Medicine

Review of decision-making in the General Medical Council’s Fitness to Practise procedures: Final Report – December 2014, released March 2015 by the General Medical Council

Posted on March 18, 2015. Filed under: Medicine | Tags: , |

Review of decision-making in the General Medical Council’s Fitness to Practise procedures: Final Report – December 2014, released March 2015 by the General Medical Council

New research finds that GMC decisions are fair to doctors under investigation – GMC – 13 March 2015

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In-depth review of the acute medical care workforce – Centre for Workforce Intelligence (CfWI) [UK] – 26 February 2015

Posted on March 5, 2015. Filed under: Acute Care, Medicine, Workforce | Tags: , |

In-depth review of the acute medical care workforce – Centre for Workforce Intelligence (CfWI) [UK] – 26 February 2015

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Standards for medical education and training – consultation on draft standards – General Medical Council [UK] – 28 January 2015

Posted on January 30, 2015. Filed under: Educ for Hlth Professions, Medicine | Tags: , |

Standards for medical education and training – consultation on draft standards – General Medical Council [UK] – 28 January 2015

“This consultation from 28 January to 24 March 2015 is on new standards for undergraduate and postgraduate medical education and training.”

Media release: New standards put patient safety at the heart of medical education and training

Consultation document: Standards for medical education and training: a public consultation on our draft standards

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Protecting resources, promoting value: a doctor’s guide to cutting waste in clinical care – Academy of Medical Royal Colleges – November 2014

Posted on November 21, 2014. Filed under: Evidence Based Practice, Medicine | Tags: |

Protecting resources, promoting value: a doctor’s guide to cutting waste in clinical care – Academy of Medical Royal Colleges – November 2014

Cut NHS waste through NICE’s ‘do not do’ database – NICE – 6 November 2014

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In-depth review of the psychiatrist workforce: Main report – Centre for workforce Intelligence (CFWI) [UK] – November 2014

Posted on November 13, 2014. Filed under: Medicine, Mental Health Psychi Psychol, Workforce | Tags: , |

In-depth review of the psychiatrist workforce: Main report – Centre for workforce Intelligence (CFWI) [UK] – November 2014

“The Centre for Workforce Intelligence (CfWI) was commissioned by the Department of Health (DH) and Health Education England (HEE) to conduct an in-depth review of the psychiatrist workforce in England, with a particular focus on fully trained psychiatrists with a certificate of completion of training (‘CCT holders’)
who typically are employed as consultants.

The review considered demand and supply for CCT holders in the six psychiatry specialties:

general adult psychiatry
psychiatry of old age
child and adolescent psychiatry
forensic psychiatry
psychiatry of learning disability, and
medical psychotherapy.

Please note that a technical report has been published alongside this main report. This provides additional information concerning the wider mental health workforce, psychiatry training, the psychiatrist workforce, and the data and assumptions the CfWI used in its modelling of the psychiatrist workforce.”

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The state of medical education and practice 2014 – General Medical Council [UK] – 8 October 2014

Posted on October 24, 2014. Filed under: Educ for Hlth Professions, Medicine | Tags: |

The state of medical education and practice 2014 – General Medical Council [UK] – 8 October 2014

Press release: Face of UK medicine is changing, says GMC

Executive Summary

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Specialists in out-of-hospital settings: Findings from six case studies – King’s Fund – 22 October 2014

Posted on October 24, 2014. Filed under: Health Systems Improvement, Medicine | Tags: |

Specialists in out-of-hospital settings: Findings from six case studies – King’s Fund – 22 October 2014

“Demographic changes, technological advances and the changing pattern of disease are pushing up the numbers of patients with complex needs who require treatment in the community. But outside hospital, the resources and expertise are often not available to treat them, and patient care can be disjointed as different parts of the system fail to understand each other. In response, consultants in some areas of England are developing services that link secondary, primary, community and social care professionals.

The King’s Fund visited six services where consultants are delivering or facilitating care outside hospital. This report presents the findings from those visits as case studies. It identifies key characteristics and challenges to this way of working and seeks out evidence of the benefits to patients and the NHS more broadly.”

Case studies and interviews

Portsmouth and South East Hampshire diabetes service
Leeds interface geriatrician service
Imperial child health general practice hubs
Sunderland dermatology and minor surgery service
Haywood rheumatology centre
Whittington respiratory service

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Graduate Medical Education That Meets the Nation’s Health Needs – Institute of Medicine – 29 July 2014

Posted on July 31, 2014. Filed under: Educ for Hlth Professions, Medicine | Tags: , |

Graduate Medical Education That Meets the Nation’s Health Needs – Institute of Medicine – 29 July 2014

“Since the creation of the Medicare and Medicaid programs in 1965, the public has provided tens of billions of dollars to fund graduate medical education (GME), the period of residency and fellowship that is provided to physicians after they receive a medical degree. Although the scale of govern­ment support for physician training far exceeds that for any other profession, there is a striking absence of transparency and accountability in the GME financing system for producing the types of physicians that the nation needs.

The IOM formed an expert committee to conduct an independent review of the governance and financing of the GME system. The 21-member IOM committee concludes that there is an unquestionable imperative to assess and optimize the effectiveness of the public’s investment in GME. In its report, Graduate Medical Education That Meets the Nation’s Health Needs, the committee recommends significant changes to GME financ­ing and governance to address current deficiencies and better shape the phy­sician workforce for the future. The IOM report provides an initial road­map for reforming the Medicare GME payment system and building an infrastructure that can drive more strategic investment in the nation’s physician workforce.”

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Understanding the rise in Fitness to Practise complaints from members of the public – Plymouth University – 2014

Posted on July 22, 2014. Filed under: Medicine | Tags: , , |

Understanding the rise in Fitness to Practise complaints from members of the public – Plymouth University – 2014

Why have more people complained to the General Medical Council about their doctor? – 21 July 2014

“Enquiries made by the general public to the General Medical Council about doctors’ fitness to practise rose from 5,168 in 2007 to 10,347 in 2012.

In a bid to understand this increase, the GMC commissioned a research team from the Collaboration for the Advancement of Medical Education, Research and Assessment (CAMERA) at Plymouth University Peninsula Schools of Medicine and Dentistry to investigate the issues and produce a report.

The report – “Understanding the Rise in Fitness to Practise Complaints from Members of the General Public” – is published today, 21 July 2014

An increase in complaints has been seen across the UK, which suggests wider social trends rather than localised issues. A large number of complaints did not progress because the issues raised could not be identified, which suggests that the GMC is receiving complaints outside its remit. According to the report, this points towards problems with the wider complaint-handling system and culture.

While the report does not point to any specific causes for the increase in complaints, it does clearly identify a number of trends which have contributed to an environment in which the public are more prone to making complaints about their doctors.”

… continues on the site

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Medical engagement: A journey not an event – The King’s Fund – 10 July 2014

Posted on July 11, 2014. Filed under: Medicine | Tags: |

Medical engagement: A journey not an event – The King’s Fund – 10 July 2014

” What is good medical engagement? In those organisations where it exists, how has good medical engagement been created and sustained? These questions are at the heart of this report, which builds on earlier work from The King’s Fund on medical leadership.

This report is based on case studies of four NHS trusts with acknowledged high levels of medical engagement. It aims to help other organisations that are seeking to create cultures in which doctors want to engage more in the management, leadership and improvement of services. Based on interviews with a range of executives, senior and junior doctors, the report presents key features of each of the four trusts. Its final analytical section highlights common themes and includes a checklist to allow organisations and individuals to assess how far medical engagement is being sought and developed.”

… continues on the site

 

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Doctors in training say overall satisfaction high but concerns remain – General Medical Council [UK] – 23 June 2014

Posted on June 26, 2014. Filed under: Educ for Hlth Professions, Medicine | Tags: |

Doctors in training say overall satisfaction high but concerns remain – General Medical Council [UK] – 23 June 2014

“Doctors in training, who provide much of the NHS’s frontline care, are generally satisfied with the support and education they receive, according to a major survey by the General Medical Council (GMC).

Overall satisfaction remains high, particularly in general practice and anaesthetics training, but there are still concerns where trainees feel problems at a local level have not improved after three years.

For the first time, the survey’s ‘reporting tool’ allows comparison of results over the last three years. This paints a richer picture of how education providers act on the views of doctors in training to bring about improvements in the quality of education.

In October deaneries and Local Education and Training Boards (LETBs) will report back to the GMC on how they plan to address the concerns identified in the survey.

The survey, one of the biggest of its kind in the world, received the highest response rate since it began eight years ago. More than 98 per cent of the 54,000 UK doctors in training gave their views on their medical education.

The report also includes case studies that show how postgraduate deans, medical royal colleges and faculties, and local education providers have used the results to make positive changes to training, particularly in the areas of educational supervision and handover.”

… continues on the site

National Training Survey – GMC

 

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Fairness and the GMC: Doctors’ views – released 31 May 2014

Posted on June 3, 2014. Filed under: Medicine | Tags: , |

Fairness and the GMC: Doctors’ views – released 31 May 2014

GMC determined to put fairness front and centre

“The General Medical Council (GMC) must not only be fair, it must be seen to be fair, according to independent research published today.

The report by the research consultancy NatCen shows that, while the vast majority of doctors are confident in how the GMC carries out its role, more needs to be done to build trust among certain groups of doctors.

The research looked at how doctors practicing in the UK view the GMC, based on a sample of 3,500 medics, covering issues such as how the GMC registers doctors and how it investigates and takes action following complaints about doctors.”

… continues on the site

 

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Recommendations for safe trainee changeover – Academy of Medical Royal Colleges – April 2014

Posted on April 24, 2014. Filed under: Educ for Hlth Professions, Medicine | Tags: |

Recommendations for safe trainee changeover – Academy of Medical Royal Colleges – April 2014

“Doctors in training in the UK have historically started new six-monthly rotations in February and August, with the majority of junior doctors rotating to new training programmes during the first week of August. There is an increasing body of evidence to suggest that simultaneous trainee changeover is associated with higher mortality, reduced efficiency and lower satisfaction. The Academy of Medical Royal Colleges (AoMRC) and NHS Employers have worked with partner organisations to develop simple, practical recommendations that can help mitigate these problems.

The four key recommendations are recognised as best practice and could be implemented within the current arrangements:
1. Consultants must be appropriately available
2. Flexible and intelligent rota design
3. High quality clinical induction at all units
4. Reduction of elective work at changeover times”

Media Release: Changes to Trainee Doctor Rotations are Needed to Improve Patient Safety and Quality of Care

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Unlocking skills in hospitals: better jobs, more care – Grattan Institute – 13 April 2014

Posted on April 14, 2014. Filed under: Medicine, Nursing, Occupational Therapy, Physiotherapy, Workforce | Tags: |

Unlocking skills in hospitals: better jobs, more care – Grattan Institute – 13 April 2014

Stephen Duckett and Peter Breadon

“Enabling less highly-trained hospital workers to play a bigger role could improve jobs for doctors and nurses, save public hospitals nearly $430 million a year and fund treatment for more than 85,000 extra people.

