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Burnout and retention of general practice supervisors: Prevalence, risk factors and self-care. 全科医生主管的职业倦怠和留任：患病率、风险因素和自我保健。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-11-23-7011
Samia R Toukhsati, Rebecca Kippen, Carla Taylor
{"title":"Burnout and retention of general practice supervisors: Prevalence, risk factors and self-care.","authors":"Samia R Toukhsati, Rebecca Kippen, Carla Taylor","doi":"10.31128/AJGP-11-23-7011","DOIUrl":"10.31128/AJGP-11-23-7011","url":null,"abstract":"<p><strong>Background and objectives: </strong>Burnout is common in primary care doctors. The aim of this study was to explore burnout, self-care and retention in general practice supervision in Australia.</p><p><strong>Method: </strong>The sample comprised 267 general practice supervisors from all Australian states and territories. Respondents completed an anonymous online survey.</p><p><strong>Results: </strong>Respondents reported high levels of disengagement (n=189; 71%) and exhaustion (n=212; 79%). Factors associated with burnout included being younger; working while unwell; holding the belief that workplace support for self-care was inadequate; and lower daily balance and/or professional development self-care. Exhaustion was negatively associated with general practice supervisor retention via its negative effect on self-care (β=-0.379; 95% CI: -0.777 to -0.050).</p><p><strong>Discussion: </strong>Burnout is common in general practice supervisors and is associated with attrition, possibly via a negative effect on self-care. Greater investment in workplace initiatives to address burnout and sector-wide strategies to reduce workforce shortages are needed.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S85-S90"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding general practice funding models in Australia and beyond. 了解澳大利亚和其他地区的全科医疗资助模式。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-01-24-7132
Winnie Chen, Kees van Gool, Michael Wright
{"title":"Understanding general practice funding models in Australia and beyond.","authors":"Winnie Chen, Kees van Gool, Michael Wright","doi":"10.31128/AJGP-01-24-7132","DOIUrl":"10.31128/AJGP-01-24-7132","url":null,"abstract":"<p><strong>Background: </strong>Australia is undergoing general practice funding reform, with recent changes to Medicare and the introduction of MyMedicare voluntary patient registration.</p><p><strong>Objective: </strong>Within this context, we provide general practitioners (GPs) with an explainer on health economic concepts relevant to current funding reform debates. This article outlines different funding model types, discusses the theoretical advantages and disadvantages of each funding model, and reflects on past experiences of reform.</p><p><strong>Discussion: </strong>Common GP funding models across the world include fee for service, capitation, pay for performance and bundled payments. Each funding model has its potential advantages and disadvantages. Blended funding models can minimise undesired consequences of individual funding models but can introduce additional complexity. The challenge remains to design funding models that enable access to quality care, adequately pay providers and are sustainable into the future.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12","pages":"952-956"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating the role of weight loss in symptomatic knee osteoarthritis: An audit of Osteoarthritis Healthy Weight For Life's database. 评估体重减轻在症状性膝骨关节炎中的作用：对骨关节炎健康体重终生数据库的审计。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-09-23-6978
Elysse McIlwain, Ben Wilcox, Ryan Gallagher, Luke Lawler, David Dewar
{"title":"Evaluating the role of weight loss in symptomatic knee osteoarthritis: An audit of Osteoarthritis Healthy Weight For Life's database.","authors":"Elysse McIlwain, Ben Wilcox, Ryan Gallagher, Luke Lawler, David Dewar","doi":"10.31128/AJGP-09-23-6978","DOIUrl":"https://doi.org/10.31128/AJGP-09-23-6978","url":null,"abstract":"<p><strong>Background and objectives: </strong>Obesity contributes to the onset and progression of osteoarthritis. This study assesses the influence of baseline body mass index (BMI) and baseline knee pain on improvements observed in patients undertaking a community-based weight loss program for knee osteoarthritis.</p><p><strong>Method: </strong>This study is a retrospective analysis of data from 9004 patients who took part in the Osteoarthritis Healthy Weight For Life program between January 2014 and July 2022.</p><p><strong>Results: </strong>The greater the weight loss achieved, the greater the improvement in knee pain and function, with baseline weight having no effect on the magnitude of the outcome. All patients with a starting Knee Injury and Osteoarthritis Outcome Score of <75 experienced significant improvement in their symptoms. Patients with more severe starting pain saw greater improvements.</p><p><strong>Discussion: </strong>Baseline BMI has no effect on the amount of weight loss required to produce a meaningful improvement in osteoarthritis symptoms. Patients with more severe baseline knee pain see more improvement than those with milder symptoms for the same weight loss.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12","pages":"945-950"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
