Cross-sectional analysis of the clinical work hours of early-career general practitioners.

Background And Objectives: The clinical working hours of early-career general practitioners (GPs) are an important factor in Australian GP workforce planning. This study aimed to establish the prevalence and associations of early-career GPs working full time (nine or more sessions per week) in clinical practice.

Method: This was a cross-sectional questionnaire-based study of alumni (from six months to two years post-Fellowship) from three regional training organisations.

Immunising older Australians: Pre-COVID-19 associations of opportunistic immunisation in general practice registrar consultations.

Background And Objectives: Vaccine uptake in older Australians is suboptimal. This exploratory study aims to establish the associations of opportunistic older person immunisation in general practice registrars' practice.

Method: This study was a cross-sectional analysis of data from the Registrar Clinical Encounters in Training (ReCEnT) study.

Telehealth for Australian general practice: The present and the future.

Background: In March 2020, 56 temporary Medicare Benefits Schedule telehealth item numbers were introduced for Australian general practitioners (GPs) in response to COVID-19. Telehealth is now a permanent part of Australian primary care and, as such, an adequate understanding of the benefits, barriers and facilitators is essential for GPs.

Objective: The aim of this article is to examine the use of telehealth in general practice in Australia and to explore the benefits, barriers and facilitators to performing telehealth consultations.

Socioeconomic status of practice location and Australian GP registrars' training: a cross-sectional analysis.

Background: Socioeconomic status (SES) is a major determinant of health. In Australia, areas of socioeconomic disadvantage are characterised by complex health needs and inequity in primary health care provision. General Practice (GP) registrars play an important role in addressing workforce needs, including equitable health care provision in areas of greater socioeconomic disadvantage.

Socioeconomic disadvantage and the practice location of recently Fellowed Australian GPs: a cross-sectional analysis.

Background: Socioeconomic disadvantage and the 'inverse care law' have significant effects on the health and well-being of Australians. Early career GPs can help address the needs of socioeconomically disadvantaged communities by choosing to practice in these locations. This study addressed an evidence gap around GPs post-Fellowship (within 2 years) practice location, and whether practice location is related to postgraduate vocational training.

Evidence-based strategies for better antibiotic prescribing.

Background: Antibiotic resistance is a key global health threat, and antibiotic overuse is a significant contributing factor. Antibiotic stewardship is a vital issue for general practice.

Objective: The aim of this article is to discuss evidence-based strategies for general practitioners (GPs) and general practices to contribute to antibiotic stewardship and, thus, reduce the overall burden of antibiotic prescribing in the community.

Prevalence and Associations of General Practice Registrars' Management of Atopic Dermatitis: A Cross-Sectional Analysis from the Registrar Clinical Encounters in Training Study.

Introduction: Atopic dermatitis (AD) is a chronic inflammatory condition which imposes substantial burden upon patients and their families. As a frequent primary care presentation, general practice (GP) trainees must develop adequate skills in AD diagnosis and management.

Objectives: We aimed to explore the prevalence and associations of GP registrars' management of patients with AD.

Management of a Chronic Skin Disease in Primary Care: An Analysis of Early-Career General Practitioners' Consultations Involving Psoriasis.

Background: The management of psoriasis by general practitioners (GPs) is vital, given its prevalence, chronicity, and associated physical and psychosocial co-morbidities. However, there is little information on how GPs (including early-career GPs) manage psoriasis.

Objectives: This study assessed the frequency with which Australian specialist GP vocational trainees ('registrars') provide psoriasis care and the associations of that clinical experience.

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

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.

Configurations for obtaining in-consultation assistance from supervisors in general practice training, and patient-related barriers to trainee help-seeking: a survey study.

Background: General practice (GP) trainees may seek supervisor assistance to complete their patient consultations. This in-consultation assistance plays a key role in the supervisory oversight of trainees and in trainee learning. It may be obtained face-to-face, or using phone or messaging systems, and either in front of patients or outside their hearing.

General practice training in regional and rural Australia: A cross-sectional analysis of the Registrar Clinical Encounters in Training study.

Objective: We aimed to investigate registrar, practice and consultation characteristics associated with varying degrees of GP registrars' practice rurality.

Design: A cross-sectional analysis of 12 rounds of data collection (2010-2015) from the longitudinal Registrar Clinical Encounters in Training study, an ongoing, cohort study of Australian GP registrars. The principal analysis used was a generalised ordered logistic regression.

Acne in primary care: A cross-sectional analysis.

Background And Objectives: Acne is a common chronic condition. The aim of this study was to establish the frequency and associations of consultations for acne by early-career general practitioners (general practice registrars).

Method: The study was a cross-sectional analysis of data from the Registrar Clinical Encounters in Training study.

General practice registrars' use of dermoscopy: Prevalence, associations and influence on diagnosis and confidence.

Background And Objectives: Dermoscopy increases accuracy for melanoma diagnosis by trained primary care physicians. We aimed to establish prevalence of dermatoscope use by general practice registrars, and identify factors associated with dermatoscope use and the implications of dermatoscope use for diagnosis and confidence in diagnosis.

Method: This was a cross-sectional study nested within the Registrar Clinical Encounters in Training (ReCEnT) project, an ongoing multi-site cohort study of general practice registrars' consultations.

