一般实践注册人员的兼职培训:流行率和协会的横截面分析
Michael Bentley1, Anna Ralston2,3, Lisa Clarke1
1General Practice Training Tasmania (GPTT), Hobart, Australia.
概括
大约有22%的全科医生注册人员在兼职培训. 诸如女性性别,年龄较大和在更高的社会经济领域工作等因素与兼职培训 (PTT) 有关. PTT似乎对患者护理的影响有限.
科学领域:
- 医学教育 医学教育
- 一般实践研究研究 一般实践研究
- 流行病学 流行病学
背景情况:
- 一般医生 (GPs) 正在减少临床时间.
- 许多全科医生注册人员并不打算全职工作.
- 关于兼职GP培训的流行病学数据有限.
研究的目的:
- 确定澳大利亚GP注册人员中兼职培训 (PTT) 的流行率.
- 为了确定承担PTT的注册机构的特点.
- 分析与PTT相关的实践模式.
主要方法:
- 对注册员在培训中的临床接触项目数据的横截面分析.
- 涉及1790名注册人员,涉及4,135个培训学期和241,945次临床接触.
- 使用单变量和多变量逻辑回归来识别与PTT相关的因素.
主要成果:
- 22%的注册术语和临床接触涉及PTT.
- PTT与注册人员因素 (女性,老年人,晚年阶段,其他工作),实践因素 (更高的社会经济地位) 和患者因素 (新患者,非英语背景) 相关.
- 在PTT和咨询或咨询行动因素之间没有发现任何显著的关联.
结论:
- 在全科医生注册人员中,兼职培训很普遍.
- 特定的注册员,实践和患者特征与PTT相关.
- 根据咨询数据,PTT似乎不会显著影响患者的护理.
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