Australian Journal of General Practice最新文献

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General practitioner professional identity formation: Much needed, (still) oft forgotten. 全科医生专业身份的形成:亟需,(仍)常被遗忘。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-01-24-7115
Li Ping Marianne Tsang, Shu Zhen Alicia Ong, Kuan Liang Shawn Goh, Chirk Jenn Ng, Chih Wei Sally Ho
{"title":"General practitioner professional identity formation: Much needed, (still) oft forgotten.","authors":"Li Ping Marianne Tsang, Shu Zhen Alicia Ong, Kuan Liang Shawn Goh, Chirk Jenn Ng, Chih Wei Sally Ho","doi":"10.31128/AJGP-01-24-7115","DOIUrl":"10.31128/AJGP-01-24-7115","url":null,"abstract":"<p><strong>Background: </strong>Professional identity formation (PIF) as a general practitioner (GP) enhances the experience of meaning at work, reduces burnout, promotes patient-centred decision making and strengthens advocacy for the unique role of family medicine within the healthcare system. Unfortunately, there is insufficient emphasis on PIF in GP residency programs; it often remains a hidden curriculum. External factors limiting GP trainees' exposure to their own general practice community of practice further impede PIF. Thus, fostering general practice PIF requires deliberate, focused efforts; however, there is little empiric evidence on the GP professional identity or how to foster it.</p><p><strong>Objective: </strong>The aim of this paper is to discuss strategies for effective GP PIF in family medicine residency.</p><p><strong>Discussion: </strong>The authors recommend explicit attention to PIF in three key areas: curriculum; teaching and learning; and faculty development. Additionally, the authors encourage GPs to unite as a community to provide continuing and coordinated support for GP residents on their PIF journey.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 11 Suppl","pages":"S128-S131"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632508","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. 头部和颈部
IF 1.6 4区 医学
{"title":"Head and neck.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 11 Suppl","pages":"S1"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632511","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
Breast density in screening mammography. 乳房 X 射线摄影筛查中的乳房密度。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-07-23-6895
Tim Tse, Bosco Wu, Simon Willcock, Sanjyot Vagholkar, Negin Sedaghat
{"title":"Breast density in screening mammography.","authors":"Tim Tse, Bosco Wu, Simon Willcock, Sanjyot Vagholkar, Negin Sedaghat","doi":"10.31128/AJGP-07-23-6895","DOIUrl":"10.31128/AJGP-07-23-6895","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 11","pages":"879-880"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585162","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
Intraductal papillary mucinous neoplasm: Overview of management. 导管内乳头状粘液瘤:治疗概述。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-05-23-6822
June Oo, Lisa Brown, Benjamin PT Loveday
{"title":"Intraductal papillary mucinous neoplasm: Overview of management.","authors":"June Oo, Lisa Brown, Benjamin PT Loveday","doi":"10.31128/AJGP-05-23-6822","DOIUrl":"10.31128/AJGP-05-23-6822","url":null,"abstract":"<p><strong>Background: </strong>Intraductal papillary mucinous neoplasm (IPMN) of the pancreas is increasingly being diagnosed incidentally on imaging. It has malignant potential, making it vital to establish the correct diagnosis, assess its malignant risk and follow a management strategy to prevent development of invasive carcinoma of the pancreas.</p><p><strong>Objective: </strong>This review focuses on the epidemiology, natural history, risk factors, diagnosis and management of IPMN of the pancreas, and will provide practical points for general practitioners.</p><p><strong>Discussion: </strong>IPMN of the pancreas can transform into invasive pancreatic carcinoma at a low rate of approximately 2%/year. Upon diagnosis of IPMN, it is risk stratified based on the presence of worrisome or high-risk stigmata, which guides further management. Management needs to be individualised based on IPMN and patient factors due to limitations with the current diagnostic tools.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 11","pages":"835-839"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585335","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
Medical certificates: More than just paperwork. 医疗证明:不仅仅是文书工作。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-02-24-7154
Parvin Delshad, Lauren Ball, Reza Arab
{"title":"Medical certificates: More than just paperwork.","authors":"Parvin Delshad, Lauren Ball, Reza Arab","doi":"10.31128/AJGP-02-24-7154","DOIUrl":"10.31128/AJGP-02-24-7154","url":null,"abstract":"<p><strong>Background: </strong>Medical certificates communicate the needs and conditions of a person to (often) non-medical entities or other stakeholders. Medical certificates can have a profound effect on patients' access to social and financial support, and therefore wellbeing. However, general practitioners (GPs) are not formally trained in effective completion of medical certificates, leaving opportunity for workforce development.</p><p><strong>Objective: </strong>This article discusses the significant role of medical certificates in patient care and the challenges GPs face in completing medical certificates.</p><p><strong>Discussion: </strong>Medical certificates are often the only mode of communication between GPs and non-medical entities. The tone, comprehensiveness and content of medical certificates can influence the document's utility. There are limited guidelines and formal education for GPs on how to write an effective medical certificate. Designing and implementing guidelines along with appropriate training for GPs will likely result in better patient outcomes in line with their support needs.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 11 Suppl","pages":"S123-S127"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632530","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
November 2024 correspondence. 2024 年 11 月通信。
IF 1.6 4区 医学
