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Early career GPs, mental health training and clinical complexity: a cross-sectional analysis

Stone, L, Tapley, A, Presser, J, Holliday, E, Ball, J, Van Driel, M, Davey, A, Spike, N, Fitzgerald, K, Mulquiney, K, Morgan, S and Magin, P 2019 , 'Early career GPs, mental health training and clinical complexity: a cross-sectional analysis' , Education for Primary Care, vol. 30, no. 2 , pp. 62-69 , doi: 10.1080/14739879.2018.1551070.

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Abstract

Patients with mental health conditions commonly present in General Practice. Mental healthcurricula are broad. We do not know that trainees are exposed to the learning they require. Thisstudy aimed to establish the prevalence, characteristics and associations of GP trainees’ management of mental health problems.This paper presents a cross-sectional analysis of the Registrar Clinical Encounters in Training(ReCEnT) study, an ongoing multisite cohort study of Australian GP trainees (registrars) documenting their clinical experiences over 60 consecutive consultations. Univariate and multivariablelogistic regression analyses were conducted with outcome of the problem/diagnosis being amental health condition. 1659 trainees provided data on 218,325 consultations and 340,453problems/diagnoses. Mental health conditions were associated with patients being male, ofAboriginal or Torres Strait Islander or English-speaking background. Trainee characteristics werebeing more senior and having trained in Australia. Practice characteristics included being in lowsocioeconomic areas. Trainees sought less help for mental health concerns than they did forother problems.While early-career GPs see a broad range of mental health conditions, they may benefit fromtraining to manage patients from cross-cultural contexts. They may also need support to generate appropriate learning goals and seek assistance if they are to continue to deepencompetence.

Item Type: Article
Authors/Creators:Stone, L and Tapley, A and Presser, J and Holliday, E and Ball, J and Van Driel, M and Davey, A and Spike, N and Fitzgerald, K and Mulquiney, K and Morgan, S and Magin, P
Keywords: medical education, mental health, general practice, cultural competence
Journal or Publication Title: Education for Primary Care
Publisher: Taylor & Francis
ISSN: 1473-9879
DOI / ID Number: 10.1080/14739879.2018.1551070
Copyright Information:

Copyright 2018 Informa UK Limited, trading as Taylor & Francis Group

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