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Extramural fellowship program--the Oregon model.

Surveys of recent dental graduates indicated they were not ready for solo private practice immediately after completing their formal dental education. After assessment of the regional external and internal environment, the School of Dentistry, Oregon Health Sciences University established a voluntary one-year extramural fellowship program in a non-traditional setting. The program requires the fellow to spend 80% of his or her time in a general dentistry office and 20% in a public service setting. The preceptor dentists pay a stipend competitive with other residency programs. The advantages of this transition year are: 1) the fellow further develops technical and diagnostic skills and confidence in a general dentistry setting; 2) the fellow receives first-hand experience about the many business decisions made when running a successful dental office; and 3) the preceptor dentist has the opportunity to teach a fellow eager to learn, who could become an associate in the practice after completion of the program.

Clinical Competence↗

Family practice.

Explore the source record for details and available documents.

Adult↗

Patients' experiences of receiving telephone advice from a GP co-operative.

BACKGROUND: The use of the telephone to deliver health care advice has increased considerably in recent years. Little research has been carried out to explore the experience of patients who receive such advice and its acceptability. OBJECTIVES: The aim of this study is to describe the expectations of patients, or third party callers, who had contacted a GP out-of-hours co-operative and their satisfaction with telephone advice received. METHODS: Semi-structured interviews were conducted by telephone 7-10 days after contact with one inner city GP co-operative. RESULTS: A total of 47 telephone consultations were followed up with an interview. Of these, 23 (48.9%) callers had expected to be offered a home visit when they called. Reasons for wanting a home visit were either to do with the nature of the condition and its perceived severity, problems in being able to attend the primary care centre and the risks of travel, or because of problems in communicating over the telephone. Satisfaction with telephone consultations centred mostly on the doctor being able to provide reassurance and give adequate time to allay concerns. The most common reasons given for dissatisfaction were the caller feeling that the doctor could not make a correct diagnosis without having seen the patient, or the caller being made to feel that they were wasting the doctor's time. Many patients were anxious about their ability to describe symptoms over the telephone, or understand and follow the advice that they received. CONCLUSIONS: There appears to be a need for patients to be better informed about the service they can expect to receive from GP co-operatives. Recent developments such as NHS Direct may have an influence on the telephone consultation rate to GP co-operatives.

Adolescent↗

Rural practice modes.

Solo practice is the dominant mode of rural medical care delivery. At the same time, it is the most likely not to succeed, because the solo physician is choosing to leave the rural community. Group family practice is the most stable form of rural practice, is acceptable, and is sought by the majority of family practice residents seeking to establish new practices. Characteristics of successful rural practices include group practice, retention of the same health care providers for more than three years, a community-oriented focus, integration of non-M.D. health care providers, and a commitment to education within the practice. Academic medical centers with area health education centers (AHECs) should consider developing expanded AHECs to provide the education, planning, consultation, and expertise now needed by rural communities. Academic medical centers without AHECs should consider creating offices of rural health to provide the education, planning, consultation, and expertise needed in rural communities.

Community Health Centers↗

Differences in net incomes of male and female owner general practitioners.

The authors analyzed the mean net income of a cohort of male and female dentists with similar demographics and practice characteristics. The authors found that the average net income of these male dentists is higher than it is for their female counterparts. This difference is statistically significant and monetarily tangible, amounting to an annual net income balance of about $26,000 (22 percent) in favor of male dentists. If such a difference in net income persists, it could affect the profession as well as the distribution of dental school enrollments.

Adult↗

Retirement from orthodontic practice.

Retirement from orthodontic practice is discussed from the financial, practice, home, and personal aspects. The paper is a guide to planning for retirement and includes a list of the various agencies that should be contacted at the appropriate time. The recent changes made to the National Health Service Pension Scheme are outlined together with the various methods for disposal of the practice.

Attitude of Health Personnel↗

Nurse practitioner private practice: three legal pitfalls to avoid.

Private practice is now a viable option for nurse practitioners. NPs who open their own practice will be wise if they anticipate, consider, and act to prevent certain potential legal problems. Awareness and avoidance of these problems--risk avoidance--is the legal equivalent of preventive medicine. This article gives NPs an attorney's perspective on setting up a practice and some of the legal pitfalls to avoid.

Humans↗