Irish Medical Journal[JOURNAL]

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'Beneath the Surface': When a Child's Head Swelling Reveals More.

Waheed S, Islam M, Ali M … +1 more , Gough N

Ir Med J · 2025 Aug · PMID 40864151

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Assessment and management of acute epididymo-orchitis in the emergency department.

Cooper P, Keogh S, Flynn R … +2 more , Prior AR, McCabe A

Ir Med J · 2025 Aug · PMID 40864150

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RETRACTED: An analysis of applications and acceptances to the National Specialist Training Programme in General Practice Ireland from 2021-2024.

Fitzgerald N, Comber H, O'Malley R … +5 more , Dowling E, Wallace E, Lydon S, Murphy AW, Kelly ME

Ir Med J · 2025 Aug · PMID 40864141

AIM: Ireland has one of the lowest levels of General Practitioners (GP) per population in the EU (87/100,000). To address this deficit the number of National Specialist Training Programme in General Practice (NSTPGP) pla... AIM: Ireland has one of the lowest levels of General Practitioners (GP) per population in the EU (87/100,000). To address this deficit the number of National Specialist Training Programme in General Practice (NSTPGP) places has expanded to 350 annually. This study aims to establish trends in applications to the NSTPGP including (1) the demographic profile of applicants and the location of their primary medical qualification (PMQ) and (2) application rates among different Irish Medical Schools' graduates. METHODS: This quantitative cross-sectional study analysed anonymised data over 4 years using descriptive analyses, chi square testing, Student t tests and Pearson's correlation tests. RESULTS: Of 3671 total applicants, 1834 (50%) were female. Significantly more male applicants earned their PMQ from non-EU medical schools (N=1066, 57%, p=<0.01). Over the four year study period the location of applicants' PMQ was: 1321 (36%) Republic of Ireland (ROI), 432 (12%) EU (EU/EEA/UK excluding ROI), and 1913 (52%) non-EU. The proportion of applicants who were offered and accepted a place on the NSTPGP differed significantly with 739 (56%) of ROI medical school applicants accepting a place, compared to 434 (24%) of applicants from EU/EEA/UK-excluding ROI medical schools and 271 (14%) of applicants from non-EU medical schools (χ 2 (650.693)=2 , p <0.01 . In 2024, 347 (27%) of applicants obtained their PMQ in a ROI medical school. Among the six ROI medical schools, graduate application rates as a percentage of their total class size, significantly differed with a range of 19%-38% (p=<0.01), for acceptances the equivalent range was 10-22%. A total of 739 (15%) of all ROI medical school graduates' accepted a position on the NSTPGP over the four year study period. DISCUSSION: Despite an increase in the number of training places on the NSTPGP recently, there was no corresponding increase in the number of applicants from ROI medical schools. By contrast, the number of applicants who graduated from other EU/EEA/ UK or non-EU medical schools has grown substantially representing 73% in 2024. There are also significant differences observed in application and acceptance rates between the six ROI medical schools This study demonstrates substantive changes in application trends to the NSTPGP over the study period. Further research should explore the underlying factors that motivate applications to Irish GP training and how best to continue to enhance recruitment to the programme.

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Ambulatory care by on-call teams in an Emergency Department.

Kinsella A, Gilligan P

Ir Med J · 2025 Aug · PMID 40863650

AIM: Admission rate is a key performance indicator for Emergency Departments (EDs). Senior hospital management advised that, if discharge by on-call teams was possible within 24 hours, a patient should be termed 'ambulat... AIM: Admission rate is a key performance indicator for Emergency Departments (EDs). Senior hospital management advised that, if discharge by on-call teams was possible within 24 hours, a patient should be termed 'ambulatory' and remain in the ED under the care of the on-call team rather than being admitted to a ward. This study aimed to assess the impact of this initiative on ED admission rates and occupancy. METHODS: A pre- and post-intervention single site study over a seven-year period of the impact of this ambulatory care initiative on ED admission rates (number of patients admitted from ED/total attendances to ED) and occupancy (number of patients in the ED/number of clinical care spaces) was performed using Python and SPSS. RESULTS: Over the study period the admission rate increased. Statistically significant differences (p<0.05) between the pre-intervention admission rate of 26±0.2% (32,587 admissions; 123,662 attendances), the during intervention rate of 26±0.4% (26,453 admissions; 102,048 attendances) and the post-intervention rate of 27±0.2% (51,127 admissions; 188,430 attendances) were found. Of the 30-35 available clinical spaces in the ED, occupancy at 08:00 each day increased from 95±1% (28.6±0.4 patients) pre-intervention to 112±2% (39.1±0.5 patients) post-intervention (p<0.001). The proportion of patients still in the 'referred' category at 08:00 each day increased three-fold. DISCUSSION: Ambulatory care in the ED by the on-call teams did not reduce ED admission rates. Occupancy increased significantly over the study period. On-call teams performing extended workups of 'referred' patients in the ED occupies clinical space required for the assessment of newly arriving patients by the emergency medicine team.