Doctors, nurses and allied health professionals such as physiotherapists and occupational therapists are all squandering their valuable skills on work that other people could do.

It doesn’t take 15 years of training to provide light sedation for a stable patient having a simple procedure, or a three-year degree to help someone bathe or eat – but that is the situation in Australian hospitals today. This mismatch of skills and jobs is putting heavy pressure on hospitals when there are already long waiting lists for many treatments and demand is growing fast.

The report suggests three ways – among many – that hospitals can get a better match between workers and their work. Nursing assistants could free up nurses’ time by providing basic care to patients. Specialist nurses could free up doctors’ time by doing common, low-risk procedures now done by doctors. More assistants could be employed to support physiotherapists and occupational therapists.”

… continues on the site

 

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The implementation of the Working Time Directive, and its impact on the NHS and health professionals: report of the Independent Working Time Regulations Taskforce to the Dept of Health – March 2014

Posted on April 8, 2014. Filed under: Educ for Hlth Professions, Medicine, Workforce | Tags: , |

The implementation of the Working Time Directive, and its impact on the NHS and health professionals: report of the Independent Working Time Regulations Taskforce to the Dept of Health – March 2014

“The taskforce was asked by the Secretary of State to review the impact and implementation of the European Working Time Directive, and two questions were uppermost in our mind.

1. What impact had the UK working time regulations (WTR) and court judgments associated with the WTD had on the training of doctors in the UK, and by extension on the delivery of high quality patient care?
2. If significant problems were identified, could solutions be recommended that would allow different specialties in medicine the flexibility to provide streamlined and appropriate treatment for patients, and in a manner which was practical for the NHS? ”

… continues on the site

Media release: Taskforce report on the impact of the European Working Time Directive – Royal College of Surgeons – 3 April 2014

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Issues with revalidation and fitness to practise mar overall good performance by GMC – House of Commons Select Committee – Health – 2 April 2014

Posted on April 3, 2014. Filed under: Health Professions, Medicine | Tags: , |

Issues with revalidation and fitness to practise mar overall good performance by GMC – House of Commons Select Committee – Health – 2 April 2014

“The Health Committee’s annual review of the General Medical Council (GMC) has found that the GMC is making steady progress in protecting patients. The Committee’s report, which follows the regulator’s accountability hearing, warns, however, that more can be done to build confidence in the professional regulation of doctors.”

“The Committee found that:

The GMC’s fitness to practise successfully produce outcomes that protect patients from sub-standard doctors but failures to communicate the reasons for decisions and poor investigative practices have undermined a small number on investigations.
The system of ongoing revalidation of doctors has been launched smoothly but the Committee has serious concerns regarding the ability of responsible officers to oversee revalidation.
The Government’s legislative programme is likely to further delay reforms that would allow the GMC to appeal fitness to practice tribunal decisions.”

2013 accountability hearing with the General Medical Council [UK] – Commons Health Committee – Health Report – 25 March 2014

 

 

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Medical workforce 2012 – Australian Institute of Health and Welfare – 24 January 2014

Posted on January 24, 2014. Filed under: Medicine, Workforce | Tags: |

Medical workforce 2012 – Australian Institute of Health and Welfare – 24 January 2014

“The supply of employed medical practitioners in Australia increased from 323.2 to 355.6 full-time equivalent practitioners per 100,000 population between 2008 and 2012, which reflected a 16.4% rise in employed practitioner numbers. Women made up 37.9% of practitioners in 2012 compared with 34.9% in 2008.”

ISSN 1446 9820; ISBN 978-1-74249-536-1; Cat. no. HWL 54; 93pp.

Media release: Australia’s medical workforce continues to grow

 

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UK Strategy for Rare Diseases – Department of Health – 22 November 2013

Posted on December 17, 2013. Filed under: Medicine | Tags: |

UK Strategy for Rare Diseases – Department of Health – 22 November 2013

 

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Health Human Resources – Office of the Auditor General of Ontario Value for Money Audit – 10 December 2013

Posted on December 13, 2013. Filed under: Medicine, Workforce |

Health Human Resources – Office of the Auditor General of Ontario Value for Money Audit – 10 December 2013

Ontario funded and trained medical specialist graduates leaving province to practise elsewhere, Audit General says – News Release

“Many Ontario-funded and -trained medical specialist graduates leave the province for employment opportunities, at the same time as there are often lengthy waiting lists for the very surgical services they’ve been trained to perform, Auditor General Bonnie Lysyk says in her 2013 Annual Report.

“It costs the province $780,000 on average to train a medical specialist, including up to five years of postgraduate residency training. But about a third of Ontario-funded graduates with surgical specialties—neurosurgeons and cardiac, orthopaedic, paediatric and general surgeons—don’t stay and practise here,” Lysyk said today following release of the Report. In the meantime, waits for some orthopaedic surgeries, for example, are as long as 326 days (forefoot) and 263 days (cervical disc) following a specialist’s assessment. The Ministry of Health and Long-Term Care (Ministry) and the Ministry of Training, Colleges and Universities developed the HealthForceOntario Strategy in 2005/06 to address concerns over shortages of physicians and nurses, and long wait times. The Strategy was created to ensure that Ontario maintains the right number, mix and distribution of qualified health-care providers. Total expenditures for the Strategy in 2012/13 were $738.5 million, and the Ministry has spent $3.5 billion on it over the last six years.

Overall, however, Ontario has not met its goal of having the right number, mix and distribution of health-care professionals to meet its health-care needs, despite the fact there in 2012 there were 18% more physicians than in 2005, and 10% more nurses than in 2006.”

… continues

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2013 National Physician Survey (NPS) [Canada] – 21 October 2013

Posted on October 25, 2013. Filed under: Medicine, Workforce |

2013 National Physician Survey (NPS) [Canada] – 21 October 2013

The NPS is carried out by the College of Family Physicians of Canada (CFPC), the Canadian Medical Association (CMA) and the Royal College of Physicians and Surgeons of Canada (Royal College).

 

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The Workplace Learning Environment in Postgraduate Medical Training: faculty guide – National Association of Clinical Tutors (NACT) UK – October 2013

Posted on October 24, 2013. Filed under: Educ for Hlth Professions, Medicine |

The Workplace Learning Environment in Postgraduate Medical Training: faculty guide – National Association of Clinical Tutors (NACT) UK – October 2013

Media release -New guidance issued to improve the value of the medical trainer – 23 October 2013

Role of the Trainer: Promoting, supporting and enabling training excellence

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Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy – RAND (Sponsored by the American Medical Association) – 9 October 2013

Posted on October 22, 2013. Filed under: Medicine, Workforce | Tags: |

Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy – RAND (Sponsored by the American Medical Association) – 9 October 2013

“Purpose

This project, sponsored by the American Medical Association (AMA), aimed to characterize factors that influence physician professional satisfaction. In the context of recent health reform legislation and other delivery system changes, we sought to identify high-priority determinants of professional satisfaction that can be targeted within a variety of practice types, especially as smaller and independent practices are purchased by or become affiliated with hospitals and larger delivery systems. Based on project findings and input from other sources, including its membership and experts in physician practice design, the AMA plans to develop possible pathways for American physicians to practice in models that are more effective, efficient, sustainable, and conducive to professional satisfaction.”

Press release: Quality of Patient Care Drives Physician Satisfaction; Doctors Have Concerns About Electronic Health Records

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The state of medical education and practice in the UK – General Medical Council – 16 October 2013

Posted on October 18, 2013. Filed under: Educ for Hlth Professions, Medicine | Tags: |

The state of medical education and practice in the UK – General Medical Council – 16 October 2013

Media release: Patients unsure how to raise concerns about poor medical care – GMC report

Full text (pdf) of the report

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Revalidation: The early experiences and views of responsible officers from London – The King’s Fund – 15 October 2013

Posted on October 16, 2013. Filed under: Allied Health, Medicine, Nursing, Workforce | Tags: , , |

Revalidation: The early experiences and views of responsible officers from London – The King’s Fund – 15 October 2013

“This paper summarises the results of a small research study designed to capture the experiences of and reflections on revalidation of responsible officers (ROs) in London. Fifty-three responsible officers took part in an online survey and twenty of these ROs took part in in-depth interviews.

The results provide a snapshot of what the implementation of revalidation has meant for the new ROs six months in. The paper also draws some conclusions on what is currently aiding successful implementation, which can be drawn on by ROs, doctors, boards and senior leaders across the country to prepare for the second year of revalidation.”

… continues on the site

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Factors Affecting Physician Professional Satisfaction – RAND – 2013

Posted on October 14, 2013. Filed under: Medicine, Workforce | Tags: |

Factors Affecting Physician Professional Satisfaction – RAND – 2013

“This fact sheet describes the results of research into the factors influencing physician professional satisfaction and their implications for health care.”

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Leaving Against Medical Advice: Characteristics Associated With Self-Discharge – Canadian Institute for Health Information (CIHI) – 1 October 2013

Posted on October 2, 2013. Filed under: Clin Governance / Risk Mgmt / Quality, Emergency Medicine, Medicine | Tags: , |

Leaving Against Medical Advice: Characteristics Associated With Self-Discharge – Canadian Institute for Health Information (CIHI) – 1 October 2013

“People who leave the hospital or an emergency department against medical advice tend to do so before their treatment is complete and often end up returning within a short time frame.

A new study from the Canadian Institute for Health Information (CIHI) shows that, compared with people who completed their treatment, those who left inpatient care against medical advice were more than twice as likely to be readmitted to hospital within a month and three times as likely to visit an emergency department within a week.

Leaving Against Medical Advice: Characteristics Associated With Self-Discharge also found that more than three out of five people who left inpatient care and returned to an emergency department within a week were admitted to inpatient care upon their return.”

… continues on the site

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Future Hospital Commission: Care comes to the patient in the future hospital – Royal College of Physicians – 12 September 2013

Posted on September 12, 2013. Filed under: Health Mgmt Policy Planning, Medicine | Tags: |

Future Hospital Commission: Care comes to the patient in the future hospital – Royal College of Physicians – 12 September 2013

“A new report from the Future Hospital Commission recommends that in future, care should come to the acutely ill patient, rather than the patient being moved around the hospital.

This is one of 50 recommendations aimed at improving care for acute medical patients in Future Hospital: Caring for medical patients, which puts the patient experience and the concept of ‘clinician citizenship’ back into the very heart of healthcare. This is matched with a radical restructuring of the wards where acutely ill patients are treated, and a new organisational and management structure whose responsibilities for acutely ill medical patients will stretch out from the hospital into the wider community, developing the idea of a local healthcare system.”

… continues on the site

Access the full report, Future Hospital: Caring for medical patients.