{"title":"November 2024 correspondence.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 11","pages":"791-792"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585338","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
Updates in digital shared care: Launching into the 21st century. 数字共享护理的最新进展:迈入 21 世纪。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-10-23-7005
David Homewood, Kevin G Keane, James Haridy, Zina Valaydon, Todd Manning, Jane Crowe, Edmund Tse, Guru Iyngkaran, Niall M Corcoran
{"title":"Updates in digital shared care: Launching into the 21st century.","authors":"David Homewood, Kevin G Keane, James Haridy, Zina Valaydon, Todd Manning, Jane Crowe, Edmund Tse, Guru Iyngkaran, Niall M Corcoran","doi":"10.31128/AJGP-10-23-7005","DOIUrl":"10.31128/AJGP-10-23-7005","url":null,"abstract":"<p><strong>Background: </strong>The recent Intergenerational Report (2023) highlighted that the Australian healthcare system will face increasing economic and logistical challenges, with projected growth in health spending due to an ageing population and an increasing number of chronic diseases. Shared care, a model emphasising collaboration between nursing and allied health, general practice and specialist care providers, has emerged as one solution.</p><p><strong>Objective: </strong>This paper explores the contemporary shared care landscape in Australia, highlighting the digital transformation of healthcare, the adoption of eHealth technologies, and their impact on improving patient care coordination.</p><p><strong>Discussion: </strong>The roles of shared electronic health records, secure electronic communication and consultation, electronic patient portals and telehealth in enhancing healthcare accessibility and management of chronic diseases are individually explored. Infrastructure for future inter-electronic medical record integrations are then discussed. Innovative care models combining novel technology and shared care hold promise for more efficient, patient‑centric healthcare systems. Given Australia's unique healthcare challenges, it provides the ideal environment to lead the way in the digital transformation of shared care.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 11","pages":"872-878"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585343","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
Women's sexual and reproductive health. 妇女的性健康和生殖健康。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-11-24-1234e
Claire Denness
{"title":"Women's sexual and reproductive health.","authors":"Claire Denness","doi":"10.31128/AJGP-11-24-1234e","DOIUrl":"https://doi.org/10.31128/AJGP-11-24-1234e","url":null,"abstract":"","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 11","pages":"789"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585344","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
The importance of comprehensive cancer survivorship care plans in general practice. 综合癌症幸存者护理计划在全科实践中的重要性。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-12-23-7064
Christina Green, Carolyn Ee, Kylie Vuong
{"title":"The importance of comprehensive cancer survivorship care plans in general practice.","authors":"Christina Green, Carolyn Ee, Kylie Vuong","doi":"10.31128/AJGP-12-23-7064","DOIUrl":"10.31128/AJGP-12-23-7064","url":null,"abstract":"<p><strong>Background: </strong>The number of people living with or beyond cancer are expected to rise. General practice-led cancer survivorship plans have been proposed as a way to address ongoing healthcare needs (including physical and psychosocial care) and care coordination, as well as the prevention and management of other chronic illnesses.</p><p><strong>Objective: </strong>The aim of this paper is to discuss the role of general practice in the long-term care of cancer survivors and provide a summary of recommendations for comprehensive cancer survivorship care planning in general practice.</p><p><strong>Discussion: </strong>General practice provides cancer survivors with ongoing support within their community from pre-diagnosis onwards. It is recommended that comprehensive cancer survivorship care plans include the cancer treatment summary and follow-up care planning; the management of other comorbid chronic conditions; health promotion and disease prevention with tailoring to shared goals; and the cancer survivor's unique situation.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 11 Suppl","pages":"S63-S66"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632517","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 nausea and vomiting in advanced cancer. 晚期癌症患者恶心和呕吐的姑息治疗。
IF 1.6 4区 医学
Australian Journal of General Practice Pub Date : 2024-11-01 DOI: 10.31128/AJGP-09-23-6957
Taylan Gurgenci, Bridget Podbury, Cian O'Leary, Phillip Good
{"title":"Palliative management of nausea and vomiting in advanced cancer.","authors":"Taylan Gurgenci, Bridget Podbury, Cian O'Leary, Phillip Good","doi":"10.31128/AJGP-09-23-6957","DOIUrl":"10.31128/AJGP-09-23-6957","url":null,"abstract":"<p><strong>Background: </strong>Patients with cancer often experience nausea. In some cases, a specific cause such as chemotherapeutic adverse effects, raised intracranial pressure or malignant bowel obstruction is identified. In other cases, no specific cause is apparent.</p><p><strong>Objective: </strong>This article summarises the evidence-based management of nausea in advanced cancer. It includes the nausea of select, specific contexts such as raised intracranial pressure and bowel obstruction.</p><p><strong>Discussion: </strong>It is not commonly appreciated that low-dose oral haloperidol is the standard of care arm for many trials looking to reduce nausea in advanced cancer. It is available cheaply through the Pharmaceutical Benefits Scheme. The relative merits of other medications are discussed, as are the merits of an empiric versus a mechanistic approach to treatment.</p>","PeriodicalId":54241,"journal":{"name":"Australian Journal of General Practice","volume":"53 11 Suppl","pages":"S33-S36"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632531","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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