Aust Fam Physician
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This study evaluated a clinical audit and evidence based practice guide designed to improve general practitioners' assessment and management of erectile dysfunction. ⋯ This clinical audit and practice guide was developed specifically and uniquely for GPs in Australia. Findings provide some support for the combined use of the clinical audit and practice guide to elicit positive changes in erectile dysfunction assessment and management.
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A vegetarian is a person who consumes a diet consisting mostly of plant based foods including fruit, vegetables, legumes, nuts, seeds and grains. Some vegetarians also consume eggs and dairy foods. Individuals choose to follow a vegetarian diet for a range of reasons, including animal rights and religion, but two common reasons are the health and environmental benefits of plant based eating.
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The incidence of melanoma continues to rise in Australia. General practitioners treat the majority of skin cancers affecting Australians. In the past decade, there has been improved uptake of dermoscopy by GPs who realise its value in the assessment of pigmented and nonpigmented lesions. ⋯ A clinical overview of lentigo maligna, acral lentiginous and subungual melanoma, nodular melanoma, desmoplastic melanoma, verrucous melanoma and hypomelanotic melanoma is presented. Dermoscopy has become a vital diagnostic aid in the assessment of all skin lesions. Its value in the diagnosis of melanoma is highlighted where relevant. Expert dermatopathology assessment is equally as crucial in reaching a correct diagnosis, especially for some of these atypical variants.
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An invitation to discuss the role of the doctor begs the question, 'What is wrong with the status quo?' Given the guild nature of the medical profession, any reform will need to be well substantiated.
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In Australia, most medical students graduate without a firm career choice, with this decision being made during their early postgraduate years. Strategies addressing the current lack of meaningful exposure to general practice during these formative prevocational years are likely to be the most effective in increasing the proportion and number of entrants to general practice. ⋯ These are important influences on the complex process of career choice. Much research has focused on isolated interventions at one point along the pipeline. Varied and conflicting conclusions emerge from individual studies. In complex systems it is hard to understand the influence of an isolated intervention without looking at the system as a whole.