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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
Promoting oral cancer screening by general practitioners in Australia: Strengthening primary healthcare. 促进澳大利亚全科医生的口腔癌筛查：加强初级保健。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-12-23-7063
Nidhi Saraswat, Helen Graesser, Morton Rawlin, Michael McCullough, Tan Minh Nguyen
{"title":"Promoting oral cancer screening by general practitioners in Australia: Strengthening primary healthcare.","authors":"Nidhi Saraswat, Helen Graesser, Morton Rawlin, Michael McCullough, Tan Minh Nguyen","doi":"10.31128/AJGP-12-23-7063","DOIUrl":"https://doi.org/10.31128/AJGP-12-23-7063","url":null,"abstract":"<p><strong>Background: </strong>Oral cancer remains a significant public health issue. General practitioners (GPs) can play an important role in raising awareness of oral cancer.</p><p><strong>Objective: </strong>This paper explores why providing advice relating to modifiable risk behaviours associated with oral cancer and undertaking routine oral cancer screening are important for GPs in clinical practice.</p><p><strong>Discussion: </strong>To support GPs, an e-learning module on oral cancer screening, prevention and early detection was established as part of the Oral Cancer Screening and Prevention Program (funded by the Victorian Department of Health). The development of the e-learning module was led by Dental Health Services Victoria in partnership with The Royal Australian College of General Practitioners (RACGP), and the content was developed in consultation with experts from the University of Melbourne, Cancer Council Victoria and the Victorian Comprehensive Cancer Centre. The Oral Cancer: Prevention, early detection and referral e-learning module was launched on the RACGP training website in November 2023.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12","pages":"932-934"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774767","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
Head and neck cancer surveillance: A guide past the five-year mark. 头颈癌监测：五年指南。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-10-23-6997
Jennifer Chen, Neil Foden, David Hogan, Sarju Vasani
{"title":"Head and neck cancer surveillance: A guide past the five-year mark.","authors":"Jennifer Chen, Neil Foden, David Hogan, Sarju Vasani","doi":"10.31128/AJGP-10-23-6997","DOIUrl":"10.31128/AJGP-10-23-6997","url":null,"abstract":"<p><strong>Background: </strong>A head and neck cancer patient has completed treatment and five-year surveillance with their oncologists and surgeons and has been discharged back into your care. What is next and what do you not want to miss in this patient?</p><p><strong>Objective: </strong>This article aims to provide the general practitioner with a practical guide and an up-to-date evidence-based review on how to manage the head and neck cancer survivor.</p><p><strong>Discussion: </strong>Attentive surveillance encompassing risk stratification and guidance, early detection of recurrence and second malignancies, effective management of chronic symptoms and the provision of psychosocial support are fundamental in providing a holistic and comprehensive care plan for the head and neck cancer survivor.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S10-S14"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856261","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
Melasma management in primary care. 初级保健中的黄褐斑管理。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-12-01 DOI: 10.31128/AJGP-03-24-7189
Tim Aung, Ebtisam Elghblawi, Sandy T Aung
{"title":"Melasma management in primary care.","authors":"Tim Aung, Ebtisam Elghblawi, Sandy T Aung","doi":"10.31128/AJGP-03-24-7189","DOIUrl":"10.31128/AJGP-03-24-7189","url":null,"abstract":"<p><strong>Background: </strong>Melasma, a condition characterised by hyperpigmented patches on the face, is one of the common skin conditions in women seeking treatment from primary care practitioners (PCPs). Several treatment modalities are available for PCPs as well as dermatologists. Each treatment option has its pros and cons, including accessibility and cost.</p><p><strong>Objective: </strong>This article aims to explore and address the treatment options that PCPs can offer for melasma.</p><p><strong>Discussion: </strong>This article outlines how to offer treatment from the PCP's perspective conveniently and cost-effectively. Combined topical treatment seems to be the first-line form that PCPs can offer and manage in the general practice setting. Of the various treatments available, the triple combination of topical hydroquinone with retinoid and corticosteroid is widely described in the literature.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 12 Suppl","pages":"S56-S60"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856649","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
Australian general practitioners' perception of modifiable risk factors in reducing infective complications following hip and knee joint replacement. 澳大利亚全科医生对减少髋关节和膝关节置换术后感染并发症的可改变风险因素的看法。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-06-23-6880
Christopher J Wall, Richard N de Steiger, Christopher J Vertullo, Theresa A Johnson, Srinivas Kondalsamy-Chennakesavan
{"title":"Australian general practitioners' perception of modifiable risk factors in reducing infective complications following hip and knee joint replacement.","authors":"Christopher J Wall, Richard N de Steiger, Christopher J Vertullo, Theresa A Johnson, Srinivas Kondalsamy-Chennakesavan","doi":"10.31128/AJGP-06-23-6880","DOIUrl":"10.31128/AJGP-06-23-6880","url":null,"abstract":"<p><strong>Background and objectives: </strong>Smoking, poor diabetic control and excessive body mass index (BMI) increase the risk of infection following joint replacement. This study investigated Australian general practitioners' (GPs) perception of these modifiable risk factors in patients with end-stage osteoarthritis.</p><p><strong>Method: </strong>A structured online survey tool was developed and widely distributed to Australian GPs.</p><p><strong>Results: </strong>Responses were received from 131 GPs. Most attempted to address current smoking (90%), poor diabetic control (94%) and excessive BMI (89%) prior to referral. The majority felt that joint replacement should be delayed until these risk factors had been modified (57%, 84% and 74%, respectively). However, many respondents did not believe that these risk factors were contraindications to joint replacement (76%, 46% and 43%, respectively).</p><p><strong>Discussion: </strong>This study suggests that Australian GPs are mindful of modifiable risk factors in patients with hip and knee osteoarthritis; however, many do not support restricting access to joint replacement.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 11 Suppl","pages":"S83-S88"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632477","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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