Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2023-06-19 Cooperative journals: 《中国全科医学》
Abstract： Medically unspecified disease (MUD) is a common problem in clinical practice. As a gatekeeper of health, it is a basic skill for every general practitioner to correctly identify and scientifically treat MUD at the first consultation. However, at present, workers and researchers in the field of general practice have different degrees of understanding of MUD, the diagnosis and treatment norms for MUD have not yet formed, and the scientific research related to MUD is relatively weak. The academic issue of "general practice and MUD" has become an urgent priority in the field of general practice in China. Therefore, this paper focuses on the "question of general practice" to organize a seminar for relevant experts to explore the "approach of general practice" to this issue. The discussion includes 6 modules: "Highlighting the Identification of General Practice: the Status Quo and Future of the Development of MUD in China", which involves the naming, development and future of MUD; "How to Carry out the Teaching and Training of MUD in General Practice", which involves training methods for students to correctly understand MUD, quickly identify "red flag signs" and "syndromes", improve capacity of physician-patient shared decision making and awareness of follow-up; "How to Carry out Scientific Research on MUD in General Practice Departments of General Hospitals", which covers the methods to carry out scientific research on the etiology and pathogenesis, diagnosis, intervention, prognosis, prevention and medical education of MUD; "How to Start with MUD by Reflecting the Characteristics of General Practice in City and County Hospitals", which covers the methods of opening MUD outpatient and inpatient wards in city (county) hospitals and improving the professionalism of general practitioners in the diagnosis and treatment of MUD; "How to Identify and Manage MUD Early by Community General Practitioners", which involves the management methods of pre-identification intervention, mid-identification treatment, post-identification treatment and long-term follow-up; "Hearing from the Side: Doctor-patient Communication in MUD", which argues that communication is the core of diagnosis and treatment of MUD, and analyzes patients' need for communication and doctors' reflections on communication. Each module is followed by hints of further research directions that scholars may consider, hoping to stimulate more specific researches in general practice in depth.
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