The British journal of general practice : the journal of the Royal College of General Practitioners
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Multicenter Study
Developing a curriculum statement based on clinical practice: genetics in primary care.
Advances in medical genetics are increasingly being incorporated into clinical management outside specialist genetic services. This study was therefore undertaken to develop learning outcomes in genetics for general practice specialty training, using methods to ensure the knowledge, skills, and attitudes relevant to genetics in primary care were identified. ⋯ The development of the GP curriculum statement Genetics in Primary Care was based on a study of educational needs, incorporating the views of practitioners (GP trainers, programme directors, and registrars) and specialists (clinical geneticists). This inclusive approach has enabled the identification of learning outcomes which directly reflect clinical practice.
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Published clinical guidelines need to be combined with effective educational interventions to produce change in practice. Problem-based learning (PBL) groups are effective; however, research studies have not looked at change in practice following PBL that is independent of group interaction. ⋯ Online PBL modules could complement other arms of guideline-implementation strategies. More work is needed to determine which groups would benefit most.
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The question whether patients actually start drug taking after having received a first antidepressant prescription is often overlooked. ⋯ Over one in four patients who receive a first-time antidepressant prescription decline treatment; they either do not initiate drug taking or do not persist with antidepressant use for longer than 2 weeks.
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Patients' advice-giving behaviour could be a useful preventive strategy for type 2 diabetes. ⋯ Patients with type 2 diabetes recognised the need to give advice about preventive behaviour to their offspring but were not necessarily engaging in advice-giving behaviour. Advice-giving behaviour was affected by the parents' own disease status, their perception of their offspring's risk of developing diabetes, and the relationship between the patients and their offspring.