Evidence map›Paper›PMID 35196416›Full record

ArticleThe Australian journal of rural health2022

Influence of rurality on general practitioner registrars' participation in their practice's after-hours roster: A cross-sectional study.

Tobias Morgan, Amanda Tapley, Andrew Davey, Elizabeth Holliday, Alison Fielding, Mieke van Driel, Jean Ball, Neil Spike, Kristen FitzGerald, Simon Morgan and 1 more

Abstract read
In one paragraph

Article in The Australian journal of rural health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Tobias MorganSchool of Population Health, Faculty of Medicine and Health, UNSW Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-6904-1201
Amanda TapleySchool of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.ORCID https://orcid.org/0000-0002-1536-5518
Andrew DaveySchool of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.ORCID https://orcid.org/0000-0002-7547-779X
Elizabeth HollidaySchool of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.ORCID https://orcid.org/0000-0002-4066-6224
Alison FieldingSchool of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.ORCID https://orcid.org/0000-0001-5884-3068
Mieke van DrielPrimary Care Clinical Unit, Faculty of Medicine, University of Queensland, Royal Brisbane & Women's Hospital, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0003-1711-9553
Jean BallClinical Research Design and Statistical Support Unit (CReDITSS), Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia.ORCID https://orcid.org/0000-0001-5402-6415
Neil SpikeDepartment of General Practice and Primary Health Care, University of Melbourne, Carlton, Victoria, Australia.ORCID https://orcid.org/0000-0002-9694-8642
Kristen FitzGeraldTasmanian School of Medicine, University of Tasmania, Hobart, Tasmania, Australia.
Simon MorganNSW & ACT Research and Evaluation Unit, GP Synergy, Regional Training Organisation, Mayfield West, New South Wales, Australia.
Parker MaginSchool of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.ORCID https://orcid.org/0000-0001-8071-8749

Funding

Department of Health, Australian Government
6 · The paper itself

Abstract

objectiveTo investigate whether practice rurality and rural training pathway are associated with general practitioner registrars' participation in their practice's after-hours care roster.

designA cross-sectional analysis of data (2017-2019) from the Registrar Clinical Encounters in Training study, an ongoing inception cohort study of Australian general practitioner registrars. The principal analyses used logistic regression.

settingThree national general practitioner regional training organisations across 3 Australian states.

participantsGeneral practitioner registrars in training within regional training organisations.

main outcome measureInvolvement in practice after-hours care was indicated by a dichotomous response on a 6-monthly Registrar Clinical Encounters in Training study questionnaire item.

results1576 registrars provided 3158 observations (response rate 90.3%). Of these, 1574 (48.6% [95% confidence interval: 46.8-50.3]) involved registrars contributing to their practice's after-hours roster. In major cities, 40% of registrar terms involved contribution to their practice's after-hours roster; in regional and remote practices, 62% contributed to the after-hours roster. On multivariable analysis, both level of rurality of practice (odds ratio(OR) 1.75, P = .007; and OR 1.74, P = .026 for inner regional and outer regional/remote locations, respectively, versus major city) and rural training pathway of registrar (OR 1.65, P = .008) were significantly associated with more after-hours roster contribution. Other associations were registrars' later training stage, larger practices and practices not routinely bulk billing. Significant regional variability in after-hours care was identified (after adjusting for rurality).

conclusionThese findings suggest that registrars working rurally and those training on the rural pathway are more often participating in practice after-hours rosters. This has workforce implications, and implications for the educational richness of registrars' training environment.

Indexed as

General PracticeGeneral PractitionersAustraliaCohort StudiesCross-Sectional StudiesHumansafter-hours careeducationfamily practicegraduatemedicalphysiciansprimary carerural health

Identifiers

PMID35196416
PMCPMC9305465

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.