The effect of an educational intervention in family phisicians on self-rated quality of life in patients with medically unexplained symptoms

Ivetić, Vojislav; Pašić, Klemen; Selič, Polona

doi:10.1515/sjph-2017-0012

Cited by 5 publications

(5 citation statements)

References 28 publications

(38 reference statements)

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“…The trainees mentioned that they felt more competent in decision-making and felt more self-confident and less vulnerable to potential medical errors and complaints ( 21 ). A unique goal of the training programme was to give trainees an understanding of the holistic and generalist approach, on the one hand, and the usefulness of EBM, on the other, and to see possibilities for future development of the discipline ( 22 , 23 ).…”

Section: Discussionmentioning

confidence: 99%

Specialty training in family medicine in Montenegro – An evaluation of the programme by the first generation of trainees

Šter

Kezunović

Cojić

et al. 2018

Slovenian Journal of Public Health

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IntroductionOne of the aims of health care reform in Montenegro is to strengthen primary care. An important step forward is the implementation of specialty training in family medicine (FM). The aim of this article is to evaluate the implementation of specialty training in family medicine in Montenegro, regarding the content, structure and methods, by the first generation of trainees and the coordinator of the training.MethodsA questionnaire was sent by mail in July and August 2017 to all 26 eligible trainees who started specialty training in 2013. Twenty-two of the 26 trainees (84.6%) responded. The questionnaire consisted of closed and open-ended questions related to the evaluation of the training. A descriptive quantitative and qualitative analysis with predefined themes and a semi-structured interview with the coordinator were carried out.ResultsThe process of training in FM was assessed positively by both trainees and the coordinator. The positive assessment included that the specialisation course offered modern design through modules and practice, and trainees both improved their existing knowledge and skills and acquired new ones necessary for everyday work. The coordinator emphasised the importance of the introduction of new teaching methods and formative assessment, the important role of mentors, and the involvement of Slovenian colleagues in the teaching process and supervision of the programme.ConclusionsThe implementation of speciality training in FM in Montenegro was successful. Several assessment methods were used that can be further developed in individual structured feedback, which could stimulate the continual improvement of trainees’ knowledge and competencies.

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Section: Discussionmentioning

confidence: 99%

Specialty training in family medicine in Montenegro – An evaluation of the programme by the first generation of trainees

Šter

Kezunović

Cojić

et al. 2018

Slovenian Journal of Public Health

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“…1 Well-functioning teamwork has many advantages including promoting quality, opportunities for learning, increased efficiency, exchange of ideas, more thorough comprehensiveness, and more effective coordination and monitoring. 2 , 3 …”

Section: Introductionmentioning

confidence: 99%

Variations in patient safety climate and perceived quality of collaboration between professions in out-of-hours care

Klemenc–Ketiš¹,

Deilkås²,

Hofoss³

et al. 2017

JMDH

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PurposeTo get an overview of health care workers perceptions of patient safety climates and the quality of collaboration in Slovenian out-of-hours health care (OOHC) between professional groups.Materials and methodsThis was a cross-sectional study carried out in all (60) Slovenian OOHC clinics; 37 (61.7%) agreed to participate with 438 employees. The questionnaire consisted of the Slovenian version of the Safety Attitudes Questionnaire – Ambulatory Version (SAQ-AV).ResultsThe study sample consisted of 175 (70.0%) physicians, nurse practitioners, and practice nurses. Practice nurses reported the highest patient safety climate scores in all dimensions. Total mean (standard deviation) SAQ-AV score was 60.9±15.2. Scores for quality of collaboration between different professional groups were high. The highest mean scores were reported by nurse practitioners on collaboration with practice nurses (4.4±0.6). The lowest mean scores were reported by practice nurses on collaboration with nurse practitioners (3.8±0.9).ConclusionDue to large variations in Slovenian OOHC clinics with regard to how health care workers from different professional backgrounds perceive safety culture, more attention should be devoted to improving the team collaboration in OOHC. A clearer description of professional team roles should be provided.

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“…The study assumes that tools such as the “Careful Assessment” tool ( Table 1 ), based on the “P-P-P model” (predisposing factors, precipitating factors and perpetuating factors) ( 18 ), allow family medicine trainees (FMT) to better manage patients with MUS, which is reflected in standardised procedures, systematic medical history taking and an inclusive approach in which the patient is actively involved in the medical history collection and treatment of MUS ( 19 , 20 ).…”

Section: Introductionmentioning

confidence: 99%

The careful assessment tool for managing patients with medically unexplained symptoms – The experience of Slovenian family medicine trainees: A qualitative study

Ivetić

Martinjak

Maksuti³

2022

Slovenian Journal of Public Health

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Introduction Primary care physicians use various tools and methods to identify medically unexplained symptoms (MUS). The main purpose of our study is to determine the views of Slovenian family medicine trainees (FMT) about using the “Careful Assessment” tool for managing patients with MUS. Methods A qualitative study using open survey questions focused on the experience of family medicine trainees in managing patients with MUS. The sample consisted of surveys from 184 family medicine trainees. These trainees analysed a total of 702 patients with MUS. Manual coding was used for quantitative content analysis. Results In the coding process, 49 codes were developed that included broader research fields about using the “Careful Assessment” tool for managing patients with MUS. The codes were grouped into four theoretically grounded, logical categories in accordance with the elaborated theoretical concept: multi-purpose utility; improved patient management; in-depth knowledge and new skills; and patient response. Conclusion The study demonstrated that, in the view of Slovenian FMT, the “Careful Assessment” tool has multi-purpose utility. The study showed that FMT felt that this tool helps them in systematic patient management. Their opinion is that it helps them establish a trusting relationship with patients, which is a precondition for providing further treatment.

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The effect of an educational intervention in family phisicians on self-rated quality of life in patients with medically unexplained symptoms

Cited by 5 publications

References 28 publications

Specialty training in family medicine in Montenegro – An evaluation of the programme by the first generation of trainees

Specialty training in family medicine in Montenegro – An evaluation of the programme by the first generation of trainees

Variations in patient safety climate and perceived quality of collaboration between professions in out-of-hours care

The careful assessment tool for managing patients with medically unexplained symptoms – The experience of Slovenian family medicine trainees: A qualitative study

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