Aust Fam Physician
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Vitamin D is essential for the normal functioning of a diverse range of metabolic processes, especially bone health. It is widely appreciated that the elderly are at increased risk of vitamin D insufficiency, but it is less well known that people with intellectual disability are also at increased risk. ⋯ The prevalence of intellectual disability in the Australian population has been estimated at just over 1%, implying that most general practitioners will care for several people with intellectual disability. Relatively simple steps are likely to have a significant impact on the health of this vulnerable group of people.
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Medical student numbers in Australia have increased significantly in recent years. A resulting increase in medical graduates is inevitable and desirable. ⋯ This article reviews innovative general practice training schemes for new medical graduates in Australia and overseas. It examines whether Australian general practice can play a role in training the rising numbers of new doctors.
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Medical student teaching in the community has been shown to produce equivalent or improved learning outcomes compared to teaching based in the hospital setting. It is well recognised by Australian universities that there is a current shortage of clinical teachers, that these teachers are both under-resourced and underfunded and that the majority of clinical teachers have no formal training in medical education. ⋯ Need for improved support was identified in all Australian articles that assessed GP support requirements. There is sufficient evidence to guide improved support for GP clinical teachers. However, funding for more support programs is needed, as is further research into the area.
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There is a marked increase in the prevalence of food allergies. Food allergy can cause fatal anaphylaxis and the victims are most often adolescents and young adults. ⋯ The key management of food allergy is allergen avoidance informed by accurate allergy diagnosis. Inadvertent exposure to food triggers unfortunately does occur and patients need to be confident in prompt self management. Adrenaline must be given for all potentially life threatening food allergy reactions. Anaphylaxis action plans and optimal asthma control are also critical management objectives.
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In 2004-2005, 15% of Australians reported having arthritis.1 Osteoarthritis (OA) is by far the most common form, and is a leading cause of pain and disability among people over 65 years of age.