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Difficulties in consultations reported by doctors in general practice

A Bennett, J D Knox, A T Morrison

    The Journal of the Royal College of General Practitioners
    |November 1, 1978
    PubMed
    Summary
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    General practitioner trainers in Scotland reported more consultation difficulties than non-trainers. Training approaches can be adapted based on trainee and trainer views of patient communication challenges.

    Area of Science:

    • Medical Education
    • General Practice
    • Communication Skills

    Background:

    • General practitioner (GP) training is crucial for effective patient care.
    • Understanding consultation difficulties faced by trainees is essential for optimizing training programs.
    • Trainer and trainee perspectives on communication challenges provide insights into training needs.

    Purpose of the Study:

    • To compare the perceptions of GP trainers and non-trainers regarding consultation difficulties.
    • To identify specific patient types and situations that pose challenges in medical consultations.
    • To inform the development of effective GP training strategies.

    Main Methods:

    • A questionnaire survey was distributed to GP trainers and non-trainers in Scotland.

    Related Experiment Videos

  • Data were analyzed to compare responses regarding consultation difficulties.
  • Key areas of consultation, such as patient communication and management, were examined.

    • Main Results:

    • GP trainers responded more readily to the questionnaire and reported significantly different views on some consultation difficulties compared to non-trainers.
    • Trainer and trainee views on communication difficulties with various patient groups were broadly similar.
    • Specific patient categories like adolescents, dying patients, and those from different socioeconomic backgrounds presented varying levels of difficulty for trainees.

    Conclusions:

    • GP training should focus on patient management as a core component, alongside diagnosis and treatment.
    • Training approaches can be tailored by experienced doctors based on shared views of consultation challenges.
    • Techniques for ending interviews and eliciting patient concerns warrant special attention in training.
    • Adequate record-keeping can mitigate trainee insecurity stemming from unfamiliarity with patients.