Gender differences in Australian general practice trainees performing procedures related to women’s reproductive health: A cross-sectional analysis.

Background And Objectives: Gender differences may exist in the performance of women’s reproductive procedures. The aim of this study was to investigate the prevalence and association of general practice registrars’ performance of women’s procedures with trainees’ gender, rurality of practice and in-consultation seeking of information or assistance.

Method: This was a cross-sectional analysis of a cohort study of registrars’ consultations in 2010–17.

GP registrar consultations addressing menopause-related symptoms: a cross-sectional analysis.

Objective: To investigate the prevalence and associations of general practitioner registrars' (trainees') management of women with menopause-related symptoms.

Methods: A cross-sectional analysis from the Registrar Clinical Encounters in Training (ReCEnT) cohort study. In ReCEnT registrars collected data of 60 consecutive consultations on three occasions during training.

Management of transient ischemic attacks diagnosed by early-career general practitioners: A cross-sectional study.

Background Transient ischemic attack incurs a risk of recurrent stroke that can be dramatically reduced by urgent guideline-recommended management at the point of first medical contact. Aims This study describes the prevalence and associations of new transient ischemic attack presentations to general practice registrars and the management undertaken. Methods A cross-sectional analysis of the Registrar Clinical Encounters in Training cohort study.

Referrals to dietitians/nutritionists: A cross-sectional analysis of Australian GP registrars' clinical practice.

Aim: The present study aimed to describe referral patterns of general practitioner (GP) registrars to dietitians/nutritionists. There is a paucity of research regarding GP referral patterns to dietitians/nutritionists. Limited data show increasing referrals from established GPs to dietitians/nutritionists.

Changes in pathology test ordering by early career general practitioners: a longitudinal study.

Objective: To assess the number of pathology tests ordered by general practice registrars during their first 18-24 months of clinical general practice.

Design: Longitudinal analysis of ten rounds of data collection (2010-2014) for the Registrar Clinical Encounters in Training (ReCEnT) study, an ongoing, multicentre, cohort study of general practice registrars in Australia. The principal analysis employed negative binomial regression in a generalised estimating equations framework (to account for repeated measures on registrars).

Procedural skills of Australian general practice registrars: A cross-sectional analysis.

Background: Procedural skills are an essential component of general practice vocational training. The aim of this study was to investigate the type, frequency and rural or urban associations of procedures performed by general practice registrars, and to establish levels of concordance of procedures performed with a core list of recommended procedural skills in general practice training.

Methods: A cross-sectional analysis of a cohort study of registrars' consultations between 2010 and 2016 was undertaken.

Managing transient ischaemic attacks in Australia: a qualitative study.

Background: Stroke risk after transient ischaemic attack (TIA) is highest in the first few days. It is greatly reduced by commencing commonly used medications. Current Australian guidelines recommend that all TIAs be managed urgently by secondary-care specialists (mandatory for high-risk TIAs).

Australian general practice trainees' exposure to ophthalmic problems and implications for training: a cross-sectional analysis.

INTRODUCTION Eye conditions are common presentations in Australian general practice, with the potential for serious sequelae. Pre-vocational ophthalmology training for General Practitioner (GP) trainees is limited. AIM To describe the rate, nature and associations of ophthalmic problems managed by Australian GP trainees, and derive implications for education and training.

Changes in early-career family physicians' antibiotic prescribing for upper respiratory tract infection and acute bronchitis: a multicentre longitudinal study.

Background: Inappropriate antibiotic prescription and subsequent antibacterial resistance are major threats to health worldwide.

Objectives: We aimed to establish whether early-career 'apprenticeship-model' experience in family practice influences antibiotic prescribing for respiratory tract infections and to also establish other associations of antibiotic prescribing changes during this early-career experience.

Methods: A longitudinal analysis (2010-2014) of a cohort study of Australian GP registrars' (vocational trainees') consultations.

Reducing general practice trainees' antibiotic prescribing for respiratory tract infections: an evaluation of a combined face-to-face workshop and online educational intervention.

Over-prescription of antibiotics for non-pneumonia respiratory tract infections (RTIs) is a major concern in general practice. Australian general practice registrars (trainees) have inappropriately high rates of prescription of antibiotics for RTIs. The 'apprenticeship' educational model and the trainee-trainer relationship are drivers of this inappropriate prescribing.

Pathology test-ordering behaviour of Australian general practice trainees: a cross-sectional analysis.

Objective: In the context of increasing over-testing and the implications for patient safety, to establish the prevalence and nature of pathology test-ordering of GP trainees, and to describe the associations of this test-ordering.

Design: A cross-sectional analysis of data from the Registrar Clinical Encounters in Training (ReCEnT) cohort study.

Setting: Five of Australia's 17 general practice regional training providers, encompassing urban-to-very remote practices.

Travel Medicine Encounters of Australian General Practice Trainees-A Cross-Sectional Study.

Background: Travel medicine is a common and challenging area of clinical practice and practitioners need up-to-date knowledge and experience in a range of areas. Australian general practitioners (GPs) play a significant role in the delivery of travel medicine advice. We aimed to describe the rate and nature of travel medicine consultations, including both the clinical and educational aspects of the consultations.