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Preregistration house officers in general practice: review of evidence

Illing, J., van Zwanenberg, T., Cunningham, W.F., Taylor, G., O'Halloran, C. and Prescott, R. (2003) Preregistration house officers in general practice: review of evidence. BMJ, 326 (7397). pp. 1019-1022. ISSN 0959-8138


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

Item Type: Article
Copyright, Publisher and Additional Information: © 2003 BMJ Publishing Group Ltd
Institution: The University of Leeds
Academic Units: The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds)
Depositing User: Repository Officer
Date Deposited: 22 Oct 2004
Last Modified: 07 Jun 2014 00:06
Published Version: http://bmj.com/cgi/content/full/326/7397/1019
Status: Published
Refereed: Yes
Identification Number: 10.1136/bmj.326.7397.1019
URI: http://eprints.whiterose.ac.uk/id/eprint/160

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