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Preregistration house officers in general practice: review of evidence\ud

By J. Illing, T. van Zwanenberg, W.F. Cunningham, G. Taylor, C. O'Halloran and R. Prescott


OBJECTIVES: To examine the strengths and weaknesses\ud of the national and local schemes for preregistration\ud house officers to spend four months in general\ud practice, to identify any added value from such\ud placements, and to examine the impact on career\ud choices.\ud DESIGN: Review of all studies that reported on\ud placements of preregistration house officers in\ud general practice.\ud SETTING: 19 accounts of preregistration house officers’\ud experience in general practice, ranging from single\ud case reports to a national evaluation study, in a variety\ud of locations in Scotland and England.\ud PARTICIPANTS: Views of 180 preregistration house\ud officers, 45 general practitioner trainers, and 105\ud consultant trainers.\ud MAIN OUTCOME MEASURES: Main findings or themes\ud weighted according to number of studies reporting\ud them and weighted for sample size.\ud RESULTS: The studies were unanimous about the\ud educational benefits of the placements. The\ud additional learning included communication skills,\ud social and psychological factors in illness, patient\ud centred consultations, broadening of knowledge base,\ud and dealing with uncertainty about diagnosis and\ud referral.\ud CONCLUSIONS: Despite the reported benefits and\ud recommendations of the scheme, it is not expanding.\ud General practitioner trainers reported additional\ud supervision that was unremunerated. The reforms of\ud the senior house officer grade may resolve this\ud problem by offering the placements to senior house\ud officers, who require less supervision

Year: 2003
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