Biomedical subjects
Publications and source records attributed to P Freeling.
The ways in which ;medical audit' can be used in the continuing education of general practitioners are examined, and certain rules for the conduct of such education in small groups of peers are put forward. However, it proved impossible to evaluate the outcome of the educational exercise because those taking part refused to audit twice any single aspect of their daily work.
The results are reported of a preliminary study to a controlled trial evaluating health education in asthma. A questionnaire designed to assess asthma morbidity in the previous twelve months and knowledge of the condition was administered to 50 asthma patients. An independent assessment of morbidity was made by the patient's general practitioners, utilizing case notes and their knowledge of the patients. For each aspect of morbidity, `severe' asthma as assessed by doctors tended to be associated with increasing disability on questionnaire assessment. Overall, questionnaire `morbidity scores' were significantly higher in the doctors' `severe' group. Patients' level of knowledge was low, but no significant correlation was found between patients' level of knowledge and level of morbidity.The findings suggest that there is a need for health education in asthma, and that the questionnaire used is a valid tool for measuring the impact of such education on patients' morbidity. An outline of the controlled trial for evaluation of health education is given.
A model of process is necessary if it is to be audited. A model derived by a group of general practitioners for an audit of their management of depressive illness is described, together with the recording form used and the results of the audit. It is suggested that other general practitioners could test the validity of the model by using the recording form to audit their own management of depressive illness.
The objectives for undergraduate experience in general practice vary little from school to school although the timing and duration of attachment does. Students' views of the relevance and achievement of these objectives to a two-week attachment in the final year of St. George's Hospital Medical Schools' old curriculum are shown to differ from those of their GPs. The implications of these differences for planning undergraduate learning in general practice are discussed.
Training for district nursing is being reviewed. By 1981 district nurses will have a new administrative structure, a new curriculum, and a new examination. Training for nursing, like that for general practice, is to become mandatory. The history of the development of district nurse training is briefly described.
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