Simon Morgan1, Susan Wearne2, Amanda Tapley3, Kim Henderson4, Chris Oldmeadow5, Jean Ball6, Mieke van Driel7, John Scott8, Neil Spike9, Lawrie McArthur10, Parker Magin11. 1. General Practitioner and Medical Educator, General Practice Training Valley to Coast, PO Box 573, HRMC, NSW 2310, Australia. simon.morgan@gptvtc.com.au. 2. Senior Lecturer in Clinical Educator Development, Flinders University, Supervisor Research & Development, Australian National University Medical School and General Practice Education and Training (GPET), Canberra, Australia. 3. Research Officer, General Practice Training Valley to Coast, New South Wales, Australia. 4. Research Manager, General Practice Training Valley to Coast, New South Wales, Australia. 5. Senior Statistician, Clinical Research Design IT and Statistical Support Unit (CReDITSS), Hunter Medical Research Institute, Newcastle, Australia. 6. Statistician, Clinical Research Design IT and Statistical Support Unit (CReDITSS), Hunter Medical Research Institute, Newcastle, Australia. 7. General Practitioner and Professor of General Practice, Discipline of General Practice, School of Medicine, The University of Queensland, Brisbane, Australia. 8. IT Officer, General Practice Training Valley to Coast, New South Wales, Australia. 9. General Practitioner and Director of Medical Education and Training, Victorian Metropolitan Alliance General Practice Training, Victoria, Australia and Professor, Department of General Practice, University of Melbourne, Victoria, Australia. 10. General Practitioner and Medical Director, Adelaide to Outback General Practice Training, North Adelaide, Australia. 11. General Practitioner and Medical Educator, General Practice Training Valley to Coast and Conjoint Professor, University of Newcastle, Discipline of General Practice, New South Wales, Australia.
Abstract
INTRODUCTION: 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. METHODS: 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. RESULTS: 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. DISCUSSION: Our findings have implications for trainer workload and professional development, patient care and trainee education and training.
INTRODUCTION: 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. METHODS: 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. RESULTS: 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. DISCUSSION: Our findings have implications for trainer workload and professional development, patient care and trainee education and training.
Authors: Margaretha H Sagasser; Anneke W M Kramer; Cornelia R M G Fluit; Chris van Weel; Cees P M van der Vleuten Journal: Adv Health Sci Educ Theory Pract Date: 2016-10-26 Impact factor: 3.853
Authors: Nancy J Sturman; Amanda Tapley; Mieke L van Driel; Elizabeth G Holliday; Jean I Ball; Andrew R Davey; Alison Fielding; Kristen FitzGerald; Neil A Spike; Parker J Magin Journal: BMC Med Educ Date: 2020-10-19 Impact factor: 2.463
Authors: Michael Tran; Susan Wearne; Amanda Tapley; Alison Fielding; Andrew Davey; Mieke van Driel; Elizabeth Holliday; Jean Ball; Kristen FitzGerald; Neil Spike; Parker Magin Journal: BMC Med Educ Date: 2022-02-23 Impact factor: 2.463