Are we preparing Victorian general practice registrars to be confident in all aspects of primary care paediatrics?
Background and objective: General practitioners provide essential primary care to paediatric patients. The aim of this study was to explore associations between prevocational paediatric experiences of general practice registrars and their confidence in providing paediatric care in the general practi...
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| Veröffentlicht in: | Australian journal of general practice 2020-11, Vol.49 (11), p.759-766 |
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| container_end_page | 766 |
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| container_issue | 11 |
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| container_title | Australian journal of general practice |
| container_volume | 49 |
| creator | Williames, Suzannah Temple-Smith, Meredith Chondros, Patty Spike, Neil Salamone, Angelina Magin, Parker Hiscock, Harriet Sanci, Lena |
| description | Background and objective: General practitioners provide essential primary care to paediatric patients. The aim of this study was to explore associations between prevocational paediatric experiences of general practice registrars and their confidence in providing paediatric care in the general practice setting.
Methods: This was a cross-sectional observational study. Paediatric experiences and level of confidence ratings were collected using an online survey emailed to 530 Victorian general practice registrars in 2017; the response rate was 41% (217/530). Analysis used descriptive statistics, cross tabulation and Fishers' exact test.
Results: The most common paediatric training was undertaken in a general hospital emergency department (180/197, 91%). The majority of registrars reported that they felt confident or very confident in managing acute presentations (92% for upper respiratory tract infection, 80% for asthma, 81% for immunisation), but fewer were confident in managing mental health, behavioural or developmental presentations (all |
| doi_str_mv | 10.31128/AJGP-08-19-5028 |
| format | Article |
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Methods: This was a cross-sectional observational study. Paediatric experiences and level of confidence ratings were collected using an online survey emailed to 530 Victorian general practice registrars in 2017; the response rate was 41% (217/530). Analysis used descriptive statistics, cross tabulation and Fishers' exact test.
Results: The most common paediatric training was undertaken in a general hospital emergency department (180/197, 91%). The majority of registrars reported that they felt confident or very confident in managing acute presentations (92% for upper respiratory tract infection, 80% for asthma, 81% for immunisation), but fewer were confident in managing mental health, behavioural or developmental presentations (all <36%).
Discussion: Registrars felt more confident managing acute presentations. However, the predominantly hospital-based prevocational paediatric training offers limited exposure to - and, thus, confidence in - managing behavioural, mental health and developmental issues. Training opportunities to address this identified gap should be explored.</description><identifier>ISSN: 2208-7958</identifier><identifier>ISSN: 2208-794X</identifier><identifier>EISSN: 2208-7958</identifier><identifier>DOI: 10.31128/AJGP-08-19-5028</identifier><language>eng</language><publisher>Sydney: Royal Australian College of General Practitioners</publisher><subject>Children ; Diseases ; Medicine ; Pediatric surgeons ; Practice ; Primary care (Medicine) ; Training of ; Treatment</subject><ispartof>Australian journal of general practice, 2020-11, Vol.49 (11), p.759-766</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-ff6efc8e5310312a456bcd58a602f9adc87e5a02f5ce2460208a6ce96153077d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Williames, Suzannah</creatorcontrib><creatorcontrib>Temple-Smith, Meredith</creatorcontrib><creatorcontrib>Chondros, Patty</creatorcontrib><creatorcontrib>Spike, Neil</creatorcontrib><creatorcontrib>Salamone, Angelina</creatorcontrib><creatorcontrib>Magin, Parker</creatorcontrib><creatorcontrib>Hiscock, Harriet</creatorcontrib><creatorcontrib>Sanci, Lena</creatorcontrib><title>Are we preparing Victorian general practice registrars to be confident in all aspects of primary care paediatrics?</title><title>Australian journal of general practice</title><description>Background and objective: General practitioners provide essential primary care to paediatric patients. The aim of this study was to explore associations between prevocational paediatric experiences of general practice registrars and their confidence in providing paediatric care in the general practice setting.
Methods: This was a cross-sectional observational study. Paediatric experiences and level of confidence ratings were collected using an online survey emailed to 530 Victorian general practice registrars in 2017; the response rate was 41% (217/530). Analysis used descriptive statistics, cross tabulation and Fishers' exact test.
Results: The most common paediatric training was undertaken in a general hospital emergency department (180/197, 91%). The majority of registrars reported that they felt confident or very confident in managing acute presentations (92% for upper respiratory tract infection, 80% for asthma, 81% for immunisation), but fewer were confident in managing mental health, behavioural or developmental presentations (all <36%).
