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12401. Problem doctors. Three wise men procedure is effective. (PubMed)

Problem doctors. Three wise men procedure is effective. 8025451 1994 08 10 2018 11 13 0959-8138 308 6944 1994 Jun 18 BMJ (Clinical research ed.) BMJ Problem doctors. Three wise men procedure is effective. 1641 Brandon S S eng Letter Comment England BMJ 8900488 0959-8138 AIM IM BMJ. 1994 May 14;308(6939):1277-82 8205022 Employee Discipline methods Humans Peer Review, Health Care Physician Impairment Professional Competence State Medicine United Kingdom 1994 6 18 1994 6 18 0 1 1994 6 18 0 0

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1994 BMJ : British Medical Journal

12402. The relationship between primary care and psychiatry: an opportunity for change. (PubMed)

of working. For the most part, they have not followed the elaboration of a specific theory and although a great deal of subsequent research has been carried out in order to analyse their benefits and limitations, routine practice has been slow to change. The recent reorganization of the health service has yet to exert an appreciable effect on the relationship between the two disciplines. Owing to the newly developing structures and patterns of care, future change is inevitable and brings with it both

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1994 The British Journal of General Practice

12403. Grand rounds: a paradox in medical education. (PubMed)

functions.A total of 120 questionnaires (80%) were returned, and the responses of 107 physicians were analysed. Each year in Calgary formal grand rounds activities occupy auditoriums and seminar rooms for more than 2000 hours. Most respondents considered grand rounds to be the main hospital-based continuing medical education activity in their discipline. Aspects of grand rounds considered to be important were updates in research, diagnosis and management, and only one third of the respondents felt

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1995 CMAJ: Canadian Medical Association Journal

12404. How do academic heads of departments of general practice organize patient care? A European survey. (PubMed)

How do academic heads of departments of general practice organize patient care? A European survey. Compared with other clinical disciplines, academic general practice is in a difficult situation with respect to patient care. There are at least three different possible models of working arrangements for heads of departments of general practice: to work in a surgery in a medical school; to work in a surgery in the community, separate from a part-time university post; or to work part-time

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1995 The British Journal of General Practice

12405. CDC WONDER: a cooperative processing architecture for public health. (PubMed)

. This architecture allows flexibility in the choice of hardware and software. One system limitation is that final results from some subsystems are obtained slowly. Although designed for public health, CDC WONDER could be useful for other disciplines that need flexible, integrated information exchange.

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1994 Journal of the American Medical Informatics Association

12406. A comparison of sexual behaviour and risk behaviour for HIV infection between women in three clinical settings. (PubMed)

on contraception. Closer integration between disciplines is required to provide a comprehensive sexual health service for women.

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1993 Genitourinary Medicine

12407. Careers in academic general practice: problems, constraints, and opportunities. (PubMed)

for improvements are made. Obstacles to career development for academics in general practice should be removed. The funding of academic general practice should be the same as for other medical disciplines. Vocational training for general practice should be extended to include research and audit methods, particularly for doctors interested in an academic career. Above all, the long term objective should be to integrate undergraduate and post-graduate general practice to increase the overall effectiveness

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1994 BMJ : British Medical Journal

12408. Electronic health records: the European scene. (PubMed)

Electronic health records: the European scene. Caring for patients' health problems relies increasingly on sharing information between clinical departments and disciplines and with managers. The medical record of the future will need to provide a flexible and shareable framework for recording and analysing the consultation process. The advanced informatics in medicine (AIM) programme seeks to encourage research and development in telemedicine in areas that are beyond the scope of any one

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1994 BMJ : British Medical Journal

12409. Women's health: time for a redefinition. (PubMed)

and physical aspects of well-being. Case histories that have recently received media attention and statistics on the impact of poverty and violence on women also show how urgently a redefinition of "women's health" is needed. Regardless of whether "women's health" will always have to be viewed as a separate discipline or whether it can be brought within mainstream medical practice, it is clear that, by altering their perception of women's health and of the problems unique to women, physicians can improve

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1995 CMAJ: Canadian Medical Association Journal

12410. Debate about parents' right to spank causes divisions among MDs. (PubMed)

Debate about parents' right to spank causes divisions among MDs. Does spanking involve child abuse, or is it an acceptable form of discipline in Canada? Section 43 of the Criminal Code allows "reasonable" force on the part of a teacher or parent as a disciplinary measure, but an advocacy group believes that this section of the code should be repealed. However, a recent court case indicates that abolition of corporal punishment is not a black-and-white issue.