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Centre for Workforce Intelligence – Robust workforce planning for the English medical workforce – 24 July 2013

Posted on August 30, 2013. Filed under: Medicine, Workforce | Tags: , |

Centre for Workforce Intelligence – Robust workforce planning for the English medical workforce – 24 July 2013

conference presentation

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Regenerative medicine Report – House of Lords Science and Technology Committee – 1 July 2013

Posted on July 23, 2013. Filed under: Genomics, Medicine, Research | Tags: |

Regenerative medicine Report – House of Lords Science and Technology Committee – 1 July 2013

London : The Stationery Office Limited

Extract from the summary

“Regenerative medicine involves replacing or regenerating cells, tissues or organs in the human body, in order to restore or establish normal function. It includes cell therapy, gene therapy, tissue engineering and other methods, and it has enormous potential to treat and cure diseases. It could also improve the quality of peoples’ lives and generate significant economic benefits for the UK.

In this inquiry we have sought to identify what the UK is doing well in regenerative medicine and any barriers to its future development. We make recommendations to the Government that, if acted upon, would facilitate the translation of scientific knowledge into clinical practice and encourage its commercial exploitation.”

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Improving SAS appraisal: a guide for employers [specialty and associate specialist] – NHS Employers – June 2013

Posted on June 19, 2013. Filed under: Medicine, Surgery | Tags: , |

Improving SAS appraisal: a guide for employers [specialty and associate specialist] – NHS Employers – June 2013

Extract from the Introduction

“Effective annual appraisal is the cornerstone of medical revalidation. Doctors need to be able to discuss and reflect on their practice and performance during their appraisal to demonstrate that they are keeping up to date and are fit to practise. This is key for patient safety-improved appraisal makes good doctors better, and leads to improved patient care.

The England Organisational Readiness Self Assessment (ORSA) return in March 2012 indicated that only 53.5 per cent of specialty and associate specialist (SAS) and staff grade doctors had been appraised in 2011 – 2012. This was an improvement from the March 2011 ORSA return, which indicated that only 35.6 per cent of this group of doctors had been appraised in 2010 – 2011. Appraisal rates for trust doctors are similarly low.

These results suggested that there may have been unidentified barriers to appraisal for SAS and trust doctors.”

… continues on the site

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The medical patient at risk: recognition and care of the seriously ill or deteriorating medical patient. Acute care toolkit 6 – Royal College of Physicians – 9 May 2013

Posted on May 14, 2013. Filed under: Medicine, Patient Safety | Tags: , , |

The medical patient at risk: recognition and care of the seriously ill or deteriorating medical patient. Acute care toolkit 6 – Royal College of Physicians – 9 May 2013

Media release: Right patient, right bed

“A new toolkit from the Royal College of Physicians (RCP) for the recognition and care of seriously ill patients recommends that patients admitted as emergencies should only transfer out of the acute medical unit to a ward area that has facilities to meet their clinical needs. The toolkit is being launched today (Thursday 9 May) at the Society for Acute Medicine spring conference in Coventry.

With emergency departments and acute medical units currently under considerable strain due to rising numbers of patients being assessed and admitted, there is great pressure to move patients rapidly to beds on wards throughout the hospital. The toolkit recommends the use of NEWS – the National Early Warning Score, launched by the RCP in 2012, in order to rapidly identify patients who are severely ill or at risk of sudden deterioration. The sickest of these patients should be transferred to the hospital’s intensive care unit or high dependency unit.

The RCP is concerned about those patients identified as requiring an intensity of monitoring and care greater than that available on a standard medical ward. More enhanced care beds (level 1 beds), with higher nurse to patient ratios, should be available on acute medical units. In addition, hospitals should designate enhanced care beds on selected medical wards that manage acutely ill patients.”

… continues on the site

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Are We There Yet? Models of Medical Leadership and their effectiveness: An Exploratory Study – NHS National Institute for Health Research – April 2013

Posted on April 30, 2013. Filed under: Health Mgmt Policy Planning, Medicine | Tags: , |

Are We There Yet? Models of Medical Leadership and their effectiveness: An Exploratory Study – NHS National Institute for Health Research – April 2013

Executive summary

Dickinson H, Ham C, Snelling I, Spurgeon P. Are We There Yet? Models of Medical Leadership and their effectiveness: An Exploratory Study. Final report. NIHR Service Delivery and Organisation programme; 2013

Chris Ham: Models of medical leadership and their effectiveness – King’s Fund – 29 April 2013

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Exploring the Dynamics of Physician Engagement and Leadership for Health System Improvement: Prospects for Canadian Healthcare Systems – 4 April 2013

Posted on April 23, 2013. Filed under: Health Systems Improvement, Medicine | Tags: , |

Exploring the Dynamics of Physician Engagement and Leadership for Health System Improvement: Prospects for Canadian Healthcare Systems – 4 April 2013

Prepared for the Saskatchewan Ministry of Health  Also published on the Canadian Foundation for Healthcare Improvement site.

Extract from the key messages:

“Physician leadership and physician engagement are essential elements of high-performing healthcare systems, contributing to higher scores on many quality indicators. Likewise, physician participation in hospital governance can improve quality and safety.
Although much of the literature on healthcare reforms suggests the importance of physician engagement and leadership, this literature is less explicit about the processes by which health systems and organizations can convert physicians’ autonomy, knowledge and power into resources for health system performance and improvement.
Physician leadership is important at the apex of the organization, but leadership occurs at all levels of the system. Increasing attention is being paid to high-performing clinical microsystems as well as new leadership modalities (e.g. dyads of physician and manager leaders and other forms of distributed leadership) and processes (e.g. physician “compacts”) that are fostering what some refer to as “organized professionalism.”
Physician engagement does not happen on its own. Organizations must use diverse strategies and initiatives to strengthen physician engagement and leadership, including (but not limited to):”

… continues

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Guidance on CPD – General Medical Council [UK] – 15 April 2013

Posted on April 17, 2013. Filed under: Educ for Hlth Professions, Medicine | Tags: , , |

Guidance on CPD – General Medical Council [UK] – 15 April 2013

“This GMC guidance – Continuing professional development: guidance for all doctors has been developed in co-operation with doctors, medical Royal Colleges, employers, patients and the public, and follows widespread public consultation earlier this year.

We hope doctors will use it to reflect on how their learning and development improves the quality of care they provide to patients and for the service in which they work.

The guidance describes:

how doctors should plan, carry out and evaluate their CPD activities
the importance of taking account of the needs of patients and of the healthcare team when doctors consider their own learning needs
how doctors should reflect on the Good Medical Practice domains when evaluating their CPD needs
the relationship between CPD and revalidation
the use of appraisal, job planning and personal development plans in managing CPD and how to record CPD activities
the responsibilities of others, such as employers and Colleges, in supporting doctors’ CPD.”

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Good medical practice (2013) – General Medical Council [UK] – 25 March 2013

Posted on March 26, 2013. Filed under: Medicine | Tags: |

Good medical practice (2013) – General Medical Council [UK] – 25 March 2013

“The updated edition of Good medical practice, our core guidance for doctors, is published today.

Good medical practice sets out the high level principles of good practice expected of all doctors. Alongside it, we are publishing explanatory guidance which provide more detail on various topics that doctors and others ask us about. This includes new guidance on doctors’ use of social media.”

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Hospital workforce: fit for the future? – Royal College of Physicians – 4 March 2013

Posted on March 5, 2013. Filed under: Medicine, Workforce | Tags: |

Hospital workforce: fit for the future? – Royal College of Physicians – 4 March 2013

“Bringing together findings from the Medical registrar report and 2011 Census, Hospital workforce: fit for the future? looks at the key challenges that are facing the medical workforce.

It finds that:

•There is significant geographical variation in the number of consultants per head of the population across the country; there are also variations among specialties.
•There are not enough doctors with the skills to care for frail older patients.
•The workload of the medical registrar is increasingly unmanageable.

The report concludes that there needs to be a rethink of the skills in which doctors are trained, in order to better meet patients’ needs; while the role of the medical registrar and the esteem in which it is held must be reassessed and better valued.”

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Effective governance to support medical revalidation – General Medical Council [UK] – 1 March 2013

Posted on March 5, 2013. Filed under: Clin Governance / Risk Mgmt / Quality, Medicine, Patient Safety, Workforce | Tags: , , , , |

Effective governance to support medical revalidation – General Medical Council [UK] – 1 March 2013

A new guide to help Boards check their organisations are placing quality and safety at the heart of their services for patients is published today.

‘Effective governance to support medical revalidation’ is a handbook for Boards and governing bodies to help them assess if their organisations have strong enough systems in place to support quality patient care and revalidation.

The General Medical Council (GMC) developed the handbook in partnership with England’s Care Quality Commission, Monitor, Healthcare Improvement Scotland, Healthcare Inspectorate Wales, Northern Ireland’s Regulation and Quality Improvement Authority as well as the Government Procurement Service.

Revalidation – which this handbook is designed to support – is a new system of checks on doctors and was launched by the GMC in December 2012 to provide patients with greater confidence that UK doctors are keeping up to date and fit to practise.

Doctors need access to a regular appraisal focusing on the GMC’s professional standards and their organisation’s clinical governance systems to complete their revalidation. Organisations need these same systems to be working effectively to deliver safe and high quality care to patients.”

… continues

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Managing NHS hospital consultants – National Audit Office [UK] – 6 February 2013

Posted on February 19, 2013. Filed under: Medicine, Workforce | Tags: |

Managing NHS hospital consultants – National Audit Office [UK] – 6 February 2013

“The 2003 contract for hospital consultants delivered many expected benefits, but there is room for improvement in how trusts manage their consultants.”

“This report examines: how far the expected benefits of the contract have been realised (Part One); whether consultants are managed effectively and consistently across NHS trusts (Part Two); and how far the Committee of Public Accounts’ recommendations of 2007, designed to improve the management of consultants, have been implemented (Part Three).”

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Medical workforce 2011 – AIHW – 23 January 2013

Posted on January 24, 2013. Filed under: Medicine, Workforce | Tags: |

Medical workforce 2011 – AIHW –  23 January 2013

“The supply of employed medical practitioners in Australia increased from 344.6 to 381.4 full-time equivalent practitioners per 100,000 population between 2007 and 2011, which reflected a 10.7% rise in practitioner numbers. The gender balance continued to shift, with women making up 37.6% of practitioners in 2011 compared with 34% in 2007. Specialists-in-training in the public sector worked the most average hours per week (47.6) while general practitioners in the public sector worked the least (20.5).”

ISSN 1446 9820; ISBN 978-1-74249-396-1; Cat. no. HWL 49; 79pp

Media release

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Acute care toolkit 5: teaching on the acute medical unit – Royal College of Physicians – 27 November 2012

Posted on November 28, 2012. Filed under: Acute Care, Educ for Hlth Professions, Medicine | Tags: |

Acute care toolkit 5: teaching on the acute medical unit – Royal College of Physicians – 27 November 2012

Media release: New toolkit ensures high quality care by injecting education back into the acute take.

This toolkit helps clinicians and trainees ensure there is a focus on quality education as well as delivering essential care. It focuses on maximising opportunities for teaching and learning, and includes technical tips and examples for weaving teaching and learning into the daily work of an acute unit.

