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I was appointed Professor of Academic General Practice at Keele in 2007.
I completed my clinical and academic training in N Ireland before my appointment as a SL in General Practice in Leicester.
I have conducted research in asthma, chronic pain, the last year of life, the health care consultation and health services provision using a wide range of methodologies from qualitative approaches to RCTs. My current research focuses on:
- Assessment and enhancement of the skills of health professionals
- Development of reliable and valid measures of skills
- Development of reliable and valid patient report measures
Evaluation of educational and training
Peer reviewed papers
- McKinley RK, Roberts C. Patient satisfaction with out of hours primary medical care. Qual Health Care 2001;10:23-8.
- McKinley RK, Fraser RC, Baker R. Model for directly assessing and improving clinical competence and performance in revalidation of clinicians. BMJ 2001;322:712-715.
- Thomas M, McKinley RK, Freeman E, Foy C. Prevalence of dysfunctional breathing in patients treated for asthma in primary care. BMJ 2001;322:1098-1100.
- Dean P, McKinley RK, Farooqi A. Audit in general practice: how much and how complete? Scandinavian Journal of Primary Care 2001;19:101-102.
- French DP, McKinley RK, Hastings AM. General practitioner stress and patient satisfaction associated with on-call periods: a small scale exploratory study. Scandinavian Journal of Primary Care 2001;19:170-173.
- McKinley RK, Manku-Scott TK, Adams S, Stevenson K. Meeting patient expectations of care: the major determinant of satisfaction with out of hours primary medical care? Fam Pract 2002;19:333-338.
- McKinley RK, Dean P, Farooqi A. Reactions of volunteer general practitioners to educational assessment of their consultation performance: a qualitative study. Education for Primary Care 2003;14:293-301.
- Thomas, M, McKinley RK, Freeman E, Foy C, Prodger P. Breathing retraining for dysfunctional breathing in asthma. A randomised controlled trial. Thorax 2003;58:110-115.
- Stokes TN, Dixon-Woods M, Windridge K, McKinley RK. Patients' accounts of being removed from their general practitioner's list: qualitative study. BMJ 2003;326:1316-1320.
- Stokes TN, Dixon-Woods M, McKinley RK. Breaking up is never easy: general practitioners’ accounts of removing patients from their lists. Fam Pract 2003;20:628-634.
- McKinley RK, Fraser RC, Baker RH, Riley RD. The relationship between measures of patient satisfaction and enablement and professional assessments of consultation competence. Med Teach 2004;26:223-228.
- McKinley RK, Middleton J, French A. A pilot study of diagnostic educational evaluation of junior general practice registrars. Education for Primary Care 2004;15;242-250.
- McKinley RK, Turner JH. Educational assessment and consultation competence. Education for Primary Care 2004;15:462-467.
- Dean P, Farooqi A, McKinley RK. Quality improvement in general practice: the perspective of the primary health care team. Quality in Primary Care. 2004;12:201-208.
- Stokes T, Dixon-Woods M, McKinley RK. Ending the doctor-patient relationship: a proposed model. Fam Pract 2004;21:507-514.
- McKinley RK, Stokes TN, Exley C, Field D. Care of people dying with malignant and cardio-respiratory disease in general practice. Br J Gen Pract. 2004;54:909-913.
- Kelly JJ, Njuki F, Lane PL, McKinley RK. Design of a questionnaire to measure trust in an emergency department. Acad Emerg Med 2005;12:147-51.
- Thomas M, McKinley RK, Freeman E, Foy C, Price D. The prevalence of dysfunctional breathing in adults in the community with and without asthma. Primary Care Respiratory Journal. Primary Care Respiratory Journal 2005;14:78-82.
- McKinley RK, Hastings AM, Pedersen SA. The long case revisited. Med Ed 2005;39:442-447.
- Hastings AM, McKinley RK, Fraser RC. Strengths and weaknesses in the consultation skills of senior medical students: identification, enhancement and curricular change. Med Ed 2006;40:437-443.
