Innovations in Doctors’ Healthcare in Acute Public Hospital Systems

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: closed (31 January 2024) | Viewed by 1365

Special Issue Editor


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Guest Editor
1. School of Psychiatry, Faculty of Medicine, Ageing Futures Institute, University of New South Wales, Sydney, Australia
2. Specialty of Psychiatry, Faculty of Medicine and Health, University of Sydney, Sydney, Australia
3. Capacity Australia, Sydney, Australia
Interests: doctors health; human rights; ethics and capacity; old age psychiatry; death and dying in vulnerable populations

Special Issue Information

Dear Colleagues,

The field of doctors’ health has its origins in the 15th century, with the first emergence of regulation and licensing of doctors and with it, some understanding of the concept of competence. It was not until the early 20th century that grounds for de-registration on the basis of substance abuse emerged, this being subsequently broadened by the 1970s to include physical and mental illness, with the American Medical Association’s definition of practitioner impairment as:

the inability to practice medicine with reasonable skill & safety … by reason of physical or mental illness, including deterioration through the aging process, the loss of motor skills, or the excessive use or abuse of drugs, including alcohol.

Henceforth, the science of doctors’ health has burgeoned. Now, globally, in 2023, we have access to a range of data pertaining to mental health disorders in doctors as well as programmes to treat such. These issues have become more acute in the wave of the COVID-19 pandemic, bringing unprecedented stressors to the health system, and in particular, to medical professionals working in acute public hospital systems. In this Special Issue, ‘Innovations in doctors’ healthcare in acute public hospital systems’, we present commentaries, original research, short reports, and reviews on innovations in the science of doctors’ health to deal with the current challenges to medical students and doctors, training, and working in public health systems. It is envisioned that those working in doctors’ and student’ health; medical school and hospital executives; specialist colleges, medical regulatory bodies, policy specialists and policymakers, will find this Special Issue a useful resource and inspiration for novel solutions for what have become wicked problems in the health system.

The list of solicited papers include:

  1. Operationalising professional wisdom in doctors: a Delphi consensus;
  2. An observational study of access and characteristics of doctors referred to a doctor’s mental health service;
  3. Group reflective practice in medical students: can it promote empathy, professionalism, and wellbeing?;
  4. Practical approaches to dealing with disruptive or dysfunctional physicians in an acute hospital setting;
  5. What do family friendly medical cultures look like: a Delphi consensus.

Prof. Dr. Carmelle Peisah
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • doctors or physicians
  • doctors health
  • human rights

Published Papers (1 paper)

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18 pages, 755 KiB  
Systematic Review
A Mixed-Methods Systematic Review of Group Reflective Practice in Medical Students
by Kelvin C. Y. Leung and Carmelle Peisah
Healthcare 2023, 11(12), 1798; https://doi.org/10.3390/healthcare11121798 - 19 Jun 2023
Cited by 3 | Viewed by 1078
Abstract
Background: Used primarily as a pedagogical evaluation tool for didactic teaching and skill development, reflective practice (RP) for its own merits is poorly understood. This study aimed to systematically review the literature regarding the role of group RP in fostering empathy, wellbeing, and [...] Read more.
Background: Used primarily as a pedagogical evaluation tool for didactic teaching and skill development, reflective practice (RP) for its own merits is poorly understood. This study aimed to systematically review the literature regarding the role of group RP in fostering empathy, wellbeing, and professionalism in medical students. Methods: Electronic searches of empirical studies published between 1 January 2010 and 22 March 2022 from Medline, Embase, and PsychINFO databases were conducted. Empirical studies of any design (qualitative or quantitative) which included RP (1) involving medical students; (2) with a focus on fostering empathy, or professionalism, or personal wellbeing; and (3) provided in a group setting were included. Duplicates, non-English articles, grey literature and articles using RP to examine pedagogy and specific technical skills were excluded. Both authors screened articles independently to derive a final list of included studies, with any discrepancies resolved by discussion, until consensus reached. Articles were rated for methodological quality using the Attree and Milton checklist for qualitative studies; the Oxford Centre for Evidence-Based Medicine criteria, and the Alberta Heritage Foundation for Medical Research Standard Quality Assessment Criteria for quantitative studies. Results: Of 314 articles identified, 18 were included: 9 qualitative; 4 quantitative and 5 mixed methodology. Settings included United States (6), United Kingdom (3), Australia (3), France (2), Taiwan (2), Germany (1), and Ireland (1). Themes were (i) professionalism: bridging theoretical paradigms and practice; (ii) halting empathy decline; (iii) wellbeing: shared experience. Additional themes regarding the “successful“ delivery of RP groups in facilitating these outcomes also emerged. Conclusions: This first systematic review of group RP in medical students shows that RP may bring theory to life in clinical dilemmas, while fostering collegiality and mitigating against isolation amongst students, despite the absence of studies directly examining wellbeing. These findings support the value of RP integration focusing on emotive and humanitarian processes into contemporary medical education for medical students. Systematic review registration: PROSPERO CRD42022322496. Full article
(This article belongs to the Special Issue Innovations in Doctors’ Healthcare in Acute Public Hospital Systems)
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