Journal de médecine générale

This article emphasizes the significance of continuous learning in the ever-evolving field of general medicine, considering technological advancements, epidemiological shifts, and challenges related to an aging population. It explores the importance of staying current for quality patient care, professional development, adaptation to change, and enhanced critical thinking. Despite facing challenges such as time constraints, information overload, financial barriers, and limited resource access, healthcare professionals can employ strategies like online learning platforms and participation in professional associations and conferences to ensure effective continuous learning.

This article explores the pivotal role of General Practitioners (GPs) in the paradigm shift towards preventive healthcare. It emphasizes the evolution of preventive healthcare from a secondary concern to a primary focus, with GPs acting as frontline defenders. The three levels of prevention primary, secondary, and tertiary are discussed, highlighting GPs' integral role in education, personalized planning, and technological integration for optimal well-being.

This article explores the foundational concept of patient-centered care within the context of general practice, emphasizing its crucial role in healthcare. Patient-centered care involves recognizing patients as partners in their healthcare journey and tailoring services to meet their unique needs and preferences. The core principles of effective communication, shared decision-making, respect for patient preferences, continuity of care, and accessibility are discussed, highlighting their significance in fostering positive doctor-patient relationships and improving health outcomes. The article underscores the importance of patient satisfaction and treatment adherence as direct outcomes of implementing patient-centered care in general practice. Ultimately, the focus is on creating a more inclusive, collaborative, and efficient healthcare experience for both patients and healthcare providers.

Introduction: The necessity to identify factors impacting the bowel preparation pre-colonoscopy arises from the fact that efficient colonoscopy requires adequate intestinal preparation, which has a significant impact on the diagnostic and therapeutic effectiveness of colonoscopy. We set out to determine the bowel preparation score and the factors associated with poor bowel preparation in our setting.

Methods: This was a prospective cross sectional study of 92 colonoscopies performed between November 2022 and February 2023. Data was collected on Patient demographics and indications included gastrointestinal hemorrhage, a change in bowel habits, and screening colonoscopies. This information was recorded using pretested questionnaires. Primary outcome was the Boston Bowel Preparation Scores (BBPS) and secondary outcome were the factors that affect how well the bowel is prepared for colonoscopy.

Methods: This was a prospective cross sectional study of 92 colonoscopies performed between November 2022 and February 2023. Data was collected on Patient demographics and indications included gastrointestinal hemorrhage, a change in bowel habits, and screening colonoscopies. This information was recorded using pretested questionnaires. Primary outcome was the Boston Bowel Preparation Scores (BBPS) and secondary outcome were the factors that affect how well the bowel is prepared for colonoscopy.

Conclusion and recommendations: Gender, literacy levels and socioeconomic levels are factors that influence bowel cleanliness pre-colonoscopy in our setting. There is need for efficient patient education strategies pre-colonoscopy to ensure improvement in the Boston bowel preparation scores and subsequently increase colonoscopy yield for patients.