General practice registrars’ clinical exposure to dermatological procedures during general practice training: a cross-sectional analysis

Tng, Er Tsing Vivian; Tapley, Amanda; Davey, Andrew; Zwaan, Sally de; Morgan, Simon; Driel, Mieke van; Holliday, Elizabeth G.; Ball, Jean; Catzikiris, Nigel; Henderson, Kim; Mulquiney, Katie; Spike, Neil; Kerr, Rohan; Magin, Parker

doi:10.1080/14739879.2018.1520612

Cited by 2 publications

(2 citation statements)

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“…Compared to all problems seen (in previous analyses from ReCEnT), when presented with a diagnosis of AD, a GP registrar is more likely to seek supervisor advice or assistance (9.7% compared to 6.9% for all problems [22]), and generate learning-goals (18.4% compared to 16.6% for all problems [23]). This is consistent with previous evidence that diagnosing skin diseases (including AD) is an area that receives less attention throughout undergraduate, postgraduate, and specialist training for GP trainees [7,16,17,24]. Qualified GPs are also reported to have some difficulty with AD management [13].…”

Section: Interpretation Of Findings and Comparison With Previous Literaturesupporting

confidence: 89%

General Practice Registrars’ Management of and Specialist Referral Patterns for Atopic Dermatitis

Willems

Tapley

Fielding

et al. 2021

Dermatol Pract Concept

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Background: Atopic dermatitis (AD) is a common presentation in the general practice (GP) setting. Implementation of appropriate referral pathways is instrumental for best patient care and is an essential skill for Australian GP registrars. Objectives: We aimed to explore the prevalence and associations of GP registrar referrals to specialists for AD management. Methods: A cross-sectional analysis utilizing data from the Registrar Clinical Encounters in Training (ReCEnT) project, an ongoing cohort study that documents in-consultation clinical and educational experience of Australian GP registrars. Registrar, patient, and consultation factors associated with referrals for AD were established using logistic regression. Results: A A total of 3,285 (0.55%) of 595,412 diagnoses managed were AD, of which 222 (6.8%) resulted in referral. Of these referrals, 70% were to dermatologists, 17% to allergists/immunologists, and 10% to pediatricians. Associations of referral included registrar female gender, patient age, longer consultation duration; an established (rather than new) AD diagnosis; supervisor advice being sought; and learning goals being generated. Conclusions: Both registrar and patient factors influence AD referral patterns. Registrars referred established rather than newly diagnosed AD, suggesting a level of comfort in initial management. Referral was associated with longer consultations, seeking supervisor advice, and generation of learning goals—suggesting these are more complex presentations and, possibly, registrar learning opportunities. A significant proportion of referrals were to non-dermatologist specialists. The implication of this for optimal patient care is a subject for further study.

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Section: Interpretation Of Findings and Comparison With Previous Literaturesupporting

confidence: 89%

General Practice Registrars’ Management of and Specialist Referral Patterns for Atopic Dermatitis

Willems

Tapley

Fielding

et al. 2021

Dermatol Pract Concept

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“…Reconciling patient expectations with health service capacity and provider‐mix will entail challenges. Ensuring appropriate GP training in skin cancer management to address capacity is necessary but not sufficient. It is likely that a patient‐centred approach in communicating information around the adequacy of nonspecialist services for some aspects of BCC and SCC care and in recognizing patients’ perceptions and concerns around nonspecialist delivery of care, as well as the patient‐centred approach to delivering that care, is required.…”

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confidence: 99%

Patient preferences and patient‐centredness in skin cancer care: implications for clinicians and patient management

Magin

2019

Br J Dermatol

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General practice registrars’ clinical exposure to dermatological procedures during general practice training: a cross-sectional analysis

Cited by 2 publications

References 13 publications

General Practice Registrars’ Management of and Specialist Referral Patterns for Atopic Dermatitis

General Practice Registrars’ Management of and Specialist Referral Patterns for Atopic Dermatitis

Patient preferences and patient‐centredness in skin cancer care: implications for clinicians and patient management

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