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We live in testing times - teaching rational test ordering in general practice.

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General practitioners (GPs) can combat over-testing by training registrars in rational test ordering. Supervisors should emphasize patient-centered care and guideline adherence to shape future clinical practice.

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Area of Science:

  • Medical Education
  • Clinical Practice Guidelines
  • Diagnostic Testing

Background:

  • Over-testing is a growing concern in healthcare, impacting patients, clinicians, and health systems.
  • General Practitioner (GP) vocational training is crucial for establishing lifelong clinical practice and test ordering habits.
  • GP supervisors play a vital role in educating registrars to prevent unnecessary test ordering.

Observation:

  • The article addresses the critical need for GP supervisors to teach registrars rational test ordering.
  • It outlines general approaches and practical strategies for this educational objective.

Findings:

  • Effective teaching requires a patient-centered approach and fostering tolerance for clinical uncertainty.
  • Role modeling by supervisors and consistent use of clinical guidelines significantly influence registrar behavior.
  • Specific pedagogical strategies include random case analysis, investigation audits, topic tutorials, and utilizing targeted resources.

Implications:

  • Implementing these strategies can lead to more judicious test ordering by future GPs.
  • This approach supports better patient outcomes and more efficient healthcare resource utilization.
  • Enhanced training in rational test ordering can mitigate the negative consequences of over-testing.