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PubMed · 321506

Computer-simulated clinical encounter. II. Case flow and program content.

Abstract

The completed computer-simulated case study provides the student with a written model of all components and steps involved in providing nutritional care to a patient. The completed study provides the instructor with a written record of the student's knowledge, her/his response to the patient's inquiries, and her/his organization of the clinical encounter and patient counseling. It is through this written record that student and instructor can analyze and strengthen the student's clinical skills.

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A C Welch, M S Breese. 1977. Computer-simulated clinical encounter. II. Case flow and program content.. https://pubmed.ncbi.nlm.nih.gov/321506/

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The role of primary healthcare professionals in oral cancer prevention and detection.

AIM: To investigate current knowledge, examination habits and preventive practices of primary healthcare professionals in Scotland, with respect to oral cancer, and to determine any relevant training needs. SETTING: Primary care. METHOD: Questionnaires were sent to a random sample of 357 general medical practitioners (GMPs) and 331 dental practitioners throughout Scotland. Additionally, focus group research and interviews were conducted amongst primary healthcare team members. RESULTS: Whilst 58% of dental respondents reported examining regularly for signs of oral cancer, GMPs examined patients' mouths usually in response to a complaint of soreness. The majority of GMPs (85%) and dentists (63%) indicated that they felt less than confident in detecting oral cancer, with over 70% of GMPs identifying lack of training as an important barrier. Many practitioners were unclear concerning the relative importance of the presence of potentially malignant lesions in the oral cavity. A high proportion of the GMPs indicated that they should have a major role to play in oral cancer detection (66%) but many felt strongly that this should be primarily the remit of the dental team. CONCLUSION: The study revealed a need for continuing education programmes for primary care practitioners in oral cancer-related activities. This should aim to improve diagnostic skills and seek to increase practitioners' participation in preventive activities.

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