Internal medicine journal
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Drug allergy is commonly reported in patient notes and electronic health records. The prevalence of self-reported drug allergy in the general Australian population has not previously been studied. ⋯ Self-reported drug allergy is common in the general population, as it is in medical clinic and hospital populations. The majority of those reporting penicillin allergy would be considered low-risk and suitable for de-labelling procedures.
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The COVID-19 pandemic has exposed the deficiencies of the current healthcare system in terms of a disconnect between primary and tertiary care and increasing subspecialisation, the focus on acute episodic care rather than on prevention in a time where chronic disease prevails and an inefficient use of healthcare resources. Herein, we present the case for an alternative model of healthcare delivery - shared medical appointments - which are efficient, effective and empowering and can be transitioned to the virtual environment successfully. We highlight the barriers to implementation and how these can be overcome.
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Internal medicine journal · Nov 2022
Research trends in Australia and New Zealand Nephrology: basic science and gender equity in peril.
Basic science research remains fundamental to progress in clinical care, understanding of disease pathophysiology and underpinning the evolution of personalised medicine. Exposure to research is pivotal to educating students, but a declining profile of basic science research has the potential to erode research capacity further. ⋯ The authors explored themes and authorship of abstracts presented at Australia and New Zealand--based nephrology conferences, as a surrogate marker of trends in research activity and gender engagement. Basic science research and female senior authorship declined during the study period, which has serious implications for the future of nephrology.
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Internal medicine journal · Nov 2022
The landscape of research during post-graduate medical training in New Zealand.
Formalised research opportunities offered to junior doctors in Australasia, and specifically New Zealand, are few and far in between. This is especially evident for interns in the first 2 years after graduation. Academic internships are positioned not only to fill this gap but also provide interns with long-lasting skills beyond the confines of academia.