Opening the black box: The patientmix of GP trainees

British Journal of General Practice

Volumn 61, Issue 591, 2011, Pages

  De Jong, Jip ^a   Visser, Mechteld R M ^a   Mohrs, Jacob ^a   Wieringa De Waard, Margreet ^a  

^a ACADEMIC MEDICAL CENTER   (Netherlands)

Author keywords

Clinical competence; Medical education; Primary health care; Problem based learning

Indexed keywords

ADULT; AGE DISTRIBUTION; ARTICLE; BLOOD DISEASE; CASE MIX; CHRONIC DISEASE; CLINICAL COMPETENCE; COHORT ANALYSIS; CONSULTATION; ELECTRONIC MEDICAL RECORD; FEMALE; GENERAL PRACTICE; HUMAN; MALE; MALE GENITAL SYSTEM DISEASE; MEDICAL EDUCATION; MUSCULOSKELETAL DISEASE; NETHERLANDS; PATIENT CODING; PATIENT MIX; PRIMARY MEDICAL CARE; PROFESSIONAL PRACTICE; PROSPECTIVE STUDY; RESPIRATORY TRACT DISEASE; SEX DIFFERENCE; SEX RATIO; SKIN DISEASE; SOCIAL PROBLEM;

ADOLESCENT; ADULT; AGED; CHILD; CHILD, PRESCHOOL; CHRONIC DISEASE; CLINICAL COMPETENCE; EDUCATION, MEDICAL, GRADUATE; FAMILY PRACTICE; FEMALE; GENITAL DISEASES, FEMALE; GENITAL DISEASES, MALE; HOUSE CALLS; HUMANS; INFANT; MALE; MIDDLE AGED; NETHERLANDS; PHYSICIAN-PATIENT RELATIONS; PROSPECTIVE STUDIES; SEX DISTRIBUTION; YOUNG ADULT;

EID: 81255178381     PISSN: 09601643     EISSN: None     Source Type: Journal    
DOI: 10.3399/bjgp11X601361     Document Type: Article

References (44)

