Registration Of Doctors Research Articles

Perancangan Sistem Informasi Pendataan dan Pelayanan Pendaftaran Pasien pada Klinik Pratama Lina Berbasis Website

This research aims to design a web-based information system for patient data management and registration services at Klinik Pratama Lina. The study involves the analysis, design, and implementation phases to meet the needs of patient data management and registration in the clinic. The designed system includes interfaces for doctor registration, doctor data management, patient data management, treatment data management, and treatment report generation. The Waterfall method is utilized as the software development approach in this research. The study utilizes a sample dataset of 10 patients. The results demonstrate that the web-based information system for patient data management and registration services can enhance the efficiency and effectiveness of the patient registration process and data management at Klinik Pratama Lina. However, the research also identifies some limitations that need to be addressed, such as the possibility of input errors by users. This research contributes to the development of health information systems that can improve the quality of service and patient data management in the clinic.

Substance use disorder and alcohol consumption patterns among Dutch physicians: a nationwide register-based study

PurposeProblematic substance use and Substance Use Disorders (SUD) are common in all layers of the population. Several studies suggest higher prevalence rates of problematic substance use among physicians compared to the general population, which is harmful for themselves and potentially impairs quality of care. However, nationwide comparison with a highly educated reference group is lacking. Using nationwide register data, this study compared the prevalence of clinical SUD diagnoses and alcohol consumption patterns between physicians and a highly educated reference population.MethodsA retrospective study was performed using registry data from 2011 up to and including 2019, provided by Statistics Netherlands. From the data, a highly educated reference group was selected and those with an active medical doctor registration were identified as “physicians”. Clinical SUD diagnoses were identified by DSM-IV codes in mental healthcare registries. Benchmark analyses were performed, without statistical testing, to compare the prevalence of SUD diagnoses and alcohol consumption patterns between physicians and the reference population.ResultsClinical SUD diagnoses were found among 0.3% of the physicians and 0.5% of the reference population, with higher proportions of sedative use disorder among physician patients. Among drinkers, the prevalence rates of heavy and excessive drinking were respectively 4.0% and 4.3% for physicians and 7.7% and 6.4% for the reference population.ConclusionPrevalence rates of SUD diagnoses were fairly comparable between physicians and the highly educated reference population, but physicians displayed more favorable alcohol consumption patterns. The use of sedatives by physicians might deserve attention, given the relatively higher prevalence of sedative use disorder among physicians. Overall, we observed relatively low prevalence rates of SUD diagnoses and problematic alcohol use, which may reflect a treatment gap and social desirable answers.

Trends in postgraduate education of doctors in oncology in Poland in 2010-2020 in the face of demographic and epidemiological challenges

Introduction: The system of specialization training in oncology is subject to constant shifts in response to the changing health needs in Poland. Both the specialization programs and the training mode have evolved, and the system's ability to train more specialists has increased. Epidemiological trends in cancer diseases indicate a further increase in the incidence and mortality. Moreover, the advancement at diagnosis is likely to be higher in the coming years due to neglect during the COVID-19 pandemic. Treatment of advanced neoplasms will require the availability of more specialists in oncological disciplines, especially conservative ones, as well as specialists supporting oncological care.
 Aim of the study: The study aimed to determine the quantitative changes taking place in the system of specialist education of doctors in oncological fields between 2010 and 2020 and to assess the trends of changes in relation to the growing demand and challenges of the pandemic.
 Material and methods: The material for the analysis was the data of the register of doctors undergoing specialization training conducted by the Centre of Postgraduate Medical Education of Warsaw in 2010-2020. The material analysis was quantitative.
 Results: The conducted analysis shows the constant development of specialization education in the fields of oncology in 2010-2020, aimed at covering the demand for specialists in the studied fields. The pace of growth may prove insufficient in the long term in view of the aging of the population and the associated increasing incidence and prevalence of neoplastic diseases. Worryingly, the newly formed specialists will have to deal in the near term with the post-pandemic wave of patients with advanced cancers who require more frequent treatment combined with careful palliative care during and after treatment. Detailed results are presented in Tables 1-7 and 8 in the Annex.
 Conclusions: The conducted analysis shows the constant development of specialization education in the fields of oncology in the years 2010-2020, aimed at covering the demand for specialists in the studied fields.

