The practice of medicine at a district hospital emergency room : Middelburg Hospital, Mpumalanga Province

Show simple item record Nkombua, Lushiku 2009-04-14T13:56:52Z 2009-04-14T13:56:52Z 2008-01
dc.description.abstract BACKGROUND: The aim of this study was to establish the type of clinical work done by the doctors in the emergency room at a district hospital in an underserved area. The findings of the study would assist the management in planning for training, recruitment and allocation of medical and nursing personnel. METHODS: This was a prospective and descriptive study undertaken in the emergency department of Middelburg Hospital in Mpumalanga Province, South Africa. The subjects were patients who presented to the emergency room during the period of the study, in January 2005. RESUSLTS: The findings of this survey show clearly that Middelburg Hospital in Mpumalanga receives patients with life-threatening and non-life-threatening conditions in the emergency room every day. The top diagnoses made during the one month of the study were assault-related injuries, motor vehicle accident-related injuries, respiratory tract infections, lacerations, soft tissues injuries, gastroenteritis, fractures, poisoning, hypertension and parasuicide. CONCLUSION: The challenges of practising at a district hospital are that a practitioner has to be knowledgeable and skilful in a wide range of disciplines. To remain in touch with the changing environment of medicine, one has to keep on learning and sometimes attend refresher courses far away from the place of work. The rewarding part of the practice is that many junior doctors benefit from the experience of the senior colleagues, who teach them basic skills. A practitioner wishing to work at Middelburg Hospital should be skilful in managing common trauma patients, patients with complicated medical conditions, e.g. diabetes mellitus and hypertension, and in managing acute poisoning, respiratory infections and gastroenteritis. In other words, the practitioner must have adequate diagnostic and therapeutic skills. en_US
dc.identifier.citation Nkombua, L 2008, 'The practice of medicine at a district hospital emergency room : Middelburg Hospital, Mpumalanga Province', South African Family Practice, vol. 50, no. 1, pp. 65-65c. [] en_US
dc.identifier.issn 1726-426X
dc.language.iso en en_US
dc.publisher Medpharm Publications en_US
dc.rights Medpharm Publications en_US
dc.subject Practice en_US
dc.subject Medicine en_US
dc.subject Medical practice en_US
dc.subject District hospital en_US
dc.subject Emergency room en_US
dc.subject Middelburg Hospital en_US
dc.subject Mpumalanga en_US
dc.subject South Africa en_US
dc.subject Clinical practice en_US
dc.subject Physicians en_US
dc.subject Management en_US
dc.subject Training en_US
dc.subject Recruitment en_US
dc.subject Personnel allocation en_US
dc.subject Medical personnel en_US
dc.subject Nursing personnel en_US
dc.subject Descriptive study en_US
dc.subject Assaults en_US
dc.subject Motor accidents en_US
dc.subject Respiratory tract infections en_US
dc.subject Lacerations en_US
dc.subject Soft tissue injuries en_US
dc.subject Gastroenteritis en_US
dc.subject Fractures en_US
dc.subject Poisoning en_US
dc.subject Parasuicide en_US
dc.subject Hypertension en_US
dc.subject Continuing medical education en_US
dc.subject Diagnostic skills en_US
dc.subject Therapeutic skills en_US
dc.subject Procedural skills en_US
dc.subject Competency en_US
dc.subject.lcsh Rural hospitals -- Mpumalanga (South Africa)
dc.subject.lcsh Emergency physicians
dc.subject.lcsh Physical diagnosis
dc.subject.lcsh Therapeutics
dc.title The practice of medicine at a district hospital emergency room : Middelburg Hospital, Mpumalanga Province en_US
dc.type Article en_US

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