Abstract Background Complementary and Alternative Medicine (CAM) is increasingly popular with cancer patients yet information provision or discussion about CAM by health professionals remains low. Previous research suggests that may fear clinicians' 'disapproval' if they raise the subject of CAM, turn to other sources acquire CAM. However, little empirical has been conducted into how acquire, and, more importantly evaluate before deciding which therapies try. Methods Qualitative study,...

To explore health professionals' decision making in a critical care scenario when there is an advance directive.Qualitative study.Scotland.Interviewees (n = 12) comprising general practitioners, hospital specialists, and nurses, six focus groups 34 participants) geriatricians (consultants specialist registrars), hospice nurses.When presented with directive that applied to the same hypothetical scenario, professionals came divergent conclusions as "right thing do." Arguments opposing...

This qualitative study aims to investigate why men with cancer choose use complementary and alternative medicine (CAM), whether CAM is used fill 'gaps' in conventional care or as an 'alternative' treatment. Interviews were carried out 34 users recruited from a National Health Service (NHS) oncology department, NHS homeopathic hospital private charity offering CAM. Participants therapies improve quality of life, actively 'fight' the disease possibly prolong but rarely Many initially sceptical...

Objectives: This study aimed to engage wide-ranging stakeholders and develop consensus learning objectives for undergraduate postgraduate medical education. Methods:A UK-wide consultation garnered opinions of healthcare students, educators other key about environmental sustainability in education.The policy Delphi approach informed this study.Draft were revised iteratively during three rounds consultation: online questionnaire or telephone interview, face-to-face seminar email...

Research in homeopathy has traditionally addressed itself to defining the effectiveness of homeopathic potencies comparison placebo medication. There is now increasing awareness that consultation a therapeutic intervention working independently or synergistically with prescribed remedy. Our objective was identify and evalute potential "active ingredients" approach as whole, prospective formal case series, which draws on actual data, based MRC framework for evaluation complex interventions....

The aim of this study was to discover the views health professionals in Greater Glasgow area on advance directives, using semi-structured interviews and focus groups. twelve participants interviewed included four hospital doctors, general practitioners (GPs) nurses. six groups comprised hospice nurses, GPs, consultant geriatricians, geriatricians training grades an interdisciplinary group. Participants were purposively selected reflect a range personal experiences with, attitudes toward,...

Since 2004, medical students at the University of Bristol have been required as part their core curriculum to submit creative works for assessment. This requirement, which we term, ironically, compulsory creativity, may be unique within education where arts-based modules are typically elective. Such courses often harness insights established artists and writers in illumination themes. Less commonly called upon link own work with clinical other life experience. Occasions develop such an...

Context Attitudinal objectives are difficult to formulate, teach and assess; yet good attitudes fundamental practice. For instance, studies highlight negative disability in the medical student community that contrast with self-conceptions of disabled persons. This study was designed better understand attitudinal learning, inadequately addressed by contemporary programmes, through application Mezirow's 'transformative learning theory' (TLT) a novel educational intervention. Methods...

Background Time in general practice offers medical students opportunities to learn a breadth of clinical knowledge and skills relevant their future practice. Undergraduate experiences shape career decisions current recommendations are that 25% undergraduate curriculum time should be focused on However, previous work demonstrated GP teaching had plateaued or reduced UK schools. Therefore, an up-to-date description is timely. Aim To describe the picture teaching, including amount resources...

To test the feasibility of a pragmatic trial design with economic evaluation and nested qualitative study, comparing usual care (UC) UC plus individualised homeopathy, in children requiring secondary for asthma. This included recruitment retention, acceptability outcome measures patients' health professionals' views experiences power calculation definitive trial.In parallel group randomised controlled (RCT) design, on step 2 or above British Thoracic Society Asthma Guidelines (BTG) were...

Two main pathways exist for the development of knowledge in clinical homeopathy. These comprise trials conducted primarily by university-based researchers and cases reports homeopathic "provings" compiled engaged practitioners. In this paper relative merits these methods are examined a middle way proposed. This consists "Formal Case Study" (FCS) which qualitative used to increase rigour sophistication with studied. Before going into design issues places FCS an historical academic context...

In November 2016, the Medical Schools Council and Health Education England published a joint report chaired by Professor Val Wass: 'By choice – not chance' to raise profile of general practice as positive career for medical students.We sought evaluate impact firstly, asking views Heads GP teaching at UK schools whether how has supported them in raising secondly, describing initiatives developed national survey. There was perception reported heads that been highly influential facilitating...

The Medical School at Bristol University is noted for offering, and in some instances requiring, its students to work creatively with medical themes. Students, artists, educationalists a web designer have worked create an on-line exhibition of the resulting creative output. This can be viewed www.outofourheads.net. site themed repository poetry, prose, drawings, paintings, cartoons, films, music, dance rap. Most works come commentaries that as illuminating they describe. invites comment...

<p class="p1">This paper explores the experiences of disabled sailors on board a tall sailing ship, adapted for accessibility. Eight kept audio diaries and created artwork during voyages, as well taking part in interviews afterwards. In reporting their accounts, we explored what it meant participants to go sea. We became particularly interested embodied activities ways which highlighted new identities, social aspects team. Our account brings together some central concerns Disability Studies...

Abstract Background Widespread transmission of COVID-19 continues to threaten public health, particularly rural, American Indian communities. Although risk factors for severe disease and clinical characteristics are well described in the general population, there has been little shared on hospitalized populations. Methods In this observational study, we performed chart extractions all persons with from April 1 through July 31, 2020 among an exclusively population living or near Tribal lands...

<title>Abstract</title> Background With general practice becoming an increasingly important part of undergraduate medical education, it is vital to have reliable ways for assessing placement quality. The most prevalent tools such assessment are the Dundee Ready Education Environment Measure (DREEM) and Manchester Clinical Placement Index (MCPI). These instruments were not specifically designed use only in GP contexts developed without student involvement at inception. As a result, they may...

There is a need to increase undergraduate primary care exposure and subsequently enhance recruitment. This study aimed establish the current use education potential of out hours (OOH) learning environment. was mix methods study. A questionnaire sent UK heads teaching nationally explore GP OOHs in curriculum focus groups evaluated final year medical students' experience an OOH placement. 100% response rate from teaching. Despite 86% being favour integrating placements within curriculum, only...