 

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Preparing for Precision Medicine – World Economic Forum – 15 November 2012

Posted on November 27, 2012. Filed under: Genomics, Medicine | Tags: , |

Preparing for Precision Medicine – World Economic Forum – 15 November 2012

“Personalized medicine is the combination of established clinical parameters with emerging molecular information to generate preventative, diagnostic and therapeutic solutions that are tailored to each patient’s needs. Personalized approaches facilitate more precise healthcare deliver and have the potential to improve outcomes while reducing waste of resources and delivering significant other benefits. Assuring a smooth transition will depend on establishing frameworks for regulating, compiling and interpreting the influx of information that can keep pace with rapid scientific developments.”

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Medical Revalidation – Costs and Benefits. Analysis of the costs and benefits of medical revalidation in England – November 2012

Posted on November 21, 2012. Filed under: Medicine | Tags: , |

Medical Revalidation – Costs and Benefits. Analysis of the costs and benefits of medical revalidation in England – November 2012

“This report presents the evidence underpinning the development of the policy and considers the impact and value for money of implementing the planned system. The analysis concludes that revalidation, when undertaken according to the recommended appraisal model, carries benefits which are shown to outweigh the costs. Overall, revalidation is shown to be a proportionate and cost-effective means of delivering the policy objectives.”

Medical Revalidation – Equality Analysis. Equality analysis on the potential impact on doctors completing revalidation – November 2012

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Doctors and nurses – Reform – November 2012

Posted on November 21, 2012. Filed under: Medicine, Nursing, Workforce | Tags: |

Doctors and nurses – Reform – November 2012

“The quality of care depends on more than the sheer quantity of staff. Quality healthcare requires a quality workforce. Reforming the workforce will be essential to improve the quality of healthcare. Pioneers of healthcare excellence are already demonstrating how to effectively manage and motivate clinicians to deliver better quality services. Government now needs to ensure that all providers can adopt the lessons of high performing organisations.

The best healthcare organisations in the world are the best employers because they understand the importance of human capital. In getting the best out of their doctors and nurses they exhibit shared behaviours or habits. Principally, they adopt modern management practices, such as rigorously selective recruitment processes; staff engagement; devolving clinical and often financial power and accountability to the frontline; encouraging flexible working and team-based care; investing in staff development, measuring performance and outcomes; celebrating and rewarding excellence, and identifying and dealing with mediocrity and failure. This report highlights the good practice of: ”

… continues

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Cost benefit and equality analysis for medical revalidation published – Dept of Health [England] – 6 November 2012

Posted on November 12, 2012. Filed under: Educ for Hlth Professions, Medicine | Tags: , |

Cost benefit and equality analysis for medical revalidation published – Dept of Health [England] – 6 November 2012

“The Department of Health’s analysis of the anticipated costs and benefits of medical revalidation and the equality impacts is published.

On 19 October 2012, the Secretary of State for health announced that medical revalidation will be introduced to strengthen the regulation of licensed doctors in the UK. Revalidation will be a five-yearly process, giving doctors a clear framework to reflect on and improve their quality of care, as well as providing assurance to patients and the public that doctors are keeping up to date and remain fit to practise.”

… continues

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Acute care toolkit 4: delivering a 12-hour, 7-day consultant presence on the acute medical unit – Royal College of Physicians – 11 October 2012

Posted on October 17, 2012. Filed under: Acute Care, Medicine, Workforce | Tags: |

Acute care toolkit 4: delivering a 12-hour, 7-day consultant presence on the acute medical unit – Royal College of Physicians – 11 October 2012

“Acute medical illness is a 7-day problem – patients are just as likely to develop an acute illness requiring an emergency admission on a Saturday or Sunday as on a weekday. Evidence that patients admitted at weekends have poorer outcomes than those admitted on weekdays, and that patient mortality is higher at weekends, led to the RCP and the Society of Acute Medicine (SAM) recommending that a consultant physician ‒ dedicated to the care of acutely ill patients ‒ should be available on site to review patients for at least 12 hours a day, every day.

This toolkit provides practical guidance to senior hospital managers and clinical staff on how to organise acute medical services to ensure that the 12-hour consultant presence delivers consistent high-quality care to acutely ill patients.

The guidance provides answers to key questions including:

How many consultants are required to provide a daily 12-hour presence on the acute medical unit (AMU)?
How many patients should a consultant be expected to review during their shift on the AMU and how long should this shift be?
How should consultant working and support services be organised in order to provide high-quality patient care every day of the week?”

Media release

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Shape of the medical workforce –starting the debate – Centre for Workforce Intelligence – September 2012

Posted on September 27, 2012. Filed under: Medicine, Workforce | Tags: |

Shape of the medical workforce –starting the debate – Centre for Workforce Intelligence – September 2012

and
Right for the job: Over-qualified or under-skilled?

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The state of medical education and practice in the UK report: 2012 – General Medical Council

Posted on September 21, 2012. Filed under: Educ for Hlth Professions, Medicine | Tags: |

The state of medical education and practice in the UK report: 2012 – General Medical Council

“This is our second annual report on the state of medical education and practice in the UK.

It sets out much of what we know about the medical profession and the challenges it faces, drawing on our own data and, where appropriate, data from other sources.

Our aim in publishing this is to promote discussion and debate on issues and trends that require attention or further analysis, to improve standards of medical practice.

This year our report is accompanied by an online data app, which allows you to conduct your own analysis on some of the data from the report.”

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Supporting information for appraisal and revalidation: guidance for physicians – Royal College of Physicians – 28 June 2012

Posted on July 3, 2012. Filed under: Medicine, Workforce | Tags: , |

Supporting information for appraisal and revalidation: guidance for physicians – Royal College of Physicians – 28 June 2012

“In readiness for the launch of revalidation at the end of 2012, the RCP has produced guidance for physicians on the supporting information required for appraisal and revalidation.

The guidance has been designed to offer practical examples of the types of supporting information that doctors might present at their annual appraisal and include in their revalidation portfolio, upon which their responsible officer will recommend to the General Medical Council (GMC) that they remain fit to practise. It has been widely consulted upon, with input from all physician specialties, and is applicable across the many areas of physician practice.

The GMC has set out the requirements for revalidation for all doctors in their Good Medical Practice framework for revalidation and their guidance on supporting information. The RCP guidance builds upon the GMC guidance to offer clear and practical examples, relevant to practising physicians.

The GMC recommends that doctors in specialist practice should consult the supporting information guidance provided by their college or faculty. This guidance expands on the headings provided by the GMC, by providing additional detail about the GMC requirements and what each college or faculty expects relating to this, based on their specialty expertise.  These expectations are laid out under ‘Requirements’.”

Media release
http://www.rcplondon.ac.uk/node/5669

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Core Guidance on Supporting Information for Revalidation – Academy of Medical Royal Colleges – June 2012

Posted on July 3, 2012. Filed under: Medicine, Workforce | Tags: , |

Core Guidance on Supporting Information for Revalidation  – Academy of Medical Royal Colleges – June 2012

“The final version of the core guidance framework is available to download below. The guidance has been devised to simplify the appraisal process and the supporting information doctors need in order to revalidate. Following extensive work and consultation coordinated by the Academy, the specialty guidance frameworks have been produced based on the Academy’s core framework (agreed by all member Colleges and Faculties) to ensure commonality in appraisal for revalidation regardless of a doctor’s specialty.

Each of the specialty guidance frameworks has been developed by the relevant medical Royal Colleges and Faculties who are responsible for setting the standards of care within their own specialty, and for providing specialty advice and guidance on the supporting information required of doctors to demonstrate that professional standards have been met in line with the GMC requirements. ”

… continues on the site

covers Specialty Guidance for:

Supporting information for appraisal and revalidation: guidance for doctors in anaesthesia, intensive care and pain medicine

Guidance on Supporting Information for Revalidation: College of Emergency Medicine

Guidance on Supporting Information for Revalidation for General Practitioners

Supporting Information for Appraisal and Revalidation: Guidance for Obstetrics and Gynaecology and/or Sexual and Reproductive Healthcare

Supporting Information for Appraisal and Revalidation: Guidance for Occupational Medicine

Supporting Information for Appraisal and Revalidation: Guidance for Ophthalmology

Guidance on Supporting Information for Revalidation for Paediatrics and Child Health

Guidance on Supporting Information for Revalidation for Pathology

Supporting Information for Appraisal and Revalidation: Guidance for Pharmaceutical Medicine

… continues

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Continuing professional development: guidance for all doctors – General Medical Council [UK] – 18 June 2012

Posted on June 19, 2012. Filed under: Educ for Hlth Professions, Health Professions, Medicine, Workforce | Tags: , , |

Continuing professional development: guidance for all doctors – General Medical Council [UK] – 18 June 2012

“This GMC guidance – Continuing professional development: guidance for all doctors (pdf) has been developed in co-operation with doctors, medical Royal Colleges, employers, patients and the public, and follows widespread public consultation earlier this year.

We hope doctors will use it to reflect on how their learning and development improves the quality of care they provide to patients and for the service in which they work.

The guidance describes:

how doctors should plan, carry out and evaluate their CPD activities
the importance of taking account of the needs of patients and of the healthcare team when doctors consider their own learning needs
how doctors should reflect on the Good Medical Practice domains when evaluating their CPD needs
the relationship between CPD and revalidation
the use of appraisal, job planning and personal development plans in managing CPD and how to record CPD activities
the responsibilities of others, such as employers and Colleges, in supporting doctors’ CPD.”

Press Release. New guidance to help doctors with lifelong learning

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Handling concerns about a practitioner’s behaviour and conduct. An NCAS good practice guide – NHS National Clinical Assessment Service – June 2012

Posted on June 11, 2012. Filed under: Medicine, Workforce | Tags: |

Handling concerns about a practitioner’s behaviour and conduct. An NCAS good practice guide – NHS National Clinical Assessment Service – June 2012

“The National Clinical Assessment Service (NCAS) was established in 2001. It advises healthcare managers where they have a performance management concern about the practice of a doctor, dentist or pharmacist. As part of its work NCAS has identified that a significant proportion of the concerns it sees (59%)1 contain a behavioural or conduct component. Even where clinical concerns about an individual‟s practice are not present, behavioural and conduct issues can nevertheless have a significant and detrimental impact on team relationships and patient care. We therefore dedicated our 2011 Annual Conference to understanding and tackling behaviours that can give rise to conduct problems in the workplace. Recognising these types of concerns can be complex; behavioural concerns should be considered in the individual circumstances of the case. This guide distils some of the feedback and learning from the conference as well as our practical experience of over 10 years of supporting healthcare managers. It is a “lessons learned” document drawing on NCAS experiences from referrals.”

… continues

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Hospital Episode Statistics as a source of information on safety and quality in gynaecology to support revalidation – Royal College of Obstetricians and Gynaecologists – 24 May 2012

Posted on May 28, 2012. Filed under: Medicine, Workforce | Tags: , |

Hospital Episode Statistics as a source of information on safety and quality in gynaecology to support revalidation – Royal College of Obstetricians and Gynaecologists – 24 May 2012

“The General Medical Council (GMC) is introducing revalidation in the UK. This will change the way doctors are regulated. Doctors will need to demonstrate that they are keeping up-to-date and that they are participating in activities which evaluate the quality of their work. The project presented in this report was funded by the Academy of Medical Royal Colleges as part of the development of performance indicators that can be used for revalidation.

