Procedural skills of Australian general practice registrars: A cross-sectional analysis.

Q3 Medicine Australian family physician Pub Date : 2017-06-01

Fariba Aghajafari, Amanda Tapley, Steve Sylvester, Andrew R Davey, Simon Morgan, Kim M Henderson, Mieke L van Driel, Neil A Spike, Rohan H Kerr, Nigel F Catzikiris, Katie J Mulquiney, Parker J Magin

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引用次数: 0

Abstract

Background: Procedural skills are an essential component of general practice vocational training. The aim of this study was to investigate the type, frequency and rural or urban associations of procedures performed by general practice registrars, and to establish levels of concordance of procedures performed with a core list of recommended procedural skills in general practice training.

Methods: A cross-sectional analysis of a cohort study of registrars' consultations between 2010 and 2016 was undertaken. Registrars record 60 consecutive consultations during each six-month training term. The outcome was any procedure performed.

Results: In 182,782 consultations, 19,411 procedures were performed. Procedures (except Papanicolaou [Pap] tests) were performed more often in rural than urban areas. Registrars commonly sought help from supervisors for more complex procedures. The majority of procedures recommended as essential in registrar training were infrequently performed.

Discussion: Registrars have low exposure to many relevant clinical procedures. There may be a need for greater use of laboratory-based training and/or to review the expectations of the scope of procedural skills in general practice.

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澳大利亚全科医生注册的程序技能:横断面分析。

背景:程序技能是全科实践职业培训的重要组成部分。本研究的目的是调查全科医生登记员执行的程序的类型、频率和农村或城市的关联，并确定执行的程序与全科医生培训中推荐的程序技能核心清单的一致性水平。方法:对2010年至2016年登记员咨询的队列研究进行横断面分析。登记员在每六个月的培训期间记录了60次连续咨询。结果是任何程序的执行。结果:182,782次问诊，19,411次手术。检查(巴氏涂片检查除外)在农村比在城市更常进行。注册商通常会向主管寻求更复杂程序的帮助。作为书记官长培训必不可少的大多数程序很少得到执行。讨论:注册商对许多相关临床程序的了解较少。可能需要更多地使用以实验室为基础的培训和/或审查一般实践中程序技能范围的期望。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian family physician 医学-医学：内科

CiteScore

0.61

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian GPs to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to a peer-review process before they are accepted for publication. The journal is indexed in MEDLINE, Index Medicus and Science Citation Index Expanded.

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