Balancing – an equilibrium act between different positions: An exploratory study on general practitioners’ comprehension of their professional role

Hansson, Anders; Gunnarsson, Ronny; Mattsson, Bengt

doi:10.1080/02813430701237705

Cited by 8 publications

(4 citation statements)

References 16 publications

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“…Our study findings echo the major theme of ‘Balancing’ described by Hansson et al. in their descriptive, interview-based study conducted in 2007 [22]. In the present study, GPs who are receptive to patient demands for testing or treatment are more likely to initiate B12 supplementation.…”

Section: Discussionsupporting

confidence: 87%

Factors correlating to the propensity of general practitioners to substitute borderline vitamin B12 deficiency

Cham

Davis

Strivens

et al. 2018

Scandinavian Journal of Primary Health Care

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The identified disparity to prescribe vitamin B12 for borderline deficiency may be described as an attempt in the GP collective to seek a balance between being the patient's or the society's doctor. We propose that relevant authorities try to reduce this disparity by describing a management strategy for borderline vitamin B12 deficiency. Key points General practitioners hold different thresholds for commencing supplementation in cases of borderline vitamin B12 deficiency. Participants from Australia were asked to fill out a cross-sectional survey to explore factors which correlate with the propensity to prescribe in clinical practice. Our study identified that patient demands and a practitioner's perception of whether there is an overuse of vitamin B12 in the community influenced the propensity to treat for deficiency. The results give insight into reasons for initiating supplementation, and will help inform general practitioners on their current management.

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Section: Discussionsupporting

confidence: 87%

Factors correlating to the propensity of general practitioners to substitute borderline vitamin B12 deficiency

Cham

Davis

Strivens

et al. 2018

Scandinavian Journal of Primary Health Care

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“…But we may ask if this not due to more confusion between two different levels; the one concerns knowledge, the hard facts, about the patient, and the other the personal contact with the patient? When the doctor no longer has full personal responsibility for the patient, s/he may experience this as knowledge becoming more superficial (Hansson et al, 2007).…”

Section: Comments On Resultsmentioning

confidence: 99%

Two sides of the coin – General Practitioners' experience of working in multidisciplinary teams

Hansson¹,

Friberg

Segesten

et al. 2008

Journal of Interprofessional Care

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Multidisciplinary teamwork, defined as the collaboration between different professional groups to achieve a common purpose, is commonly regarded as a means to meet the complex tasks that medicine has to deal with today. However, many attempts to introduce the method in primary care have failed and this is supposed to be partly due to the fact that general practitioners (GPs) did not participate in the implementation of the method. The aim of this investigation was to get a deeper understanding of their attitude to teamwork by interviewing nine GPs at four Swedish health care centres, where successful teamwork had been ongoing since 1997. Themes and categories in the interviews were identified according to content analysis. Although the attitude in general was in favour of teamwork, four major themes: time-consuming versus time-saving; shared responsibility versus main responsibility; medical expert versus generalist; shared knowledge versus all knowing, could be identified, which all revealed ambivalence towards teamwork among the interviewees. It was concluded that, if teamwork is to be successfully introduced into primary care, the GPs' self-perception has to be taken into consideration as has the prestige and status associated with their traditional role and the benefits of teamwork to the profession of medicine. Apart from time, teamwork requires, professional supervision and doctors need to be trained in this method as early as in medical school.

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“…On the other hand, the interviewer's knowledge of the interviewees and their environment may have enhanced communication [ 20 , 21 ]. In order to increase trustworthiness, the analysis was conducted together with the co-authors SR, MW and AB.…”

Section: Discussionmentioning

confidence: 99%

"I couldn't do this with opposition from my colleagues": A qualitative study of physicians' experiences as clinical tutors

et al. 2011

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BackgroundClinical contact in the early curriculum and workplace learning with active tutorship are important parts of modern medical education. In a previously published study, we found that medical students' tutors experienced a heavier workload, less reasonable demands and less encouragement, than students. The aim of this interview study was to further illuminate physicians' experiences as clinical tutors.MethodsTwelve tutors in the Early Professional Contact course were interviewed. In the explorative interviews, they were asked to reflect upon their experiences of working as tutors in this course. Systematic text condensation was used as the analysis method.ResultsIn the analysis, five main themes of physicians' experiences as clinical tutors in the medical education emerged: (a) Pleasure and stimulation. Informants appreciated tutorship and meeting both students and fellow tutors, (b) Disappointment and stagnation. Occasionally, tutors were frustrated and expressed negative feelings, (c) Demands and duty. Informants articulated an ambition to give students their best; a desire to provide better medical education but also a duty to meet demands of the course management, (d) Impact of workplace relations. Tutoring was made easier when the clinic's management provided active support and colleagues accepted students at the clinic, and (e) Multitasking difficulties. Combining several duties with those of a tutorship was often reported as difficult.ConclusionsIt is important that tutors' tasks are given adequate time, support and preparation. Accordingly, it appears highly important to avoid multitasking and too heavy a workload among tutors in order to facilitate tutoring. A crucial factor is acceptance and active organizational support from the clinic's management. This implies that tutoring by workplace learning in medical education should play an integrated and accepted role in the healthcare system.

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Balancing – an equilibrium act between different positions: An exploratory study on general practitioners’ comprehension of their professional role

Cited by 8 publications

References 16 publications

Factors correlating to the propensity of general practitioners to substitute borderline vitamin B12 deficiency

Factors correlating to the propensity of general practitioners to substitute borderline vitamin B12 deficiency

Two sides of the coin – General Practitioners' experience of working in multidisciplinary teams

"I couldn't do this with opposition from my colleagues": A qualitative study of physicians' experiences as clinical tutors

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