Transitions in general practice training: quantifying epidemiological variation in trainees’ experiences and clinical behaviours

dc.contributor.authorTran, Michael
dc.contributor.authorWearne, Susan
dc.contributor.authorTapley, Amanda
dc.contributor.authorFielding, Alison
dc.contributor.authorDavey, Andrew
dc.contributor.authorvan Driel, Mieke
dc.contributor.authorHolliday, Elizabeth G.
dc.contributor.authorBall, Jean
dc.contributor.authorFitzgerald, Kristen
dc.contributor.authorSpike, Neil
dc.contributor.authorMagin, Parker J
dc.date.accessioned2024-03-11T21:20:00Z
dc.date.available2024-03-11T21:20:00Z
dc.date.issued2022
dc.date.updated2022-10-16T07:27:28Z
dc.description.abstractBackground General Practice training in Australia is delivered through the apprenticeship model. General Practice supervisors support trainees transitioning from hospital-based work towards competent independent community-based practice. The timing and manner in which support should be provided is still not well understood. This study aimed to establish the variation in clinical and educational experiences and behaviours, and location, of general practice trainees’ consultations by stage of their vocational training. It was hypothesised that change is greater in earlier stages of training. Methods A cross-sectional analysis of data (2010–2018) from the Registrar Clinical Encounters in Training (ReCEnT) study, an ongoing cohort study of Australian GP registrars’ in-consultation clinical and educational experience and behaviours. Multinomial logistic regression assessed the association of demographic, educational, and clinical factors in different stages of training. The outcome factor was the training term. Results Two thousand four hundred sixteen registrars contributed data for 321,414 patient consultations. For several important variables (seeing patients with chronic disease; new patients; seeking in-consultation information or assistance; ordering pathology and imaging; and working in a small or regional practice), odds ratios were considerably greater for comparisons of Term 1 and 3, relative to comparisons of Term 2 and 3. Conclusion Differences experienced in demographic, clinical and educational factors are significantly more pronounced earlier in registrars’ training. This finding has educational and training implications with respect to resource allocation, trainee supervision and curriculum design. Sociocultural learning theory enables an understanding of the impact of transitions on, and how to support, general practice trainees and supervisorsen_AU
dc.description.sponsorshipDuring the data collection period 2010 to 2015, 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 Medicine Training, and Adelaide to Outback GP Training Program. These organisations were funded by the Australian Government. From 2016–2019, the ReCEnT study was funded by an Australian Government Department of Health Commissioned 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 Government.en_AU
dc.format.mimetypeapplication/pdfen_AU
dc.identifier.issn1472-6920en_AU
dc.identifier.urihttp://hdl.handle.net/1885/315863
dc.language.isoen_AUen_AU
dc.provenanceThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.en_AU
dc.publisherBioMed Centralen_AU
dc.rights© 2022 The authorsen_AU
dc.sourceBMC Medical Educationen_AU
dc.subjectEducationen_AU
dc.subjectMedical,en_AU
dc.subjectGraduateen_AU
dc.subjectFamily practiceen_AU
dc.subjectGeneral practiceen_AU
dc.subjectPrimary health careen_AU
dc.subjectIn-practice experience,en_AU
dc.subjectChange managementen_AU
dc.subjectSocial theoryen_AU
dc.titleTransitions in general practice training: quantifying epidemiological variation in trainees’ experiences and clinical behavioursen_AU
dc.typeJournal articleen_AU
dcterms.accessRightsOpen Accessen_AU
dcterms.licenseCreative Commons Attribution licence
local.bibliographicCitation.issue1en_AU
local.contributor.affiliationTran, Michael, School of Medicine, Western Sydney Universityen_AU
local.contributor.affiliationWearne, Susan, College of Health and Medicine, ANUen_AU
local.contributor.affiliationTapley, Amanda, University of Newcastleen_AU
local.contributor.affiliationFielding, Alison, School of Medicine and Public Health, University of Newcastleen_AU
local.contributor.affiliationDavey, Andrew, University of Newcastleen_AU
local.contributor.affiliationvan Driel, Mieke, School of Medicine, The University of Queenslanden_AU
local.contributor.affiliationHolliday, Elizabeth G., University of Newcastleen_AU
local.contributor.affiliationBall, Jean, Hunter Medical Research Instituteen_AU
local.contributor.affiliationFitzgerald, Kristen, General Practice Training Tasmania Regional Training Organisationen_AU
local.contributor.affiliationSpike, Neil, University of Melbourneen_AU
local.contributor.affiliationMagin, Parker J, University of Newcastleen_AU
local.contributor.authoremailu5678735@anu.edu.auen_AU
local.contributor.authoruidWearne, Susan, u5678735en_AU
local.description.notesImported from ARIESen_AU
local.identifier.absfor420304 - General practiceen_AU
local.identifier.absseo200310 - Primary careen_AU
local.identifier.ariespublicationa383154xPUB25928en_AU
local.identifier.citationvolume22en_AU
local.identifier.doi10.1186/s12909-022-03178-0en_AU
local.identifier.scopusID2-s2.0-85125155649
local.identifier.uidSubmittedBya383154en_AU
local.publisher.urlhttps://bmcmededuc.biomedcentral.com/en_AU
local.type.statusPublished Versionen_AU

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