Clinical encounters of Australian general practice registrars with paediatric patients

Educ Prim Care. 2017 Mar;28(2):75-80. doi: 10.1080/14739879.2016.1266697. Epub 2017 Jan 10.

Abstract

Background: Whether general practitioner (GP) registrars have adequate exposure to, and feel confident in, managing children's health during training is unknown.

Objectives: To determine the prevalence and associations of GP registrars' paediatric vs. non-paediatric consultations.

Methods: Cross-sectional analysis from a cohort study of Australian GP registrars' 2010-2014 consultations.

Results: 889 registrars contributed details for 26,427 (21.8% (95% CI: 21.4-22.2) paediatric consultations. Paediatric patients were more likely to be male and new to the practice. Although paediatric patients were less likely to have a chronic disease (OR 0.38, 95% CI 0.36, 0.40) and presented with fewer problems (OR 0.59, 95% CI 0.57, 0.61), registrars were more likely to seek in-consultation advice (OR 1.25, 95% CI 1.19, 1.31) and generate learning goals (OR 1.12, 95% CI 1.07, 1.18) for paediatric consultations.

Discussion: GP registrars appear to feel less confident in managing paediatric compared with adult consultations, suggesting an unmet training need.

Keywords: General practice; child health; general practice education; health services; referral, consultation.

MeSH terms

  • Adult
  • Age Factors
  • Australia
  • Child Health*
  • Clinical Competence*
  • Cross-Sectional Studies
  • Female
  • General Practice / statistics & numerical data*
  • Humans
  • Male
  • Pediatrics / statistics & numerical data*
  • Self Efficacy
  • Sex Factors
  • Socioeconomic Factors