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Identification of Aboriginal and Torres Strait Islander status by general practice registrars: Confidence and
Simon Morgan1, Allison Thomson, Peter O'Mara
1MBBS, MPH, FRACGP, General Practitioner and Medical Educator, General Practice Training - Valley to Coast, Newcastle, NSW.
Background:
Identification of Aboriginal and Torres Strait Islander status in healthcare settings is essential for the delivery of culturally appropriate care. Under-identification is common and practitioner confidence is a known barrier.
Objective:
The objective of this research was to document the self-reported confidence of general practice registrars in identifying the Aboriginal and Torres Strait Islander status of their patients, and associations of this confidence.
Methods:
This research used cross-sectional analysis of survey and patient encounter data of general practice registrars training across five Australian states.
Results:
Of the 698 registrars (97.5% response rate) who participated in the study, 74.5% had a high level of confidence in identifying a patient's Aboriginal and Torres Strait Islander status. Older and more senior registrars had significantly greater confidence. There was also a significant association with the registrars' training provider.
Discussion:
More than a quarter of registrars reported low confidence for this basic consultation skill. Our findings will inform general prac-tice vocational training and continuing professional development, and reinforce the importance of a comprehensive, system-wide approach to the identification of patients' Aboriginal or Torres Strait Islander status.
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