroy, Sarah Graham, Sarah Shepherd, Louise Smith, Louise Ward, Andrew Ward, Jon Ward, Katharine Weetman","doi":"10.1080/14739879.2024.2435613","DOIUrl":"10.1080/14739879.2024.2435613","url":null,"abstract":"Background: It is common practice for senior medical students in UK General Practice to enter details of their consultations into the electronic patient record (EPR). There is evidence that students benefit educationally from writing in patient records through learning how to make good clinical entries and enhancing their clinical reasoning. In England, since 31 October 2023, patients are given full access to their EPR, including free text notes on their consultations. Despite the importance of high-quality consultation notes, guidance on writing in the patient record is rarely included in medical curricula.Approach: With patient and public involvement, the UKCCC (UK Council for Clinical Communication in Undergraduate Medical Education) developed a guide for students on writing in patients' General Practice (GP) notes and disseminated it to all UK medical schools from August to October 2023.Results: The utility of the guide was evaluated via student and GP tutor surveys. Students and clinical teachers valued the guidance on content, structure, and clarity of consultation notes. A lack of awareness of the guide and suboptimal access and formatting on mobile devices were raised as areas for improvement. Other survey responses, which will inform the development of the next version, suggested adding links to learning resources.","PeriodicalId":46436,"journal":{"name":"Education for Primary Care","volume":"36 1-2","pages":"47-52"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0