Postgraduate education of dentists in Poland - current state and perspectives

Introduction: In the Polish medical education system, dentists, after graduating from university studies, obtain the right to practice their profession with the possibility of continuing their education. One of the forms of postgraduate development is specialist training. In the face of dynamic demographic, economic and social changes taking place in Polish society, the availability of an appropriate number of qualified specialists is a guarantee of health safety. Conducting reliable analyzes allows to set the right directions for the development of specialization education and its adaptation to changing health needs.
 Aim of the article: The aim of the study was a quantitative analysis and evaluation of changes taking place in the system of specialist education of dentists in treatment specializations in the years 2010-2020.
 Material and methods: The analysis included the data from the register of doctors undergoing specialization training; register of entities authorized to conduct this training, kept by the Centre of Postgraduate Medical Education of Warsaw(CMKP); data of the Medical Examinations Center on the number of dentists taking the specialization examination and on the number of diplomas issued and the passing rate of the National Specialization Examination. The material analysis was quantitative.
 Results: The analysis of data register about dentists undergoing postgraduate training shows that in 2010-2020 there was a gradual increase in the number of entities offering dental specializations and the number of training places they provide, including residential places. These changes were accompanied by an increase in the number of dentists receiving specialist training more by 50% (52,3%) in 2020 in comparison to 2010 . The situation differed between the seven analyzed specializations: conservative dentistry with endodontics, pediatric dentistry, orthodontics, dental surgery, periodontics, dental prosthetics and maxillofacial surgery.
 Conclusions: The changes that took place in the system of specialization education of dentists in 2010-2020 included an increase in the number of dentists undergoing training, an increase in the percentage of people undergoing specialization as part of the residency, an increase in the number of entities conducting specialization, and thus increasing the availability of training places.

Specialization training of doctors in the surgical specialties in Poland

Introduction: The specialisation education system in Poland is subject to constant changes, the aim of which is to adapt it to changing needs, while ensuring the highest quality of education. The need for reform is indicated by the doctors themselves who undergo specialisation training, and who know its strengths and weaknesses best. Potential changes should be evaluated and implemented on an ongoing basis to ensure the continuous development of the specialisation education system. Moreover, the quality of education should be constantly monitored to maintain its appropriate level.
 Aim of the article: The study aims to characterize the changes taking place in the system of specialisation education in nine selected treatment areas of medicine as well as in anaesthesiology and intensive therapy in 2011-2020, with particular emphasis on quantitative changes.
 Material and methods: The material for analysis consists of data from the register of doctors undergoing specialisation training conducted by the Centre of Postgraduate Medical Education of Warsaw (CMKP) from 2011 to 2020, data provided by The Supreme Medical Chamber (NIL) and the Medical Examinations Centre (CEM) in 2011-2018. The material analysis was quantitative and was carried out with the use of Microsoft Excel.
 Results: The data analysis carried out indicates that in the analysed set of specialisations in 2011-2020:
 
 the number of doctors undergoing specialisation training has increased,
 the share of doctors undergoing specialisation training as part of residency has increased,
 the share of women in the group of doctors undergoing specialisation increased,
 the number of training places has increased,
 the number of accredited units has increased,
 the use of training places has decreased (the number of training places per specialist doctor has increased), and
 the average age of a person undergoing specialisation has decreased.
 
 Conclusions: The postgraduate education system for doctors in Poland in 2011-2020 was subject to numerous reforms and was constantly developing. Modular Specialisations have been introduced to improve accessibility and reduce the time to complete Specialisations that were formerly Detailed Specialisations. The number of doctors in in the surgical specialisations in Poland shows a growing trend.

Design and Development of Android Based Animal Healthcare Application

Abstract: This Paper represents the work related to the Design & Development of Android Based Animal Healthcare Application provided a simple interface for user to find nearby veterinary hospitals and easily consult with veterinary doctor about their pets. In this paper we propose a Medical services Application and online conference for Creatures. This Animal Healthcare application contains all relevant information regarding animals, veterinary Doctors and animals common diseases with their symptoms and basic precautions. In the some cases of emergency, users or Persons cannot able to treat sick animals immediately and they not able to contact immediately to right doctors and specialist. This issue is the main source of death in said creatures. Therefore, developers have the concept to develop an Android based application system which keeps record of authenticate doctors, proper detail, location etc. The android application focused on the high quality specialist based on their treatment and suitable timing for users. Based on review system users are able to find and decide which doctor will be best for them. Admin can monitor all the registered doctors, if the doctors getting continuously negative responses from the users, admin will suspend their account as well. Users will get only reputed doctors and quality assurance here will helps a lot for easy and fast treatment. Keywords: Mobile Application, Firebase, Admin Portal, User Portal, Doctor Registration.