To do or not to do: Teaching the skill of deciding what to do in the face of uncertainty. 做或不做：教授在面对不确定性时决定做什么的技能。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-08-23-6949
Gerard Ingham
{"title":"To do or not to do: Teaching the skill of deciding what to do in the face of uncertainty.","authors":"Gerard Ingham","doi":"10.31128/AJGP-08-23-6949","DOIUrl":"https://doi.org/10.31128/AJGP-08-23-6949","url":null,"abstract":"<p><strong>Background: </strong>The management of uncertainty is a core general practice skill best learnt in clinical practice.</p><p><strong>Objective: </strong>This article outlines strategies a general practice supervisor can implement to help registrars acquire the skills of managing and coping with uncertainty.</p><p><strong>Discussion: </strong>The medical education literature recommends supervisors being explicit about the different paradigm operating in primary care and normalising the existence and tolerance of uncertainty. Fundamental consultation skills used in the management of uncertainty should be demonstrated. These include shared decision making, safety netting and arranging follow-up. During teaching sessions, problem cases can be explored using Murtagh's diagnostic model to develop clinical reasoning and avoid missing important diagnoses. This paper introduces a model to explore uncertainty by considering management options, easily remembered as the '3Rs': review; refer; and Rx (treat). This model complements the diagnostic model and reflects that a general practitioner must still decide what to do when a diagnosis cannot be made.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12","pages":"900-903"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A philosophical approach to mental health. 心理健康的哲学方法。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-05-24-7266
Paul Allin
{"title":"A philosophical approach to mental health.","authors":"Paul Allin","doi":"10.31128/AJGP-05-24-7266","DOIUrl":"https://doi.org/10.31128/AJGP-05-24-7266","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S25-S27"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Wanted: Nearer peers for teaching and learning in general practice. 招聘：在全科实践中进行教学和学习的更近的同伴。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-04-24-7235
Michaela Kelly, Nancy Sturman, Alison Green, Cherri Ryan, Beth Shirley, Annabel Chau, Scott Preston, Claire Jackson
{"title":"Wanted: Nearer peers for teaching and learning in general practice.","authors":"Michaela Kelly, Nancy Sturman, Alison Green, Cherri Ryan, Beth Shirley, Annabel Chau, Scott Preston, Claire Jackson","doi":"10.31128/AJGP-04-24-7235","DOIUrl":"10.31128/AJGP-04-24-7235","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S98-S100"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors influencing the decision to become a supervisor: A qualitative study of early-career general practitioners and rural generalists. 影响主管决策的因素：对早期全科医生和农村全科医生的定性研究。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-12-22-6655
Deborah A Askew, Erin Waters, Rebecca Lock, Cindi Jackson, Lawrie McArthur, Michelle Sheldrake, Krystyna De Lange, Jessica Hopgood, Kerrilee Gow
{"title":"Factors influencing the decision to become a supervisor: A qualitative study of early-career general practitioners and rural generalists.","authors":"Deborah A Askew, Erin Waters, Rebecca Lock, Cindi Jackson, Lawrie McArthur, Michelle Sheldrake, Krystyna De Lange, Jessica Hopgood, Kerrilee Gow","doi":"10.31128/AJGP-12-22-6655","DOIUrl":"10.31128/AJGP-12-22-6655","url":null,"abstract":"<p><strong>Background and objectives: </strong>General practitioner (GP) training in Australia relies on accredited GP supervisors facilitating workplace-based training for GP registrars. There is a shortage of supervisors that is likely to worsen. This research aimed to elucidate the perspectives of early-career GPs and rural generalists (RGs) about the barriers, motivators and enablers to becoming a GP supervisor.</p><p><strong>Method: </strong>Qualitative descriptive methodology was used in the study. Transcripts from three focus groups and six semistructured interviews with 11 RGs (four registrars and seven new Fellows) and 13 GPs (all new Fellows) were analysed thematically.