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Dimitrov L, Unadkat S, Khanna A, Rennie C, Saleh H. ENT training amongst general practitioners: results from a questionnaire. J Laryngol Otol 2020; 134:1-7. [PMID: 32054560 DOI: 10.1017/s0022215120000201] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVES To evaluate the level of undergraduate and post-graduate ENT exposure amongst general practitioners and their perceived quality of this training. A secondary aim was to examine whether general practitioners believe ENT department based rotations should remain in the undergraduate curriculum. METHOD An online questionnaire-based survey was sent to general practices in England. RESULTS A total of 417 general practitioners completed the questionnaire. Sixty-seven per cent had completed an ENT rotation at medical school whereas 27 per cent had undertaken a postgraduate placement in ENT. Fifty-one per cent had received post-graduate teaching in ENT, mainly in the form of lectures. The majority of general practitioners were not satisfied with their training in ENT at undergraduate and post-graduate levels. Eighty-five per cent of general practitioners believed formal hospital-based ENT training should remain in the undergraduate curriculum. CONCLUSION General practitioners reported insufficient exposure to ENT during both post-graduate and undergraduate training. Proposals to outsource undergraduate ENT teaching to affiliated departments such as general practice are of concern.
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Affiliation(s)
- L Dimitrov
- Department of Otolaryngology, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK
| | - S Unadkat
- Department of Otolaryngology, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK
| | - A Khanna
- Department of Otolaryngology, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK
| | - C Rennie
- Department of Otolaryngology, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK
| | - H Saleh
- Department of Otolaryngology, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK
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Vermeir P, Vandijck D, Degroote S, Peleman R, Verhaeghe R, Mortier E, Hallaert G, Van Daele S, Buylaert W, Vogelaers D. Communication in healthcare: a narrative review of the literature and practical recommendations. Int J Clin Pract 2015; 69:1257-67. [PMID: 26147310 PMCID: PMC4758389 DOI: 10.1111/ijcp.12686] [Citation(s) in RCA: 222] [Impact Index Per Article: 24.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2015] [Accepted: 05/29/2015] [Indexed: 12/15/2022] Open
Abstract
OBJECTIVES Effective and efficient communication is crucial in healthcare. Written communication remains the most prevalent form of communication between specialised and primary care. We aimed at reviewing the literature on the quality of written communication, the impact of communication inefficiencies and recommendations to improve written communication in healthcare. DESIGN Narrative literature review. METHODS A search was carried out on the databases PubMed, Web of Science and The Cochrane Library by means of the (MeSH)terms 'communication', 'primary health care', 'correspondence', 'patient safety', 'patient handoff' and 'continuity of patient care'. Reviewers screened 4609 records and 462 full texts were checked according following inclusion criteria: (1) publication between January 1985 and March 2014, (2) availability as full text in English, (3) categorisation as original research, reviews, meta-analyses or letters to the editor. RESULTS A total of 69 articles were included in this review. It was found that poor communication can lead to various negative outcomes: discontinuity of care, compromise of patient safety, patient dissatisfaction and inefficient use of valuable resources, both in unnecessary investigations and physician worktime as well as economic consequences. CONCLUSION There is room for improvement of both content and timeliness of written communication. The delineation of ownership of the communication process should be clear. Peer review, process indicators and follow-up tools are required to measure the impact of quality improvement initiatives. Communication between caregivers should feature more prominently in graduate and postgraduate training, to become engraved as an essential skill and quality characteristic of each caregiver.
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Affiliation(s)
- P Vermeir
- Department of General Internal Medicine, Ghent University Hospital, Ghent, Belgium
- Department of Internal Medicine, Ghent University Hospital, Ghent, Belgium
| | - D Vandijck
- Department of General Internal Medicine, Ghent University Hospital, Ghent, Belgium
- Department of Public Health, Ghent University Hospital, Ghent, Belgium
- Department of Business Economics, Hasselt University, Diepenbeek, Belgium
| | - S Degroote
- Department of General Internal Medicine, Ghent University Hospital, Ghent, Belgium
- Department of Public Health, Ghent University Hospital, Ghent, Belgium
| | - R Peleman
- Department of Internal Medicine, Ghent University Hospital, Ghent, Belgium
- Faculty of Medicine and Health Sciences, Ghent University Hospital, Ghent, Belgium
| | - R Verhaeghe
- Department of Public Health, Ghent University Hospital, Ghent, Belgium
- Faculty of Medicine and Health Sciences, Ghent University Hospital, Ghent, Belgium
| | - E Mortier
- Faculty of Medicine and Health Sciences, Ghent University Hospital, Ghent, Belgium
| | - G Hallaert
- Faculty of Medicine and Health Sciences, Ghent University Hospital, Ghent, Belgium
| | - S Van Daele
- Faculty of Medicine and Health Sciences, Ghent University Hospital, Ghent, Belgium
| | - W Buylaert
- Faculty of Medicine and Health Sciences, Ghent University Hospital, Ghent, Belgium
- Department of Emergency Medicine, Ghent University Hospital, Ghent, Belgium
| | - D Vogelaers
- Department of General Internal Medicine, Ghent University Hospital, Ghent, Belgium
- Department of Internal Medicine, Ghent University Hospital, Ghent, Belgium
- Faculty of Medicine and Health Sciences, Ghent University Hospital, Ghent, Belgium
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