Tessa Richards
Lehigh University
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Publication
Featured researches published by Tessa Richards.
BMJ | 2013
Tessa Richards; Victor M. Montori; Fiona Godlee; Peter Lapsley; Dave Paul
Patients can improve healthcare: it’s time to take partnership seriously
BMJ | 2013
Paul Glasziou; Ray Moynihan; Tessa Richards; Fiona Godlee
Time to wind back the harms of overdiagnosis and overtreatment
BMJ | 2015
Tessa Richards; Angela Coulter; Paul Wicks
We must harness the energy, insight and expertise of patients, carers, and the communities that support them to help drive change
BMJ | 1998
Tessa Richards
Medical education is unfit for the millennium. Professional conservatism, inertia, and poor leadership have left it struggling to cope with rapidly changing health care systems. Those universities that have adopted new educational programmes may dispute this, but globally they are in a minority and their experiences have mostly not been evaluated or well disseminated. Too many education programmes at all levels continue to churn out “time honoured” material, present it boringly, and assess its absorption predominantly by written tests. Too few train doctors, both new and established, to acquire the skills that the new trends in health care demand. Adult learning theory holds that a key element of good teaching is the ability to stimulate self learning. This message has been accepted at medical undergraduate level, where many universities have introduced variations on problem based learning curriculums. Continuing medical education has, however, lagged behind. More emphasis has been placed on quantity than quality, despite the fact that ever more credence is being given to the role of continuing medical education in maintaining professional standards. In …
BMJ | 2009
Tessa Richards
The deadline for implementing European legislation on doctors’ working hours is looming, but it remains unclear what the rules will be or the effect they will have on staff and patients, Tessa Richards reports
BMJ | 2014
Tessa Richards; Fiona Godlee
Seeks to promote patient partnership by walking the talk
BMJ | 2014
Tessa Richards
High death rates galvanised quality improvement and innovative change in one of the Netherland’s largest hospitals, transforming it into a model for patient participation, reports Tessa Richards
BMJ | 1998
Mike Gill; Tessa Richards
See p 618 Advances in molecular genetics over the past decade have been remarkable. Soon the entire human genome will have been sequenced and most of the genetic loci associated with human disease identified. These advances have greatly enhanced understanding of disease mechanisms and begun to explain why the clinical course of common disorders such as diabetes, asthma, and rheumatoid arthritis is so variable, as Bell discusses in the first of four articles on the broader implications of the new genetics (p 618).1 In future presymptomatic population based genetic testing for common late onset disorders such as Alzheimers disease2 and colon cancer may become widespread and bring important health benefits. Genotyping may become part of routine investigations to help clinicians tailor drug treatment effectively. But in what has been dubbed the “post-genome” era, increasing attention is now being paid to the limitations as well as the potential of DNA based genetic tests. The ability to detect genes …
BMJ | 2018
Paul Wicks; Tessa Richards; Simon Denegri; Fiona Godlee
Full partnership with patients is essential to any modern research enterprise
BMJ | 1997
Tessa Richards
The exodus of young doctors from the NHS has been exaggerated,1 but British medicine has nothing to be complacent about. Disillusionment and discontent among doctors seems widespread and, as shown in this weeks journal, is by no means confined to the juniors. Growing concern about the services inability to care adequately for patients is causing frustration and even despair among senior doctors. This is perhaps reflected in early retirement, which is becoming common among both hospital consultants (especially those without merit awards) and general practitioners. Surveys of junior doctors who have left or are contemplating leaving medicine now rank the unattractive lifestyle of consultants as a major factor in their decision. In general practice the same concern about lifestyle is adversely affecting recruitment to general practitioner training schemes. Objective measurement of the misery index may be lacking and anecdote more evident than hard data, but recent discussions at the Royal Society of Medicine made it clear that there is an iceberg of discontent that cannot be ignored. Over the past year there have been 3300 calls to the BMAs helpline, mostly from doctors between the ages of 21 and 25 years, and although less than 100 have left their jobs many were experiencing difficulties. The causes of discontent are familiar. Despite the New Deal, long …