</p><p><strong>Results: </strong>The following key themes were identified: being a good supervisor; motivated by past experiences of supervision; financial implications of being a supervisor; factors unique to rural settings; new models of supervision; and becoming a supervisor - how and when?</p><p><strong>Discussion: </strong>The findings highlighted personal and professional barriers to becoming a GP supervisor and some enabling strategies to mitigate these barriers.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12","pages":"904-909"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the introduction of remote external clinical teaching visits into Australian general practice. 探索引入远程外部临床教学访问到澳大利亚全科医生。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-02-23-6730
Duncan Howard, Christine Bottrell, Nicky White, Denise Ruth, Kate Davey, Janet McLeod
{"title":"Exploring the introduction of remote external clinical teaching visits into Australian general practice.","authors":"Duncan Howard, Christine Bottrell, Nicky White, Denise Ruth, Kate Davey, Janet McLeod","doi":"10.31128/AJGP-02-23-6730","DOIUrl":"10.31128/AJGP-02-23-6730","url":null,"abstract":"<p><strong>Background and objectives: </strong>The COVID-19 pandemic changed the way education was delivered. In Australian general practice training, external clinical teaching visits (ECTVs) had to be done remotely. This research explored that phenomenon from the point of view of the participants to answer questions about feasibility, acceptability and effectiveness.</p><p><strong>Method: </strong>The experiences of ECTV visitors, registrars, supervisors and practice managers were invited initially by survey and then through interview and focus groups. Data were analysed using a constant comparative method giving four major themes and several subthemes.</p><p><strong>Results: </strong>Remote ECTVs were well accepted by all participants. They are different to ECTVs done face to face, with both advantages and disadvantages.</p><p><strong>Discussion: </strong>Remote ECTVs are feasible and effective and are likely to become part of the ongoing Australian general practice teaching program.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12","pages":"892-898"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Empowering general practitioners to assist smoking cessation among combustible and e-cigarette users effectively: A dual challenge in Malaysia. 授权全科医生协助可燃和电子烟使用者有效戒烟：马来西亚面临的双重挑战。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-01-24-7127
Aimi Nadira Mat Ruzlin, Nik Nairan Abdullah, Balamurugan Tangiisuran
{"title":"Empowering general practitioners to assist smoking cessation among combustible and e-cigarette users effectively: A dual challenge in Malaysia.","authors":"Aimi Nadira Mat Ruzlin, Nik Nairan Abdullah, Balamurugan Tangiisuran","doi":"10.31128/AJGP-01-24-7127","DOIUrl":"https://doi.org/10.31128/AJGP-01-24-7127","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12","pages":"959-960"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Approach to otitis externa in Australian general practice. 外耳炎在澳大利亚的全科治疗方法。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-01-24-7096
Jeremy Lee, Stephanie Yau
{"title":"Approach to otitis externa in Australian general practice.","authors":"Jeremy Lee, Stephanie Yau","doi":"10.31128/AJGP-01-24-7096","DOIUrl":"https://doi.org/10.31128/AJGP-01-24-7096","url":null,"abstract":"<p><strong>Background: </strong>Acute otitis externa (AOE) is an inflammatory condition of the outer ear seen in Australian general practice and is prevalent in tropical climates like North Queensland.</p><p><strong>Objective: </strong>This article aims to delineate key facets of AOE, identify high-risk populations and propose a streamlined management approach aligned with the American Academy of Otolaryngology Head and Neck Surgery (AAO-HNS) guideline, emphasising the role of primary care in optimal patient care.</p><p><strong>Discussion: </strong>Outlined within this article are key elements of AOE, from anatomy to risk factors, examination, diagnosis, differentials, management, prevention and indications for referral. Emphasis is placed on topical antibiotic use, drug delivery techniques and recognising refractory cases. The importance of early intervention is highlighted to prevent complications, particularly in at-risk populations, aligned with AAO-HNS guidelines and enhancing general practice's role in mitigating AOE-related complications.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12","pages":"935-941"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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