Abstract
General practitioners (GPs) working in a busy primary care setting attached to a teaching hospital were exposed to patient-centred feedback teaching in which symptoms elicited by the general practitioner (GP) and an interview schedule in the index patient were used as a focus for instruction. Each of the seven GPs who completed the study had an average of 52 validated exposures spread over 3 months. Three of them became much better at detecting psychiatric disorders, two showed no noticeable improvement and two showed some deterioration. The personality and disposition of the GPs, rather than their years of experience, determined their response to the training programme. The implications of the findings is highlighted.
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References
Betram DA, Brooks-Bertram PA (1977) The evaluation of continuing medical education: a literature review. Health Educ Monogr 5:330–62
Clare A, Williams P (1979) Psychological disorders in general practice: a personal view. Academic Press, New York London
Creed F (1987) Course in psychiatry for family doctors. Bull R Coll Psychiatry 11:193–194
Eysenck HJ, Eysenck SBG (1975) Manual of the Eysenck Personality Questionnaire. Hodder and Stoughton, London
Gask L, Goldberg D, Porter R, Creed F (1989) The treatment of somatization: evaluation of a teaching package with general practice trainees. J Psychosom Res 33:697–703
Goldberg D (1981) The recognition of psychological illness by general practitioners. In: Guy E (ed) Proceedings of a symposium held at the South Academic Block, Southampton General Hospital, pp 12–20
Goldberg DP, Gask L, O'Dowd T (1989) The treatment of somatization: teaching techniques of reattribution. J Psychosom Res 33: 689–695
Goldberg D, Huxley P (1980) Mental illness in the community. The pathway to care. Tavistock Publications, London
Goldfinder SE (1982) Continuing medical education: the case contaminants. N Engl J Med 306:504–541
Hardings T, De Arango MV, Baltazar J, Climent CE, Ibrahim HHA, Ladrigo-Ignacio L, Murthy RS, Wig NN (1980) Mental disorders in primary health care: A study of frequency and diagnosis in four developing countries. Psychol Med 10:231–241
Helfer RF (1970) An objective comparison of the paediatric interviewing skill of freshmen and senior medical students. Paediatrics 45:623–627
Jegede RO (1977) Is psychiatry relevant to clinical practice of physicians in Nigeria? Nigerian Med J 7:201–204
Johnstone A, Goldberg D (1976) Psychiatric screening in general practice. Lancet 1:605–608
Maguire P, Roe P, Goldberg D, Jones S, Hyde C, O'Dowd T (1978) The value of feed-back in teaching interviewing skills to medical students. Psychol Med 8:695–704
Marks JN, Goldberg DP, Hillier VF (1979) Determinants of the ability of general practitioners to detect psychiatric illness. Psychol Med 9:337–352
Morley DC, Lunnon RJ (1973) Teaching guide at low cost: an organisation for the production and distribution of audio-visual aids overseas. Med Biol Illustration 23:116–8
Robins L et al (1989) The Composite International Diagnostic Interview. Arch Gen Psychiatry 45:589–593
Odejide AO, Akindele MO, Ohaeri JU (1986) Integration of mental health care services into the primary health care system in Nigeria. Paper presented at the scientific meeting of the Nigerian Psychiatric Association at Aro Abeokuta, Nigeria. 4–6 June 1986
Rand E, Badger L, Loggings D (1988) Towards a resolution of contradictions—utility of feedback from the GHQ. Gen Hosp Psychiatry 10:189–196
Rucker L, Frye EM, Cygan R (1986) Feasibility and usefulness of depression screening in medical outpatients. Arch Intern Med 146:729–731
Shapiro S, Skinner E, German P, Kramer M, Steinwach D, Regier D (1985) Measuring ward for mental health services in a general population. Med Care 23:1033–1043
Stanley I, Al-Shehri A, Thomas P (1993) Continuing education for general practice. 1. experience, competence and the media of self-directed learning for established general practitioners. Br J Gen Pract 43:210–214
Wing JK, Cooper JE, Sartorious N (1974) The measurement and classification of psychiatric symptoms. University Press, Cambridge
Wing JK, Nixon JM, Mann SA, Leff JP (1977) Reliability of the P.S.E. (ninth edition) used in a population study. Psychol Med 7: 505–506
World Health Organisation (1978) Mental disorders: glossary and guide to their classification in accordance with the ninth revision of the International Classification of Diseases. WHO, Geneva
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Adeyemi, J.D., Jegede, R.O. Integrating psychiatry into primary care: an experimental model. Soc Psychiatry Psychiatr Epidemiol 29, 277–281 (1994). https://doi.org/10.1007/BF00802050
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DOI: https://doi.org/10.1007/BF00802050