Travel medicine encounters of Australian general practice trainees-a cross-sectional study

Morgan, Simon, Henderson, Kim M., Tapley, Amanda, Scott, John, van Driel, Mieke L., Spike, Neil A., McArthur, Lawrie A., Davey, Andrew R., Catzikiris, Nigel F. and Magin, Parker J. (2015) Travel medicine encounters of Australian general practice trainees-a cross-sectional study. Journal of Travel Medicine, 22 6: 375-382. doi:10.1111/jtm.12216


Author Morgan, Simon
Henderson, Kim M.
Tapley, Amanda
Scott, John
van Driel, Mieke L.
Spike, Neil A.
McArthur, Lawrie A.
Davey, Andrew R.
Catzikiris, Nigel F.
Magin, Parker J.
Title Travel medicine encounters of Australian general practice trainees-a cross-sectional study
Journal name Journal of Travel Medicine   Check publisher's open access policy
ISSN 1708-8305
1195-1982
Publication date 2015
Sub-type Article (original research)
DOI 10.1111/jtm.12216
Volume 22
Issue 6
Start page 375
End page 382
Total pages 8
Place of publication Hoboken NJ, United States
Publisher Wiley-Blackwell Publishing
Collection year 2016
Language eng
Formatted abstract
Background
Travel medicine is a common and challenging area of clinical practice and practitioners need up-to-date knowledge and experience in a range of areas. Australian general practitioners (GPs) play a significant role in the delivery of travel medicine advice. We aimed to describe the rate and nature of travel medicine consultations, including both the clinical and educational aspects of the consultations.

Methods
A cross-sectional analysis from an ongoing cohort study of GP trainees' clinical consultations was performed. Trainees contemporaneously recorded demographic, clinical, and educational details of consecutive patient consultations. Proportions of all problems/diagnoses managed in these consultations that were coded “travel-related” and “travel advice” were both calculated with 95% confidence intervals (CIs). Associations of a problem/diagnosis being “travel-related” or “travel advice” were tested using simple logistic regression within the generalized estimating equations (GEE) framework.

Results
A total of 856 trainees contributed data on 169,307 problems from 108,759 consultations (2010–2014). Travel-related and travel advice problems were managed at a rate of 1.1 and 0.5 problems per 100 encounters, respectively. Significant positive associations of travel-related problems were younger trainee and patient age; new patient to the trainee and practice; privately billing, larger, urban, and higher socioeconomic status practices; and involvement of the practice nurse. Trainees sought in-consultation information and generated learning goals in 34.7 and 20.8% of travel advice problems, respectively, significantly more than in non-travel advice problems. Significant positive associations of travel advice problems were seeking in-consultation information, generation of learning goals, longer consultation duration, and more problems managed.

Conclusions
Our findings reinforce the importance of focused training in travel medicine for GP trainees and adequate exposure to patients in the practice setting. In addition, our findings have implications more broadly for the delivery of travel medicine in general practice.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Discipline of General Practice Publications
Official 2016 Collection
School of Medicine Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 2 times in Thomson Reuters Web of Science Article | Citations
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