- Middleton JF, McKinley RK, Gillies CL. Effect of patient completed agenda forms and doctors’ education about the agenda on the outcome of consultations: randomised controlled trial. BMJ. 2006. Doi:10.1136/bmj.38841.444861.7C (published 17 May 2006).
- Levy ML, Stephenson P, Griffiths C, McKinley R, Sheikh A, van Schayck CPO, Bryant P, Smith A, Holmes S. Primary Care Respiratory Journal is awarded full Medline/Index Medicus listing. Primary Care Respiratory Journal 2006;15:136-138.
- Fraser RC, Sarkhou ME, McKinley RK, van der Vleuten C. Regulatory end-point assessment of the consultation competence of family practice trainees in Kuwait. Eur J Gen Pract 2006;12:100-107.
- McKinley RK, StrandJ. WardL, Gray T, Alun-JonesT, Miller H. Checklists for certification of clinical procedural skills omit essential competencies: a systematic review. Med Ed. 2008;42:338–349.
Doi:10.1111/j.1365-2923.2007.02970.x - Patel S, Peacock S, McKinley R, Clark Carter D, Watson P. GPs’ experience of managing chronic pain in a South Asian community. Fam Pract 2008;25:71–77. Doi:10.1093/fampra/cmn012
- McKinley RK, Strand J, Gray T, Schuwirth L, Alun-Jones T, Miller H. Development of a tool to support holistic generic assessment of clinical procedure skills. Med Ed. 2008;42:619-627.
Doi:10.1111/j.1365-2923.2008.03023.x - Thomas MD, McKinley RK, Mellor S, Watkin G, Holloway E, Scullion J, Shaw DE, Wardlaw AJ, Price DB, Pavord ID. Breathing exercises for asthma: a randomised controlled trial. Thorax Published Online First: 3 December 2008. Doi:10.1136/thx.2008.100867
- Jiwa, M, McKinleyRK, O’Shea C, Arnet H, Dhaliwal, S, Smith M. Investigating the impact of extraneous distractions on consultations in general practice: Lessons learned. BMC Medical Research Methodology 2009;9:8. Doi:10.1186/1471-2288-9-8
http://www.biomedcentral.com/1471-2288/9/8 - Jiwa M, McKinley RK, Spilsbury K, Arnet H, Smith M. Deploying a clinical innovation in the context of actor-patient consultations in general practice: A prelude to a formal clinical trial. BMC Medical Research Methodology. 2009;9:54. Doi:10.1186/1471-2288-9-54
http://www.biomedcentral.com/1471-2288/9/54 - Deaville JA, Wynn-Jones J, Hays RB, Coventry PJ, McKinley RK, Randall Smith J. Perceptions of UK medical students on rural clinical placements. Rural and Remote Health Journal 2009;9:1165.http://www.rrh.org.au/articles/subviewnew.asp?ArticleID=1165
- Jiwa M, O’Shea C, McKinley RK, Mitchell M, Girgis A, Sibbritt D, Burridge L, Smith M, Chan She Ping Delfos W, Hackett G. Developing and evaluating interventions for primary care – a focus on consultations in general practice. Australian Medical Journal 2009;1:3-7. Doi:10.4066/AMJ.2009.107
- Patel S, Peacock SM, McKinley RK, Clark Carter D, Watson PJ. GPs’ perceptions of the service needs of South Asian people with chronic pain: a qualitative enquiry. Journal of Health Psychology 2009;14:909–918.
Doi: 10.1177/1359105309341003 - Pearson DJ, McKinley RK. Why tomorrow’s doctors need primary care today. R Soc Med 2010;103:9-13. Doi:10.1258/jrsm.2009.090182
- Thompson C, Dogra N, McKinley RK. A survey of general practitioners' opinions and perceived competencies in teaching undergraduate psychiatry. Education for Primary Care 2010;21:20-24.
- McKinley RK, Williams V, Stephenson C. Improving the content of feedback. The Clinical Teacher 2010;7:161–166.
- Thompson C, Dogra N, McKinley RK. A survey of general practitioners' attitudes towards psychiatry. The Psychiatrist. 2010;34:525-528.
