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What are the perceived learning needs of Australian general practice registrars for quality prescribing?
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Ajjawi, Rola, Thistlethwaite, Jill, Aslani, Parisa and Cooling, Nick B (2010) What are the perceived learning needs of Australian general practice registrars for quality prescribing? BMC Medical Education, Vol.10 . article no.92. doi:10.1186/1472-6920-10-92 ISSN 1472-6920.
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Official URL: http://dx.doi.org/10.1186/1472-6920-10-92
Abstract
Background: Little is known about the perceived learning needs of Australian general practice (GP) registrars in relation to the quality use of medicines (QUM) or the difficulties experienced when learning to prescribe. This study aimed to address this gap.
Methods: GP registrars' perceived learning needs were investigated through an online national survey, interviews and focus groups. Medical educators' perceptions were canvassed in semi-structured interviews in order to gain a broader perspective of the registrars' needs. Qualitative data analysis was informed by a systematic framework method involving a number of stages. Survey data were analysed descriptively.
Results: The two most commonly attended QUM educational activities took place in the workplace and through regional training providers. Outside of these structured educational activities, registrars learned to prescribe mainly through social and situated means. Difficulties encountered by GP registrars included the transition from hospital prescribing to prescribing in the GP context, judging how well they were prescribing and identifying appropriate and efficient sources of information at the point of care.
Conclusions: GP registrars learn to prescribe primarily and opportunistically in the workplace. Despite many resources being expended on the provision of guidelines, decision-support systems and training, GP registrars expressed difficulties related to QUM. Ways of easing the transition into GP and of managing the information 'overload' related to medicines (and prescribing) in an evidence-guided, efficient and timely manner are needed. GP registrars should be provided with explicit feedback about the process and outcomes of prescribing decisions, including the use of audits, in order to improve their ability to judge their own prescribing.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||
Journal or Publication Title: | BMC Medical Education | ||||
Publisher: | BioMed Central Ltd. | ||||
ISSN: | 1472-6920 | ||||
Official Date: | 2010 | ||||
Dates: |
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Volume: | Vol.10 | ||||
Page Range: | article no.92 | ||||
DOI: | 10.1186/1472-6920-10-92 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access | ||||
Funder: | Australian Government Department of Health and Ageing through National Prescribing Service Limited |
Data sourced from Thomson Reuters' Web of Knowledge
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