Amanda Tapley1,2, Andrew R Davey1,2, Mieke L van Driel3, Elizabeth G Holliday1,4, Simon Morgan2, Katie Mulquiney1,2, Alison Turnock5,6, Neil A Spike7,8, Parker J Magin1,2. 1. School of Medicine and Public Health, Faculty of Health, University of Newcastle, Callaghan, NSW, Australia. 2. GP Synergy Regional Training Organisation, Newcastle, NSW, Australia. 3. Discipline of General Practice and Primary Care Clinical Unit, Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia. 4. Clinical Research Design IT and Statistical Support Unit (CReDITSS), Hunter Medical Research Institute, New Lambton, NSW, Australia. 5. School of Medicine, University of Tasmania, Hobart, TAS, Australia. 6. Department of Health, Health Professional Policy and Advisory Services, Hobart, TAS, Australia. 7. Eastern Victoria General Practice Training (EVGPT), Hawthorn, Vic., Australia. 8. Department of General Practice and Primary Health Care, University of Melbourne, Carlton, Vic., Australia.
Abstract
OBJECTIVE: We aimed to investigate registrar, practice and consultation characteristics associated with varying degrees of GP registrars' practice rurality. DESIGN: A cross-sectional analysis of 12 rounds of data collection (2010-2015) from the longitudinal Registrar Clinical Encounters in Training study, an ongoing, cohort study of Australian GP registrars. The principal analysis used was a generalised ordered logistic regression. SETTING/PARTICIPANTS: GP registrars in training practices within five of 17 GP regional training providers in five Australian states. MAIN OUTCOME MEASURE: Degree of rurality of the practice in which the registrar undertook training terms was calculated from the practice postcode using the Australian Standard Classification-Remoteness Area classification. RESULTS: A total of 1161 registrars contributed data for 166 998 patient consultations (response rate 95.5%). Of these, 56.9% were in major city practices (ASGC-RA1), 25.7% were in inner-regional practices (ASGC-RA2) and 17.4% were in outer-regional/rural practices (ASGC-RA3-5). Several statistically significant associations (P = < .001) were found within regional/rural practices (ASGC-RA2-5), when compared with major city practices (ASGC-RA1). These included registrar characteristics such as being in Term 1, being medically trained overseas, and having worked at the practice previously; patient characteristics such as the patient being an existing patient, being older and being Aboriginal or Torres Strait Islander; and consultation characteristics such as performance of procedures. CONCLUSION: Our findings suggest that registrars are undertaking rural practice early in their GP training and are being exposed to a rich and challenging mix of clinical and educational practice.
OBJECTIVE: We aimed to investigate registrar, practice and consultation characteristics associated with varying degrees of GP registrars' practice rurality. DESIGN: A cross-sectional analysis of 12 rounds of data collection (2010-2015) from the longitudinal Registrar Clinical Encounters in Training study, an ongoing, cohort study of Australian GP registrars. The principal analysis used was a generalised ordered logistic regression. SETTING/PARTICIPANTS: GP registrars in training practices within five of 17 GP regional training providers in five Australian states. MAIN OUTCOME MEASURE: Degree of rurality of the practice in which the registrar undertook training terms was calculated from the practice postcode using the Australian Standard Classification-Remoteness Area classification. RESULTS: A total of 1161 registrars contributed data for 166 998 patient consultations (response rate 95.5%). Of these, 56.9% were in major city practices (ASGC-RA1), 25.7% were in inner-regional practices (ASGC-RA2) and 17.4% were in outer-regional/rural practices (ASGC-RA3-5). Several statistically significant associations (P = < .001) were found within regional/rural practices (ASGC-RA2-5), when compared with major city practices (ASGC-RA1). These included registrar characteristics such as being in Term 1, being medically trained overseas, and having worked at the practice previously; patient characteristics such as the patient being an existing patient, being older and being Aboriginal or Torres Strait Islander; and consultation characteristics such as performance of procedures. CONCLUSION: Our findings suggest that registrars are undertaking rural practice early in their GP training and are being exposed to a rich and challenging mix of clinical and educational practice.
Authors: Alison Fielding; Benjamin Eric Mundy; Amanda Tapley; Linda Klein; Sarah Gani; Michael Bentley; Rachael Boland; Lina Zbaidi; Mieke L van Driel; Elizabeth Holliday; Parker Magin Journal: BMJ Open Date: 2021-04-09 Impact factor: 2.692
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
Authors: Dominica Moad; Amanda Tapley; Alison Fielding; Mieke L van Driel; Elizabeth G Holliday; Jean I Ball; Andrew R Davey; Kristen FitzGerald; Neil A Spike; Parker Magin Journal: BMC Med Educ Date: 2022-04-15 Impact factor: 2.463
Authors: Alison Fielding; Dominica Moad; Amanda Tapley; Andrew Davey; Elizabeth Holliday; Jean Ball; Michael Bentley; Kristen FitzGerald; Catherine Kirby; Allison Turnock; Neil Spike; Mieke L van Driel; Parker Magin Journal: BMJ Open Date: 2022-04-26 Impact factor: 3.006
Authors: Tobias Morgan; Amanda Tapley; Andrew Davey; Elizabeth Holliday; Alison Fielding; Mieke van Driel; Jean Ball; Neil Spike; Kristen FitzGerald; Simon Morgan; Parker Magin Journal: Aust J Rural Health Date: 2022-02-23 Impact factor: 2.060