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Gp trainee

Andy Barlow, M Smith
BACKGROUND: General Practice training in the civilian and military environments follows a common training pathway, yet the scope of practice of a military General Practitioner (GP) varies significantly. A level of care for the acutely unwell and traumatically injured patients is frequently provided in austere environments remotely located from definitive medical care. This qualitative service needs evaluation scopes current level of trauma and acute care training and requirement for further training within military GPs and GP trainees...
December 19, 2018: Journal of the Royal Army Medical Corps
Maria Noonan, Owen Doody, Andrew O'Regan, Julie Jomeen, Rose Galvin
BACKGROUND: Identification of perinatal mental health problems and effective care for women who experience them are important considering the potentially serious impact that they may have on the wellbeing of the woman, her baby, family and wider society. General practitioners (GPs) play a central role in identifying and supporting women and this study aimed to explore GPs' experiences of caring for women with perinatal mental health problems in primary care. The results of this study may provide guidance to inform policy, practice, research and development of curriculum and continuous professional development resources...
December 13, 2018: BMC Family Practice
Louise Stone, Amanda Tapley, Jennifer Presser, Elizabeth Holliday, Jean Ball, Mieke Van Driel, Andrew Davey, Neil Spike, Kristen Fitzgerald, Katie Mulquiney, Simon Morgan, Parker Magin
Patients with mental health conditions commonly present in General Practice. Mental health curricula are broad. We do not know that trainees are exposed to the learning they require. This study aimed to establish the prevalence, characteristics and associations of GP trainees' management of mental health problems. This paper presents a cross-sectional analysis of the Registrar Clinical Encounters in Training (ReCEnT) study, an ongoing multisite cohort study of Australian GP trainees (registrars) documenting their clinical experiences over 60 consecutive consultations...
December 11, 2018: Education for Primary Care
Lisa Wilhelmi, Freya Ingendae, Jost Steinhaeuser
INTRODUCTION: The increasing shortage of physicians, especially general practitioners (GPs), in rural areas is an issue in most western countries. Many redistribution strategies have been utilized in the past to counter this shortage. The physician's perception of rural areas might be an underestimated aspect of a subsequent choice of living and working environment. The aim of this study was to explore determinants influencing this subjective perception of rurality and to develop further strategies to resolve the physician shortage in rural areas...
November 2018: Rural and Remote Health
John W Nicol, Lisi J Gordon
The recent rise to prominence of healthcare leadership worldwide has prompted those involved in medical education to consider how to facilitate learning to lead effectively. Research has focused on formal curriculum activities. Curricular theory suggests that trainee doctors may also learn through the informal curriculum but there is a lack of medical education literature on this. We aimed to explore how GP trainees learn about leadership in their GP training practices. Epistemologically grounded in social constructionism, this research involved 15 semi-structured interviews with GP trainees about to complete their training...
October 22, 2018: Education for Primary Care
Abi Rimmer
No abstract text is available yet for this article.
October 19, 2018: BMJ: British Medical Journal
(no author information available yet)
Creative and abstract thinking encouraged by photography.
October 12, 2018: British Dental Journal
Olesya Atkinson, Elizabeth Alden, Anthony Curtis, Nicholas Halsey, Lucy Loveday, Elizabeth Eley
Newly-qualified General Practitioners (GPs) are underprepared for the challenges of working as independent GPs. This study describes a practice swap - an innovative experiential learning opportunity to increase confidence amongst final year GP trainees for the challenges of future work. The effectiveness of the practice swap was evaluated across two separate GP training areas using questionnaires for GP trainees, practice managers, educational supervisors and newly-qualified GPs. In addition, GP trainees were interviewed in focus groups...
September 23, 2018: Education for Primary Care
Dawn Jackson, Ian Davison, Josephine Brady
A key aspect of support in UK General Practice training is the trainee-trainer supervisory relationship. A small but significant number of trainees struggle in training, and relationship 'breakdown' can result. This study aims to better understand the nature of the supervisory interaction when a trainee faces difficulty. Using Bordin's 'Supervisory Working Alliance' and Egan's 'Skilled Helper Model' as a conceptual framework, four semi-structured interviews were undertaken with GP educators all experienced with trainees in difficulty, purposively sampled based on geography and gender...
September 2018: Education for Primary Care
Stephen Harte, Kieran McGlade
Given an increasingly complex healthcare environment, doctors need to rise to the challenges of leadership. Executive coaching offers innovative and workable means of realising excellence in leadership. Coaching creates an empowering, 'high challenge, high support' environment for significant growth. This study sought to determine general practice (GP) specialty trainee (ST3) knowledge of coaching, views on leadership training, and reflections on the experience of receiving coaching. All GP ST3s in one UK region completed a questionnaire about coaching and developing leadership abilities...
September 2018: Education for Primary Care
Abi Rimmer
No abstract text is available yet for this article.
