How can we create a curriculum fit for tomorrow’s doctors and patients?

Sandhu, Davinder

doi:10.1136/bmj.h3594

Cited by 2 publications

(3 citation statements)

References 2 publications

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“…5 Socioeconomic factors such as an aging population and an increasing prevalence of chronic disease, impact on all aspects of medicine – including ENT – and affect the type of health care we can provide, especially in the primary care setting. 6 As a result, it is important that current, trainee, and future GPs are competent in the assessment and management of common acute ENT pathologies.…”

Section: Introductionmentioning

confidence: 99%

Does focused and dedicated teaching improve the confidence of GP trainees to diagnose and manage common acute ENT pathologies in primary care?

Acharya

Haywood

Kokkinos

et al. 2018

AMEP

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BackgroundGeneral practitioners (GPs) are key members of the health care profession who are required to have a considerable breadth of knowledge to manage and treat patients effectively in the community. Their skills and experience varies depending on the medical school they attended and their foundation training and specialist GP training schemes. Exposure to ear, nose, and throat (ENT)-specific pathology is often insufficient due to the lack of formal otolaryngology rotations, minimal relevant teaching opportunities, and inconsistencies in curricula, despite ENT-related pathology presentations being one of the commonest consultations in primary care.MethodsWe undertook a learning needs assessment among Watford general practice vocational training scheme trainees to assess whether they lacked confidence in managing typical ENT pathology, as well as to ascertain whether they felt a formal and focused ENT teaching session would be beneficial to them.ResultsThe results suggested they were interested in such a session, and therefore we organized a formal program on the assessment and management of acute and common ENT pathologies with a postteaching questionnaire to evaluate participant confidence in these domains. The results showed an improvement in participant knowledge and confidence regarding the assessment and management of ENT pathologies following the teaching session intervention. In addition, most attendees were overall very satisfied with the session.ConclusionThis study highlights the need for teaching specifically tailored to the learning needs of general practice vocational training scheme trainees, particularly in niche specialties, in order to prepare them adequately for clinical practice in the community setting.

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Section: Introductionmentioning

confidence: 99%

Does focused and dedicated teaching improve the confidence of GP trainees to diagnose and manage common acute ENT pathologies in primary care?

Acharya

Haywood

Kokkinos

et al. 2018

AMEP

View full text Add to dashboard Cite

show abstract

“…Primary care is the largest medical speciality and currently only of three years postgraduate duration, with a plan within Shape of Training to expand to 4 years, but has a DH caveat of the expansion being cost neutral [8]. Medical students on average only spend around 13% in primary care despite the fact that this is the main speciality that deals with the undiagnosed and undifferentiated problems across the spectrum of life, managing uncertainty and ambiguity with the largest number of patients exceeding 300 million consultations per year [3,12]. The driver for these needs to be clearly laid out in the ENT primary care curriculum.…”

Section: Development Of Ent Primary Care Servicesmentioning

confidence: 99%

“…Otolaryngology as a speciality sits astride three important areas of acute life threatening emergencies, major oncological and reconstructive surgery and the largest volume of non-threatening ailments which nevertheless affect the quality of life of children and adults. The future of healthcare is significantly affected by the demographic changes of increasing longevity of life with chronic disease burden, end of life care, life style choices such as obesity, smoking, alcoholism and drug addiction as well as the social pressures of unemployment and poverty [3,4]. All of this will affect every aspect of medicine including Otolaryngology.…”

Section: Introductionmentioning

confidence: 99%