The aims of this project were two-fold:

to assess whether routinely collected administrative data could be used as part of the evaluation of gynaecologists’ practice
to compare measures of activity and outcome derived from administrative data with measures derived from data in two specialist societies’ clinical databases.

The source of administrative data used by the project was the Hospital Episode Statistics (HES) database, which captures information on all admissions to English NHS trusts.

The project had two major components:

a literature review of studies that used HES data to assess the performance of inpatient gynaecological practice in the English NHS
an analysis of performance measures derived from HES data and the clinical databases maintained by the British Society of Urogynaecology (BSUG) and the British Society of Gynaecological Endoscopy (BSGE).

The comparison of the HES database with the clinical databases demonstrated that:

the HES database can be used to study the treatments and outcomes of women with incontinence or recto-vaginal endometriosis
HES can only be used to produce generic performance indicators (e.g. readmission, return to theatre and length of stay)
the clinical databases contain more detailed data on the nature and severity of the women’s symptoms, the underlying clinical condition, the clinical procedures, and the outcomes. However, their low case ascertainment and level of missing data, especially with respect to outcomes, are a current concern.

These results are not unexpected. The ICD-10 and OPCS4 coding systems used in HES lack clinical detail and also do not allow the coding of more recently introduced procedures. On the other hand, the clinical databases are designed by clinical experts who aimed to collect detailed information about the patients they treat and the outcomes they achieve. However, participation in the clinical databases is currently voluntary, which explains the problems with case ascertainment and data completeness.

The report is available to download as a PDF by clicking on the link below

Hospital Episode Statistics as a source of information on safety and quality in gynaecology to support revalidation

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Australia’s Health Workforce Series. Doctors in focus 2012 – HealthWorkforce Australia

Posted on May 1, 2012. Filed under: Medicine, Workforce | Tags: , |

Australia’s Health Workforce Series. Doctors in focus 2012 – HealthWorkforce Australia

“This is the first issue in the Australia’s Heath Workforce series and in this issue doctors in Australia are in focus. Information is brought together from various sources to provide a picture of Australia’sexisting doctor workforce.”

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Australian Medical Association – Regional/Rural Workforce Initiatives – 2012 – position statement – April 2012

Posted on April 18, 2012. Filed under: Medicine, Rural Remote Health, Workforce | Tags: , |

Australian Medical Association – Regional/Rural Workforce Initiatives – 2012 – position statement – April 2012

“How to use this Position Statement

The AMA has developed a Position Statement on regional/rural workforce initiatives because of the importance of improving the medical workforce supply in regional and rural Australia.

The Position Statement outlines a range of factors that influence Medical Practitioners to work in regional and rural areas and offers a range of solutions that would relieve current pressures and entice more doctors to work outside metropolitan areas. The Position Statement addresses undergraduate, post-graduate and continuing education. It covers remuneration together with a range of other influences such as hospital and general infrastructure, family support and rostering and locum services. It includes a section on International Medical Graduate (IMG) doctors.

Policy makers at all levels of government, medical educators and doctors interested in pursuing a career in regional and rural Australia can use this Position Statement.”

… continues on the site

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Academy [UK] publishes new guidance on Return to Practice – April 2012

Posted on April 18, 2012. Filed under: Medicine, Workforce | Tags: , |

Academy publishes new guidance on Return to Practice – April 2012

“The Academy of Medical Royal Colleges today publishes guidance about doctors returning to practice. Measures to support doctors returning to practice after an absence, planned or otherwise, are essential as time away from practice can affect doctors’ skills, confidence and knowledge base.

The guidance, based on the considerable experience of the Return to Practice working group set up by the Academy, alongside a review of existing evidence on return to practice, contains:

Advice for managing the issues facing doctors returning to practice
Practical checklists for evaluating doctors on and/or before their return to practice
Recommendations for establishing an organisational policy on return to practice
Recommendations for setting up an action plan to assist in returning to practice. ”

… continues on the site

Return to Practice Guidance (April 2012)

Return to Practice – Background document (April 2012)

Draft Academy reflective Template for Revalidation (March 2012)

Information on the quality of medical note keeping to support appraisal for revalidation (April 2011)

Evidence on the quality of medical note keeping: Guidance for use at appraisal and revalidation (April 2011)

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Quality Assurance of Medical Appraisers – NHS Revalidation Support Team (RST) – 12 April 2012

Posted on April 16, 2012. Filed under: Clin Governance / Risk Mgmt / Quality, Medicine |

Quality Assurance of Medical Appraisers – NHS Revalidation Support Team (RST) – 12 April 2012

“The responsible officer is dependent on the quality of the appraisers.

The RST have provided a practical framework for assuring the quality of the medical appraiser workforce, outlining pricesses for the recruitment, training and support of medical appraisers and methods by which their performance in the role can be reviewed.”

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Supporting doctors to provide safer care: Responding to concerns about a doctor’s practice – NHS Revalidation Support Team (RST) – 12 April 2012

Posted on April 16, 2012. Filed under: Medicine, Patient Safety |

Supporting doctors to provide safer care: Responding to concerns about a doctor’s practice – NHS Revalidation Support Team (RST) – 12 April 2012

“The RST have released a document entitled ‘Supporting doctors to provide safer care: Responding to concerns about a doctor’s practice’.

The purpose of the document is to help responsible officers to understand and enact their statutory duty to respond effectively to concerns about a doctor’s practice. It provides a generic framework, a model for establishing the level of concern and lists the essential components of an organisational policy to support a consistent, equitable and fair process.”

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Supervision and assessment of hospital based postgraduate medical trainees – 2012 – AMA – March 2012

Posted on April 5, 2012. Filed under: Educ for Hlth Professions, Medicine | Tags: |

Supervision and assessment of hospital based postgraduate medical trainees – 2012 – AMA – March 2012

“The AMA has developed a position statement on Supervision and assessment of hospital based postgraduate medical trainees (2012) to ensure that appropriate policy, processes and infrastructure exists to support high quality supervision and assessment of hospital based postgraduate medical trainees.

The AMA’s position covers:

Structures supporting effective supervision and assessment;
Supervision;
Assessment; and
Resourcing effective supervision and assessment.

It reflects what trainees need to navigate and be supported in their training as well as what supervisors need in terms of support, time and payment to provide training.”

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An evaluation of consultant input into acute medical admissions management in England – Royal College of Physicians – 2 April 2012

Posted on April 3, 2012. Filed under: Medicine | Tags: |

An evaluation of consultant input into acute medical admissions management in England – Royal College of Physicians – 2 April 2012

Patients benefit from continued consultant cover

“A survey of over 100 hospitals in England by the Royal College of Physicians has shown for the first time that patients have better outcomes and are less likely to be readmitted to hospital if cared for on wards where the physicians practising acute medical care:

are on call for more than one day at a time
have no other routine duties during that time
do two or more ward rounds per day in the acute medical unit (AMU)
are present in the (AMU) for more than 4 hours for 7 days.

As a result, the RCP will now recommend this system of cover above all others.  This new research fully supports the RCP’s recent call for consultant physicians to be on site for 12 hours per day, seven days a week.

The survey was commissioned by the RCP through its Clinical effectiveness and evaluation unit, in association with the Society for Acute Medicine and the British Geriatrics Society, who helped develop and distribute the survey. It matched various systems of consultant cover against patient outcome data from hospital episode statistics, to see if there was an advantage to patient care from any of the different systems. The results in brief:”

… continues

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The future of medical education in Canada Postgraduate Project – March 2012

Posted on March 30, 2012. Filed under: Educ for Hlth Professions, Medicine, Workforce |

The future of medical education in Canada Postgraduate Project – Association of Faculties of Medicine of Canada (AFMC), le Collège des Médecins du Québec (CMQ), the College of Family Physicians of Canada (CFPC), and the Royal College of Physicians and Surgeons of Canada (RCPSC) – March 2012

“The Future of Medical Education in Canada Postgraduate (FMEC PG) Project sets out a vision for educating the kind of doctors Canada needs – today and in the future. Part of this vision is for all physicians, by the end of their training, to possess the clinical expertise necessary to practice medicine based on the principles of quality, safety, professionalism, and patient-centred and team-based care.”

… continues

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Medical workforce 2010 – AIHW – 28 March 2012

Posted on March 29, 2012. Filed under: Medicine, Workforce | Tags: |

Medical workforce 2010 – AIHW – 28 March 2012

“The supply of employed medical practitioners increased between 2006 and 2010, from 346 to 366 full-time equivalent practitioners per 100,000 population. The increase reflected a 13% rise in practitioner numbers. The gender balance continued to shift, with women making up 37% of practitioners in 2010 compared to 34% in 2006. The average hours worked each week by medical practitioners declined slightly from 43.5 to 43.3 hours. The group with the longest average hours worked per week was Specialists-in-training at 49.9 hours, while General practitioners averaged 39.2 hours a week.”

ISBN 978-1-74249-284-1; Cat. no. HWL 47; 59pp

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Lost in the Labyrinth: Report on the inquiry into registration process and support for overseas trained doctors – House of Representatives, House Standing Committee on Health and Ageing – 19 March 2012

Posted on March 20, 2012. Filed under: Educ for Hlth Professions, Medicine | Tags: |

Lost in the Labyrinth: Report on the inquiry into registration process and support for overseas trained doctors – House of Representatives, House Standing Committee on Health and Ageing – 19 March 2012

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Shape of the medical workforce: Starting the debate on the future consultant workforce – Centre for Workforce Intelligence [UK] – February 2012

Posted on March 6, 2012. Filed under: Medicine, Workforce | Tags: |

Shape of the medical workforce: Starting the debate on the future consultant workforce – Centre for Workforce Intelligence [UK] – February 2012

“A report for leaders in the healthcare system, calling for urgent debate on some of the challenges and opportunities facing employers, the medical profession and workforce planners on the future supply and shape of the consultant workforce.”

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Benefits of Consultant Delivered Care – Academy of Medical Royal Colleges – 24 January 2012

Posted on February 3, 2012. Filed under: Medicine, Workforce | Tags: , |

Benefits of Consultant Delivered Care – Academy of Medical Royal Colleges – 24 January 2012

“On the basis of the best evidence available, the Academy concluded that medical care delivered by fully trained consultant doctors has demonstrable benefits in terms of:

•Rapid and appropriate decision making
•Improved outcomes for patients
•More efficient use of resources
•GP’s access to the opinion of a fully trained doctor
•Patient expectation of access to appropriate and skilled clinicians and information
•Benefits for the training of junior doctors.

The Academy recommends:

•That the identified  benefits of consultant-delivered care need to be taken into account alongside cost implications when considering the future shape of the medical workforce at local or national level
•Current contractual arrangements for consultants need to be separated from the question of the benefits of consultant-delivered care
•The benefits of consultant-delivered care should be available to all patients throughout the whole day and the whole week
•Implementing a full system of consultant-delivered care will require  different thinking about consultant working patterns
•Work should be undertaken between clinicians and employers to map out the staffing requirements and service implications of implementing a consultant-delivered service throughout the week.”