Making doctors available for rural India:

In the backdrop of acute shortage of allopathic doctors in rural India, this paper looks at the interplay and tension between central and state regulatory measures aimed at improving the availability and retention of allopathic doctors in the rural areas, within the overarching framework of centre-state relations and division of legislative powers between them, with respect to regulation of medical education. While the Central Government has introduced certain provisions in the central law to promote availability of doctors in rural areas, some States have implemented provisions with the same objective, that go beyond the stipulations of the Central Act. Several such measures taken by state governments; be it reservation of post graduate seats for doctors serving in government rural institutions or developing cadre of medical practitioners for rural area under certain conditionalities; have been challenged in courts and held to be violative of the central legislation which inter alia, regulates standards of medical education and registration of doctors. The measures introduced by the state governments for increasing availability of doctors in rural areas, even though struck down as invalid, were intended as instruments of equity and social justice, with far reaching implications for improving availability of health care services in underserved areas. Unless the Medical Council of India Act is amended or the subject matter of medical education is moved from Union list to State list, state interventions are likely to continue to be struck down if they are found to be affecting the standards of medical education.

Review of medical professional organizations in developed countries: problems of decentralized membership registers.

This article provides a critical review of international experiences regarding the professional organization of physicians and the registration of doctors in developed countries. The problems faced by professional medical organizations in the EU-15 countries, Japan, the United States and Canada, are examined. Medical professional groups differ in several dimensions, including obligatory registration versus voluntary membership or types of registration (centralized, indirect, or delegated). The centralization-decentralization axis is a key aspect for the analysis. While decentralized systems are better able to adapt to the idiosyncrasy of a particular region, decentralization is identified as a source of potential problems in the organization of medical doctors. Some of these problems (discrepancies in positions on health matters, problems with the reliability of statistical information on medical demography at national level, deficient mechanisms for the control of doctors who have lost their licenses) might have consequences for the quality of the health care system.

A Survey on the Recognition of Family Doctor Registration Program of Healthcare Workers in a General Hospital in Seoul

A Survey on the Recognition of Family Doctor Registration Program of Healthcare Workers in a General Hospital in Seoul

Can the surgeon live his whole life? Analysis of the risk of death related to the profession.

More than half of physicians in Poland are over 50 years old. This raises concerns about the risk of lack of continuity of health care services due to the generational gap, particularly marked among interventional specialties. The physical and mental burden of general surgery affects those doctors in particular. The aim of the study is to assess whether the type of the profession pursued influences the average lifetime of a physician in Poland and the impact of the surgeon's occupation on life expectancy compared to the rest of the population according to gender. Demographic data was obtained from official publications of the Central Statistical Office. Data on 189,459 physicians in Poland were obtained from the Central Register of Doctors. A total of 6,496 physicians and dentists deaths in the period from January 1st, 2010 to June 30th, 2014, including 722 surgeons, were analyzed. In general, both male physicians and dentists died at an older age than the mean population (74.9 years and 74.7 years vs. 68.9 years; p <0.05). Among women, only dentists lived longer (78.5 years) p <0.05), while women physicians died at a younger age than the average in the general population (76.4 vs. 77.2 years; p <0.05). The average lifetime of both male and female surgeons was 74.2 and 77.5 years, respectively. The average life expectancy of people aged 25 years with college/university education is 80.3 years for men and 86.6 years for women. Male surgeons live significantly longer than the average life expectancy in the general population of men. The average length of life of women surgeons is significantly lower than the average lifespan of women in the general population. The actual lifetime of surgeons in Poland is significantly lower than the expected average life expectancy for other people aged 25 with tertiary education. The average lifespan of surgeons in Poland does not differ significantly from the average life expectancy of other Polish physicians.

Risky work: Accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi Arabia

Background: Nepal is a growing supplier of migrant labour for factories in Malaysia and building sites in the Middle East. This study assessed the extent of workplace accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi Arabia.Methododology: A questionnaire survey was conducted at Nepal’s main international airport with men who returned from working in Malaysia, Qatar and Saudi Arabia. The questionnaire was completed by 403 migrant workers from these three countries. Where possible the questionnaire was self-administered and interview-administered for those migrant workers with poor literacy skills. A logistic regression was conducted to identify factors associated with accidents at work and health risks perceived by migrant workers themselves.Results: One in six (17%) experienced accidents at work in their host country. This proportion is lower than that reported in previous studies of Nepali migrant workers. Age, country of work, doctor registration and perceived standard of work environment and accommodation are significantly associated with accidents at work.Conclusion: To help improve Nepalese men’s health and well-being whilst working abroad, host countries and the Government of Nepal should ensure that migrants hold health insurance. Mandatory pre-departure and arrival health and safety training is also recommended as a way to reduce risks to the health of migrant workers.