August 17, 2018: BMJ: British Medical Journal
Parker Magin, Amanda Tapley, Adrian J Dunlop, Andrew Davey, Mieke van Driel, Elizabeth Holliday, Simon Morgan, Kim Henderson, Jean Ball, Nigel Catzikiris, Katie Mulquiney, Neil Spike, Rohan Kerr, Simon Holliday
BACKGROUND: Australian and international guidelines recommend benzodiazepines and related drugs (hereafter "benzodiazepines") as second-line, short-term medications only. Most benzodiazepines are prescribed by general practitioners (GPs; family physicians). Australian GP registrars ("trainees" or "residents" participating in a post-hospital training, apprenticeship-like, practice-based vocational training program), like senior GPs, prescribe benzodiazepines at high rates...
October 2018: Journal of General Internal Medicine
Nicolas Delvaux, Martine Goossens, Paul Van Royen, Stijn Van de Velde, Robert Vanderstichele, Hanne Cloetens, Jan Vanschoenbeek, Bert Aertgeerts
BACKGROUND: It is unclear whether it is feasible to involve residents in guideline development or adaptation. We designed a multifaceted training program that combines training sessions, a handbook and a documentation tool to assist general practice (GP)-trainees in the adaptation of clinical practice guidelines (CPGs). The aim of this study is to adapt a database of CPGs by involving GP-trainees and to build evidence-based practice (EBP) learning capacity. METHODS: We assessed each adaptation process and surveyed all GP-trainees who enrolled in our training program on their views on the program...
June 22, 2018: BMC Medical Education
Jess Grundy
Consultation theory contains a wealth of useful suggestions but it can seem overwhelming to the novice. The Rule of Thirds describes a consistent consultation scaffold, which aids the teaching of respected consultation models and facilitates formation of individual consultation style. It is useful for medical students and trainees, particularly GP Specialty Trainees.
September 2018: Education for Primary Care
Rebecca Stewart, Nick Cooling, Graham Emblen, Allison Turnock, Amanda Tapley, Elizabeth Holliday, Jean Ball, Jennifer Juckel, Parker Magin
BACKGROUND: Success in summative general practice (GP) training assessments is one indicator of competence for practice. Early-training factors predictive of outcomes would facilitate targeted interventions aimed at preventing candidate failures. METHODS: We undertook a retrospective cohort study of Australian GP trainees in two training organizations over five years. Associations of pre-training and early-training predictors with summative examination scores in an Applied Knowledge Test (AKT), Key Features Paper (KFP), and Objective Structured Clinical Examination (OSCE), plus failure on any one of these, were tested via univariate and multivariable regression...
May 25, 2018: Medical Teacher
Vikas Acharya, Matthew Haywood, Naomi Kokkinos, Anisha Raithatha, Sinthuja Francis, Rishi Sharma
Background: General practitioners (GPs) are key members of the health care profession who are required to have a considerable breadth of knowledge to manage and treat patients effectively in the community. Their skills and experience varies depending on the medical school they attended and their foundation training and specialist GP training schemes. Exposure to ear, nose, and throat (ENT)-specific pathology is often insufficient due to the lack of formal otolaryngology rotations, minimal relevant teaching opportunities, and inconsistencies in curricula, despite ENT-related pathology presentations being one of the commonest consultations in primary care...
2018: Advances in Medical Education and Practice
Celia Taylor, I C McManus, Ian Davison
BACKGROUND: There is currently a shortage of qualified GPs in the UK and not all of the training posts available each year are filled. Changing the way in which GP trainees are selected could help increase the training post fill rate and the number of new entrants to the GP Register. The aim of this study was to model the impact of changing the selection process for GP training on the number of trainees obtaining GP Registration, either with or without extensions. METHOD: This was a cohort study using UK applications for GP training in 2011-14...
April 27, 2018: BMC Medical Education
Pamela Curtis, Gordon Taylor, Michael Harris
Background The Approaches and Study Skills Inventory for Students (ASSIST) questionnaire assesses whether learners prefer a deep, strategic or surface approach to learning. This study aimed to establish the effect of time since qualification, gender and work role on ASSIST scores of General Practitioners (GPs) and GP Specialist Trainees (GPSTs). Methods An anonymous online questionnaire with demographic questions and the ASSIST survey was completed by 1005 GPs and GPSTs from across the United Kingdom. Results Of the 544 GPs and 461 GPSTs completing the survey, 96...
July 2018: Education for Primary Care
Abi Rimmer
No abstract text is available yet for this article.
April 17, 2018: BMJ: British Medical Journal
Bertwin Krug, Annelies Colliers, Jan Matthys, Sibyl Anthierens, Hilde Philips, Jorn Damen, Samuel Coenen, Roy Remmen
Background Video-recordings of consultations are used by general practitioner (GP) trainees to enable reflection on aspects of knowledge, skills and attitudes. Typically, these recordings are made during office hours in general practice, but little is known about using video-recording during out of hours (OOH) care, which is an important and distinct part of a GP's work. To be able to record consultations during OOH care (i.e. at the emergency department (ED) and at the General Practitioner Cooperative (GPC)), patients must be willing to cooperate and give informed consent...
April 2, 2018: Acta Clinica Belgica
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