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Leadership and management for all doctors – General Medical Council [UK] – January 2012

Posted on February 3, 2012. Filed under: Health Mgmt Policy Planning, Medicine | Tags: |

Leadership and management for all doctors – General Medical Council [UK] – January 2012

“Leadership and management for all doctors (2012) sets out the wider management and leadership responsibilities of all doctors in the workplace, including:

responsibilities relating to employment issues
teaching and training
planning, using and managing resources
raising and acting on concerns
helping to develop and improve services.”

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Raising and acting on concerns about patient safety – General Medical Council [UK] – 26 January 2012

Posted on February 3, 2012. Filed under: Medicine, Patient Safety | Tags: |

Raising and acting on concerns about patient safety – General Medical Council [UK] – 26 January 2012

“All doctors have a duty to act when they believe patients’ safety is at risk, or that patients’ care or dignity is being compromised.

Raising and acting on concerns about patient safety (2012) sets out our expectation that all doctors will, whatever their role, take appropriate action to raise and act on concerns about patient care, dignity and safety.”

… continues

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Recognising and Approving Trainers: a consultation – General Medical Council [UK] – 6 January 2012

Posted on January 9, 2012. Filed under: Educ for Hlth Professions, Medicine | Tags: |

Recognising and Approving Trainers: a consultation – General Medical Council – 6 January 2012

Start: Jan 6, 2012 End: Mar 30, 2012 Results Published: Jun 30, 2012

“Consultation summary:
 
The General Medical Council (GMC) is proposing new arrangements for recognising and approving trainers and in particular:

a.  named educational supervisors
b.  named clinical supervisors
c.  lead coordinators of undergraduate training
d.  doctors responsible for overseeing students’ educational progress.

We will use our existing standards structured into seven areas. Local education providers such as hospitals and general practices would use the seven areas to show how they identify, train and appraise these trainers. Postgraduate deaneries and medical schools would then use that information to show the GMC what local arrangements are in place to meet our standards.

Why the consultation should matter to you”

… continues on the site

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Remediation report – Department of Health [UK] – 15 December 2011

Posted on December 19, 2011. Filed under: Health Professions, Medicine | Tags: |

Remediation report – Department of Health [UK] – 15 December 2011

“The focus of this report is to address clinical competence and capability issues occurring in doctors no longer in the training grades.”

Extract

“Revalidation will provide a positive affirmation that licensed doctors remain up to date and fit to practise throughout their career. As part of the annual appraisal process doctors will need to demonstrate how they are meeting the principles and values set out in Good Medical Practice (GMP), the General Medical Council’s (GMC) core guidance for doctors.

This guidance is based on the GMP Framework for appraisal. Revalidation is based on this guidance and will form the basis of a standard approach for appraisal. It will demand consistent processes for appraisal, including feedback from patients and colleagues. As such, it is expected that the new system will, over time, help to raise the quality of the medical workforce, by supporting doctors in continually updating their professional skills to deliver a service to patients. However, the new processes will inevitably identify some doctors whose competence gives cause for concern and for whom, if they are to revalidate, some form of remediation will be needed.

The Department of Health asked the Remediation Steering Group to look at how well remediation of clinical competence and capability issues works now in the NHS in England. We were asked to consider whether there are options for improving the way this is managed and delivered, so that doctors can access the support they need when they need it and patient safety can be assured. The Group had a great deal of first hand experience of tackling performance issues. We were also able to draw on both existing materials and research, as well as a survey undertaken especially to support this work.

We found that whilst there was much good practice in managing clinical competence and capability concerns, it was still an area that many employers and contracting bodies found difficult to manage. Providing suitable remediation packages was also challenging and was often difficult and very expensive. Indeed, it appeared that ignoring a problem until it became a crisis, sometimes seemed to be the easiest solution.

The Group developed a set of principles that should be followed when tackling poor performance:”

… continues

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Funding Alternatives for Specialist Physicians – Office of the Auditor General of Ontario – 5 December 2011

Posted on December 12, 2011. Filed under: Health Economics, Medicine |

Funding Alternatives for Specialist Physicians – Office of the Auditor General of Ontario – 5 December 2011

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Can changing clinician–patient interactions improve healthcare quality? – The Health Foundation – December 2011

Posted on December 9, 2011. Filed under: Medicine, Patient Participation | Tags: , |

Can changing clinician–patient interactions improve healthcare quality? – The Health Foundation – December 2011

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Medical revalidation: what employers need to know and do – NHS Employers – 15 November 2011

Posted on November 22, 2011. Filed under: Educ for Hlth Professions, Medicine, Workforce | Tags: |

Medical revalidation: what employers need to know and do  – NHS Employers – 15 November 2011

“Medical revalidation is the process by which all doctors with a licence to practise in the UK will need to satisfy the General Medical Council (GMC), at regular intervals that they are fit to practise and should retain that licence.

This Briefing ‘Medical revalidation: what employers need to know and do’provides a timeline of activity so far, a checklist of actions that organisations need to carry out if they are to be ready for the introduction of revalidation ready and a list of the key milestones ahead. It also provides an update on the following key areas:

the role and training of responsible officers
appraisal and appraiser capacity
portfolios of supporting information and information management
working across organisational boundaries
changes in NHS organisations and structure
handling and responding to concerns.”

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GMC consults on two future pillars of medical professionalism: CPD guidance and revalidation regulations – General Medical Council – 17 October 2011

Posted on October 26, 2011. Filed under: Educ for Hlth Professions, Health Professions, Medicine | Tags: , |

GMC consults on two future pillars of medical professionalism: continuing professional development guidance and revalidation regulations – General Medical Council – 17 October 2011

“Press Release”

The GMC has set out new proposals for how it will support doctors’ professional development, and what will be expected of doctors themselves, in two consultations launched today.

Doctors have a duty to keep their knowledge and skills up-to-date and, for most doctors, this is an integral part of their professionalism and desire to provide better care for patients. However, with the introduction of revalidation from late 2012, all doctors will for the first time have to show they are up-to-date with their practice on a regular basis.
 
The first consultation launched today asks for feedback on what doctors and employers should be doing on CPD and how the GMC can support doctors in keeping up-to-date, as CPD will play an important role in doctors’ revalidation.

The second consultation seeks views on the supporting regulations that will set out the legal powers, rights and responsibilities which underpin the revalidation process.”

… continues on the site

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Acute care toolkit 2: High quality acute care – Royal College of Physicians – 21 October 2011

Posted on October 24, 2011. Filed under: Acute Care, Health Mgmt Policy Planning, Health Systems Improvement, Medicine, Workforce | Tags: |

Acute care toolkit 2: High quality acute care – Royal College of Physicians – 21 October 2011

“Consultant physicians are at the forefront of delivering care to patients presenting to hospital with medical emergencies. Delivering this care depends on competent and expert clinical staff, organised with optimal working arrangements to match patient demand, supported by the right level of resources and facilities.

This toolkit, the second in a series on acute care, focuses on the delivery of high-quality acute care, looking at current problem areas and factors threatening care delivery, and suggesting a range of recommendations for improving quality.

The toolkit is accompanied by two appendices: the RCP position statement on out-of-hours care, and guidance notes on the provision of 12-hours-per-day, 7-days-per-week consultant care.”

Press release

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New medical professionalism. A scoping report for the Health Foundation – October 2011

Posted on October 18, 2011. Filed under: Health Professions, Medicine | Tags: |

New medical professionalism. A scoping report for the Health Foundation – October 2011

“This report reviews the ways in which doctors’ relationships with evidence, society, patients, teams, regulators and employers have changed, are changing or may need to change. It discusses the implications of these changing relationships for medical professionalism.

The role of doctors has always evolved in response to changes in society, demand, the structure of healthcare services and the changing state of medicine itself. This trend continues with various factors driving important changes in the roles played by doctors and others working in healthcare. The motivation exists among doctors and others to rise to both the challenges and opportunities these changes create.

Recent history has left many working in healthcare feeling battered, exhausted and cynical about further change. This situation creates significant risks for patients and public.

The Health Foundation wants to play an active and constructive role in addressing these risks. The first step is to conduct a genuine dialogue involving truly diverse participants. This report address these three questions:

•What questions are worth discussing?
•Who needs to be involved in the discussion?
•How can we make sure the discussion is constructive?

While the focus of the report is on medical professionalism, the question of whether ‘medical professionalism’ is even the right topic for dialogue is also discussed.”

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Review of integrated clinical governance in the context of medical revalidation – NHS Revalidation Support Team (RST) – 14 October 2011

Posted on October 18, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Health Professions, Medicine |

Review of integrated clinical governance in the context of medical revalidation – NHS Revalidation Support Team (RST) – 14 October 2011

“Professor Sir Bruce Keogh, NHS Medical Director is calling on the healthcare sector to get to grips with its obligations of quality and safety, in response to a review of clinical governance and appraisal in preparation for revalidation of doctors in England.

The NHS Revalidation Support Team (RST) has today published the ‘Review of integrated clinical governance in the context of medical revalidation’, which outlines a snapshot of the state of organisational readiness for medical revalidation in England at 31 March 2011. The report is based on responses from organisations that employ or contract with doctors (designated bodies) as defined in the Responsible Officers Regulations 2010. Designated bodies completed a self-assessment tool called ORSA (Organisational Readiness Self-Assessment), designed to help organisations to determine readiness for revalidation. Five hundred and seven designated bodies completed returns, providing a 90% response rate.”

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The eHealth readiness of Australia’s medical specialists and allied health sector – Dept of Health and Ageing – 30 May 2011

Posted on October 17, 2011. Filed under: Allied Health, Health Informatics, Health Professions, Medicine | Tags: |

The eHealth readiness of Australia’s medical specialists – Dept of Health and Ageing – 30 May 2011
ISBN: 978-1-74241-537-6   Online ISBN: 978-1-74241-538-3

The eHealth Readiness of Australia’s Allied Health Sector – Dept of Health and Ageing – 30 May 2011

ISBN: 978-1-74241-537-6   Online ISBN: 978-1-74241-538-3

These reports set out research on the use of and attitudes towards ‘eHealth’ (the combined use of electronic communication and technology in healthcare) among:

 the full range of licensed medical specialists in eight different segments–anaesthesia, diagnostics (radiology and pathology), internal medicine, emergency medicine, obstetrics and gynaecology (including neonatology), ophthalmology and dermatology, psychiatry and surgery

the 15 major sectors of allied health practitioners prioritised by the Department – Aboriginal and Torres Strait Islander health workers, audiologists, chiropractors, dental allied health professionals, dietitians, exercise physiologists, occupational therapists, optometrists, osteopaths,  physiotherapists, podiatrists, psychologists, radiographers and sonographers, social workers and speech pathologists

The research has been framed around three ’anchor’ questions:
1. Are Australian medical specialists and allied health professionals ready to adopt and use eHealth technologies and solutions, today and in a way consistent with policy direction in the future?
2. What are the barriers impacting eHealth readiness and adoption and how can we minimise them?
3. What are the eHealth enablers and how can we apply them to drive adoption and effective usage?