Gender variations in specialties among medical doctors working in public healthcare institutions in Bayelsa State, Nigeria.

Background: Gender variations exist in the choice of specialties among doctors globally. This variation is of public health importance as it affects the distribution of doctors in public health institutions and patient care. In Bayelsa, Nigeria,no such study had been undertaken.This study aimed to examine gender variations in specialties among medical doctors working in public healthcare institutions in Bayelsa State. Methods: Cross-sectional study design was adopted for this study. Information about doctors working in public healthcare institutions in Bayelsa were collected via data extraction from the register of doctors at Niger Delta University Teaching Hospital (NDUTH) and at Hospital Management Board (HMB) of State Ministry of Health, and with self-completed questionnaires from doctors at Federal Medical Centre (FMC). In this paper, statistical analyses were restricted to data from FMC (n=91) and NDUTH (n=100) because they have multiple specialties. All available data were analyzed by gender and data analyses were carried out using SPSS statistical software. Results: Out of the191 doctors included in the analysis, 135(70.7%) were males. The median age was 32 years for male doctors and 29 years for female doctors.The top three specialty choices for males were obstetrics and gynaecology (14.8%),internal medicine (11.1%) and surgery (8.9%). For female doctors,pediatrics was the topmost specialty (25%) followed by obstetrics and gynaecology (10.7%) and internal medicine (8.9%). There were no female doctors in 14 specialties. Female doctors had higher proportions of house officers compared to males (45.5% versus 32.3% respectively). Conversely, male doctors had higher proportions of consultants/specialists than females (24.1% versus 9.1% respectively). Conclusion: Specialty distribution of doctors in Bayelsa is gendered and some specialties appear not to attract female doctors. These findings call for further studies to investigate the factors responsible for this gender variation, and to identify and address any barriers. Keywords: Gender variation,Specialties,Doctors,Public healthcare,Health workforce

Implications of aligning full registration of doctors with medical school graduation: a qualitative study of stakeholder perspectives

ObjectivesThe Shape of Training report recommended that full registration is aligned with medical school graduation. As part of a General Medical Council-funded study about the preparedness for practice of UK...

Licensing procedures and registration of medical doctors in the European Union

The current proposals to update the European Union (EU) directive on professional qualifications will have potentially important implications for health professions. Yet those discussing it will struggle to find basic information on key issues such as licensing and registration of physicians in different countries. A survey was conducted among national experts in 14 EU member states, supplemented by literature and independent expert review. The questionnaire covered five components of licensing and registration: (1) definitions, (2) regulatory basis, (3) governance, (4) the process of registration and (5) flow and quantity of applications. We identify seven areas of concern: (1) the meaning of terminology, which is inconsistent; (2) the role of language assessments and the responsibility for them; (3) whether approval to practise should be lifelong or time limited, subject to periodic assessment; (4) the need for improved systems to identify those deemed no longer fit to practise in one member state; (5) the complexity of processes for graduates from non-EU/European Economic Area (EAA) countries; (6) public access to registers; and (7) transparency of systems of governance. The systems of licensing and registration of doctors in Europe have developed within specific national contexts and vary widely. This creates inevitable problems in the context of free movement of professionals and increasing mobility.

Effect of UK policy on medical migration: a time series analysis of physician registration data.

BackgroundEconomically developed countries have recruited large numbers of overseas health workers to fill domestic shortages. Recognition of the negative impact this can have on health care in developing countries led the United Kingdom Department of Health to issue a Code of Practice for National Health Service (NHS) employers in 1999 providing ethical guidance on international recruitment. Case reports suggest this guidance had limited influence in the context of other NHS policy priorities.MethodsThe temporal association between trends in new professional registrations from doctors qualifying overseas and relevant United Kingdom government policy is reported. Government policy documents were identified by a literature review; further information was obtained, when appropriate, through requests made under the Freedom of Information Act. Data on new professional registration of doctors were obtained from the General Medical Council (GMC).ResultsNew United Kingdom professional registrations by doctors trained in Africa and south Asia more than doubled from 3105 in 2001 to 7343 in 2003, as NHS Trusts sought to achieve recruitment targets specified in the 2000 NHS Plan; this occurred despite ethical guidance to avoid active recruitment of doctors from resource-poor countries. Registration of such doctors declined subsequently, but in response to other government policy initiatives. A fall in registration of South African-trained doctors from 3206 in 2003 to 4 in 2004 followed a Memorandum of Understanding with South Africa signed in 2003. Registrations from India and Pakistan fell from a peak of 4626 in 2004 to 1169 in 2007 following changes in United Kingdom immigration law in 2005 and 2006. Since 2007, registration of new doctors trained outside the European Economic Area has remained relatively stable, but in 2010 the United Kingdom still registered 722 new doctors trained in Africa and 1207 trained in India and Pakistan.ConclusionsEthical guidance was ineffective in preventing mass registration by doctors trained in resource-poor countries between 2001 and 2004 because of competing NHS policy priorities. Changes in United Kingdom immigration laws and bilateral agreements have subsequently reduced new registrations, but about 4000 new doctors a year continue to register who trained in Africa, Asia and less economically developed European countries.