Discussion: Registrars felt more confident managing acute presentations. However, the predominantly hospital-based prevocational paediatric training offers limited exposure to - and, thus, confidence in - managing behavioural, mental health and developmental issues. Training opportunities to address this identified gap should be explored.</description><subject>Children</subject><subject>Diseases</subject><subject>Medicine</subject><subject>Pediatric surgeons</subject><subject>Practice</subject><subject>Primary care (Medicine)</subject><subject>Training of</subject><subject>Treatment</subject><issn>2208-7958</issn><issn>2208-794X</issn><issn>2208-7958</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNpNUE1vFDEMHSGQWpXee8yxl4F8bGYyp2pVQQFVgkPpNXI9zpJqNhmcVIh_33S3Epz88fye7dd1F0p-MEpp93H77eZHL12vpt5K7d50p1q3cpyse_tfftKdl_IopdRSGSen0463TOIPiZVpBY5pJ-4j1swRkthRIoalYYA1IgmmXSyVgYuoWTyQwJxCnClVEZOAZRFQVsJaRA6NFffAfwVC27ACzREqRyxX77t3AZZC56_xrPv5-dPd9Zf-9vvN1-vtbY_GmtqHMFBAR9YoaZSGjR0ecLYOBqnDBDO6kSy03CLpTWvKBiFNg7JGjuNszrrLo-7K-fcTler3sSAtCyTKT8XrprhRztixjcrjKHIuhSn41-u9kv7gsH9x2Evn1eRfHG6UuyOF97F6zMvSHo85lUeoxRcCxl8-ppAPeOadn3M8yBk1_AOsNZOZBq3UoDZOmmdTwY1h</recordid><startdate>20201101</startdate><enddate>20201101</enddate><creator>Williames, Suzannah</creator><creator>Temple-Smith, Meredith</creator><creator>Chondros, Patty</creator><creator>Spike, Neil</creator><creator>Salamone, Angelina</creator><creator>Magin, Parker</creator><creator>Hiscock, Harriet</creator><creator>Sanci, Lena</creator><general>Royal Australian College of General Practitioners</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20201101</creationdate><title>Are we preparing Victorian general practice registrars to be confident in all aspects of primary care paediatrics?</title><author>Williames, Suzannah ; Temple-Smith, Meredith ; Chondros, Patty ; Spike, Neil ; Salamone, Angelina ; Magin, Parker ; Hiscock, Harriet ; Sanci, Lena</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-ff6efc8e5310312a456bcd58a602f9adc87e5a02f5ce2460208a6ce96153077d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Children</topic><topic>Diseases</topic><topic>Medicine</topic><topic>Pediatric surgeons</topic><topic>Practice</topic><topic>Primary care (Medicine)</topic><topic>Training of</topic><topic>Treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Williames, Suzannah</creatorcontrib><creatorcontrib>Temple-Smith, Meredith</creatorcontrib><creatorcontrib>Chondros, Patty</creatorcontrib><creatorcontrib>Spike, Neil</creatorcontrib><creatorcontrib>Salamone, Angelina</creatorcontrib><creatorcontrib>Magin, Parker</creatorcontrib><creatorcontrib>Hiscock, Harriet</creatorcontrib><creatorcontrib>Sanci, Lena</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Australian journal of general practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Williames, Suzannah</au><au>Temple-Smith, Meredith</au><au>Chondros, Patty</au><au>Spike, Neil</au><au>Salamone, Angelina</au><au>Magin, Parker</au><au>Hiscock, Harriet</au><au>Sanci, Lena</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Are we preparing Victorian general practice registrars to be confident in all aspects of primary care paediatrics?</atitle><jtitle>Australian journal of general practice</jtitle><date>2020-11-01</date><risdate>2020</risdate><volume>49</volume><issue>11</issue><spage>759</spage><epage>766</epage><pages>759-766</pages><issn>2208-7958</issn><issn>2208-794X</issn><eissn>2208-7958</eissn><abstract>Background and objective: General practitioners provide essential primary care to paediatric patients. The aim of this study was to explore associations between prevocational paediatric experiences of general practice registrars and their confidence in providing paediatric care in the general practice setting.
Methods: This was a cross-sectional observational study. Paediatric experiences and level of confidence ratings were collected using an online survey emailed to 530 Victorian general practice registrars in 2017; the response rate was 41% (217/530). Analysis used descriptive statistics, cross tabulation and Fishers' exact test.
Results: The most common paediatric training was undertaken in a general hospital emergency department (180/197, 91%). The majority of registrars reported that they felt confident or very confident in managing acute presentations (92% for upper respiratory tract infection, 80% for asthma, 81% for immunisation), but fewer were confident in managing mental health, behavioural or developmental presentations (all <36%).
Discussion: Registrars felt more confident managing acute presentations. However, the predominantly hospital-based prevocational paediatric training offers limited exposure to - and, thus, confidence in - managing behavioural, mental health and developmental issues. Training opportunities to address this identified gap should be explored.</abstract><cop>Sydney</cop><pub>Royal Australian College of General Practitioners</pub><doi>10.31128/AJGP-08-19-5028</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 2208-7958 |
| ispartof | Australian journal of general practice, 2020-11, Vol.49 (11), p.759-766 |
| issn | 2208-7958 2208-794X 2208-7958 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2456418357 |
| source | EZB-FREE-00999 freely available EZB journals |
| subjects | Children Diseases Medicine Pediatric surgeons Practice Primary care (Medicine) Training of Treatment |
| title | Are we preparing Victorian general practice registrars to be confident in all aspects of primary care paediatrics? |
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