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The FHJ debate generalist skills: For the many or the few? FHJ 辩论综合技能：为多还是为少？
Future healthcare journal Pub Date : 2024-07-12 eCollection Date: 2024-06-01 DOI: 10.1016/j.fhj.2024.100150
Prof Phil Bright, Dr Ruth Silverton
{"title":"The FHJ debate generalist skills: For the many or the few?","authors":"Prof Phil Bright, Dr Ruth Silverton","doi":"10.1016/j.fhj.2024.100150","DOIUrl":"https://doi.org/10.1016/j.fhj.2024.100150","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 2","pages":"100150"},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11293296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Programme evaluation of the general internal medicine training programme. 普通内科培训计划评估。
Future healthcare journal Pub Date : 2024-07-12 eCollection Date: 2024-06-01 DOI: 10.1016/j.fhj.2024.100148
Elizabeth Estabrook, Chloe Langford, Sally Curtis
{"title":"Programme evaluation of the general internal medicine training programme.","authors":"Elizabeth Estabrook, Chloe Langford, Sally Curtis","doi":"10.1016/j.fhj.2024.100148","DOIUrl":"10.1016/j.fhj.2024.100148","url":null,"abstract":"<p><p>General internal medicine (GIM) has predominantly been perceived as a joint specialty to be completed alongside specialty training in the United Kingdom. The Internal Medicine (IMT) Stage 2 curriculum was released in August 2022;<sup>1</sup> in October 2022 the Round 2 Specialty Training recruitment included applications for the pilot GIM training programme, and in February 2023 NHS England commenced the 3-year programme. The GIM programme aims to provide run-through training for GIM to Certificate of Completion of Training (CTT). This report establishes the initial recruitment demographics of trainees, as well as an analysis of the successful applicants' perspectives on the programme and their motivations for applying.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 2","pages":"100148"},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11293301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Future Hospital Commission, 10 years on - Lessons learned and next steps: The Chief Registrar Programme - what has been achieved? 未来医院委员会，10 年后 - 经验教训和下一步措施：首席注册医师计划--取得了哪些成果？
Future healthcare journal Pub Date : 2024-07-12 eCollection Date: 2024-06-01 DOI: 10.1016/j.fhj.2024.100153
Clive Lewis, Graham Stow, Oliver Cullen, Sonia Mackenzie, Tom Baker
{"title":"Future Hospital Commission, 10 years on - Lessons learned and next steps: The Chief Registrar Programme - what has been achieved?","authors":"Clive Lewis, Graham Stow, Oliver Cullen, Sonia Mackenzie, Tom Baker","doi":"10.1016/j.fhj.2024.100153","DOIUrl":"10.1016/j.fhj.2024.100153","url":null,"abstract":"<p><p>The Royal College of Physicians (RCP) Chief Registrar Programme (CRP) emerged from the RCP Future Hospital Commission Report (2013) and aimed to address development of clinical leadership and quality improvement to maintain high standards of patient safety and experience. The 2016 pilot created a new senior leadership role recruiting doctors in training committed to quality improvement and leadership development to champion delivering change in trusts, supported by a year-long bespoke development programme designed and delivered by the RCP. Following validation of the pilot's impact, the CRP has evolved to become a 'flagship' programme for the RCP with increasing penetrance across the UK to maximise impact for chief registrars to lead and deliver quality improvement in trusts. The longer-term goal is that enthusiastic early leaders will deliver sustainable and impactful change regionally and in the wider NHS. This article seeks to explore the CRP development themes and reflects on the learning from the programme and the experiences of chief registrars. The CRP has evolved during a time of significant healthcare challenge with the programme delivering a future generation of medical leaders to navigate these challenges, deliver improvement and innovation across the health sector. We show how chief registrars and alumni can continue to drive forward widespread impact on individuals, organisations and the wider NHS, providing a strategic solution to meet current and future challenges in the NHS.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 2","pages":"100153"},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11293298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reflecting back - 10 years of the Future Hospital Programme. 回顾--未来医院计划十年。
