Articles: professional-practice.
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The efficacy of the laryngeal mask is widely accepted, but there is a lack of consensus on the best insertion method and on the use of the mask for certain surgical procedures. We sent a questionnaire to all anaesthetists in Wales to discover the frequency of use of the laryngeal mask and the preferred insertion method. The questionnaire also enquired about the use of the laryngeal mask during anaesthesia for laparoscopic clip sterilisation. ⋯ The next most popular option was insertion of the mask with the cuff partially inflated. Twenty-three per cent of consultants and 34% of non-consultants were prepared to use the laryngeal mask during anaesthesia for laparoscopic clip sterilisation. Although the insertion technique described in the instruction manual is the most widely employed, a large number of alternative methods are frequently used.
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Surg. Clin. North Am. · Feb 1996
ReviewThe influence of surgical training on the practice of surgery. Are changes necessary?
Changes in health care financing are having a significant effect on surgical practice. These changes require adjustments in what surgical trainees must learn as well as where and how they must learn. To ensure educational quality, surgical educators must have a clear definition of their educational mission.
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Historical Article
For "the honor and dignity of the profession": organized medicine in colonial New Brunswick, 1793-1860.
This article discusses the several attempts to organize and regulate the medical profession in New Brunswick, Canada, between 1793 and 1860. It examines medical legislation during the colonial era, culminating in the creation of the Medical Faculty of New Brunswick in 1859. Also, it explores the desire within the profession itself for increased protection and recognition. ⋯ The article concludes that the medical profession acquired a significant degree of authority in New Brunswick only following the enlistment of legislative support. The search for greater authority stemmed from the advent of sectarian doctors in the province. Although sectarian practitioners never flourished in New Brunswick, the law of 1859 gave the province's regular doctors a sense of identitiy that facilitated the establishment of medical societies and the province's first general public hospital, in Saint John.
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Comparative Study
No magic bullets: a systematic review of 102 trials of interventions to improve professional practice.
To determine the effectiveness of different types of interventions in improving health professional performance and health outcomes. ⋯ There are no "magic bullets" for improving the quality of health care, but there are a wide range of interventions available that, if used appropriately, could lead to important improvements in professional practice and patient outcomes.