BACKGROUND Studies in General Internal Medicine [GIM] settings have shown that optimizing interprofessional communication is important, yet complex and challenging. While the physician is integral to interprofessional work in GIM there are often communication barriers in place that impact perceptions and experiences with the quality and quantity of their communication with other team members. T...

OBJECTIVE To explore patients' and physicians' experiences of atrial fibrillation (AF) consultations and oral anticoagulation decision-making. DESIGN Multi-perspective interpretative phenomenological analyses. METHODS Participants included small homogeneous subgroups: AF patients who accepted (n = 4), refused (n = 4) or discontinued (n = 3) warfarin, and four physician subgroups (n = 4 each...

PURPOSE Ensuring proper use of antimicrobials through the development and implementation of stewardship programs translates to improved patient outcomes. This article will describe the development of an antibiotic stewardship program at a facility with consultant-based infectious disease services. METHODS Program development involved a multifaceted approach, including identification of a phys...

BACKGROUND Occupational physicians are sometimes surprised at the decisions made by employment tribunals. AIM To assess employment tribunal judgements on disability discrimination in order to determine whether the evidence placed before the tribunal was appropriate and sufficient. METHOD Qualitative review of recorded tribunal judgements for an 18-month period between 1 January 2005 and 31 ...

PURPOSE Physician assistant (PA) students need exposure to a wide range of clinical settings including long-term care (LTC); however, finding consistent educational LTC opportunities is difficult. This article describes a unique, replicable, educational opportunity for PA students to get exposure to the LTC setting by working with a consultant pharmacist. METHODS Pairs of students spent 4 hou...

A national postal survey of hospital based consultants with responsibility for acute care of stroke admissions was performed in November, December 1998. Of 162 survey forms, 140 (86.4%) were returned representing consultants working in all 38 acute general hospitals (total 10,067 hospital beds) of whom 135 indicated that stroke patients were admitted under their care. Patients were admitted und...

1 Centro Nacional de Salud Pública, Instituto Nacional de Salud. Lima, Perú. 2 Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima Perú. 3 Instituto Nacional de Enfermedades Neoplásicas. Lima, Perú. 4 Dirección de Salud II. Lima, Perú. 5 Red de Salud San Juan Villa María, Dirección de Salud II. Lima, Perú. a Médico epidemiólogo; b médico oncólogo; c licenciada en obstetricia; d...

1 Facultad de Salud Pública y Administración “Carlos Vidal Layseca”, Universidad Peruana Cayetano Heredia, Lima, Perú. 2 Biomedical and Health Informatics, School of Medicine, University of Washington, Seattle, WA, USA. 3 Facultad de Medicina “Alberto Hurtado”, Universidad Peruana Cayetano Heredia, Lima, Perú. a Médico. Magister en Salud Pública; b. Especialista en Informática Biomédica; c. Méd...