Clinical encounters of Australian general practice registrars with paediatric patients

dc.contributor.authorHiscock, H.
dc.contributor.authorFreed, G.
dc.contributor.authorMorgan, S.
dc.contributor.authorTapley, A.
dc.contributor.authorHolliday, E.
dc.contributor.authorDavey, A.
dc.contributor.authorBall, J.
dc.contributor.authorVan Driel, M.
dc.contributor.authorSpike, N.
dc.contributor.authorMcArthur, L.
dc.contributor.authorMagin, P.
dc.date.issued2017
dc.descriptionPublished online: 10 Jan 2017
dc.description.abstractBackground: 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.
dc.description.statementofresponsibilityHarriet Hiscock, Gary Freed, Simon Morgan, Amanda Tapley, Elizabeth Holliday, Andrew Davey, Jean Ball, Mieke van Driel, Neil Spike, Lawrie McArthur and Parker Magin
dc.identifier.citationEducation for Primary Care, 2017; 28(2):75-80
dc.identifier.doi10.1080/14739879.2016.1266697
dc.identifier.issn1473-9879
dc.identifier.issn1475-990X
dc.identifier.orcidMcArthur, L. [0000-0001-8493-991X]
dc.identifier.urihttp://hdl.handle.net/2440/123270
dc.language.isoen
dc.publisherTaylor & Francis
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1068947
dc.rights© 2017 Informa UK Limited, trading as Taylor & Francis Group
dc.source.urihttps://doi.org/10.1080/14739879.2016.1266697
dc.subjectGeneral Practice
dc.subjectChild Health
dc.subjectReferral
dc.subjectConsultation
dc.subjectHealth Services
dc.subjectGeneral Practice Education
dc.titleClinical encounters of Australian general practice registrars with paediatric patients
dc.typeJournal article
pubs.publication-statusPublished

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