Australian Journal of General Practice最新文献_第4页

Defragmentation of care: Synchronous co-consulting. 护理碎片整理：同步联合咨询。

IF 1.7 4区医学

Australian Journal of General Practice Pub Date : 2025-09-01 DOI: 10.31128/AJGP-12-24-7495

Morgan Rayner, Joanna Lawrence

引用次数: 0

A case of morphine toxicity in the setting of improper opioid rotation: A renewed call for prescriber vigilance. 在阿片类药物轮换不当的情况下吗啡毒性的一个案例：再次呼吁处方者保持警惕。

IF 1.7 4区医学

Australian Journal of General Practice Pub Date : 2025-09-01 DOI: 10.31128/AJGP-08-24-7377

Patrick T Walsh, Moira N Rush

引用次数: 0

Integrated general practitioner training pathways: Components, barriers and enablers. 综合全科医生培训途径：组成部分、障碍和推动因素。

IF 1.7 4区医学

Australian Journal of General Practice Pub Date : 2025-09-01 DOI: 10.31128/AJGP-05-24-7272

Jacqueline Penney, Sarah Shepherd, Nara Jones, Sarvin Randhawa, Sandra Coe, Sarah Prior

{"title":"Integrated general practitioner training pathways: Components, barriers and enablers.","authors":"Jacqueline Penney, Sarah Shepherd, Nara Jones, Sarvin Randhawa, Sandra Coe, Sarah Prior","doi":"10.31128/AJGP-05-24-7272","DOIUrl":"https://doi.org/10.31128/AJGP-05-24-7272","url":null,"abstract":"Background and objectives: General practitioners (GPs) need postgraduate training pathways specific to their needs and integrated into local health environments. This scoping review investigates components of integrated GP training pathways including the barriers and enablers of effective pathways for GP recruitment and retention.Method: This review was guided by methodological framework of Arksey and O'Malley and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Extension for Scoping Reviews Checklist. MEDLINE, EMBASE, CINAHL and Scopus databases were searched for articles published between 2013 and March 2024. Included articles were analysed and categorised by thematic analysis.Results: Twenty-seven articles were included, resulting in six key themes: (1) place-based training; (2) trainee background and connections; (3) support structures; (4) professional identity; (5) trainee demographics; and (6) family factors.Discussion: The components, barriers and enablers of GP training pathways identified will guide development and evaluation of improved integrated training pathway options for GP trainees in Australia.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 9","pages":"635-641"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001933","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

September 2025 correspondence. 2025年9月通信。

IF 1.7 4区医学

Australian Journal of General Practice Pub Date : 2025-09-01

引用次数: 0

Postgraduate medically related qualifications of early career general practitioners. 早期职业全科医生的研究生医学相关资格。

IF 1.7 4区医学

Australian Journal of General Practice Pub Date : 2025-09-01 DOI: 10.31128/AJGP-11-24-7461

Ashley Blowes, Alison Fielding, Andrew Davey, Dominica Moad, Amanda Tapley, Elizabeth G Holliday, Jean Ball, Jason Dizon, Michael Bentley, Kristen FitzGerald, Catherine Kirby, Allison Turnock, Mieke van Driel, Parker Magin

{"title":"Postgraduate medically related qualifications of early career general practitioners.","authors":"Ashley Blowes, Alison Fielding, Andrew Davey, Dominica Moad, Amanda Tapley, Elizabeth G Holliday, Jean Ball, Jason Dizon, Michael Bentley, Kristen FitzGerald, Catherine Kirby, Allison Turnock, Mieke van Driel, Parker Magin","doi":"10.31128/AJGP-11-24-7461","DOIUrl":"10.31128/AJGP-11-24-7461","url":null,"abstract":"Background and objectives: General practitioners' (GPs) specialised qualifications and upskilling in medical roles strengthen healthcare systems and improve patient outcomes. This study aimed to describe additional qualifications attained, or being undertaken, by early career GPs and establish associations of obtaining/undertaking postgraduate and post-Fellowship qualifications.Method: This was a questionnaire-based, cross-sectional study of early career college-Fellowed GPs in NSW/ACT, Tasmania and Eastern Victoria (New alumni Experiences of Training and independent Unsupervised Practice [NEXT-UP] study). Univariable and multivariable logistic regression analyses estimated associations of additional postgraduate/post-Fellowship qualification attainment with personal factors and factors related to their current practice and to their vocational training experience.Results: Of 339 participants, 43% reported having obtained postgraduate, medically related qualifications, 23% had obtained or were undertaking post-Fellowship qualifications and 35% reported no additional qualifications. There was a strong negative association of additional qualifications with having dependent children (odds ratios 0.76 and 0.63 for postgraduate and post-Fellowship qualifications, respectively).Discussion: Most early career GPs obtained or were pursuing postgraduate/post-Fellowship qualifications. A barrier to obtaining postgraduate or post-Fellowship qualifications might be having dependent children.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 9","pages":"628-634"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001935","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

