Clinical encounters of Australian general practice registrars with paediatric patients

Hiscock, Harriet, Freed, Gary, Morgan, Simon, Tapley, Amanda, Holliday, Elizabeth, Davey, Andrew, Ball, Jean, Van Driel, Mieke, Spike, Neil, McArthur, Lawrie, and Magin, Parker (2017) Clinical encounters of Australian general practice registrars with paediatric patients. Education for Primary Care, 28 (2). pp. 75-80.

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Background: Whether general practitioner (GP) registrars have adequate exposure to, and feel confident in, managing children's health during training is unknown. Objectives: To determine the prevalence and associations of GP registrars' paediatric vs. non-paediatric consultations.

Methods: Cross-sectional analysis from a cohort study of Australian GP registrars' 2010-2014 consultations.

Results: 889 registrars contributed details for 26,427 (21.8% (95% CI: 21.4-22.2) paediatric consultations. Paediatric patients were more likely to be male and new to the practice. Although paediatric patients were less likely to have a chronic disease (OR 0.38, 95% CI 0.36, 0.40) and presented with fewer problems (OR 0.59, 95% CI 0.57, 0.61), registrars were more likely to seek in-consultation advice (OR 1.25, 95% CI 1.19, 1.31) and generate learning goals (OR 1.12, 95% CI 1.07, 1.18) for paediatric consultations.

Discussion: GP registrars appear to feel less confident in managing paediatric compared with adult consultations, suggesting an unmet training need.

Item ID: 75249
Item Type: Article (Research - C1)
ISSN: 1475-990X
Keywords: Child health, Consultation, General practice, General practice education, Health services, Referral
Copyright Information: © 2017 informa uK Limited, trading as taylor & francis Group
Date Deposited: 18 Aug 2022 02:37
FoR Codes: 39 EDUCATION > 3901 Curriculum and pedagogy > 390110 Medicine, nursing and health curriculum and pedagogy @ 30%
42 HEALTH SCIENCES > 4203 Health services and systems > 420304 General practice @ 70%
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