Future healthcare journal Pub Date : 2024-07-12 eCollection Date: 2024-06-01 DOI: 10.1016/j.fhj.2024.100152
Zuzanna Sawicka, Olwen Williams
{"title":"Reflecting back - 10 years of the Future Hospital Programme.","authors":"Zuzanna Sawicka, Olwen Williams","doi":"10.1016/j.fhj.2024.100152","DOIUrl":"10.1016/j.fhj.2024.100152","url":null,"abstract":"<p><p>A decade ago, The Future Hospital Programme was created following the publication of the Future Hospital Commission (FHC), to demonstrate how Future Hospital (FH) principles could be implemented and embedded within the NHS. Ten years on, we reflect back on each of the development sites and the programme itself. What were the successes and what are the current challenges? Indeed, in the current NHS, is it feasible to deliver in 'real world environments' the FH principles and make sure that patient care is safe and effective? The last decade has seen financial constraints and inevitable (albeit often short-term) changes to manage the COVID pandemic. How have these affected each of the development sites and what else do we need to do to ensure that we get care right for our patients within our future hospitals?</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 2","pages":"100152"},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11293303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Future Hospital Commission - 10 years on: a patient/carer perspective. 未来医院委员会--10 年之后：病人/护理者的视角。
Future healthcare journal Pub Date : 2024-07-12 eCollection Date: 2024-06-01 DOI: 10.1016/j.fhj.2024.100154
Samantha Mauger
{"title":"Future Hospital Commission - 10 years on: a patient/carer perspective.","authors":"Samantha Mauger","doi":"10.1016/j.fhj.2024.100154","DOIUrl":"https://doi.org/10.1016/j.fhj.2024.100154","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 2","pages":"100154"},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11293297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Future Hospital Commission - 10 years on. What's changed, what's new and what's next? 未来医院委员会 - 10 年过去了。有哪些变化，有哪些新内容，下一步又将如何？
Future healthcare journal Pub Date : 2024-07-12 eCollection Date: 2024-06-01 DOI: 10.1016/j.fhj.2024.100155
Dr John D Dean
{"title":"Future Hospital Commission - 10 years on. What's changed, what's new and what's next?","authors":"Dr John D Dean","doi":"10.1016/j.fhj.2024.100155","DOIUrl":"10.1016/j.fhj.2024.100155","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 2","pages":"100155"},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11293295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Life as a chief of medicine-Taking future hospital guidance to the front line. 作为医务长的生活--将未来的医院指南带到前线。
Future healthcare journal Pub Date : 2024-07-12 eCollection Date: 2024-06-01 DOI: 10.1016/j.fhj.2024.100149
Dr Ben Mearns
{"title":"Life as a chief of medicine-Taking future hospital guidance to the front line.","authors":"Dr Ben Mearns","doi":"10.1016/j.fhj.2024.100149","DOIUrl":"10.1016/j.fhj.2024.100149","url":null,"abstract":"<p><p>The Future Hospital Commission developed a comprehensive and ambitious proposal of how hospitals should be run, with clinical leadership at its heart. A medical division led by the chief of medicine was integral to the vision and these senior physicians would be central to the running of hospitals alongside managers. The real-world experiences over 8 years of one chief of medicine are explored and compared to the guidance set out by the Future Hospital Commission, with an emphasis on interdisciplinary triumvirate working, values, behaviours, quality improvement and the impact of crises like the COVID pandemic. The chief of medicine role can play an important part in delivering the outcomes promoted by the Future Hospital Commission, but the role is likely to vary throughout the NHS dependent on local factors. Future guidance could focus on equipping the leaders of the future to design and improve services, and to develop the multiprofessional teams that meet the needs of their specific challenges that they face.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 2","pages":"100149"},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11293300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Increasing Same Day Emergency Care Activity in an existing Ambulatory Care Unit using Quality Improvement Methodology 利用质量改进方法提高现有非住院护理病房的当日急诊活动量