- Jones R, Mehta M, McKinley RK. Medical student access to electronic medical records in UK primary care. EdPC 2011;22:4-6.
- Baker R, Smith A, Tarrant C, McKinley RK, Taub N. Patient feedback in revalidation: an exploratory study using the consultation satisfaction questionnaire. BJGP 2011;61:e638- e644. Doi:org/10.3399/bjgp11X601343
- Bartlett M, McKinley RK, Wynn Jones J, Hays RB. An English rural undergraduate campus: virtue from opportunity and necessity. Rural and Remote Health 2011;11:1841. http://www.rrh.org.au/articles/subviewnew.asp?ArticleID=1841
- Lefroy J, Gay SP, Gibson S, Williams S, McKinley RK. Development and face validation of an instrument to assess and improve clinical consultation skills. Int J Clin Skills. 2012:5;115-125.
Selected Publications
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2013. Patient perspectives of their leg ulcer journey. Journal of Wound Care, 58-66. full text>
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2011. A rural undergraduate campus in England: virtue from opportunity and necessity. Rural Remote Health, vol. 11(4), 1841. link> full text>
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2011. Medical student access to electronic medical records in UK primary care. Educ Prim Care, vol. 22(1), 4-6. link>
Full Publications List show
Journal Articles
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2013. Patient perspectives of their leg ulcer journey. Journal of Wound Care, 58-66. full text>
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2011. A rural undergraduate campus in England: virtue from opportunity and necessity. Rural Remote Health, vol. 11(4), 1841. link> full text>
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2011. Medical student access to electronic medical records in UK primary care. Educ Prim Care, vol. 22(1), 4-6. link>
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2010. Tools to Assess Clinical Skills of Medical Trainees. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, vol. 303(4), 332. link>
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2009. Deploying a clinical innovation in the context of actor-patient consultations in general practice: A prelude to a formal clinical trial. BMC MEDICAL RESEARCH METHODOLOGY, vol. 9, Article ARTN 54. link> doi> full text>
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2009. Perceptions of UK medical students on rural clinical placements. Rural Remote Health, vol. 9(2), 1165. link>
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2009. Investigating the impact of extraneous distractions on consultations in general practice: Lessons learned. BMC Medical Research Methodology, vol. 9, Article 8. doi> full text>
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2009. Breathing exercises for asthma: a randomised controlled trial. THORAX, vol. 64(1), 55-61. link> doi> full text>
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2009. Developing and evaluating interventions for primary care - a focus on consultations in general practice. Australian Medical Journal, vol. 1, 3-7. doi>
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2009. Education and training: the neglected healthcare technologies?. Primary Health Care Research and Development, vol. 10, 1-3.
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2009. From the outside looking in: UK medical student perceptions of rural clinical placements. Rural and Remote Health Journal, vol. 9, 1165.
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2008. Medical education in the community: realising the potential. Education for Primary Care, vol. 18, 217-221.
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2006. Effect of patient completed agenda forms and doctors' education about the agenda on the outcome of consultations: randomised controlled trial. BMJ.
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2006. Primary care respiratory journal is awarded full Medline/ Index medicus listing. Primary Care Respiratory Journal, vol. 15, 136-138.
-
2006. Regulatory end-point assessment of the consultation competence of family practice trainees in Kuwait. Eur J Gen Pract, vol. 12, 100-107.
-
2006. Strengths and weaknesses in the consultation skills of senior medical students: identification, enhancement and curricular. change. Med Ed, vol. 40, 437-443.
-
2005. Design of a questionnaire to measure trust in an emergency department. Acad Emerg Med, vol. 12, 147-151.
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2005. Management of COPD in primary care in Leicestershire. Primary Care Respiratory Journal, vol. 14, 38-41.
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2005. Measuring the quality of referral letters about patients with upper gastrointestinal symptoms. Postgraduate Medical Journal, vol. 81, 467-469.
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2005. The development of the primary care respiratory journal. Primary Care Respiratory Journal, vol. 14, 120-121.
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2005. The long case revisted. Med Ed, vol. 39, 442-447.
