BACKGROUND Postgraduate training in general practice aims to develop clinical competence. However, little is known about its effect on trainees' development of clinical skills. AIM To assess the acquisition of clinical skills during a 3-year training programme and to evaluate whether a satisfactory level is achieved towards the end of training. DESIGN OF STUDY Cross-sectional design. SETT...

We describe our experience of planning and running a workshop in Sri Lanka to prepare doctors for teaching a postgraduate diploma in general practice. We explore whether British models of education for general practice are applicable in other cultures and put forward a check-list of questions which teachers of general practice who are invited to work abroad should ask themselves.

Electricity does not receive in general practice the attention that its therapeutic value deserves, owing, no doubt, to the idea that electro therapeutics require costly and complicated apparatus. This idea may be true if one is to include X-ray photography and high-frequency treatment; but a very great amount can be done for the relief and cure of patients by means of a simple battery of 18 to...

AIMS To identify a model to assess general practitioner use of pathology services that could be applied to assess specific interventions designed to promote best practice. METHODS A database containing standardised requesting data for 22 general practices was constructed. The database contained 28 tests covering 95% of general practitioner activity, distributed across pathology, and it was ev...

This paper presents a discussion regarding Public Health's main challenges: knowledge of it, professional practice and training human resources. It begins by recognising Latin-America's unequal and polar socio-sanitary context and the sanitary field's myriad single referents, paying special attention to essential public health functions, the Millennium development goals and the Latin-American A...

This study examines the spatial distribution of general practice in London, taking into account both practice and population characteristics. While need for general practice is higher in inner London, some areas of outer London experience high levels of need. Inner London tends to have a greater quantity but lower quality of general practice. However, as in the case of the needs indices, this s...

OBJECTIVE The aim of this research was to involve migrants and other key stakeholders in a participatory dialogue to develop a guideline for enhancing communication in cross-cultural general practice consultations. In this paper, we focus on findings about the use of formal versus informal interpreters because dialogues about these issues emerged as central to the identification of recommendati...

A strong working relationship between advanced practice professionals (APPs) and supervising oncologists is essential for reducing medical errors, retaining employees, and improving work environments. Although there is rather limited data on the unique relationship of the APP and physician, fundamental communication skills-including open communication, mutual respect, establishing expectations,...

Our practice comprises a partnership of two doctors with a list of about 5,500 patients during the first nine months of this year. The practice covers a radius of about 5 miles (8 km.). We were faced with a difficult situation at the beginning of the year, as it was obvious that a major outbreak of measles was imminent, in addition to the other common infections. There seemed to be three main p...

The remodelling of the NHS requires a strong general practice nurse (GPN) workforce within general practice. The challenges facing general practice nursing are set within the current policy context and recent available evidence and illustrated by drawing upon the experience of a current GPN working in London. It is argued that there is a need to support the professional development of GPNs and ...