• Beliefs, perceptions and behaviours of GPs towards generic medicines

      Dunne, S. S.; Shannon, B.; Cullen, W.; Dunne, C. P. (Family Practice, 2014-06)
    • Delayed prescriptions: attitudes and experiences of General Practitioners in the Midwest

      Hayes, M; Faherty, A; Hannon, D (Irish Medical Journal, 2013-06)
    • Family physicians¿ professional identity formation: a study protocol to explore impression management processes in institutional academic contexts

      Rodríguez, Charo; Pawlikowska, Teresa; Schweyer, Francois-Xavier; López-Roig, Sofia; Bélanger, Emmanuelle; Burns, Jane; Hugé, Sandrine; Pastor-Mira, Maria Á; Tellier, Pierre-Paul; Spencer, Sarah; et al. (2014-09-06)
      Abstract Background Despite significant differences in terms of medical training and health care context, the phenomenon of medical students’ declining interest in family medicine has been well documented in North America and in many other developed countries as well. As part of a research program on family physicians’ professional identity formation initiated in 2007, the purpose of the present investigation is to examine in-depth how family physicians construct their professional image in academic contexts; in other words, this study will allow us to identify and understand the processes whereby family physicians with an academic appointment seek to control the ideas others form about them as a professional group, i.e. impression management. Methods/Design The methodology consists of a multiple case study embedded in the perspective of institutional theory. Four international cases from Canada, France, Ireland and Spain will be conducted; the "case" is the medical school. Four levels of analysis will be considered: individual family physicians, interpersonal relationships, family physician professional group, and organization (medical school). Individual interviews and focus groups with academic family physicians will constitute the main technique for data generation, which will be complemented with a variety of documentary sources. Discourse techniques, more particularly rhetorical analysis, will be used to analyze the data gathered. Within- and cross-case analysis will then be performed. Discussion This empirical study is strongly grounded in theory and will contribute to the scant body of literature on family physicians’ professional identity formation processes in medical schools. Findings will potentially have important implications for the practice of family medicine, medical education and health and educational policies.
    • General practice career intentions among graduate-entry students: A cross-sectional study at Ireland’s newest medical school

      Lane, G; Dunne, C; English, A; Finucane, P; O’Connor, R; Griffin, M; O’Sullivan, B; Hanrahan, C; McGrath, D; O’Donovan, N; et al. (Irish Medical Journal (IMJ), 2014-02)
    • General practitioner workforce planning: assessment of four policy directions.

      Teljeur, Conor; Thomas, Stephen; O'Kelly, Fergus D; O'Dowd, Tom; Department of Public Health and Primary Care, Trinity College Centre for Health Sciences, AMiNCH, Tallaght, Dublin, Ireland. teljeurc@tcd.ie (2010)
      BACKGROUND: Estimating the supply of GPs into the future is important in forecasting shortages. The lengthy training process for medicine means that adjusting supply to meet demand in a timely fashion is problematic. This study uses Ireland as a case study to determine the future demand and supply of GPs and to assess the potential impact of several possible interventions to address future shortages. METHODS: Demand was estimated by applying GP visit rates by age and sex to national population projections. Supply was modelled using a range of parameters derived from two national surveys of GPs. A stochastic modelling approach was adopted to determine the probable future supply of GPs. Four policy interventions were tested: increasing vocational training places; recruiting GPs from abroad; incentivising later retirement; increasing nurse substitution to enable practice nurses to deliver more services. RESULTS: Relative to most other European countries, Ireland has few GPs per capita. Ireland has an ageing population and demand is estimated to increase by 19% by 2021. Without intervention, the supply of GPs will be 5.7% less than required in 2021. Increasing training places will enable supply to meet demand but only after 2019. Recruiting GPs from overseas will enable supply to meet demand continuously if the number recruited is approximately 0.8 per cent of the current workforce per annum. Later retirement has only a short-term impact. Nurse substitution can enable supply to meet demand but only if large numbers of practice nurses are recruited and allowed to deliver a wide range of GP services. CONCLUSIONS: A significant shortfall in GP supply is predicted for Ireland unless recruitment is increased. The shortfall will have numerous knock-on effects including price increases, longer waiting lists and an increased burden on hospitals. Increasing training places will not provide an adequate response to future shortages. Foreign recruitment has ethical considerations but may provide a rapid and effective response. Increased nurse substitution appears to offer the best long-term prospects of addressing GP shortages and presents the opportunity to reshape general practice to meet the demands of the future.
    • 'I'm a happy little Vegemite, doctor!'.

      O'Malley, Declan; decomalley@yahoo.co.uk (2009-11)
      At the onset of a mild Victorian winter, four enthusiastic, fresh faced Irish general practice registrars made their way to Australia on an academic and cultural exchange. As registrars in the final throws of our fourth year general practice training in Donegal, we swapped the rugged, windswept northwest coast of Ireland for Gippsland in Victoria.
    • Prevalence of psychological distress in General Practitioner adult attendees

      Hughes, Martina; Byrne, Michael; Synnott, Joy; Health Service Executive (HSE), PCCC Roscommon (Clinical Psychology Forum, 2010-02)
    • Psychosocial INTerventions for Alcohol use among problem drug users (PINTA): protocol for a feasibility study in primary care.

      Klimas, J; Anderson R; Bourke M; Bury G; Field C-A; Kaner, E; Keane R; Keenan E; Meagher D; O’Gorman CSM; et al. (Research Protocols, 2013)