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Addressing the Gap in VTE Prophylaxis in Paediatric Orthopaedics.

Melley B, Ó Doinn T, Egan C

Ir Med J · 2025 Aug · PMID 40863561

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Access to Primary Healthcare by Ukrainian Beneficiaries of Temporary Protection in Rural Communities.

Mamai I, Lobachova V, Glynn L … +4 more , O'Donnell P, Hayes P, Casey M, Moiseieva A

Ir Med J · 2025 Aug · PMID 40863107

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Climbing the Rungs of Reconstruction - Evolution of Reconstructive Surgery Frameworks.

Dowling J, Browne F, Quinlan CS

Ir Med J · 2025 Apr · PMID 40788682

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Hysteroscopic Management of Fibroid Expulsion Complicating Uterine Artery Embolisation.

De Geus T, Delaney F, Salati U … +3 more , Buckley B, Chummun K, Geoghegan T

Ir Med J · 2025 Jun · PMID 40719224

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The incidence of neonatal pneumothoraces over the past decade.

O'Keeffe D, O'Connor J, O'Mahony A … +2 more , Mangroo K, Al-Assaf N

Ir Med J · 2025 Jun · PMID 40719223

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A National Bootcamp for New Cardiology Trainees.

McCormick JP, Trueick R, Murphy G … +6 more , Saiva L, Mansur A, Daly M, Galvin J, O'Boyle P, O'Neill J

Ir Med J · 2025 Aug · PMID 40719222

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Post-Pneumonectomy Syndrome.

O'Connor J, Vesey M, Bukowska I … +3 more , Griffin M, Smith C, Redmond K

Ir Med J · 2025 Jun · PMID 40719197

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Incidental Quadricuspid Aortic Valve: Act now, or React later.

Rice D, O'Callaghan L, Kinsella A

Ir Med J · 2025 Jun · PMID 40719196

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Multiple Myeloma in a Young Patient.

Al Annamalai KA, O'Donnell C

Ir Med J · 2025 Jun · PMID 40719195

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A clinical audit of MMR vaccination in the under-25s in the Defence Forces Ireland.

Lambe F, Kelly P

Ir Med J · 2025 Jun · PMID 40719172

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Ex-Vivo Blood Delivery to Offshore Vessels by Drone: A Maritime Feasibility Study.

Underwood S, Matthews D, Van Der Gelde J … +5 more , Gilligan O, Sheehy J, O'Sullivan P, Slade S, Fogarty E

Ir Med J · 2025 Jun · PMID 40719171

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Prelabour rupture of membranes at term: comparison between women with a failed induction and women who establish in labour.

McConnell R, O'Riordan N, Keane D

Ir Med J · 2025 Jun · PMID 40719155

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An Investigation into Fertility Awareness and Attitudes amongst Midwives and Nurses.

Stokes J, Petch S, O'Reilly S … +2 more , Glover L, Crosby D

Ir Med J · 2025 Jun · PMID 40719117

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Admission Care for Children Admitted with First Presentation of Type 1 Diabetes.

Dockery LA, McCaffrey A, Lalor L … +6 more , Quinn AM, Norris M, Conroy-Kelly M, Dunne T, Neylon OM, O'Gorman CS

Ir Med J · 2025 Jun · PMID 40719102

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Overlooked and Uncounted: Paediatric Psychiatry and Boarding in Ireland.

Jones É, O'Gorman CS, Barrett E

Ir Med J · 2025 Jun · PMID 40719101

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Regulation and accountability for online platforms to protect the health of children and young people.

Meehan J, O'Halloran E, Heffron M

Ir Med J · 2025 Jun · PMID 40719100

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Irish Medical Journal[JOURNAL]

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