- Title
- In-consultation information and advice-seeking by Australian GP trainees from GP trainers - a cross-sectional analysis.
- Creator
- Morgan, Simon; Wearne, Susan; Magin, Parker; Tapley, Amanda; Henderson, Kim; Oldmeadow, Chris; Ball, Jean; van Driel, Mieke; Scott, John; Spike, Neil; McArthur, Lawrie
- Relation
- Education for Primary Care Vol. 26, Issue 3, p. 155-165
- Publisher Link
- http://dx.doi.org/10.1080/14739879.2015.11494335
- Publisher
- Taylor & Francis
- Resource Type
- journal article
- Date
- 2015
- Description
- 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.
- Subject
- general practice training; medical education; patient case-mix
- Identifier
- http://hdl.handle.net/1959.13/1339401
- Identifier
- uon:28249
- Identifier
- ISSN:1473-9879
- Language
- eng
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