The Royal Colleges and their Faculties have moved continuing professional development up the agenda of doctors in the UK. The low educational value and failure to change professional practice of much continuing medical education has led to criticism of its emphasis on formal, didactic teaching and academic knowledge. The ubiquitous ...

Although medication-induced (pill) esophagitis has been recognized for a long time, little data are available on the risk of recently introduced slow-release medications. These formulations may have an obstructive capability (undissolved medication blocking an obstructed lumen) or may cause tissue irritation (continuous leakage from a slowly disintegrating pill). We observed ...

In October 1994 a project was initiated by the General Practice Continuing Medical Education Tutors in the Department of General Practice at Sheffield University. The project sought to evaluate the efficiency (effort expended) and effectiveness (distance travelled) of a model of continuing professional development for general practitioners through individual portfolio-based ...

Failure of battery-powered equipment during the interhospital transfer of patients is potentially life threatening. The time to failure of 60 fully-charged identical syringe pumps (20 from each batch purchased in 1992, 1994 and 1995) was measured. Older pumps were associated with less predictable charge capacity, with 40% of the 1992 ...

The vastness and the regional differences that are a part of Canada have not hindered the establishment of national medical standards. On the contrary, Canadian physicians continue to strive for excellence, which is reflected in the national and regional organizations that they have created and the growth of continuing medical ...

BACKGROUND: Sarcoidosis continues to be shrouded by anecdotal misinformation which has gained credence by repetition. These myths have been developing for the past 50 years and continue to accumulate, despite remedial data. Among the most egregious myths are that sarcoidosis is a disease of Blacks, that the chest radiography is ...

A 53-year-old male of allergic bronchopulmonary aspergillosis (ABPA) with pulmonary fungus ball, who had been administered steroid and suffered repeatedly from dyspnea, was treated successfully with continuous percutaneous instillation of antifungal agents into the cavity. Although the pulmonary fungus ball in his left upper lobe was thought to be worsening ...

Much of the genito-urinary medicine (GUM) medical workforce of the UK is composed of non-consultant career grade doctors (NCCG) whose lot in the specialty has been much neglected. A questionnaire was sent to the 108 known members of 1994 and a resumé of their replies is presented. The greatest plight ...

A European Conference on Continuing Medical Education (CME) in Oncology was designed and organised in Dublin (Ireland), on 12th and 13th October 1995 by the European School of Oncology in collaboration with University College Dublin and with the financial support of the European Commission (Europe Against Cancer Programme). Two experts ...

INTRODUCTION: The purpose of this study was to investigate caretakers' knowledge of the implications of fever, the appropriate method of fever management, and the effectiveness of an educational intervention directed toward improving caretakers' ability to manage their child's fever. METHOD: A descriptive, comparative study was conducted with a convenience sample ...

The Canadian Urological Association has recently developed a new continuing medical education vehicle, Video Journal in Urology. The editorial content of this quarterly production is determined by the results of a needs assessment, the results of which are described in this paper. The needs assessment, as a two-page questionnaire, was ...

OBJECTIVE: To assess the ability to modify physicians' use of serum digoxin assays in a sustained fashion through (1) an educational intervention by a clinical pharmacist, and (2) changes in the computerized medical information system. DESIGN: A before/after methodology was used to compare test use by hospital staff physicians in ...

There is increasing recognition of the need for continuing medical education in the medical profession. There are now many ways of delivering medical education including conferences, books, journals amongst others. This paper describes a novel method of delivering medical education using satellite transmission. This medium allows live medical education programmes ...

The medical evidence, detailing the physical findings, is just one component in the investigation of serious sexual assault and it is not for the doctor alone to determine the veracity of an allegation. This paper has described some of the factors which limit the quality and value of the medical ...

We now have sufficient knowledge to be able to identify the factors contributing to hyperuricemia in most patients with gout. Some of these factors, such as obesity, a high-purine diet, regular alcohol consumption, and diuretic therapy, may be correctable. In patients with persistent hyperuricemia, regular medication should lower the serum ...

To study the analgesic efficacy of enadoline, a selective agonist of the kappa-opioid receptor, a double-blind, randomized comparison was made of enadoline versus placebo and a combination of acetaminophen-codeine in patients with pain after surgical extraction of impacted molar teeth. An initial study involving a comparison of enadoline, a combination, ...

When Michael S. Brown, MD and Joseph L. Goldstein, MD first met as interns at the Massachusetts General Hospital in 1966, they could hardly have imagined that their careers would continue to be intertwined some 30 years later. It was shortly following their arrival as clinical associates at the National ...