-
2005. The prevalence of dysfunctional breathing in adults in the community with and without asthma. Primary Care Respiratory Journal, vol. 14, 78-82.
-
2004. A pilot study of diagnostic educational evaluation of junior general practice registrars. Education for Primary Care, vol. 15, 242-250.
-
2004. Care of people dying with malignant and cardio-respiratory disease in general practice. Br J Gen Pract, vol. 54, 903-913.
-
2004. Educational assessment and consultation competence. Education for Primary Care, vol. 15, 462-467.
-
2004. Ending the doctor-patient relationship: a proposed model. Fam Pract, vol. 21, 507-514.
-
2004. Quality improvement in general practice: the perspective of the primary health care team. Quality in Primary Care, vol. 12, 201-208.
-
2004. Regulatory assessment of the consultation competence of family physicians in Hong Kong. The Hong Kong Practitioner, vol. 26, 5-15.
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2004. The relationship between measures of patient satisfaction and enablement and profesional assessments of consultation competence. Med Teach, vol. 26, 223-228.
-
2003. Breaking up is never easy: general practitioners' accounts of removing patients from their lists. Fam Pract, vol. 20, 628-634.
-
2003. Breathing retraining for dysfunctional breathing in asthma. A randomised controlled trial. Thorax, vol. 58, 110-115.
-
2003. Patients' accounts of being removed from their general practitioner's list: qualitative study. BMJ, vol. 326, 1316-1320.
-
2003. Reactions of a volunteer general practitioners to educational assessment of their consultation performance: a qualitative study. Education for Primary Care, vol. 14, 293-301.
-
2002. Meeting patient expectations of care: the major determinant of satisfaction with out of hours primary medical care?. Fam Pract, vol. 19, 333-338.
-
2002. Participating in primaary care research. Br J Gen Pract, vol. 52, 971-972.
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2001. Audit in general practice: how much and how complete?. Scandinavian Journal of Primary Care, vol. 19, 101-102.
-
2001. General practitioner stress and patient satisfaction associated with on-call periods: a small scale exploratory study. Journal of Primary Care, vol. 19, 170-173.
-
2001. Model for directly assessing and improving clinical competence and performance in revalidation of clinicians. BMJ, vol. 322, 712-715.
-
2001. Patient satisfaction with out of hours primary medical care. Qual Health Care, vol. 10, 23-28.
-
2001. Prevalence of dysfunctional breathing in patients treated for asthma in primary care. BMJ, vol. 322, 1098-1100.
-
A survey of general practitioners' attitudes towards psychiatry. The Psychiatrist, vol. 34, 525-528.
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Development and face validation of an instrument to assess and improve clinical consultation skills. full text>
-
Patient feedback in re validation: an exploratory study using the consultation satisfaction questionnaire. full text>
Chapters
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2006. Learning and Assessment. In The good consultation guide for nurses. Hastings AM and Redsell S (Eds.). Radcliffe Medical Press.
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2004. Clinical Method. In European Textbook of Family Medicine. Milan: Passoni Editore.
Other
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2009. A framework for the consultation - building on the Calgary-Cambridge mode.
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2009. Breathing training exercises result in persistent improvements in asthma health status at 12 months.
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2009. Effective care - effective communication: Living and dying with COPD.
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2009. GeCoS: a tool for the assessment of Generic Consultation skills with the Calgary Cambridge framework.
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2009. Locating learning: optimising the contribution of clinical disciplines to undergradute education.
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2009. The Domains Contained In Patient Evaluation Questionnaires of Office Visits With Primary Care Physicians: a systematic review.
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2008. Communication with patients: Does performance at the start of medical education predict students's skills in the clinical years?.
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2008. Generic Assessment of Clinical Procedural Skills: An interactive workshop to demonstrate the effectiveness of assessor training.
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2008. Reliability of the Leicester Clinical procedure Assessment Tool (LCAT), tool to support holistic generic assessment of clinical procedural skills.
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2008. Wither Clinical Skills?.
