A5087923851- Primary Care and Health Outcomes
- Healthcare Systems and Technology
- Innovations in Medical Education
- Global Health Workforce Issues
- Healthcare Policy and Management
- Clinical Reasoning and Diagnostic Skills
- Child and Adolescent Health
- Patient-Provider Communication in Healthcare
- Antibiotic Use and Resistance
- Healthcare cost, quality, practices
- Patient Satisfaction in Healthcare
- Dental Education, Practice, Research
- Pharmaceutical Practices and Patient Outcomes
- Pneumonia and Respiratory Infections
- Health Systems, Economic Evaluations, Quality of Life
- Musculoskeletal pain and rehabilitation
- Streptococcal Infections and Treatments
- Clinical practice guidelines implementation
- Dermatological diseases and infestations
- Health, psychology, and well-being
- Diversity and Career in Medicine
- Empathy and Medical Education
- Mental Health Treatment and Access
- Emergency and Acute Care Studies
- Geriatric Care and Nursing Homes
The University of Melbourne
2015-2024
Eastern Health
2016-2024
Royal Australian College of General Practitioners
1995-2024
Primary Health Care
2022-2024
Monash University
2002-2024
Australian Association for Academic Primary Care
2021-2023
Transport Accident Commission
2022
Digital Research Alliance of Canada
2011-2016
Townsville Hospital
1995
The University of Queensland
1995
There is little systematic operational guidance about how best to develop complex interventions reduce the gap between practice and evidence. This article one in a Series of articles documenting development use Theoretical Domains Framework (TDF) advance science implementation research. The intervention was developed considering three main components: theory, evidence, practical issues. We used four-step approach, consisting guiding questions, direct choice most appropriate components an...
Introduction This cluster randomised trial evaluated an intervention to decrease x-ray referrals and increase giving advice stay active for people with acute low back pain (LBP) in general practice. Methods General practices were either access a guideline LBP (control) or facilitated interactive workshops (intervention). We measured behavioural predictors (e.g. knowledge, attitudes intentions) fear avoidance beliefs. unable recruit sufficient patients measure our original primary outcomes so...
Antibiotic resistance is among the most important current public health issues. Most antibiotics are prescribed in primary care. There strong consensus that they overprescribed, especially for conditions such as upper respiratory tract infections (URTI) and acute bronchitis, where provide limited benefit. Interventions to alter prescribing patterns have shown effect. Trainees family practice may be an appropriate target, their habits still developing.To establish prevalence associations of...
Evidence generated from reliable research is not frequently implemented into clinical practice. Evidence-based practice guidelines are a potential vehicle to achieve this. A recent systematic review of implementation strategies guideline dissemination concluded that there was lack evidence regarding effective promote the uptake guidelines. Recommendations this review, and other studies, have suggested use interventions theoretically based because these may be more than those not. An...
Abstract Background During vocational general practice training, the content of each trainee’s (in Australia, registrars’) in-consultation clinical experience is expected to entail a breadth conditions that exemplify practice, enabling registrars gain competency in managing common and scenarios. Prior Registrar Clinical Encounters Training (ReCEnT) project there was little research into registrars’ consultations despite its importance quality training. ReCEnT aims document consultation-based...
General practice.To compare ratings of GP registrars' communication skills by patients and examiners.A comparative study where the registrars were assessed both patients, using a validated tool called Doctors' Interpersonal Skills Questionnaire (DISQ), examiners as part Fellowship examination Royal Australian College Practitioners (RACGP).These included 138 registrars, 6075 more than 70 examiners.Spearman rank correlations used to test strength relationship between DISQ scores. Findings...
Inappropriate antibiotic prescription and consequent antibacterial resistance is a major threat to healthcare.To evaluate the efficacy of multifaceted intervention in reducing early career general practitioners' (GPs') prescribing for upper respiratory tract infections (URTIs) acute bronchitis/bronchiolitis.A pragmatic non-randomized trial employing non-equivalent control group design nested within an existing cohort study GP registrars' (trainees') clinical practice. The included access...
Context Tolerance for ambiguity is essential optimal learning and professional competence. General practice trainees must be, or learn to adept at managing clinical uncertainty. However, few studies have examined associations of intolerance uncertainty in this group. Objectives The aim study was establish levels tolerance Australian general with demographic, educational training factors. Methods A cross-sectional analysis performed on the Registrar Clinical Encounters Training (ReCEnT)...
Abstract Background/Objectives Skin conditions are commonly encountered in general practice but dermatology is underrepresented undergraduate medical courses. Australian and international studies have shown that the dermatological diagnostic ability of practitioners ( GP s) suboptimal, contributing to increased outpatient referrals. Dermatological experience vocational training thus particular importance. We aimed document prevalence skin disease presentations range diseases by trainees....
Australia, like many other developed countries, has faced medical workforce shortages. This situation been attributed to the increasing demands from an aging population and a decline in hours worked by practitioners. These shortages, which are usually areas of greatest need have led dependence on international graduates (IMGs). The Australian government is slowly moving towards self sufficiency expanding education training opportunities for doctors. In interim, Australia relies heavily IMGs...