This paper reports the experience gained in delivering continuing and postgraduate medical education by satellite to update medical teachers in Central Europe. An infrastructure of receiving sites was established in the Czech Republic, Slovakia, Poland and Hungary. The sites participated in regular, live interactive broadcasts on a range of medical ...

The present postgraduate education allowance structure for general practitioners is unacceptable and inadequate on a number of counts. Improvements could be made in continuing medical education by involving learners more actively, through giving them greater ownership of their continuing medical education aims and by integrating it with the current moves ...

OBJECTIVE: To measure the amount and nature of Continuing Medical Education (CME) activity undertaken by the examiners of the three Scottish Royal Colleges. The data obtained to be compared with recommendations for formal CME participation published by the medical Royal Colleges and Faculties. DESIGN: All examiners in active clinical practice ...

Dedicated to two young volunteers killed in a landmine clearing accident, this story of Afghanistan is just one among thousands of others that never leave its borders. To understand Afghanistan is to come to terms with the religious, racial and cultural faultlines that divide it. A 3 month medical placement ...

This prospective study was carried out in Ghana, Sierra Leone and Nigeria. The aim was to highlight to the clinicians the common faults encountered in radiological request forms and to make recommendations aimed at improving information given on such forms which will facilitate better reporting by radiologists. 4,122 request forms ...

In the introductory chapter, I claimed that rationing is a fact of life in the NHS, and that the rationing dilemma is worsening over time, primarily because what medicine can offer becomes vastly more sophisticated and in aggregate more expensive. What is implied in Nye Bevan's intent that every citizen ...

Both the College of Family Physicians at Canada and the Royal New Zealand College of General Practitioners require family physicians to complete at least minimum amounts of continuing medical education each year to maintain active membership. The recently introduced reaccreditation program in New Zealand is unique in its approach to ...

OBJECTIVE: To review the literature relating to the effectiveness of education strategies designed to change physician performance and health care outcomes. DATA SOURCES: We searched MEDLINE, ERIC, NTIS, the Research and Development Resource Base in Continuing Medical Education, and other relevant data sources from 1975 to 1994, using continuing medical ...

Continuing medical education is a key feature of ensuring quality delivery of health care by doctors. In a rapidly changing technological environment it is important that medical education is undertaken in an effective and efficient manner. EuroTransMed, set up as an experiment to investigate the use of satellite-delivered continuing medical ...

All detainees at seven police stations within the Metropolitan Police Area were observed by the authors. Continuous 24-hour cover was provided at each station for periods of 3 weeks. The number of people arrested for offences of drunkenness was noted, as was the apparent degree of drunkenness of all detainees, ...

Reaccreditation is a well-accepted fact for many doctors outside the United Kingdom and is likely to become a reality for British general practitioners. The author'sabbatical year in the United States of America studying reaccreditation and its relationship to continuing medical education has enabled a critical analysis of recent proposals in ...

The shortening Z-osteotomy of the proximal phalanx of the hallux has been presented as an alternative to the Regnauld enclavement procedure for patients with the appropriate indications. In addition to sharing the same positive characteristics as the Regnauld procedure, the Z-osteotomy has technical and physiologic advantages. The advantages of the ...

Over many generations doctors have kept up to date in ways which reflect their own learning styles. The current fashion for formalised and policed continuing medical education may prove ineffective unless it is recognised that individual needs must be taken into account. Attendance at formal courses based on lectures and ...

This paper reviews the rise of medical nationalism and protectionism in France from the end of the nineteenth century through to the 1940s, with an emphasis on the Vichy period. It presents this nationalism as part of a continuity, showing its beginnings well before the coming of the Vichy government, ...

OBJECTIVE: To critically appraise evidence of the effectiveness of continuing medical education (CME) in rheumatic diseases for primary care physicians. METHODS: Three physicians independently applied preset criteria to evaluated CME interventions published between January 1966 and August 1993. RESULT: Eight of 166 articles identified were critically appraised, 7 of which ...

BACKGROUND: Much effort has gone into producing clinical practice guidelines, but relatively few studies address dissemination issues. Unless guidelines are used, little is gained. This study evaluates the effect of three methods to disseminate asthma guidelines on physicians' behavior and attitudes toward education strategies. METHODS: Asthma guidelines were mailed to ...

The recent release within the European Union of a draft Note for Guidance from the Commission for Proprietary Medical Products (CPMP) entitled 'Biostatistical methodology in clinical trials in applications for marketing authorisations for medicinal products' has stimulated widespread discussion of the relevant statistical issues. This discussion contains echoes of an ...

