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International Journal of Spine Surgery - #OATEXT

#GOS    #SurgeryJournal    #Surgery    #Journal 

related links:

http://www.oatext.com
Photo

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https://drive.google.com/file/d/0B7N0PcoSgJyJMW5oZDJBb05QT0U/edit?usp=sharing

started making notes on the video... not sure if others can join in

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Last night's discussion on shared decision making Primary Care Journal Club - Panel Discussion of the Paper"Shared Decision Making: A Model for Cli... - great discussion!

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IMPORTANT NOTICE - CHANGE OF DATE

PLEASE NOTE Change of Date of Journal Club - Now on Thursday 17th April 

Dear Colleagues. We are extremely sorry that due to unforeseen circumstances we have had to reschedule the #1CareJC. The Second GoogleHangout on Air will now take place on Thursday 17th April 2014, 8pm GMT.

On Thursday 17th April at 8pm GMT, a panel will discuss the paper “Shared Decision Making: A Model for Clinical Practice”. This open access paper, written by nine authors from nine different centres, stretching from Palo Alto in California to Newcastle Upon Tyne in the United Kingdom was published in the Journal of General Internal Medicine in October 2012, having first been published online in May of the same year. The full paper is available at the following link: - http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3445676/

We are delighted that joining us to review the paper will be one of the authors, Professor Adrian Edwards, Director of the Institute of Primary Care and Public Health of Cardiff University School of Medicine. Also joining the panel to give her unique perspective will be Ms Lindsay Fallow, better known to the online Twitter Community as @betabetic. Dr Anne Marie Cunningham, Clinical Lecturer and Academic Lead for eLearning at the School of Medicine of the University of Cardiff, Dr Conor O'Shea, GP in the North East of Ireland and ICGP Lead for Information Technology, and Dr Peter A Sloane, GP in the West of Ireland, will complete the panel.

For a flavour of the article, the abstract is below. We look forward to discussing the paper on 17th April and hope you will follow the Google Hangout on Air AND feed in any questions you may have. The panel will field questions from the audience and after the journal club a video clip will be available on the #1carejc YouTube channel: - http://www.youtube.com/channel/UCgJJIX2VFJyLvTkgD1bCOOw

Abstract

The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is shared and patients are supported to deliberate and express their preferences and views during the decision making process. To accomplish these tasks, we propose a model of how to do shared decision making that is based on choice, option and decision talk. The model has three steps: a) introducing choice, b) describing options, often by integrating the use of patient decision support, and c) helping patients explore preferences and make decisions. This model rests on supporting a process of deliberation, and on understanding that decisions should be influenced by exploring and respecting “what matters most” to patients as individuals, and that this exploration in turn depends on them developing informed preferences. Key Words: shared decision making, patient centered care

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#1CareJC - Second GoogleHangout on Air - Wednesday 9th April 2014, 8pm GMT

After a technologically challenging but successful first primary care journal club (#1carejc), it is now time for a second journal club!

On Wednesday 9th April at 8pm GMT, a panel will discuss the paper “Shared Decision Making: A Model for Clinical Practice”. This open access paper, written by nine authors from nine different centres, stretching from Palo Alto in California to Newcastle Upon Tyne in the United Kingdom was published in the Journal of General Internal Medicine in October 2012, having first been published online in May of the same year. The full paper is available at the following link: - http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3445676/

We are delighted that joining us to review the paper will be one of the authors, Professor Adrian Edwards, Director of the Institute of Primary Care and Public Health of Cardiff University School of Medicine. Also joining the panel to give her unique perspective will be Ms Lindsay Fallow, better known to the online Twitter Community as @betabetic. Dr Anne Marie Cunningham, Clinical Lecturer and Academic Lead for eLearning at the School of Medicine of the University of Cardiff, and Dr Peter A Sloane, GP in the West of Ireland, will complete the panel.

For a flavour of the article, the abstract is below. We look forward to discussing the paper on 9th April and hope you will both follow the Google Hangout on Air as well as feed in any questions you may have. The panel will field questions from the audience and after the journal club a video clip will be available on the #1carejc YouTube channel: - http://www.youtube.com/channel/UCgJJIX2VFJyLvTkgD1bCOOw

Abstract

The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is shared and patients are supported to deliberate and express their preferences and views during the decision making process. To accomplish these tasks, we propose a model of how to do shared decision making that is based on choice, option and decision talk. The model has three steps: a) introducing choice, b) describing options, often by integrating the use of patient decision support, and c) helping patients explore preferences and make decisions. This model rests on supporting a process of deliberation, and on understanding that decisions should be influenced by exploring and respecting “what matters most” to patients as individuals, and that this exploration in turn depends on them developing informed preferences. Key Words: shared decision making, patient centered care

+Dr Peter A Sloane are we waiting for you to take the lead for the next discussion? Our have you got something amazing planned? Imagine for uk doctors April would be better than march due to dreaded QOF...

Or perhaps you are waiting for someone else to take the initiative? I know someone who was part of research group for ambulatory gp stuff...

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Can anyone help me with the diagnosis of pneumonia please? I feel this paper/data from Chris Butler et al. and the GRACE consortium has potential but it's heavy going and I'm struggling with it!
Can anyone please help me get to grips with this paper on diagnosing pneumonia? This seems like such an important question that there is still precious little helpful guidance on.

One thing that seems fairly clear is that CRP/procalcitonin is not particularly worthwhile.

However, all the data from this study ought to be able to tell us which patients need to contact a doctor (based on symptoms and duration), which patients we need to examine (symptoms and signs) and for whom tests are helpful.

I tend to treat anyone with cough and either SOB, haemoptysis, pleuritic chest pain, fever for more than 5-7 days or cough for more than 4 weeks (based on papers from ?2005, refs mislaid). I'm not aware of anyone who's slipped through this net and required admission or worse, so sensitivity good if specificity unknown.

I thought there was good evidence (BJGP passim) that signs (crackles) elicited by GPs are unreliable in diagnosis of pneumonia. However, crackles seem to get into the algorithm in this paper.

Help! Can the literature answer what seem to me to be very basic GP questions? I'd like to be able to update http://www.ganfyd.org/index.php?title=Cough.

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How about this paper next :-)
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