Aust Fam Physician
-
In preparation for investigating burnout among general practitioners internationally, we examined the validity and reliability of an instrument called the Maslach Burnout Inventory (MBI). ⋯ This pilot study suggests the MBI scale is reliable and valid. We believe it of use in identifying GPs at risk of, or already experiencing, burnout.
-
The role of divisions of general practice has changed significantly since its inception. Divisions have evolved from simply assisting general practitioners in their practices and providing complementary support to existing health services through project work, to becoming major instruments of organisational change. ⋯ In the process of the change in the role of divisions we have experienced a paradigm clash between the essential work of GPs as effective medical practitioners, and their role in divisions as managers and leaders of the wider health care system change.
-
Out of hospital cardiac arrest victims contribute significantly to adult mortality figures but are encountered infrequently by most general practitioners and their staff. A number of scientific organisations produce guidelines for the basic and advanced management of cardiac arrest. ⋯ General practitioners are required to manage cardiac arrest victims infrequently. The initiation of bystander cardiopulmonary resuscitation and the rapid defibrillation of suitable cardiac rhythms determine a favourable outcome. All staff working at a surgery must be skilled in basic life support. The GP needs an understanding of advanced life support principles.
-
Anaphylaxis is not uncommon in Australia, representing the most severe form of allergy. It is most likely to be triggered by food with the most common allergen being peanuts. It constitutes a medical emergency that requires a rapid medical response. ⋯ With the increased prevalence of allergy in the community, it is likely that at some stage most general practitioners will have to treat a case of acute anaphylaxis. It is imperative that GPs are prepared for such an event as failure to recognise the condition or to follow a validated protocol can have fatal consequences.