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1995 CMAJ: Canadian Medical Association Journal

12411. Epidemiology, the humanities, and public health. (PubMed)

Epidemiology, the humanities, and public health. Epidemiologists may benefit from the disciplines of history, philosophy of science, ethics, literature, and art. Within these disciplines lie answers to the questions of who we are, what is right, how to think, and when to act. Studying and participating in the humanities may also help epidemiologists focus their professional concerns on the humanity their methods serve. A parallel phenomenon in the clinical sciences--medical humanities--provides

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1995 American Journal of Public Health

12412. Method for assessment of laboratory turnaround times: comparison before, during, and after analysis. (PubMed)

was 50 hours.The method is easily repeatable and demonstrates the need for local improvement in the post-analytical period. Although specific to the individual data handling system for one laboratory, this method may be used as a basis for other laboratories in pathology disciplines to undertake a representative assessment of turnaround times for different groups of laboratory users.

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1994 Journal of Clinical Pathology

12413. The earliest days of first aid. (PubMed)

. Within a decade, the new discipline of first aid spread rapidly throughout the world, and by the end of the 19th century, hundreds of thousands of St John first aid certificates had been awarded in four continents. Shepherd's pioneering classes changed the world's concept of the need for the provision of skilled prehospital care.

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1994 BMJ : British Medical Journal

12414. Secrecy in the NHS. (PubMed)

21;310(6973):189 7833763 BMJ. 1995 Jan 21;310(6973):191 7833771 BMJ. 1995 Jan 21;310(6973):191 7833770 BMJ. 1995 Jan 21;310(6973):190 7833768 BMJ. 1995 Jan 21;310(6973):191 7833772 BMJ. 1995 Jan 21;310(6973):191-2 7833773 Consumer Advocacy Employee Discipline Freedom Government Information Services Politics State Medicine organization & administration Truth Disclosure United Kingdom 1994 12 17 1994 12 17 0 1 1994 12 17 0 0 ppublish 7726915 PMC2541987 BMJ. 1994 Dec 17;309(6969):1643-4 7819950

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1994 BMJ : British Medical Journal

12415. Commissioning a national programme of research and development on the interface between primary and secondary care. (PubMed)

applications are more likely to be funded and that the odds for a successful application are on average nearly doubled for each discipline represented up to five. A survey of applicants and peer reviewers found satisfaction with much of the commissioning process, but peer review and feedback were subject to criticism, particularly by unsuccessful applicants. The programme shows that it is possible to commission a large number of projects in an innovative area of research and development and has identified

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1995 BMJ : British Medical Journal

12416. Central nervous system-immune system interactions: psychoneuroendocrinology of stress and its immune consequences. (PubMed)

Central nervous system-immune system interactions: psychoneuroendocrinology of stress and its immune consequences. Psychoneuroimmunology is a relatively new discipline which deals with CNS-immune system interactions. The evidence for such interactions was reviewed, as was the neuroendocrinologic response to stress. Recent evidence indicates that the behavioral, nervous system, and neuroendocrine responses to stress are mediated by hypothalamic CRF, which acts on both the sympathetic nervous

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1994 Antimicrobial Agents and Chemotherapy

12417. Microcomputers and the future of epidemiology. (PubMed)

Microcomputers and the future of epidemiology. The Workshop on Microcomputers and the Future of Epidemiology was held March 8-9, 1993, at the Turner Conference Center, Atlanta, GA, with 130 public health professionals participating. The purpose of the workshop was to define microcomputer needs in epidemiology and to propose future initiatives. Thirteen groups representing public health disciplines defined their needs for better and more useful data, development of computer technology (...) appropriate to epidemiology, user support and human infrastructure development, and global communication and planning. Initiatives proposed were demonstration of health surveillance systems, new software and hardware, computer-based training, projects to establish or improve data bases and community access to data bases, improved international communication, conferences on microcomputer use in particular disciplines, a suggestion to encourage competition in the production of public-domain software

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1994 Public Health Reports

12418. Factors that influence clinicians' assessment and management of family violence. (PubMed)

sample of practicing clinicians in six disciplines (n = 1521).Data showed similarities within and wide differences among three groups of subjects: dentists/dental hygienists, nurses/physicians, and psychologists/social workers. Overall, a third of subjects reported having received no educational content on child, spouse, or elder abuse in their professional training programs. Subjects with education on the topic more commonly suspected abuse in their patients than those without; among all subjects

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1994 American Journal of Public Health

12420. Importance of and satisfaction with work and professional interpersonal issues: a survey of physicians practicing general internal medicine in Ontario. (PubMed)

the work environment.The primary role of general internists is that of patient-centred clinician. Our findings suggest that general internists want to take responsibility for revitalizing this discipline. The potential solutions generated in this survey may help to promote action that will improve professional satisfaction in the area of clinical responsibilities, teaching, research and interpersonal issues.

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1995 CMAJ: Canadian Medical Association Journal

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