Acute sore throat is a common condition presenting to family practitioners. It usually self-limiting, with antibiotic treatment recommended only for high-risk presentations. Overprescribing of antibiotics contributes individual and community resistance. Learning prescribe in the context diagnostic uncertainty patient pressures challenge early-career doctors. Prescribing habits develop early tend not change time. To establish prevalence associations prescribing acute by Australian vocational...
Aim The present study aimed to describe referral patterns of general practitioner (GP) registrars dietitians/nutritionists. There is a paucity research regarding GP Limited data show increasing referrals from established GPs are no on registrar (trainee) referrals. Methods This was cross‐sectional analysis the Registrar Clinical Encounters in Training (ReCEnT) study. ReCEnT an ongoing, multicentre, prospective cohort registrars, which documents 60 consecutive consultations each three...
Most antibiotic prescribing for upper respiratory tract infections (URTIs) and acute bronchitis is inappropriate. Substantive sustained reductions in are needed to reduce resistance. Prescribing habits develop early clinicians' careers. Hence, general practice (GP) trainees an important group target.We aimed establish temporal trends URTIs bronchitis/bronchiolitis by Australian GP (registrars).A longitudinal analysis, 2010-2019, of the Registrars Clinical Encounters Training (ReCEnT)...
With escalating opioid prescribing come individual and public health harms. To inform quality improvement measures, understanding of is essential. We aimed to establish consultation-level prevalence associations prescribing. A cross-sectional secondary analysis from a longitudinal multisite cohort study general practitioner (GP) vocational trainees: "Registrar Clinical Encounters in Training." Four Australia's seventeen GP Regional Training Providers, during 2010-13. trainees. Practice...
Consulting with patients is the core learning activity of Australian family medicine (general practice/GP) training, providing a rich source reflective for trainees. We have developed program postgraduate vocational trainees based on clinical encounters.The Registrar Clinical Encounters in Training (ReCEnT) an educational documenting GP trainees' consultations five training providers. Trainees record patient demographics, consultation details, problems managed, management practices and...
BACKGROUND Previous studies have found that general practitioner (GP) trainees (registrars) see a different spectrum of clinical problems compared to trainers, including less chronic disease and more acute minor illness. Our aim was describe the case mix first-term Australian GP trainees.This cross-sectional analysis trainee consultations. Descriptive analyses were used report patient demographics number type managed.Two-hundred-and-three provided data on 36182 consultations 55740 problems....
We aimed to evaluate the effect of pain education on opioid prescribing by early-career general practitioners. A brief training workshop was delivered practice registrars a single regional provider. The significantly reduced "hypothetical" (in response paper-based vignettes) in an earlier evaluation. "actual" evaluated using nonequivalent control group design nested within Registrar Clinical Encounters Training (ReCEnT) cohort study: 4 other providers were controls. In ReCEnT, record...
Aim To determine if the duration of general practitioner ( GP ) consultations, or proportional distribution item numbers associated with longer children has changed in association demographic changes A ustralia. Method Secondary data analysis M edicare claims from 1996 to 2010, which were stratified by patient age and visit type as designated billing number, B ettering E valuation C are H ealth BEACH database was conducted. The Medicare that analysed overall proportion absolute consultations...
Antibiotic resistance is a public health concern, and linked to over-prescribing. In self-limiting infections such as acute otitis media (AOM) sinusitis, prescribing remains high despite strong guideline recommendations against the routine use of antibiotics. Early career General Practitioners may find evidence-based challenging.To establish prevalence associations antibiotic for AOM sinusitis by Australian vocational trainees in Practice.A cross-sectional analysis data from Registrar...
Inappropriate antibiotic prescription and subsequent antibacterial resistance are major threats to health worldwide. We aimed establish whether early-career 'apprenticeship-model' experience in family practice influences prescribing for respiratory tract infections also other associations of changes during this experience. A longitudinal analysis (2010–2014) a cohort study Australian GP registrars' (vocational trainees') consultations. Registrars from five regional training programs recorded...
Climate change is a rapidly progressing threat to global health and well-being. For general practitioners (GPs) currently in training, the effects of climate on public will shape their future professional practice We aimed establish prevalence associations Australian GP registrars' (trainees') perceptions as it relates health, education, workplaces.A cross-sectional questionnaire-based study registrars three training organizations. The questionnaire assessed attitudes regarding adverse (over...
Abstract Background Antibiotics provide minimal benefit for sore throat, otitis media, and sinusitis. Antibiotic stewardship, with reduced prescribing, is required to address antibiotic resistance. As most prescribing occurs in general practice habits develop early, practitioner (GP) trainees (registrars) are important effective stewardship. Objectives To establish temporal trends Australian registrars’ acute Design A longitudinal analysis of data from the Registrar Clinical Encounters...