@article {554, title = {Patient and preceptor attitudes towards teaching medical students in General Practice.}, journal = {BMC Med Educ}, volume = {13}, year = {2013}, month = {2013 Jun 07}, pages = {83}, abstract = {

BACKGROUND: Curricula in most western medical universities include teaching in the primary care setting as core elements. This affects GP-teachers, their patients and their interaction. Therefore, it was the aim of this study to assess the influence of the presence of medical students in the teaching practice on the attitudes of both GPs and patients.

METHODS: Seventy-four GP-preceptors were invited to answer an online survey. Patients attending consultations with a medical student present completed questionnaires either before the consultation (WR group) or immediately after consultation (AC group).

RESULTS: Fifty- nine preceptors completed the online survey. Physicians showed positive attitudes towards their activities as preceptors: 95\% expressed a positive attitude predominantly towards being a role model and to represent the discipline and for 64\% remuneration was not important. In 28 practices 508 questionnaires were completed by patients in the WR-group and 346 by the AC-group. Only 12\% (WR) and 7.2\% (AC) of patients expressed a preference for being seen by the doctor alone. While 16\% of doctors rated that confidentiality of the doctor-patient relationship is compromised, only 4.1\% (WR) and 1.7\% (AC) of patients felt so.

CONCLUSION: The motivation to be a preceptor is primarily driven by personal and professional values and not by economic incentives. Further, patients have even more positive attitudes than the preceptors towards the presence of students during their consultation. Reservations to teaching students in GP-practices are, therefore, unwarranted.

}, keywords = {Attitude, Attitude of Health Personnel, Curriculum, Education, Medical, Female, General Practice, General Practitioners, Humans, Male, Middle Aged, Patients, Preceptorship, Students, Medical, Surveys and Questionnaires}, issn = {1472-6920}, doi = {10.1186/1472-6920-13-83}, url = {http://dx.doi.org/10.1186/1472-6920-13-83}, author = {Pichlh{\"o}fer, Otto and T{\"o}nies, Hans and Spiegel, Wolfgang and Wilhelm-Mitter{\"a}cker, Andree and Maier, Manfred} } @conference {555, title = {The Ecology of Medical Care in Austria}, booktitle = {WONCA Europe 2011 Warsaw}, year = {2011}, author = {Pichlh{\"o}fer, Otto and Kutalek, Ruth and Zehetmayer, Sonja and Spiegel, Wolfgang and Shibamori, Yuka and Maier, Manfred} } @article {552, title = {Assessment of publication output in the field of general practice and family medicine and by general practitioners and general practice institutions.}, journal = {Fam Pract}, volume = {27}, year = {2010}, month = {2010 Oct}, pages = {582-9}, abstract = {

PURPOSE: The discipline of family medicine (FM) lacks a comprehensive methodology, which can be applied as a standard for assessing overall research output in both the field of FM and by general practitioners (GPs)/general practice institutions. It was the aim of this study to develop a sensitive search strategy for assessing publication output in the field of FM independent of the author{\textquoteright}s profession or affiliation and by GPs/general practice institutions independent of their field of scientific interest.

METHODS: Literature searches limited to the year 2005 were conducted in PubMed and ISI Web of Sciences (ISI WoS). In PubMed, all relevant MeSH terms were used. Search terms possibly contained in the author{\textquoteright}s affiliations have been collected. In ISI WoS, the same entry terms including their abbreviations and plural forms were applied. The final queries were validated by manual review and matching results with selected FM journals.

RESULTS: A comprehensive list of combined search terms could be defined. For the field of general practice/FM more publications could be retrieved in PubMed. Almost twice as many publications by GPs/general practice institutions could be retrieved in ISI WoS, where--in contrast to PubMed--the affiliation is documented for all authors.

CONCLUSIONS: To quantitatively assess publication output in the field of FM, PubMed was identified as the preferable database. To assess publication output by GPs/general practice institutions, the ISI WoS is recommended as the preferable database. Apparently, the ISI WoS is more suitable to compare the research productivity of different countries, authors or institutions.

}, keywords = {Bibliometrics, Biomedical Research, Databases, Bibliographic, Family Practice, General Practice, General Practitioners, Periodicals as Topic, PubMed}, issn = {1460-2229}, doi = {10.1093/fampra/cmq032}, url = {http://dx.doi.org/10.1093/fampra/cmq032}, author = {Jelercic, Stasa and Lingard, Heide and Spiegel, Wolfgang and Pichlh{\"o}fer, Otto and Maier, Manfred} } @article {563, title = {Specialty selection and relative job satisfaction of family physicians and medical specialists in Austria.}, journal = {Croat Med J}, volume = {49}, year = {2008}, month = {2008 Jun}, pages = {375-83}, abstract = {

AIM: To estimate the relative job satisfaction of Austrian family physicians and other specialists with respect to whether or not they obtained training in the desired specialty.

METHODS: In this cross-sectional study, we re-examined the previous data on allocation of medical training posts in Austria. All board-certified physicians practicing in Vienna were surveyed with a 12-item questionnaire. We analyzed the association between respondents{\textquoteright} desired and practiced medical specialty and their answer to the question of whether they thought they would have had greater job satisfaction in a different medical specialty. We also calculated their relative job satisfaction.

RESULTS: Of 8127 licensed physicians, 2736 (34\%) completed the questionnaire in two mailings. Of physicians who completed the questionnaire, 50.3\% (43.2\% of men) did not obtain the training in their desired specialty and 65.1\% stated that they had originally desired a different specialty. There was a significant difference in relative job satisfaction between specialists who got their desired medical specialty (n=1005) and those who did not (n=697) (0.95 vs 0.62 of maximum 1, P<0.001). No significant difference in relative job satisfaction was found between family physicians who had originally wanted to become specialists (n=679) and specialists who had originally wanted to become family physicians (n=533; 0.89 vs 0.81; P=0.01; chi(2) test).

CONCLUSION: A high percentage of family physicians in Austria had originally wanted to become practitioners of a different specialty. Among physicians who did not receive training in their desired medical specialty, family physicians showed a significantly higher relative job satisfaction than specialists. Obtaining the desired medical specialty is a strong predictor of relative job satisfaction among specialists, but not among family physicians.

}, keywords = {Adult, Austria, Cross-Sectional Studies, Female, Humans, Job Satisfaction, Male, Middle Aged, Physicians, Family, Specialization}, issn = {1332-8166}, doi = {10.3325/cmj.2008.3.375}, url = {http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2443622/}, author = {Spiegel, Wolfgang and Pichlh{\"o}fer, Otto and Haoula, Diana and Schneider, Barbara and Maier, Manfred} }