In-consultation information and adviceseeking by Australian GP trainees from GP trainers a cross-sectional analysis

Morgan, Simon, Wearne, Susan, Tapley, Amanda, Henderson, Kim, Oldmeadow, Chris, Ball, Jean, van Driel, Mieke, Scott, John, Spike, Neil, McArthur, Lawrie and Magin, Parker (2015) In-consultation information and adviceseeking by Australian GP trainees from GP trainers a cross-sectional analysis. Education for Primary Care, 26 3: 155-165. doi:10.1080/14739879.2015.11494335


Author Morgan, Simon
Wearne, Susan
Tapley, Amanda
Henderson, Kim
Oldmeadow, Chris
Ball, Jean
van Driel, Mieke
Scott, John
Spike, Neil
McArthur, Lawrie
Magin, Parker
Title In-consultation information and adviceseeking by Australian GP trainees from GP trainers a cross-sectional analysis
Journal name Education for Primary Care   Check publisher's open access policy
ISSN 1473-9879
1475-990X
Publication date 2015-01-01
Sub-type Article (original research)
DOI 10.1080/14739879.2015.11494335
Open Access Status Not Open Access
Volume 26
Issue 3
Start page 155
End page 165
Total pages 11
Place of publication Abingdon, Oxfordshire, United Kingdom
Publisher Taylor & Francis
Language eng
Abstract The apprenticeship model of general practice (GP) training is based on appropriate supervision. A central component of supervision - in-consultation information-seeking of GP trainees from their trainer - has not been documented. We aimed to establish the prevalence, characteristics and associations (trainee, practice, patient and consultation) of this information-seeking.

Australian trainees recorded demographic, clinical and educational details of 60 consecutive consultations in each GP term of their training, including the rate and nature of information-seeking.

Six-hundred and forty-five trainees contributed data for 1426 trainee-rounds, 84 723 consultations and 131 583 problems. Information was sought from the trainer for 9130 (6.9% (95% CI 6.8-7.1)) of all problems encountered (and in 7833 (9.2% (95% CI 9.0-9.4)) of consultations): 11.7% (95% CI 11.0- 12.4) were for diagnosis, 53.1% (95% CI 52.1-54.2) for management and 35.2% (95% CI 34.2-36.2) for both diagnosis and management. Assistance was sought most commonly for skin problems (20.0%) and musculoskeletal problems (12.6%). Significant adjusted associations of information-seeking included patient age; male patient gender; earlier training term; trainee being younger and female; trainee's training organisation; longer consultation; and trainee generation of learning goals.

Our findings have implications for trainer workload and professional development, patient care and trainee education and training.
Keyword General practice training
Medical education
Patient case-mix
Q-Index Code C1
Q-Index Status Provisional 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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