Evidence map›Paper›PMID 35197039›Full record

ArticleBMC medical education2022

Transitions in general practice training: quantifying epidemiological variation in trainees' experiences and clinical behaviours.

Michael Tran, Susan Wearne, Amanda Tapley, Alison Fielding, Andrew Davey, Mieke van Driel, Elizabeth Holliday, Jean Ball, Kristen FitzGerald, Neil Spike and 1 more

Abstract read
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In one paragraph

Article in BMC medical education, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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.

Michael TranSchool of Medicine, Western Sydney University, Narellan Road & Gilchrist Drive, Campbelltown, NSW, 2560, Australia.ORCID http://orcid.org/0000-0001-7530-8462
Susan WearneAcademic Unit of General Practice, Australian National University, The Canberra Hospital, Yamba Drive Garran, Canberra, ACT, 2605, Australia.ORCID http://orcid.org/0000-0002-8079-9304
Amanda TapleySchool of Medicine and Public Health, University of Newcastle, University Drive, NSW, 2308, Callaghan, Newcastle, Australia.ORCID http://orcid.org/0000-0002-1536-5518
Alison FieldingSchool of Medicine and Public Health, University of Newcastle, University Drive, NSW, 2308, Callaghan, Newcastle, Australia.ORCID http://orcid.org/0000-0001-5884-3068
Andrew DaveySchool of Medicine and Public Health, University of Newcastle, University Drive, NSW, 2308, Callaghan, Newcastle, Australia.ORCID http://orcid.org/0000-0002-7547-779X
Mieke van DrielPrimary Care Clinical Unit, Faculty of Medicine, University of Queensland, Level 8, Health Sciences Building, Royal Brisbane & Women's Hospital, Brisbane, QLD, 4029, Australia.ORCID http://orcid.org/0000-0003-1711-9553
Elizabeth HollidaySchool of Medicine and Public Health, University of Newcastle, University Drive, NSW, 2308, Callaghan, Newcastle, Australia.ORCID http://orcid.org/0000-0002-4066-6224
Jean BallClinical Research Design and Statistical Support Unit (CReDITSS), Hunter Medical Research Institute (HMRI), Lot 1, Kookaburra Cct, New Lambton Heights, NSW, 2305, Australia.ORCID http://orcid.org/0000-0001-5402-6415
Kristen FitzGeraldSchool of Medicine, University of Tasmania, 17 Liverpool Street, TAS, 7000, Hobart, Australia.ORCID http://orcid.org/0000-0002-7280-2278
Neil SpikeDepartment of General Practice and Primary Health Care, University of Melbourne, 200 Berkeley Street Carlton, Victoria, 3053, Australia.ORCID http://orcid.org/0000-0002-9694-8642
Parker MaginSchool of Medicine and Public Health, University of Newcastle, University Drive, NSW, 2308, Callaghan, Newcastle, Australia. parker.magin@newcastle.edu.au.ORCID http://orcid.org/0000-0001-8071-8749

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeneral Practice training in Australia is delivered through the apprenticeship model. General Practice supervisors support trainees transitioning from hospital-based work towards competent independent community-based practice. The timing and manner in which support should be provided is still not well understood. This study aimed to establish the variation in clinical and educational experiences and behaviours, and location, of general practice trainees' consultations by stage of their vocational training. It was hypothesised that change is greater in earlier stages of training.

methodsA cross-sectional analysis of data (2010-2018) from the Registrar Clinical Encounters in Training (ReCEnT) study, an ongoing cohort study of Australian GP registrars' in-consultation clinical and educational experience and behaviours. Multinomial logistic regression assessed the association of demographic, educational, and clinical factors in different stages of training. The outcome factor was the training term.

resultsTwo thousand four hundred sixteen registrars contributed data for 321,414 patient consultations. For several important variables (seeing patients with chronic disease; new patients; seeking in-consultation information or assistance; ordering pathology and imaging; and working in a small or regional practice), odds ratios were considerably greater for comparisons of Term 1 and 3, relative to comparisons of Term 2 and 3.

conclusionDifferences experienced in demographic, clinical and educational factors are significantly more pronounced earlier in registrars' training. This finding has educational and training implications with respect to resource allocation, trainee supervision and curriculum design. Sociocultural learning theory enables an understanding of the impact of transitions on, and how to support, general practice trainees and supervisors.

Indexed as

General PracticeGeneral PractitionersAustraliaCohort StudiesCross-Sectional StudiesFamily PracticeHumansChange managementEducation, Medical, GraduateFamily practiceGeneral practiceIn-practice experiencePrimary health careSocial theory

Identifiers

PMID35197039
PMCPMC8867826

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.