Foreign body inhalation: a danger of metered dose inhalers.
نویسندگان
چکیده
Sir, As in Dundee (Letters, October Journal, p.430), the Nottingham general practice attachment includes a student audit project. Our experience over several years is that these work best if the topic is chosen by the student. The role of the tutor is often to limit the amount of work planned and to emphasize that while the study is likely to be useful to the practice, the educational objectives are paramount. Other than statistical validity there is little educational gain from analysing 100 rather than 50 records. Encouraging students to choose their own topic leads to a wide range of projects, some of which are not audits, but studies of the practice population. From the examples given by Neville and Knox, it appears this is also the case in Dundee. Where possible we encourage students to include an audit element in their project, for example a study on use of alternative medicine by patients should include suggestions about how general practitioners should respond to this aspect of their patients' behaviour. Most importantly students should appreciate how far, if at all, their project fulfils the criteria for an audit. Teaching the principles of audit is difficult, especially because of the lack of an accepted terminology'. Response to a question in the final examinations suggested that in the past we have failed to make these clear; many students were unable to give a satisfactory definition of audit or to distinguish between this activity and research. We have attempted to remedy this situation by emphasizing the principles of audit at both the beginning of the attachment and when the projects are presented. Departments of general practice have to consider carefully how best to use their limited curriculum time. Audit, like communication skills, is a topic which has universal application and in which our discipline has established some expertise. General practice can make an important contribution to this area of undergraduate education. ANDREW WILSON
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ورودعنوان ژورنال:
- The Journal of the Royal College of General Practitioners
دوره 39 328 شماره
صفحات -
تاریخ انتشار 1989