Beyond the iron gate: Therapeutic donation at Lifeblood for patients with haemochromatosis. 铁门之外：血色素沉着症患者在Lifeblood的治疗性捐赠。

IF 1.7 4区医学

Australian Journal of General Practice Pub Date : 2025-09-01 DOI: 10.31128/AJGP-07-24-7364

Peter J Bentley, Carley N Gemelli, Elizabeth Knight, Jan Maddern, Carol Jos, Justine O'Donovan, Athina Kakkos, Marijke Welvaert, Barbara M Masser, Rachel Thorpe

{"title":"Beyond the iron gate: Therapeutic donation at Lifeblood for patients with haemochromatosis.","authors":"Peter J Bentley, Carley N Gemelli, Elizabeth Knight, Jan Maddern, Carol Jos, Justine O'Donovan, Athina Kakkos, Marijke Welvaert, Barbara M Masser, Rachel Thorpe","doi":"10.31128/AJGP-07-24-7364","DOIUrl":"10.31128/AJGP-07-24-7364","url":null,"abstract":"Background and objectives: Australian Red Cross Lifeblood (Lifeblood) provides therapeutic venesection for patients who meet evidence-based eligibility criteria. Many of these patients have iron overload due to hereditary haemochromatosis (HHC). This study aimed to gain knowledge into the demographic characteristics of donors with haemochromatosis and to investigate their knowledge, compliance and experiences with their condition.Method: An online survey was sent to therapeutic donors who had provided at least one donation in the five years prior to December 2022. Data were analysed using descriptive statistics.Results: HHC donors self-reported high compliance with their prescribed venesection schedules. They reported being very knowledgeable about HHC, with most attending Lifeblood as they know their blood will be used. Further, they reported their doctor had little difficulty referring them to Lifeblood.Discussion: These findings will enable the development of more tailored communications with therapeutic donors to enhance their donation experience and potentially improve treatment compliance.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 9","pages":"597-601"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001940","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

Guest Editorial: General practice research - A call to action. 嘉宾评论：全科医学研究——行动呼吁。

IF 1.7 4区医学

Australian Journal of General Practice Pub Date : 2025-09-01 DOI: 10.31128/AJGP-07-25-7730

Constance Dimity Pond, Taryn Elliott, Tania Lim

引用次数: 0

Academic Post registrar abstracts. 学术职位注册摘要。

IF 1.7 4区医学

Australian Journal of General Practice Pub Date : 2025-09-01

引用次数: 0

Palliative management of breathlessness. 呼吸困难的姑息治疗。

IF 1.7 4区医学

Australian Journal of General Practice Pub Date : 2025-08-01 DOI: 10.31128/AJGP-06-24-7306

Claire Stokes, Phillip Good, Jones Chen, Taylan Gurgenci

{"title":"Palliative management of breathlessness.","authors":"Claire Stokes, Phillip Good, Jones Chen, Taylan Gurgenci","doi":"10.31128/AJGP-06-24-7306","DOIUrl":"10.31128/AJGP-06-24-7306","url":null,"abstract":"Background: Breathlessness is a subjective experience of breathing discomfort and is one of the most common symptoms in patients receiving palliative care.Objective: This paper reviews the palliative management of breathlessness.Discussion: Current management guidelines for the palliative management of breathlessness recommend treatment of reversible causes followed by non-pharmacological interventions such as breathing exercises, use of mobility aids, fans and focused psychological strategies. For those not responding, opioids might be considered with a reasonable starting dose being immediate release oral morphine 1-2.5 mg hourly as required (prn). Benzodiazepines, such as lorazepam 0.5 mg every 3-4 hours prn, might be used for the treatment of breathlessness-associated anxiety but do not a have role in the management of breathlessness per se. Systemic corticosteroids have limited evidence but can be considered in some cases. The use of home oxygen in patients who are non‑hypoxic lacks evidence but might be used after consideration of patient preferences. Patients might benefit from a breathlessness management plan.","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"54 8","pages":"519-523"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776896","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

Palliative management of type 2 diabetes mellitus in patients with advanced cancer. 2型糖尿病晚期癌症患者的姑息治疗。

IF 1.7 4区医学

Australian Journal of General Practice Pub Date : 2025-08-01 DOI: 10.31128/AJGP-01-25-7522

Aanjanee Weerasinghe, Phillip Good, Claire Stokes, Jones Chen, Taylan Gurgenci

引用次数: 0