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Involving junior doctors in quality improvement (research scan) – Health Foundation [UK] September 2011

Posted on September 30, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Medicine | Tags: |

Involving junior doctors in quality improvement (research scan) – Health Foundation [UK] September 2011

“This research scan describes how junior doctors have been engaged in quality improvement and factors that help and hinder their involvement.

In the UK and the Republic of Ireland, the term ‘junior doctors’ refers to newly qualified doctors who have taken up posts after leaving medical school. These doctors provide care for patients in hospital or general practice under the broad supervision of more senior doctors. This role is somewhat equivalent to the first three years of a ‘resident’ post in North America. The years immediately after leaving medical school may be a prime time for supporting practitioners to develop an interest and expertise in improving the quality of healthcare.

This research scan summarises some published literature about the involvement of junior doctors in quality improvement in the UK and internationally. Ten databases were searched for material available as at July 2011 and 78 articles have been included.”

 

 

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Clinical informatics becomes a board-certified medical subspecialty. American Board of Medical Specialties (ABMS) – 23 September 2011

Posted on September 27, 2011. Filed under: Educ for Hlth Professions, Health Informatics, Medicine |

Clinical informatics becomes a board-certified medical subspecialty.  American Board of Medical Specialties (ABMS) – 23 September 2011

Diana Manos, Senior Editor – Information copied from Healthcare IT News.

“WASHINGTON – The American Board of Medical Specialties (ABMS) has now recognized clinical informatics as a subspecialty, according to the American Medical Informatics Association (AMIA).

AMIA officials announced the news Thursday following what they called “a multi-year initiative” to elevate clinical informatics to an ABMS subspecialty.

According to AMIA, the certification will be available to physicians who have primary specialty certification through ABMS.

Clinical informatics (CI) certification will be based on “a rigorous set of core competencies,” developed by AMIA and its members. AMIA said many of its members have pioneered the field and supported CI’s new status as an ABMS-recognized area of clinical expertise.

AMIA anticipates the first CI board exam to be available next fall, with the first certificates awarded early in 2013. To prepare physicians who wish to sit for this examination, AMIA is developing preparatory materials both as online and in-person courses starting in spring 2012.”

… continues on the site

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The state of medical education and practice 2011 – General Medical Council [UK] – 16 September 2011

Posted on September 21, 2011. Filed under: Educ for Hlth Professions, Medicine |

The state of medical education and practice 2011 – General Medical Council [UK] – 16 September 2011

“Doctors entering the UK health service for the first time need better support in order to practise safely, according to a new report published today.

Every year, around 12,000 doctors from the UK, Europe and countries around the world, start working in the UK for the first time (1). The recommendation for an induction programme for all doctors new to the UK health service comes from the first State of Medical Education and Practice report published by the General Medical Council (GMC).

The report uses GMC and other data to provide a picture of the medical profession in the UK and identifies some of the challenges that persist. It concludes more needs to be done to ensure consistency of induction for all doctors, and especially for those coming here to work from outside the UK. This would ensure that they get an early understanding of the ethical and professional standards they will be expected to meet, and become familiar with how medicine is practised across England, Wales, Scotland and Northern Ireland.”

…. continues

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Shape of the medical workforce: informing medical training numbers [UK] – Centre for Workforce Intelligence – August 2011

Posted on August 29, 2011. Filed under: Medicine, Workforce |

Shape of the medical workforce: informing medical training numbers [UK] – Centre for Workforce Intelligence – August 2011

“Abstract

The CfWI’s recommendations on training numbers for medical specialties Shape of the Medical Workforce: Informing Medical Training Numbers is available to download.

The report makes recommendations to inform the future recruitment to medical training over the medium term. The recommendations include a view on:

•the nature of any change needed
•the pace of this change
•geographical imbalances that need to be addressed
•a year for the next review.

The report is supported by medical specialty recommendations, presented as 57 combined fact and summary sheets containing more detailed analyses for each specialty. An explanation for all our recommendations can be found in each specialty summary sheet, which builds on the evidence presented in each fact sheet.”

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Medical labour force 2009 – AIHW – 19 August 2011

Posted on August 23, 2011. Filed under: Medicine, Workforce | Tags: |

Medical labour force 2009 – AIHW – 19 August 2011

“The supply of employed medical practitioners increased between 2005 and 2009, from 323 to 350 full-time equivalent practitioners per 100,000 population, based on a 40-hour week. The increase reflected a 20.7% rise in practitioner numbers. The gender balance continued to shift, with women making up 36% of practitioners in 2009 compared to 33% in 2005. The average hours worked by medical practitioners declined from 43.7 to 42.2 hours.”

ISSN 1446 9820; ISBN 978-1-74249-193-6; Cat. no. AUS 138; 7pp

 

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Acute care toolkit for handover – Royal College of Physicians

Posted on August 4, 2011. Filed under: Acute Care, Medicine | Tags: , |

Acute care toolkit for handover – Royal College of Physicians

“With the changing landscape of shorter working hours, the main pitfalls appear to be at the front line of acute medical services. There is increasing evidence of sub-standard care delivered to patients admitted to hospital in the evenings and at weekends. The RCP recognises the need to ensure consistent high-quality care, 24 hours a day, seven days a week, 365 days a year across the NHS, which is reflected in the recent RCP statement recommending consultant presence 12 hours a day, seven days a week in acute care settings.

A series of toolkits
Currently there are clear difficulties in providing high-quality service and training within the constraints of the shorter working hours. To tackle this issue, this year RCP will prepare a series of toolkits with the goal of ensuring that patients get access to the highest quality of acute medical care wherever and whenever it is needed. Each toolkit will include concise practical guidance to enhance patient safety, medical effectiveness and high quality service and training within current working patterns. The first toolkit in the series will address handover.”

Press release

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The Good Medical Practice Framework for appraisal and revalidation – [UK] General Medical Council – April 2011

Posted on April 19, 2011. Filed under: Health Professions, Medicine | Tags: , |

The Good Medical Practice Framework for appraisal and revalidation – [UK] General Medical Council – April 2011

Press release 7 April 2011

“The GMC has launched new appraisal guidance for revalidation that is designed to make the process simple and straightforward.

We hope that our guidance will introduce greater consistency and ensure that what we are asking doctors to do is realistic and straightforward. We want appraisals to be rewarding and useful, not time-consuming or difficult.

Niall Dickson, the Chief Executive of the GMC
It sets out how doctors can show that they are meeting the professional standards on which good practice is founded. It also outlines the core information that all doctors will need to bring to their annual appraisal, regardless of where they work in the UK or their area of practice.

The guidance is intended to help doctors and employers prepare for the launch of revalidation at the end of 2012.  Employers are being asked to make sure that every doctor can access the supporting information outlined in the guidance.”  … continues in the press release

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Role of the Doctor – 2011 – Australian Medical Association – April 2011

Posted on April 15, 2011. Filed under: Medicine, Workforce | Tags: |

Role of the Doctor – 2011 – Australian Medical Association – April 2011
 
“Within the health care team, each professional brings a particular combination of training and experience which defines their role and responsibilities. This AMA Position Statement outlines the core knowledge, skills and unique qualities of medical practice that make medical practitioners a pivotal part of Australia’s health system. In this position statement the term ‘doctor’, which is the term in common community use, refers to a medical practitioner and the terms are used interchangeably.”  … continues on the site

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Putting Away the Stethoscope for Good? Toward a New Perspective on Physician Retirement – Canadian Institute for Health Information (CIHI) – 7 April 2011

Posted on April 8, 2011. Filed under: Medicine, Workforce | Tags: , |

Putting Away the Stethoscope for Good? Toward a New Perspective on Physician Retirement – Canadian Institute for Health Information (CIHI) – 7 April 2011

“This study is an attempt to understand how aging affects physicians’ work, including staying in or leaving clinical practice. It also examines both retirement intentions and behaviours, without assuming that they are the same phenomenon.

Canadian physicians tend to quit work later than average workers. Instead of dropping out of the medical workforce abruptly and completely at age 65, many older physicians choose to remain in clinical practice, though they do not necessarily maintain the same activity level or do the same kind of work as when they were younger.

Depending on what “older physicians” refers to and where the full-time equivalent (FTE) threshold is set, different proportions of older physicians could be considered minimally active. For 2007, if the FTE threshold was set at 33% or less of previous workload, the proportion of physicians considered minimally active would range from 7.3% of physicians age 55 and older to 11.9% of physicians 65 and older. If the FTE threshold was set at 15% or less of previous workload, the range of those considered minimally active would be 3.3% to 4.9% for physicians age 55 and older and those age 65 and older, respectively.

The study includes”

…continues on the site

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Government [UK] Response to the House of Commons Health Select Committee: fourth report of session 2010-11: the revalidation of doctors – 29 March 2011

Posted on March 30, 2011. Filed under: Medicine, Workforce | Tags: |

Government [UK] Response to the House of Commons Health Select Committee: fourth report of session 2010-11: the revalidation of doctors –  29 March 2011

Product number: isbn: 9780101802826
Cm 8028

“We are today publishing the Government’s response to the House of Commons Select Committee’s report ‘Revalidation of doctors: fourth report of session 2010-11’. Patients and the public have the right to expect that the doctors who care for them are up to date and fit to practise and the Government welcomes the report of the Health Select Committee.

The Department will continue to support the work of the General Medical Council and other partners to design and properly test a proportionate and streamlined system for revalidation that is right for the professsion, the health sector, patients and the public.”

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Enhancing Engagement in Medical Leadership Project – NHS Institute for Innovation and Improvement – March 2011

Posted on March 24, 2011. Filed under: Health Mgmt Policy Planning, Medicine | Tags: , |

Enhancing Engagement in Medical Leadership Project – NHS Institute for Innovation and Improvement – March 2011

Other info:

Enhancing Engagement in Medical Leadership

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Doctors who become chief executives in the NHS: from keen amateurs to skilled professionals – Journal of the Royal Society of Medicine 2011

Posted on March 24, 2011. Filed under: Health Mgmt Policy Planning, Medicine | Tags: |

Doctors who become chief executives in the NHS: from keen amateurs to skilled professionals – Journal of the Royal Society of Medicine 2011

A paper by John Clark, Director of Leadership at the NHS Institute for Innovation and Improvement, Chris Ham, Peter Spurgeon, Helen Dickinson and Kirsten Armit*, has been published in the Journal of the Royal Society of Medicine.

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Australia’s public sector medical indemnity claims 2007-08 – AIHW – 11 March 2011

Posted on March 24, 2011. Filed under: Health Mgmt Policy Planning, Medicine | Tags: |

Australia’s public sector medical indemnity claims 2007-08 – AIHW – 11 March 2011

Australian Institute of Health and Welfare

“Australia’s public sector medical indemnity claims 2007-08 reports data on the number, nature, incidence and costs of medical indemnity claims in the public sector during the financial year from 1 July 2007 to 30 June 2008. Data are also presented on claims closed during the five year period between 2003-04 and 2007-08, and on new claims with a reserve set against them in each of these years. This report describes the allegations of harm that gave rise to claims, the alleged physical and mental effects on claim subjects, the specialties of clinicians involved, and the size, duration and outcomes of the medical indemnity claims.”

