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Practice research. Training for general practice: clinical behaviour in trainers and trainees.

D J Bain

    British Medical Journal (Clinical Research Ed.)
    |March 10, 1984
    PubMed
    Summary

    Medical trainees improved otitis media diagnosis and efficiency. However, they adopted trainers' prescribing habits, including increased decongestant-antihistamine use, with little influence on trainers' own practices.

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    Area of Science:

    • Medical Education
    • General Practice
    • Otolaryngology

    Background:

    • General practice trainees undergo significant skill development.
    • Otitis media diagnosis and management are key skills for primary care physicians.
    • Understanding the influence of training on prescribing habits is crucial.

    Purpose of the Study:

    • To evaluate the changes in diagnostic skills and prescribing patterns of general practice trainees.
    • To assess the influence of trainers on trainee prescribing behavior.
    • To examine the impact of training on the management of otitis media.

    Main Methods:

    • Longitudinal study involving 20 general practice trainers and their trainees.
    • Assessment of diagnostic accuracy and time efficiency for otitis media.

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  • Analysis of prescribing data for otitis media medications.

    • Main Results:

    • Trainees showed significant improvement in otitis media diagnosis and reduced time for history taking and examination.
    • Trainee antibiotic prescribing for otitis media decreased, while decongestant-antihistamine prescribing increased to match trainers'.
    • Trainees largely adopted trainers' prescribing policies, with minimal trainee influence on trainers' prescribing.

    Conclusions:

    • General practice training enhances diagnostic skills and efficiency in otitis media management.
    • Trainee prescribing patterns converge with those of their trainers.
    • Training environments may limit trainees' ability to independently influence prescribing practices.