BACKGROUND: Little time is spent during medical school on evaluating varicose veins, although they are frequently seen in daily practice. The clinical exam is an important part of the workup. OBJECTIVE: Clinical examination of patients with varicose veins is outlined. Special emphasis is given to the use of continuous wave ...

The behaviour of Tetrahymena, one of the most intensively investigated laboratory organisms, was analysed, and ethograms of T. pyriformis and T. malaccensis were studied. The basic ethogram, which previously described the behaviour of ciliates was appropriate for T. pyriformis and T. malaccensis. Although quite similar to each other, the two ...

Continuing education for medical doctors is not compulsory in Italy. The link with the university is lost shortly after the final medical examination, and there is no other teaching institution for structured continuing medical education (CME). Distance learning gives physicians the opportunity to use updating programs at home at their ...

This study explores some of the important questions raised but not answered in William Canniff's standard century-old study, The Medical Profession in Upper Canada, 1783-1850. Primarily based on the original medical licenses issued between 1819 and 1841, an array of manuscript material belonging to the Civil Secretary of Upper Canada ...

While continuing medical education (CME) is receiving increasing attention from medical educators and health administrators worldwide, many efforts need to be made to improve its performance and overall effectiveness. Traditionally, CME has depended primarily on periodic courses and conferences. These remain of unproven cost-effectiveness and often the choice of their ...

In Japan, the education of clinical chemists has mainly depended on personal efforts of individuals in medical schools, pharmacy schools and independent laboratories for medical analysis. Through the Board of Clinical Pathologists, the Japanese Society of Clinical Pathology at present provides certification in clinical chemistry as a subspecialty to physicians ...

The need for a specific continuing education programme for registered nurses working in the mine medical stations of the gold mining industry, was identified at a meeting of senior medical station superintendents of the Freegold Mines, a subsidiary of the Anglo American Corporation of South Africa. The fact that no ...

A questionnaire was sent to Canadian otolaryngologists to assess their continuing medical education interests. One hundred and eighty-seven completed questionnaires were returned, a response rate of 28.5%. The categories of highest interest were nose/sinus, otology/vestibular, and general otolaryngology. Lower overall ratings were found for head and neck surgery and facial ...

Deprivational vitamin D deficiency began to be noted in immigrant Asians in the early 1960s. Although there have been suggestions that the level of this problem may be declining, we describe a number of clinical cases seen over a consecutive 3 1/2 year period. Musculoskeletal symptoms were the commonest though ...

As a matter of social policy, providers should place a top priority on educating colleagues and the public, including lawyers and the courts, so that there is genuine understanding that certain medical conditions, like anencephaly and brain death, cannot be ameliorated, changed, or improved through medical treatment even though the ...

From the origins of mysticism and theatrics, trivialized by stage performers, psychics, and charlatans, modern medical hypnosis has struggled to achieve and maintain a sense of professional integrity. Many of the principles of dynamic psychiatry are deeply rooted in the work of the early healers. Yet hypnosis as a clinical ...

The Continuing Medical Education (CME) in Europe Project is conducted by the World Federation for Medical Education, in conjunction with the Association for Medical Education in Europe, the Association for Medical Deans in Europe, and the European Office of the World Health Organization, with Upjohn Medical Sciences Liaison Division. The ...

OBJECTIVE: To survey current practices among obstetricians and gynecologists concerning a wide range of infectious diseases to guide future efforts in continuing medical education. METHODS: A survey questionnaire of multiple-choice questions was mailed to 2500 physicians, under age 65, randomly selected from the American Medical Association specialty list of obstetrician-gynecologists. ...

Continuing medical education plays an essential role in efforts to improve physician performance. This article deals with remedial or personalized physician education. The experience of selected institutions and state organizations that have and/or continue to provide such remedial education is reviewed. The emphasis of remedial or focused physician education is ...

Cerebral palsy is and will remain a significant issue for our medical and educational establishments and for society as a whole. Treatment for individuals with cerebral palsy continues to be refined and to come under increasing scrutiny for functional impact. Gait analysis and selective dorsal rhizotomy are advancements whose applicability ...

The Joint Commission on Accreditation of Healthcare Organizations has made serious strides toward a more meaningful accreditation process through the development of the "Agenda for Change." New, functionally oriented standards began to appear in the Accreditation Manual for Hospitals (AMH) in 1993. The greater effect of functionally oriented standards is ...