Doctors’ health: can we do better under national registration?

The move to national registration of doctors presents both threats and opportunities for the manner in which doctors seek health care and for providing assistance to doctors who may be impaired by illness. The most striking threat is the regressive nature of the provisions for mandatory reporting of ill doctors. The new system should be grasped as an opportunity to achieve national agreement on resourcing adequate services to help distressed doctors and to foster education and research into the health of doctors and medical students. The new system also provides opportunities to explore ways of encouraging doctors to improve their poor record of not attending to their own health, such as denying Medicare rebates for most doctors who self-refer.

어린이와 청소년 환자에서 일차의료의 지속성과 입원 위험도의 관련성

This study aims to describe levels and distribution of the continuity of primary care among children and adolescent patients who are 2-19 years old, and analyze the effects of it on the risk of hospitalization. Study population was 2-19 year old child and adolescent patients as of 2002, who had more than three ambulatory care visits in the years of 2002-3 and whose most frequent provider was the primary care practices (189,660 persons). Association of levels of primary care with the risk of hospitalization was evaluated using multiple event survival analysis. Outcome variables were whether the patient had hospitalized or not, and whether the patient had hospitalized due to ambulatory care-sensitive conditions or not. Multiple event survival analysis revealed statistically significant association of the levels of primary care with the risk of hospitalization. Hazard ratio was 1.34 [1.27-1.41] at the medium level of continuity and 1.47 [1.39-1.55] at the lower level where outcome variable was whether the patient had been hospitalized or not. Hazard ratios were 1.35 [1.21-1.50] at the medium level of continuity and 1.60 [1.44-1.78] at the lower level, where outcome variable was whether the patient been had hospitalized due to ambulatory care-sensitive conditions or not. This study produced some evidences on the benefits of continuity of care, which will in turn support the introduction of personal doctor registration program in the future.

Individual appraisal for senior medical staff

There is public concern about medical errors. In Britain, the Bristol Inquiry is the paradigmatic example that focuses professional and public attention on the safety of medical interventions. In the US the Institute of Medicine's recent report To Err is Human: Building a Safer Health System (1999) was widely seen on both sides of the Atlantic as confirming what most already feared, that medical interventions were accompanied by unacceptably high levels of preventable harms (Barach & Small, 2000). The response to these public concerns has been multifold. In the UK clinical governance was introduced in April 1999, principally to focus attention on continuously improving the quality of clinical care. At the same time, the arrangements for the registration of doctors by the General Medical Council (GMC) was under review and there was an expectation that NHS trusts would bring consultants, who hitherto had been regarded as independent practitioners outside any supervisory system or arrangement, within an appraisal system. It has become clear that this appraisal system will be a component part of the GMC's revalidation of doctors (GMC, 2000). What is clear is that these varying systems are designed to restore public trust by providing an open process, which has the confidence of the profession, management and public alike. In this paper we aim to discuss the historical development of appraisal as a system for reviewing the performance of individual practitioners, suggest a method for appraising senior medical staff and finally to discuss the limitations and problems inherent in the introduction of such a system.

Register of Doctors with an Interest in Transcultural Psychiatry

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Are you working with a ‘real’ doctor?

One of the first things we do with any AIMS medical care complaint is to check the doctor's registration. If he or she is not in the Medical Register, I telephone the GMC to check temporary or limited registration on the day of the incident. I also check the grade they are allowed to work in; GMC training registration to work as a SHO does not allow a doctor to work as a registrar. If the doctor apparently has higher qualifications, I check those too. We have had a few cases where ‘doctors’ were not what they seemed.