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Early career GPs, mental health training and clinical complexity: a cross-sectional analysis

Stone, Louise; Tapley, Amanda; Presser, Jennifer; Holliday, Elizabeth G.; Ball, Jean; van Driel, Mieke; Davey, Andrew; Spike, Neil; Fitzgerald, Kristen; Mulquiney, Katie; Morgan, Simon; Magin, Parker J

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Patients with mental health conditions commonly present in General Practice. Mental health curricula are broad. We do not know that trainees are exposed to the learning they require. This study aimed to establish the prevalence, characteristics and associations of GP trainees' management of mental health problems. This paper presents a cross-sectional analysis of the Registrar Clinical Encounters in Training (ReCEnT) study, an ongoing multisite cohort study of Australian GP trainees...[Show more]

dc.contributor.authorStone, Louise
dc.contributor.authorTapley, Amanda
dc.contributor.authorPresser, Jennifer
dc.contributor.authorHolliday, Elizabeth G.
dc.contributor.authorBall, Jean
dc.contributor.authorvan Driel, Mieke
dc.contributor.authorDavey, Andrew
dc.contributor.authorSpike, Neil
dc.contributor.authorFitzgerald, Kristen
dc.contributor.authorMulquiney, Katie
dc.contributor.authorMorgan, Simon
dc.contributor.authorMagin, Parker J
dc.date.accessioned2022-05-02T02:06:01Z
dc.identifier.issn1473-9879
dc.identifier.urihttp://hdl.handle.net/1885/264209
dc.description.abstractPatients with mental health conditions commonly present in General Practice. Mental health curricula are broad. We do not know that trainees are exposed to the learning they require. This study aimed to establish the prevalence, characteristics and associations of GP trainees' management of mental health problems. This paper presents a cross-sectional analysis of the Registrar Clinical Encounters in Training (ReCEnT) study, an ongoing multisite cohort study of Australian GP trainees (registrars) documenting their clinical experiences over 60 consecutive consultations. Univariate and multivariable logistic regression analyses were conducted with outcome of the problem/diagnosis being a mental health condition. 1659 trainees provided data on 218,325 consultations and 340,453 problems/diagnoses. Mental health conditions were associated with patients being male, of Aboriginal or Torres Strait Islander or English-speaking background. Trainee characteristics were being more senior and having trained in Australia. Practice characteristics included being in low socioeconomic areas. Trainees sought less help for mental health concerns than they did for other problems. While early-career GPs see a broad range of mental health conditions, they may benefit from training to manage patients from cross-cultural contexts. They may also need support to generate appropriate learning goals and seek assistance if they are to continue to deepen competence.
dc.description.sponsorshipDuring the data-collection period included in this study, funding of the ReCEnT study was by the participating educational organisations: General Practice Training Valley to Coast, the Victorian Metropolitan Alliance, General Practice Training Tasmania, Tropical Medical Training, and Adelaide to Outback GP Training Program. These organisations were funded by the Australian Department of Health.Since 2016, the ReCEnT study is funded by an Australian Commonwealth Department of Health Research Grant, and supported by GP Synergy, the general practice Regional Training Organization for New South Wales and the Australian Capital Territory. GP Synergy is funded by the Australian Department of Health.
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherTaylor & Francis
dc.rights© 2018 Informa UK Limited, trading as Taylor & Francis Group
dc.sourceEducation for Primary Care
dc.subjectMedical education
dc.subjectmental health
dc.subjectgeneral practice
dc.subjectcultural competence
dc.titleEarly career GPs, mental health training and clinical complexity: a cross-sectional analysis
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume30
dc.date.issued2019
local.identifier.absfor119999 - Medical and Health Sciences not elsewhere classified
local.identifier.ariespublicationu3102795xPUB1397
local.publisher.urlhttps://www.routledge.com/
local.type.statusPublished Version
local.contributor.affiliationStone, Louise, College of Health and Medicine, ANU
local.contributor.affiliationTapley, Amanda, University of Newcastle
local.contributor.affiliationPresser, Jennifer, School of Medicine
local.contributor.affiliationHolliday, Elizabeth G., University of Newcastle
local.contributor.affiliationBall, Jean, Hunter Medical Research Institute
local.contributor.affiliationvan Driel, Mieke, School of Medicine, The University of Queensland
local.contributor.affiliationDavey, Andrew, University of Newcastle
local.contributor.affiliationSpike, Neil, University of Melbourne
local.contributor.affiliationFitzgerald, Kristen, General Practice Training Tasmania Regional Training Organisation
local.contributor.affiliationMulquiney, Katie, University of Newcastle
local.contributor.affiliationMorgan, Simon, GP Synergy Regional Training Organisation
local.contributor.affiliationMagin, Parker J, University of Newcastle
local.description.embargo2099-12-31
local.bibliographicCitation.issue2
local.bibliographicCitation.startpage62
local.bibliographicCitation.lastpage69
local.identifier.doi10.1080/14739879.2018.1551070
local.identifier.absseo929999 - Health not elsewhere classified
dc.date.updated2022-07-24T08:20:44Z
local.identifier.scopusID2-s2.0-85058244843
local.identifier.thomsonIDWOS:000469830800002
CollectionsANU Research Publications

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