Observational studyIrish journal of medical science2025
Hospital-based paediatric training for general practice trainees in Ireland.
Observational study in Irish journal of medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
3 authors.
Funding
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Abstract
backgroundPaediatric presentations represent 25% of General Practice consultations in Ireland [1]. The 'Under 6' GP scheme saw a further increase of 25% within paediatric consultations [2]. GP trainees spend 4 months on a dedicated paediatric rotation, representing 5.7% of the 4-year scheme.
aimsTo establish trainee exposure to paediatric presentations during a summer-time rotation; and, whether such presentations satisfy the requirements of the GP curriculum, as it currently stands.
methodsA real-time observational study at Mayo University Hospital.
resultsFive hundred paediatric patients presented to the PDU during the 7-week period within a summer-time rotation demonstrating a 45% reduction in opportunities for clinical encounters on a day-to-day basis as compared to a winter-time rotation. 72% (n = 41) of presentations currently listed on the GP curriculum were encountered by SHO-level NCHDs (n = 8) collectively, with each SHO seeing an average of 35.75 patients over a 7-week period (i.e. 5.1 per week, or 0.72 per day over a 7-day week), representing 57.2% of total presentations.
conclusionGP paediatric teaching is experiential, opportunistic, and seasonal. The GP curriculum, as it relates to paediatrics, may benefit from relevant updates via modified Delphi study. Paediatric rotations could be bolstered by use of validated e-learning tools [3], audio-visual material and evidence-based simulation to develop diagnostic accuracy via deliberate practice without a clinical encounter.
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Registered trials
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