Wearne Susan M, Morgan Simon, Magin Parker, Spike Neil, Tapley Amanda, Regan Cathy, McArthur Lawrie
BM MMedSc FRACGP FACRRM DCH DRCOG DFFP GCTEd, Supervisor Research and Development Adviser, General Practice Education and Training, Canberra, ACT.
Aust Fam Physician. 2016 Jun;45(6):446-9.
General practice registrars in Australia are expected to identify and address their knowledge or skills gaps during consultations. The content and frequency of registrars seeking assistance and the factors that influence this have been studied for 84,723 consultations. Term 1 registrars asked their supervisor for help in 11.0% of consultations, but by term 4 this reduced to 1.2% of consultations. Assistance was most often for skin or musculoskeletal conditions, and more often about management than diagnosis.
This article discusses the implications of this information for Australian general practice training.
Registrars asked their supervisors for assistance despite having ready access to electronic information. Practices can anticipate supervisor interruptions approximately every tenth registrar consultation. The greater input required by registrars from supervisors earlier in training should be acknowledged by more flexible standards and payments to practices. A priority for general practice supervisor professional development is how to teach the management of complex patients, dermatology and musculoskeletal medicine.
澳大利亚的全科实习医生预计在会诊期间识别并解决他们的知识或技能差距。针对84723次会诊，研究了实习医生寻求帮助的内容和频率以及影响这一情况的因素。第一学期的实习医生在11.0%的会诊中向他们的上级寻求帮助，但到第四学期，这一比例降至1.2%。寻求帮助最常涉及皮肤或肌肉骨骼疾病，且更多是关于管理而非诊断方面。
本文讨论了这些信息对澳大利亚全科医学培训的影响。
尽管可以随时获取电子信息，但实习医生仍会向他们的上级寻求帮助。诊所可以预计大约每十次实习医生会诊就会有一次上级的介入。培训初期实习医生对上级的更大需求应通过更灵活的标准和对诊所的支付来得到认可。全科医学上级专业发展的一个优先事项是如何教授复杂患者的管理、皮肤病学和肌肉骨骼医学。
