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Full-Text Articles in Medicine and Health Sciences
General Practice Research Training: Impact Of The Australian Registrar Research Workshop On Research Skills, Confidence, Interest And Involvement Of Participants, 2002-2006, Karin Ried, Brett D. Montgomery, Nigel P. Stocks, Elizabeth A. Farmer
General Practice Research Training: Impact Of The Australian Registrar Research Workshop On Research Skills, Confidence, Interest And Involvement Of Participants, 2002-2006, Karin Ried, Brett D. Montgomery, Nigel P. Stocks, Elizabeth A. Farmer
Elizabeth Farmer
Background. An intensive 3-day training programme, the ‘Registrar Research Workshop’ (RRW), has aimed to build research capacity among Australian general practice registrars since 1994. Objectives. To investigate the impact of the RRW on participants' skills, confidence, interest in research and research activity. Methods. Cross-sectional postal survey in 2006 of five groups of registrars who participated in the annual workshop in 2002–2006 (response rate: 64%; 77 of 121). Outcome measures included research experience and skills prior to and after the workshop; impact of the workshop on capacity, confidence, attitude and interest in research; and research involvement as measured by publications and …
General Practice Training And Virtual Communities Of Practice - A Review Of The Literature, Stephen Barnett, Sandra C. Jones, Sue Bennett, Donald C. Iverson, Andrew D. Bonney
General Practice Training And Virtual Communities Of Practice - A Review Of The Literature, Stephen Barnett, Sandra C. Jones, Sue Bennett, Donald C. Iverson, Andrew D. Bonney
Don C. Iverson
Background: Good General Practice is essential for an effective health system. Good General Practice training is essential to sustain the workforce, however training for General Practice can be hampered by a number of pressures, including professional, structural and social isolation. General Practice trainees may be under more pressure than fully registered General Practitioners, and yet isolation can lead doctors to reduce hours and move away from rural practice. Virtual communities of practice (VCoPs) in business have been shown to be effective in improving knowledge sharing, thus reducing professional and structural isolation. This literature review will critically examine the current evidence …
Collaborative Goal Technology: Theory & Practice, Samantha Clarke, Lindsay G. Oades, Trevor P. Crowe, Frank P. Deane
Collaborative Goal Technology: Theory & Practice, Samantha Clarke, Lindsay G. Oades, Trevor P. Crowe, Frank P. Deane
Frank Deane
Goal striving promotes hope and enhances motivation, which is important for psychosocial rehabilitation and recovery. The Collaborative Goal Technology (CGn is a new goal striving intervention that is used to support the autonomy and recovery processes of the person with a psychiatric disability. The CGT protocol and its utility are outlined. Theory and research from goal striving, motivation and mental health recovery domains that informed the development of CGT are described. A case example is also provided.
Calculating Clinically Significant Change: Applications Of The Clinical Global Impressions (Cgi) Scale To Evaluate Client Outcomes In Private Practice, Peter Kelly
Peter Kelly
The Clinical Global Impressions (CGI) scale is a therapist-rated measure of client outcome that has been widely used within the research literature. The current study aimed to develop reliable and clinically significant change indices for the CGI, and to demonstrate its application in private psychological practice. Following the guidelines developed by Clement, a file review was conducted of the authors’ first six years working in private practice. A reliable change on the CGI required the participants score to change by 2-points. Depending on the method used to calculate the clinical change indices, between 23% and 50% of the total participants …
Working With Substance Misuse Problems In Private Practice, Peter Kelly
Working With Substance Misuse Problems In Private Practice, Peter Kelly
Peter Kelly
Individuals experiencing alcohol and other drug (AOD) problems have typically been under represented within private practice. For example, in the general population the prevalence of substance use disorders (7.7%) is comparable to that of anxiety (9.7%) and affective disorders (5.8%; Andrews, Hall, Teesson & Henderson, 1999). However, a recent APS survey showed that while 48 per cent of people treated by psychologists under the Better Access initiative presented with anxiety or depression, only 6 per cent presented for assistance with substance misuse problems (Giese, Littlefield & Mathews, 2008). Recent changes to the Medicare system have largely reduced financial barriers, presenting …
A Study Of Headache In North American Primary Care: Report For The Ambulatory Sentinel Practice Network, L A. Becker, Donald C. Iverson, F M. Read, N Calogne, R S. Miller, W L. Freeman