ISSN 1833-7422; ISBN 978-1-74249-128-8

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Public and private sector medical indemnity claims in Australia 2007-08 – AIHW – 11 March 2011

Posted on March 24, 2011. Filed under: Medicine | Tags: |

Public and private sector medical indemnity claims in Australia 2007-08 – AIHW – 11 March 2011

Australian Institute of Health and Welfare

“This report presents data for public and private sector medical indemnity claims, collected through the Medical Indemnity National Collection (MINC), for the period from 1 July 2007 to 30 June 2008 and is the first report in its series to publish claim numbers. The information presented includes the circumstances giving rise to claims, the age and sex of the subjects of the claims, the alleged physical and mental effects on claim subjects, the specialties of clinicians involved, the size and finalisation mode of claims and the length of time that claims were open.”

ISSN 1833-7422; ISBN 978-1-74249-064-9

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New guidance will help doctors make difficult judgments in the workplace – General Medical Council [UK] – 4 March 2011

Posted on March 18, 2011. Filed under: Medicine | Tags: |

New guidance will help doctors make difficult judgments in the workplace – General Medical Council [UK] – 4 March 2011

Press Release

“Doctors and patients are being asked what steps doctors should take when faced with a conflict between their management responsibilities and their duty to ensure patients receive good, safe care.

We want to hear as many views as possible about the factors doctors should consider when making difficult choices.

Niall Dickson, Chief Executive of the GMC
This is one of the questions asked in a consultation on the revised draft of the GMC’s guidance on workplace issues faced by doctors.

The GMC has suggested a number of updates to its guidance, including a duty for doctors to be open and honest with patients about how decisions are made about when resources are limited.

The consultation asks for views on a variety of issues including commissioning services, dealing with conflicts of interest, team-working and performance management. Another question asked is whether the proposed guidance sets out all of the factors that should be taken into account when decisions have to be made about competing demands for resources

Guidance on raising and acting on concerns about patient safety has also been brought together for the first time in this new draft. The consultation asks what more the GMC can do to encourage doctors to speak up about anything that compromises the safety of patients.”

…continues on the site

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Guidelines for Patient-Centered Medical Home (PCMH) Recognition and Accreditation Programs – February 2011

Posted on March 15, 2011. Filed under: Community Services, Medicine |

Guidelines for Patient-Centered Medical Home (PCMH) Recognition and Accreditation Programs – February 2011

American Academy of Family Physicians (AAFP)
American Academy of Pediatrics (AAP)
American College of Physicians (ACP)
American Osteopathic Association (AOA)

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The Patient Voice in Revalidation: a discourse analysis – Picker Institute Europe – February 2011

Posted on February 21, 2011. Filed under: Health Professions, Medicine, Patient Participation | Tags: , |

The Patient Voice in Revalidation: a discourse analysis – Picker Institute Europe – February 2011
ISBN 1 905945 -24-8 and 978-1-905945-24-5

“This report presents the findings of a discourse analysis of the patient voice in published documents on medical revalidation. It has been prepared in collaboration with Marion Lynch to inform the work of the South Central Strategic Health Authority Revalidation Board.

The aim of the study was to analyse documents in the public domain to determine where and how the patient is located within discourses about medical revalidation.”

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Medical labour force 2008 – AIHW – published 13 October 2010

Posted on October 15, 2010. Filed under: Medicine, Workforce | Tags: , |

Medical labour force 2008 – AIHW – published 13 October 2010

AIHW bulletin no. 82

“The supply of employed medical practitioners increased between 2004 and 2008, from 283 to 304 full-time equivalent practitioners per 100,000 population. The increase reflected a 20.5% rise in practitioner numbers. The gender balance continued to shift, with women making up 35% of practitioners in 2008 compared to 33% in 2004. The average hours worked by male practitioners declined from 47.1 to 45.4 hours, while hours worked by female practitioners changed marginally from 37.6 to 37.7 hours.”

Authored by AIHW.

Published 13 October 2010; ISSN 1446-9820; ISBN-13 978-1-74249-065-6; AIHW cat. no. AUS 131; 8pp.

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Leadership needs of medical directors and clinical directors – King’s fund – 19 August 2010

Posted on September 7, 2010. Filed under: Health Mgmt Policy Planning, Medicine, Workforce | Tags: , |

Leadership needs of medical directors and clinical directors – King’s fund – 19 August 2010

Download publication (pdf 184kb)
12 pages ISBN: 978 1 85717 599 8

“Summary

The National Health Service (NHS) is facing one of the toughest financial periods of its history during which it will need to maintain the quality of care. Clinical leadership will be critical as the service faces this challenge. The King’s Fund has a wealth of experience in developing the skills of leaders in the NHS, and is constantly adjusting its approach to meet the needs of those leaders. With this in mind, we conducted a survey of clinical and medical directors to find out what skills they believed they need to face these challenging times.

Leadership needs of medical directors and clinical directors includes the following findings.

Both medical and clinical directors embrace the quality agenda articulated by Lord Darzi in High Quality Care for All (Darzi 2008), and are committed to preserving it.
Both medical and clinical directors are eager to work with their managerial colleagues as equal partners to maintain clinical quality, ensure patient safety and improve patients’ experience in the face of reduced resources. They see an urgent need for clinicians and managers to share a single mindset on maintaining quality efficiently.
Clinical directors believe that they are largely cut off from the decision-making and planning processes, and view this as a critical challenge that must be overcome.
Clinical directors and medical directors have high levels of confidence in their influencing, negotiation and communication leadership skills, and in their ability to use resources to maintain the quality of care.”

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Developing specialties in medicine: protocol for handling applications for new CCT specialties, new sub-specialties and for decommissioning specialties which are no longer needed – UK – August 2010

Posted on August 28, 2010. Filed under: Medicine, Workforce |

Developing specialties in medicine: protocol for handling applications for new CCT specialties, new sub-specialties and for decommissioning specialties which are no longer needed – UK – August 2010

This document lists the protocol for handling applications for new CCT specialties, and for decommissioning specialties which are no longer needed.

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Health Workforce Modelling, Northern Territory, Technical Report for the Medical Workforce Model – Department of Health and Families – 2010

Posted on August 24, 2010. Filed under: Medicine, Workforce |

Health Workforce Modelling, Northern Territory, Technical Report for the Medical Workforce Model – Department of Health and Families – 2010

Malyon R, Zhao Y, Guthridge S. Health workforce modelling, Northern Territory, technical report for the
medical workforce model. Department of Health and Families, Darwin, 2010
ISBN 978 0 9805326 5 4

“Summary
The Northern Territory Medical Workforce Model (the medical model) projects the requirement for, and supply of, medical practitioners from 2006 to 2022. The medical model was produced as part of the Health Workforce Modelling Project established by the Strategic Workforce Committee of the Department of Health and Families (DHF) to inform workforce planning by projecting future numbers of health professionals in the Northern Territory (NT).”

…continues

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Medical Leadership Competency Framework – UK – 19 August 2010

Posted on August 20, 2010. Filed under: Educ for Hlth Professions, Medicine | Tags: , |

Medical Leadership Competency Framework – Third edition published.

The Medical Leadership Competency Framework: Self assessment tool – 2012

The third edition of the Medical Leadership Competency Framework (MLCF), which describes the leadership competences doctors need to support the transformation of health services, is now available.

First published by the NHS Institute for Innovation and Improvement in May 2008, as part of the joint Enhancing Engagement in Medical Leadership (EEML) project with the Academy of Medical Royal Colleges, the EEML project team has worked with regulatory bodies and medical education organisations throughout the UK to integrate leadership skills into each stage of a doctor’s training and career. The third edition incorporates feedback received from users.

John Clark, Director of Medical Leadership at the NHS Institute, explains that: “Doctors need particular leadership skills to enable them to become more actively involved in the planning, delivery and transformation of health services. The MLCF applies to all medical students and doctors throughout their training and career, and helps NHS organisations design effective leadership development programmes, appraisals and recruitment processes. It can also support doctors with personal development planning and career progression.”

The MLCF can be downloaded from the project documents part of the website.

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What Factors Influence the Earnings of GPs and Medical Specialists in Australia? Evidence from the MABEL Survey – July 2010

Posted on August 18, 2010. Filed under: Medicine, Workforce |

What Factors Influence the Earnings of GPs and Medical Specialists in Australia? Evidence from the MABEL Survey – July 2010

Melbourne Institute Working Paper Series Working Paper No.12/10
Terence Chai Cheng, Anthony Scott, Sung-Hee Jeon, Guyonne Kalb, John Humphreys and Catherine Joyce

ISSN 1328-4991 (Print)
ISSN 1447-5863 (Online)
ISBN 978-0-7340-4223-1

Abstract
To date, there has been little data or empirical research on the determinants of doctors’ earnings despite earnings having an important role in influencing the cost of health care, decisions on workforce participation and labour supply. This paper examines the determinants of annual earnings of general practitioners and specialists using the first wave of the Medicine in Australia: Balancing Employment and Life (MABEL), a new longitudinal survey of doctors in Australia. For both GPs and specialists, earnings are higher for men, for those who are self-employed, who do after hours or on-call work, and who work in areas with a high cost of living. GPs have higher earnings if they work in larger practices, in outer regional or rural areas, and in areas with lower GP density, whilst specialists earn more if they are a fellow of their college, have more working experience, spend more time in clinical work, have less complex patients, or work in inner regional areas. Overall, GPs earn about 32% less than specialists. The returns from on-call work, experience, and self-employment are higher for specialists compared to GPs.

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What Factors Influence the Earnings of GPs and Medical Specialists in Australia? Evidence from the MABEL Survey – July 2010

Posted on July 21, 2010. Filed under: General Practice, Medicine, Workforce |

What Factors Influence the Earnings of GPs and Medical Specialists in Australia? Evidence from the MABEL Survey – July 2010
Terence Chai Cheng et al 
Melbourne Institute Working Paper No. 12/10
ISSN 1328-4991 (Print)
ISSN 1447-5863 (Online)
ISBN 978-0-7340-4223-1

“Abstract
To date, there has been little data or empirical research on the determinants of doctors’ earnings despite earnings having an important role in influencing the cost of health care, decisions on workforce participation and labour supply. This paper examines the determinants of annual earnings of general practitioners and specialists using the first wave of the Medicine in Australia: Balancing Employment and Life (MABEL), a new longitudinal survey of doctors in Australia. For both GPs and specialists, earnings are higher for men, for those who are self-employed, who do after hours or on-call work, and who work in areas with a high cost of living. GPs have higher earnings if they work in larger practices, in outer regional or rural areas, and in areas with lower GP density, whilst specialists earn more if they are a fellow of their college, have more working experience, spend more time in clinical work, have less complex patients, or work in inner regional areas. Overall, GPs earn about 32% less than specialists. The returns from on-call work, experience, and self-employment are higher for specialists compared to GPs.”

Media release
Female GPs Earn 25% Less Than Male Counterparts – 21 July 2010

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