Future healthcare journal Pub Date : 2024-07-01 DOI: 10.1016/j.fhj.2024.100164
K. Mulla, Letitia Dormandy, Mohamed Soliman, Ashley Matthies
{"title":"Increasing Same Day Emergency Care Activity in an existing Ambulatory Care Unit using Quality Improvement Methodology","authors":"K. Mulla, Letitia Dormandy, Mohamed Soliman, Ashley Matthies","doi":"10.1016/j.fhj.2024.100164","DOIUrl":"https://doi.org/10.1016/j.fhj.2024.100164","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"27 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141841331","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 role of daycase thoracoscopy at a district general hospital: a real world observational study 一家地区综合医院日间胸腔镜手术的作用：一项真实世界观察研究
Future healthcare journal Pub Date : 2024-07-01 DOI: 10.1016/j.fhj.2024.100158
Dr Sidra Kiran, Dr Akash Mavilakandy, Dr Sarah Rahim, Dr Muhammed Naeem, Ms Samantha Rawson, Dr Darren Reed, Dr Georgios Tsaknis, Dr Raja V. Reddy
{"title":"The role of daycase thoracoscopy at a district general hospital: a real world observational study","authors":"Dr Sidra Kiran, Dr Akash Mavilakandy, Dr Sarah Rahim, Dr Muhammed Naeem, Ms Samantha Rawson, Dr Darren Reed, Dr Georgios Tsaknis, Dr Raja V. Reddy","doi":"10.1016/j.fhj.2024.100158","DOIUrl":"https://doi.org/10.1016/j.fhj.2024.100158","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"10 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141689123","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
Use of an ambient artificial intelligence tool to improve quality of clinical documentation. 使用环境人工智能工具提高临床文件质量。
Future healthcare journal Pub Date : 2024-06-26 eCollection Date: 2024-09-01 DOI: 10.1016/j.fhj.2024.100157
Jasmine Balloch, Shankar Sridharan, Geralyn Oldham, Jo Wray, Paul Gough, Robert Robinson, Neil J Sebire, Saleh Khalil, Elham Asgari, Christopher Tan, Andrew Taylor, Dominic Pimenta
{"title":"Use of an ambient artificial intelligence tool to improve quality of clinical documentation.","authors":"Jasmine Balloch, Shankar Sridharan, Geralyn Oldham, Jo Wray, Paul Gough, Robert Robinson, Neil J Sebire, Saleh Khalil, Elham Asgari, Christopher Tan, Andrew Taylor, Dominic Pimenta","doi":"10.1016/j.fhj.2024.100157","DOIUrl":"10.1016/j.fhj.2024.100157","url":null,"abstract":"<p><strong>Background: </strong>Electronic health records (EHRs) have contributed to increased workloads for clinicians. Ambient artificial intelligence (AI) tools offer potential solutions, aiming to streamline clinical documentation and alleviate cognitive strain on healthcare providers.</p><p><strong>Objective: </strong>To assess the clinical utility of an ambient AI tool in enhancing consultation experience and the completion of clinical documentation.</p><p><strong>Methods: </strong>Outpatient consultations were simulated with actors and clinicians, comparing the AI tool against standard EHR practices. Documentation was assessed by the Sheffield Assessment Instrument for Letters (SAIL). Clinician experience was measured through questionnaires and the NASA Task Load Index.</p><p><strong>Results: </strong>AI-produced documentation achieved higher SAIL scores, with consultations 26.3% shorter on average, without impacting patient interaction time. Clinicians reported an enhanced experience and reduced task load.</p><p><strong>Conclusions: </strong>The AI tool significantly improved documentation quality and operational efficiency in simulated consultations. Clinicians recognised its potential to improve note-taking processes, indicating promise for integration into healthcare practices.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 3","pages":"100157"},"PeriodicalIF":0.0,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11452835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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