A Study Of Headache In North American Primary Care: Report For The Ambulatory Sentinel Practice Network, L A. Becker, Donald C. Iverson, F M. Read, N Calogne, R S. Miller, W L. Freeman
Don C. Iverson
Headache is a common symptom in primary care about which surprisingly little is known. Over a 14-month period 3847 patients making 4940 consecutive visits for headache to 38 primary care practices in the USA and Canada were studied. The clinical characteristics of patients, as well as the diagnostic and therapeutic strategies employed by their doctors, were examined. Visits for headache represented 1.5% of all visits during this period. Most patients (72.0%) made only one visit, and nearly half of the headaches reported were new. Only a small number of patients (3.0%) received a computerized tomographic scan; other investigations were used …
What Do Older Patients Want? Understanding Older Patients' Attitudes Towards General Practice Trainees, Andrew D. Bonney, Sandra C. Jones, Donald Iverson, Christopher Magee
What Do Older Patients Want? Understanding Older Patients' Attitudes Towards General Practice Trainees, Andrew D. Bonney, Sandra C. Jones, Donald Iverson, Christopher Magee
Don C. Iverson
Context: Older patients constitute an increasing proportion of the caseloads in general practice (GP) training practices, but are relatively reluctant to consult trainees. Understanding their attitudes is a first step in improving older patient-trainee interaction. Objectives: Characterise the attitudes of older patients to GP trainees. Design: Cross-sectional survey; exploratory factor analysis; logistic regression. Setting: Randomised, stratified sample of 38 training practices across five Australian states. Participants: Patients aged 60 years and over (N=911; response rate 47.9%). Instrument: Questionnaire for self-completion: previously piloted and subjected to factor analysis. Main and secondary outcome measures: Identification of attitude factors; patient characteristics predicting high …
General Practice Registrars: Attitudes Of Older Patients, Andrew D. Bonney, Sandra C. Jones, Lyn Phillipson, Donald C. Iverson
General Practice Registrars: Attitudes Of Older Patients, Andrew D. Bonney, Sandra C. Jones, Lyn Phillipson, Donald C. Iverson
Don C. Iverson
Previous research indicates that older patients may be less willing to consult general practice registrars (GPRs), reducing training opportunities in chronic/complex care. This survey explores older patients’ attitudes in order to inform models of interaction that would be acceptable to patients. METHODS Ten training general practices distributed questionnaires for self completion to 50 patients aged 60 years and over. Chi-square, Spearman’s rho and logistic regression were used for analysis. RESULTS The response rate was 47%. Ninetysix percent wanted ongoing contact with their general practitioner if they saw a GPR. Twenty-four percent were comfortable with GPR chronic/complex care, increasing to 73% …
Preparing For An Ageing Population: A Survey Of Older Patients' Attitudes To General Practice Registrars, Andrew D. Bonney, Sandra C. Jones, Lyn Phillipson, Donald C. Iverson
Preparing For An Ageing Population: A Survey Of Older Patients' Attitudes To General Practice Registrars, Andrew D. Bonney, Sandra C. Jones, Lyn Phillipson, Donald C. Iverson
Don C. Iverson
The ageing population makes it imperative to provide appropriate training for general practice registrars (GPRs) in the community-based care of older patients. However, data suggest that older patients may be less willing to consult GPRs for chronic/complex care; adversely affecting training opportunities and potentially the satisfaction of older patients in training practices. This cross-sectional study was undertaken to investigate this concern in the Australian context and develop models of older patient-GPR interaction that are acceptable to patients.
The Application Of Coach Leadership Models To Coaching Practice: Current State And Future Directions, Stewart Vella, Lindsay G. Oades, Trevor P. Crowe
The Application Of Coach Leadership Models To Coaching Practice: Current State And Future Directions, Stewart Vella, Lindsay G. Oades, Trevor P. Crowe
Trevor Crowe
No abstract provided.
Collaborative Goal Technology: Theory & Practice, Samantha Clarke, Lindsay G. Oades, Trevor P. Crowe, Frank P. Deane
Collaborative Goal Technology: Theory & Practice, Samantha Clarke, Lindsay G. Oades, Trevor P. Crowe, Frank P. Deane
Trevor Crowe
Goal striving promotes hope and enhances motivation, which is important for psychosocial rehabilitation and recovery. The Collaborative Goal Technology (CGn is a new goal striving intervention that is used to support the autonomy and recovery processes of the person with a psychiatric disability. The CGT protocol and its utility are outlined. Theory and research from goal striving, motivation and mental health recovery domains that informed the development of CGT are described. A case example is also provided.