Prozeduren, die in der Allgemeinmedizin durchgeführt werden – eine Querschnittstudie

Steinhäuser, Jost; Jäkel, K. T.; Szécsényi, Joachim; Goetz, Katja; Ledig, Thomas; Joos, Stefanie

doi:10.1055/s-0042-100620

Cited by 9 publications

(4 citation statements)

References 9 publications

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“…This could indicate that the image of GP is strongly influenced by the idea of a ‘hands-on examiner’ in various European countries. However, it may be necessary to consider local factors in curriculum design, such as a potentially greater importance of competencies like ‘condition specific knowledge’ or ‘imaging interpretation skills’ in rural localities [ 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

What competencies do European general practice trainees value the most? A prioritisation exercise using a Delphi-informed approach

Junge,

Poppleton,

Sun

et al. 2023

Education for Primary Care

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General Practice has changed over the past decade. Expansion of clinicians’ roles may create uncertainty, stress, and overload – particular for those at the start of their career. The WONCA Europe network for medical education, EURACT, has published competency-based aims and requirements for speciality training in general practice. Greater understanding of the trainee perspective would support planning and delivery of postgraduate training curricula. This two-step study aims to provide a competency priority list, created by European early career general practitioners, to highlight skills that this generation considers highly essential in future speciality training. A competency list was drafted with trainee- and early career general practitioners from across Europe at the Vasco da Gama Movement Forum (Edinburgh, January 2022). Participants identified competencies that they regarded as most relevant for future speciality training in their respective national contexts. Competencies were coded into categories and ranked in two consecutive rounds, the first taking place online and the second at WONCA Europe (London, June 2022). After two rounds, a consensual list of three main competencies for each category was drafted. The top three competencies for each category remained the same throughout both rounds and may be considered competencies that early career general practitioners in Europe consider important for training. Prioritisation of these competencies by institutions and educators within general practice training programmes may support trainees’ satisfaction and perceived preparedness for practice.

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Section: Discussionmentioning

confidence: 99%

What competencies do European general practice trainees value the most? A prioritisation exercise using a Delphi-informed approach

Junge,

Poppleton,

Sun

et al. 2023

Education for Primary Care

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“…A total number of about 210 GPs to be invited to participate in the process evaluation will be expected [ 8 ]. Based on previous data, a response rate of 45% is assumed, reducing the sample size to about 95 GPs [ 20 – 22 ]. Qualitative x (I, O) x (O) x (I, O) x (I, O) GPs who participate in the main trial and agree to participate in the process evaluation.…”

Section: Methodsmentioning

confidence: 99%

Implementation, mechanisms of change and contextual factors of a complex intervention to improve interprofessional collaboration and the quality of medical care for nursing home residents: study protocol of the process evaluation of the interprof ACT intervention package

Steyer

Kortkamp

Müller

et al. 2022

Trials

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Background To improve interprofessional collaboration between registered nurses (RNs) and general practitioners (GPs) for nursing home residents (NHRs), the interprof ACT intervention package was developed. This complex intervention includes six components (e.g., shared goal setting, standardized procedures for GPs’ nursing home visits) that can be locally adapted. The cluster-randomized interprof ACT trial evaluates the effects of this intervention on the cumulative incidence of hospital admissions (primary outcome) and secondary outcomes (e.g., length of hospital stays, utilization of emergency care services, and quality of life) within 12 months. It also includes a process evaluation which is subject of this protocol. The objectives of this evaluation are to assess the implementation of the interprof ACT intervention package and downstream effects on nurse–physician collaboration as well as preconditions and prospects for successive implementation into routine care. Methods This study uses a mixed methods triangulation design involving all 34 participating nursing homes (clusters). The quantitative part comprises paper-based surveys among RNs, GPs, NHRs, and nursing home directors at baseline and 12 months. In the intervention group (17 clusters), data on the implementation of preplanned implementation strategies (training and supervision of nominated IPAVs, interprofessional kick-off meetings) and local implementation activities will be recorded. Major outcome domains are the dose, reach and fidelity of the implementation of the intervention package, changes in interprofessional collaboration, and contextual factors. The qualitative part will be conducted in a subsample of 8 nursing homes (4 per study group) and includes repeated non-participating observations and semistructured interviews on the interaction between involved health professionals and their work processes. Quantitative and qualitative data will be descriptively analyzed and then triangulated by means of joint displays and mixed methods informed regression models. Discussion By integrating a variety of qualitative and quantitative data sources, this process evaluation will allow comprehensive assessment of the implementation of the interprof ACT intervention package, the changes induced in interprofessional collaboration, and the influence of contextual factors. These data will reveal expected and unexpected changes in the procedures of interprofessional care delivery and thus facilitate accurate conclusions for the further design of routine care services for NHRs. Trial registration ClinicalTrials.gov NCT03426475. Registered on 07/02/2018.

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“…In der hausärztlichen Praxis in Deutschland ist die abdominelle Sonografie eine häufig durchgeführte Prozedur [14]. In der Folge kommt es gehäuft zu Zufallsbefunden [15].…”

Section: Zufallsbefunde In Bildgebenden Verfahrenunclassified

Umgang mit Zufallsbefunden in der hausärztlichen Praxis

Kötter

2024

Allgemeinmedizin up2date

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Zufallsbefunde gehören zum hausärztlichen Alltag. Ob sie für den Patienten/die Patientin einen Glücksfall darstellen oder nur eine Kaskade unnötiger, teils schädlicher Diagnostik nach sich ziehen, lässt sich im Einzelfall – wenn überhaupt – erst hinterher sagen. Dieser Artikel erläutert und illustriert durch Fallbeispiele, wie Zufallsbefunde zustande kommen, wie sie sich vermeiden lassen und wie ein rationaler Umgang mit Zufallsbefunden aussieht.

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Prozeduren, die in der Allgemeinmedizin durchgeführt werden – eine Querschnittstudie

Cited by 9 publications

References 9 publications

What competencies do European general practice trainees value the most? A prioritisation exercise using a Delphi-informed approach

What competencies do European general practice trainees value the most? A prioritisation exercise using a Delphi-informed approach

Implementation, mechanisms of change and contextual factors of a complex intervention to improve interprofessional collaboration and the quality of medical care for nursing home residents: study protocol of the process evaluation of the interprof ACT intervention package

Umgang mit Zufallsbefunden in der hausärztlichen Praxis

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