Document Detail

An evaluated programme of rheumatology training for general practitioners.
MedLine Citation:
PMID:  3484650     Owner:  NLM     Status:  MEDLINE    
The management of painful, upper-limb disorders by 34 general practitioners (GPs) was examined 3 months before and 3 months after personal instruction of GPs by a consultant rheumatologist. Tuition was conducted either in GP surgeries or a hospital out-patient department. Following instruction there were significant increases in the application of appropriate treatments (p less than 0.0005) and of local corticosteroid injections by GPs (p less than 0.005), fewer requests for investigations and less-frequent hospital referrals for consultant rheumatology opinions. Hospital out-patient instruction was associated with a significant reduction of patients' time off work (p less than 0.005) and, in general, differences of management appeared to be more pronounced amongst those GPs instructed in the hospital than in GP surgeries. The study showed that personal instruction of GPs by a consultant rheumatologist may result in modifications of practice, at least in the short term. The evidence indicates that such alterations of GP management may significantly reduce patient morbidity.
R Grahame; T Gibson; E Dale; J A Anderson; R Brown; P Higgins; M Curwen
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  British journal of rheumatology     Volume:  25     ISSN:  0263-7103     ISO Abbreviation:  Br. J. Rheumatol.     Publication Date:  1986 Feb 
Date Detail:
Created Date:  1986-03-24     Completed Date:  1986-03-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8302415     Medline TA:  Br J Rheumatol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  7-12     Citation Subset:  AIM; IM    
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MeSH Terms
Drug Utilization
Family Practice / education*,  methods
Pain / drug therapy
Referral and Consultation
Rheumatic Diseases / diagnosis,  drug therapy,  mortality
Rheumatology / education*
Steroids / therapeutic use
Reg. No./Substance:

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