Subject(s)
Patient Acceptance of Health Care , Vaginal Smears/psychology , Adolescent , Adult , Aged , England , Family Practice , Female , Humans , Male , Middle Aged , Nurse Midwives , Physicians, FamilyABSTRACT
A study of trainer/trainee experience during a three-month period has shown that it is possible to steer patients to the trainee if it is done sensitively. The value of steering certain patients to the trainee has also been shown. Clinical experience was comparable and did not result in any modification to the patient steering policy. Even if patients were not being steered to the trainee, monthly monitoring would be important for detecting and correcting inadequate trainee clinical experience in selected diseases, which are easily checked.
Subject(s)
Education, Medical, Graduate , Family Practice/education , Medical History Taking , Adolescent , Adult , Aged , Child , Child, Preschool , England , Humans , Infant , Infant, Newborn , Middle AgedABSTRACT
Over 500 ENT diagnoses made by general practitioners when referring patients to one ENT department were examined and compared with the diagnoses by the specialist department. A broad grouping of the categories of referral was made and topics highlighted which seemed particularly appropriate for further postgraduate training for general practitioners.We believe the amount of postgraduate training in ENT currently available to trainees in the UK may be too low and ought to be increased and that this approach offers a logical starting point for constructing educational objectives for such training.
Subject(s)
Family Practice/education , Medical Audit , Otolaryngology/education , Referral and Consultation , Diagnosis, Differential , Humans , Internship and Residency , Medical History Taking , Otorhinolaryngologic Diseases/diagnosis , Physical ExaminationABSTRACT
Group discussions with the wives of general practitioners and vocational trainees have been held in the Boston vocational training scheme. Many problems such as being tied to the telephone and the registration of doctors' families with other general practitioners were discussed.A consensus view emerged on several topics and I believe that further discussions with wives on subjects of this kind would be valuable.