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2007. Airways inflammation and dysfunction in asthmatic subjects with and without a history of eczema. CLINICAL AND EXPERIMENTAL ALLERGY (vol. 37, p. 1880). link>
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2007. Access to records: It's a catalyst for improvement.
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2007. Are Dysfunctional Breathing and Anxiety Related Conditions?.
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2007. Metanalysis of randomised controlled trials of interventions to improve the consultation competence of family physicians.
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2007. Randomized Controlled Trial of the Effect of Prior Sight of a Questionnaire on Response Rate and Participant Responses.
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2007. Something needs to be done.
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2006. A systematic review of randomised controlled trials of interventions to improve the consultation competence of family practitioners.
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2006. Content of agenda forms.
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2006. Cultural competence and the myth of researching minority groups: a case report.
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2006. Development of LCAT: a new generic clinical procedural skills assessment tool.
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2006. Generic assessment of clinical procedural skills: an interactiveworkshop on the principlesof using a new assessment tool.
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2006. GPiAG/Leicester Asthma Dysfunctioncal breathing (GLAD) trial.
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2006. Identifying generic criteria for the assessment of clinical procedure skill.
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2006. National and institutional drivers for development of the Leicester Clinical Procedure Assessment Tool (LCAT).
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2006. Pilot OSCE examination of clinical procedural skills utilising a generic procedural skills assessment tool.
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2006. Systematic review of randomised controlled trials of interventions to improve the consultation competence of family physicians - current problems and suggested solutions.
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2006. Systematic review of the validity of published clinical procedural skills assessment checklists.
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2005. Development of a new tool for the generic assessment of clinical procedural skills: The Leicester Clinical Assessment Tool (LCAT).
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2005. Diagnosis interrupts: investigating the impact of extraneous distractions on consultations in general practice.
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2005. Generic assessment of clinical procedural skills: a workshop on the principles of using a new assessment tool.
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2005. Identification of generic clinical procedural skills: a multi-method review.
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2005. Identification of generic clinical procedural skills: a review.
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2005. Patterns of airflow limitation in patients with a primary care diagnosis of asthma and their relationship with eosinophilic inflammation.
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2005. The educational diagnosis and prescription: an approach to the assessment and enhancement of competence.
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2004. Educationcal assessment of consultation skills.
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2004. Palliative primary care: service and academic challenges.
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2004. The last year of life with malignant and cardio-respiratory disease: case record review.
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2003. An evaluation of primary care based palliative care for cancer and non-malignant disease in two cancer accredited primary care practices in Leicestershire.
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2003. Differences in health care in South Africa and the UK.
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2003. Dysfunctional breathing in adults with and without asthma in the community.
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2003. Educational and regulatory assessment of clinical competence in Leicester.
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2003. Measuring consultation skills.
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2003. The Fresno test.
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2002. Assessment of global consultation skills by observation of consultations with real patients achieves high reliability in certification of family practitioners in Kuwait.
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2002. Residents' teaching skills. Book review.
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2002. Stop: Think!! Tuberculosis.
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2002. The educational diagnosis and prescription: a new approach to the enhancement of consultation skills.
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2002. The relationship between patient satisfaction with and enablement by a consultation performance is weak.
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2001. A better form of revalidation?.
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2001. Assessing clinical competence and revalidation of clinicians.
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2001. Assessment of consultation competence: identifying specific strengths and weaknesses.
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2001. Breathing retraining improves dysfunctional breathing asthma.
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2001. Breathing retraining improves quality of life in asthmatic patients with dysfunctional breathing.
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2001. CeMENT: a multidisciplinary teaching programme.
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2001. Conflict in general practice. Book review. Royal Society of London, 1997. Quality in Health Care.
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2001. Prevalence of dysfunctional breathing in patients treated for asthmas in primary care: Authors reply.
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2001. Quality improvement in general practice: the perspective of the primary health care team.
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2001. Reactions of volunteer general practitioners to educational assessment of the consultation performance: a qualitative study.
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2001. Removal from a GP's list: qualitative research is needed.
Educational interests including teaching:
- General practice and community based education
- Assessment and development of skills
Faculty development

