Jan–Feb issue of Australian Journal of General Practice now available

News The January–February issue of AJGP focuses on medico-legal concerns that may be encountered in general practice. The January–February issue of the Australian Journal of General Practice ( AJGP ) focuses on medico-legal concerns that may be encountered in general practice.

Focus
Supportive networks, healthier doctors and ‘just culture’: Managing the effects of medico-legal complaints on doctors
This article discusses current research and public discourse on the impact of complaints on doctors’ personal and professional lives, as well as the way complaints and the fear of complaints affects doctors’ clinical practice. It suggests strategies to ameliorate these effects before a complaint is made.
Penny Browne, Georgie Haysom

Informal online opinions: Medico-legal considerations in new and social media
The aim of this article is to raise awareness of and share information about legal and professional obligations when using social media, particularly in the context of seeking peer professional advice or informal input from colleagues.
Ruanne Brell

Prevention is better than the cure: Getting privacy compliance right is essential practice management
This article outlines the key steps a health practice can take towards managing its privacy compliance.
Anna Johnston

The role of clinical guidelines in establishing competent professional practice
The aim of this paper is to provide guidance to doctors on how practice in accordance with college, hospital or other accepted professional guidelines is likely to be viewed by a court in the event of a professional negligence claim.
David Pakchung, Morag Smith, Catherine Hughes

Editorial
Medicine and law: Health and justice in partnership
The topics in this month’s theme, medico-legal concerns, lie closer to medical law (the rights and responsibilities of doctors and patients in law) than to legal medicine (applying medical knowledge to legal problems).
Sophia Samuel

Letters
January–February correspondence
Readers express their opinions on published articles and topics of interest.

Clinical
Understanding long-term neurodevelopmental outcomes of very and extremely preterm infants: A clinical review
Survival of infants born at <32 weeks of gestation has increased over recent years. This has resulted in an increased incidence of neurodevelopmental morbidities in survivors.
Ravisha Srinivas Jois

Undescended testes: What general practitioners need to know
Undescended testis is a common condition, and parents often primarily present to general practitioners. Management in a timely fashion may reduce the risk of malignancy and infertility.
Evie Yeap, Ramesh M Nataraja, Maurizio Pacilli

An unusual case of sore throat
Consider Centor criteria before prescribing antibiotics in patients with a sore throat.
Arshad H Merchant, Aftab Merchant, Justin Bailey, Joanna L Merchant

Unequal pupils: Understanding the eye’s aperture
Unequal pupils (anisocoria) may be physiological, pathological or pharmacological, and can indicate underlying disease of the eye, orbit, brain, neck or chest. Examination of the pupils is therefore a crucial part of any eye examination.
Rachael C Heath Jeffery, Braden Young, Peter G Swann, Christian J Lueck

Extreme hypercholesterolaemia and hypertriglyceridaemia in a man newly diagnosed with type 2 diabetes mellitus
A Caucasian man aged 46 years, working as an oil-rig area coordinator in remote South Australia, presented with incidental hyperglycaemia.
Ashraf Saleh

Research
General practitioners’ attitudes towards acne management: Psychological morbidity and the need for collaboration
Decisions about effective treatment and referral of patients with acne vulgaris can be complicated by psychosocial effects on patients.
Munther Zureigat, Karen Fildes, Athena Hammond, Judy Mullan, Andrew Bonney, Jo-Ann See

Osteoporosis in patients with dementia is associated with high morbidity and mortality: Findings from a single orthogeriatric unit
Osteoporosis and dementia are common and associated with a high healthcare burden. The aim of this paper was to assess the impact of dementia on treatment, morbidity and mortality in osteoporosis.
Noreen Mughal, Andrisha J Inderjeeth, Charles A Inderjeeth

Australian community health practitioners’ knowledge and experience with managing urinary incontinence that begins in childhood
GPs often see children with enuresis and daytime urinary incontinence, and adults with persistent enuresis. The aim of this study was to assess Australian community health practitioners’ knowledge and experiences with managing these conditions.
Patrina HY Caldwell, Ramesh Manocha, Sana Hamilton, Karen M Scott, Elizabeth H Barnes

Factors related to rural general practitioners supervising general practice registrars in Australia: A national cross-sectional study
General practice training in Australia is uniquely structured to allow half of all registrars to train in rural areas, in order to increase rural workforce development and access to rural primary care. The objective of this research was to explore the factors related to rural GPs supervising general practice registrars.
Belinda O’Sullivan, Deborah Russell, Matthew McGrail, Marisa Sampson, Allyson Warrington, Glen Wallace, Michael Bentley, Danielle Couch

Viewpoint
‘Autoimmune screen’: A matter of convenience or an illusion?
Current literature does not support the ordering of an ‘autoimmune screen’; instead, tests should be ordered according to the clinical context.
Eunice KW Chan, Karuna Keat

The mosaic of general practice bulk billing in regional Victoria
The aim of achieving equitable access to bulk billing for those living in rural and regional Victoria has not yet been met, and may be under increasing pressure.
Kristen M Glenister, Rebecca Disler, Alana Hulme, David Macharia, † Julian Wright
Clinical challenge January–February clinical challenge The clinical challenge is based on this month’s Focus articles. The activity has been endorsed by the RACGP Quality Improvement and Continuing Professional Development (QI&CPD) program and has been allocated four Category 2 points (Activity ID: 149896 ). To complete this activity, go to gplearning and log in with the username and password you use to log in to the RACGP website. † Deceased 8 December 2018.

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