Study protocol: The registrar clinical encounters in training (ReCEnT) study

被引：83

作者：

Morgan, Simon ^{[1
]}

Magin, Parker J. ^{[1
,2
]}

Henderson, Kim M. ^{[1
]}

Goode, Susan M. ^{[2
]}

Scott, John ^{[1
]}

Bowe, Steven J. ^{[3
]}

Regan, Catherine M. ^{[1
]}

Sweeney, Kevin P. ^{[1
]}

Jackel, Julian ^{[4
]}

van Driel, Mieke L. ^{[5
,6
,7
]}

机构：

[1] Gen Practice Training Valley Coast, Mayfield, NSW 2304, Australia

[2] Univ Newcastle, Discipline Gen Practice, Callaghan, NSW 2308, Australia

[3] Univ Newcastle, Res Ctr Gender Hlth & Ageing, Callaghan, NSW 2308, Australia

[4] Bridge Med Ctr, Crawley RH1 7BQ, W Sussex, England

[5] Bond Univ, Fac Med & Hlth Sci, Southport, Qld 4229, Australia

[6] Univ Ghent, Dept Gen Practice & Primary Hlth Care, B-9000 Ghent, Belgium

[7] Univ Queensland, Sch Med, Discipline Gen Practice, Brisbane, Qld 4009, Australia

来源：

BMC FAMILY PRACTICE | 2012年 / 13卷

关键词：

AUSTRALIAN GENERAL-PRACTITIONERS; FAMILY MEDICINE CLERKSHIP; OCCUPATIONAL VIOLENCE; PRIMARY-CARE; HEALTH-SERVICE; STUDENTS; EXPERIENCES; LOGBOOKS; CONSULTATIONS; REFERRALS;

D O I：

10.1186/1471-2296-13-50

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Patient encounters are the core learning activity of Australian general practice (family practice) training. Exposure to patient demographics and presentations may vary from one general practice registrar (vocational trainee) to another. This can affect comprehensiveness of training. Currently, there is no mechanism to systematically capture the content of GP registrar consultations. The aim of the Registrar Clinical Encounters in Training (ReCEnT) study is to document longitudinally the nature and associations of consultation-based clinical and educational experiences of general practice registrars. Methods/design: This is an ongoing prospective multi-site cohort study of general practice registrars' consultations, entailing paper-based recording of consultation data. The study setting is general practices affiliated with three geographically-based Australian general practice regional training providers. Registrars record details of 60 consecutive consultations. Data collected includes registrar demographics, details of the consultation, patient demographics, reasons for encounter and problems managed. Problems managed are coded with the International Classification of Primary Care (second edition) classification system. Additionally, registrars record educational factors related to the encounter. The study will follow the clinical exposure of each registrar six-monthly over the 18 months to two years (full-time equivalent) of their general practice training program. Conclusions: The study will provide data on a range of factors (patient, registrar and consultation factors). This data will be used to inform a range of educational decisions as well as being used to answer educational research questions. We plan to use ReCEnT as a formative assessment tool for registrars and help identify and address educational needs. The study will facilitate program evaluation by the participating training providers and thus improve articulation of educational programs with practice experience. From the research point of view it will address an evidence gap - the in-practice clinical and educational experience of general practice trainees, determinants of these experiences, and the determinants of registrars' patterns of practice (for example, prescribing practice) over the course of their training.

引用

页数：8

共 49 条

[1]

[Anonymous], 2003, 0301 AUSTR BUR STAT

[2] Describing primary care encounters: The Primary Care Network Survey and the National Ambulatory Medical Care Survey [J].

Bins, Helen J. ;

Lanier, David ;

Pace, Wilson D. ;

Galliher, James M. ;

Ganiats, Theodore G. ;

Grey, Margaret ;

Ariza, Adolfo J. ;

Williams, Robert .

ANNALS OF FAMILY MEDICINE, 2007, 5 (01) :39-47

[3]

Bridges-Webb Charles, 1992, Medical Journal of Australia, V157, pS1

[4]

Britt H, 1994, Aust Fam Physician, V23, P1116

[5]

Britt H, 1997, Aust Fam Physician, V26 Suppl 2, pS79

[6] Methodology of morbidity and treatment data collection in general practice in Australia: A comparison of two methods [J].

Britt, H ;

Meza, RA ;

DelMar, C .

FAMILY PRACTICE, 1996, 13 (05) :462-467

[7] REASONS FOR ENCOUNTER AND DIAGNOSED HEALTH-PROBLEMS - CONVERGENCE BETWEEN DOCTORS AND PATIENTS [J].

BRITT, H ;

HARRIS, M ;

DRIVER, B ;

BRIDGESWEBB, C ;

OTOOLE, B ;

NEARY, S .

FAMILY PRACTICE, 1992, 9 (02) :191-194

[8]

BRITT H, 1998, J INFORM PRIM CA MAY, P3

[9]

Britt H, 1994, AUST FAM PHYSICIAN, V23, P1124

[10]

Britt H, 1997, J INFORM PRIM CA NOV, V6, P8, DOI 10.14236/jhi.v6i2.203

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