1. Dornan T, Boshuizen H, King N, Scherpbier A. Experience-based learning: a model linking the processes and outcomes of medical students' workplace learning. Med Educ 2007; 41(1): 84-91. (Pubitemid 46011046)
2. Wollstadt LJ. Casemix in a primary care teaching practice for two clerkship schedules. J FamPract 1979; 8(1): 107-112.
3. Tan LH. Tekorten in de huisartsopleiding, proefschrift UvA. [Deficiencies in the curriculum of the vocational training for general practitioners]. Amsterdam: University of Amsterdam, 1989.
4. Eccles M, Bamford C, Steen N, Russell I. Case mix and content of trainee consultations: findings fromthe north of England study of standards and performance in general practice. Br J Gen Pract 1994; 44(387): 437-440. (Pubitemid 24317932)
5. Markham FW, Rattner S, Hojat M, et al. Evaluations of medical students'clinical experiences in a family medicine clerkship: differences in patient encounters by disease severity in different clerkship sites. Fam Med 2002; 34(6): 451-454. (Pubitemid 34633669)
6. Vintges M, VanWeert H, Van der Wiele E, et al. What health problems do trainees in general practice see? Data from electronic patient records compared with the 'qualification terms' of the Dutch vocational training for general practitioners. Huisarts Wet 2001; 44: 485-489. (Pubitemid 33793777)
7. Stubbings CA, Gowers JI. A comparison of trainee and trainer clinical experience. J R Coll Gen Pract 1979; 29(198): 47-52.
8. Carney TA. Clinical experience of a trainee in general practice. J R Coll Gen Pract 1979; 29(198): 40-44.
9. Nkoy FL, Petersen S, Antommaria AH, Maloney CG. Validation of an electronic system for recording medical student patient encounters. AMIA Annu Symp Proc 2008; 6: 510-514.
10. Parkerson GR Jr, Griffin EW. Clinical experience during family medicine residency training. South Med J 1987; 80(7): 895-900. (Pubitemid 17139803)
11. St George I. What do trainee interns see in general practice?N Z Med J 1982; 95(712): 506-507. (Pubitemid 12024550)
12. McCormick A, Fleming D, Charlton J. Morbidity statistics from general practice. Fourth national study 1991-1992. London: HMSO, 1995. http://www.statistics.gov.uk/downloads/theme-health/MB5No3.pdf (accessed 11 Jul 2011).
13. De Jong J, Visser MRM, Wieringa-de Waard M. Who determines the patient mix of GP trainees? The role of the receptionist. Fam Pract 2011; 28(3): 287-293.
14. Raghoebar-Krieger HM, Sleijfer DT, Hofstee WK, et al. The availability of diseases for medical students in a university hospital. Med Teach 2001; 23(3): 258-262. (Pubitemid 32454914)
15. Morris-Stiff G, Ball E, Torkington J, et al. Registrar operating experience over a 15-year period:more, less or more or less the same? Surgeon 2004; 2(3): 161-164. (Pubitemid 38807683)
16. Feldman M, Nasmyth G. An evaluation of operative training lists for senior house officers in a district general hospital. Ann R Coll Surg Engl 2005; 87(4): 277-282. (Pubitemid 41051819)
17. Haney E, Nicolaidis C, Hunter A, et al. Relationship between resident workload and self-perceived learning on in patient medicine wards: a longitudinal study. BMC Med Educ 2006; 6: 35.
18. Ballal RS, Eisenberg MJ, Ellis SG. Training in cardiac catheterization at high volume and low-volume centers: is there a difference in case mix? Am Heart J 1996; 132(2 Pt 1): 460-462. (Pubitemid 26292419)
19. Eisenberg MJ, Claire J, Mak KH, Ellis SG. Importance of case mix during training in interventional cardiology. Am J Cardiol 1996; 77(11): 1010-1013. (Pubitemid 26158094)
20. Hand R, Garg M, Dajani KF. Patient mix in the primary ambulatory care clinics of an academic medical center. Acad Med 1993; 68(10): 803-805. (Pubitemid 23313028)
21. McLeod PJ, Snell L. Casemix in an internal medicine clerkship: educational value of the clinical problems seen. J Gen Intern Med 1991; 6(5): 455-459.
22. Wimmers PF, Schmidt HG, Splinter TA. Influence of clerkship experiences on clinical competence. Med Educ 2006; 40(5): 450-458.
23. Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med 2004; 79(10 Suppl): S70-S81. (Pubitemid 39281222)
24. Dolmans DHJM, Wolfhagen IHAP, Essed GGM, et al. The impacts of supervision, patientmix, and numbers of students on the effectiveness of clinical rotations. Acad Med 2002; 77(4): 332-335. (Pubitemid 34311209)
25. Van der Zwet J, Hanssen VG, Zwietering PJ, et al. Workplace learning in general practice: supervision, patient mix and independence emerge from the black box once again. Med Teach 2010; 32(7): e294-e299.
26. Karle H. Postgraduate medical education: WFME global standards for quality improvement. Copenhagen: World Federation for Medical Education, 2003. http://www3.sund.ku.dk/Activities/WFME%20Standard%20Documents%20an d%20translations/WFME%20Postgraduate.pdf (accessed 11 Jul 2011).
27. Mulloy JV, Leuschen M, Rowe BH. Computer-based patient encounter tracking. Development of a system for family medicine residents.Can Fam Physician 1995; 41: 1742-1751.
28. Alderson TS, Oswald NT. Clinical experience of medical students in primary care: use of an electronic log in monitoring experience and in guiding education in the Cambridge Community Based Clinical Course. Med Educ 1999; 33(6): 429-433. (Pubitemid 29265382)
29. Nierenberg DW, Eliassen MS, McAllister SB, et al. A web-based system for students to document their experiences within six core competency domains during all clinical clerkships. Acad Med 2007; 82(1): 51-73. (Pubitemid 46052156)
30. Lamberts H, Woods M. International classification of primary care. Oxford: Oxford University Press, 1987.
31. Levy BT, Merchant ML. Differences in clinical experiences based on gender of third-year medical students in a required family medicine preceptorship. Acad Med 2002; 77(12 Pt 1): 1241-1246. (Pubitemid 36090299)
32. Carney PA, Dietrich AJ, Eliassen S, et al. Differences in ambulatory teaching and learning by gender match of preceptors and students. Fam Med 2000; 32(9): 618-623.
33. Sabir S, Godwin M, Birtwhistle R. Men and women residents' experiences with women's health care in a family medicine center. Acad Med 1997; 72(4): 293-295. (Pubitemid 27184308)
34. Knottnerus JA, Metsemakers J, Hoppener P, Limonaro C. Chronic illness in the community and the concept of 'social prevalence'. FamPract 1992; 9(1): 15-21.
35. Lyman JA, Schorling J, Nadkarni M, et al. Development of a web-based resident profiling tool to support training in practice-based learning and improvement. J Gen Intern Med 2008; 23(4): 485-488. (Pubitemid 351464871)
36. Raghoebar-Krieger HM, Sleijfer D, Bender W, et al. The reliability of logbook data of medical students: an estimation of interobserver agreement, sensitivity and specificity. Med Educ 2001; 35(7): 624-631. (Pubitemid 32612979)
37. Van der Linden M, Schellevis F, Westert G. Morbidity in the population and in general practice: 2nd Dutch National Survey of General Practice [DNSGP-2]. Utrecht: NIVEL, 2004.
38. Cohen AJ. Caring for the chronically ill: a vital subject for medical education. Acad Med 1998; 73(12): 1261-1266. (Pubitemid 29014350)
39. Darer JD, Hwang W, Pham HH, et al. More training needed in chronic care: a survey of US physicians. Acad Med 2004; 79(6): 541-548. (Pubitemid 38691479)
40. Hasler JC. Do trainees see patients with chronic illness? Br Med J (Clin Res Ed) 1983; 287(6406): 1679-1682. (Pubitemid 14248516)
41. Pham HH, Simonson L, Elnicki DM, et al. Training U.S. medical students to care for the chronically ill. Acad Med 2004; 79(1): 32-40.
42. Fouracre R, Savory JN. Steering patients with selected conditions to trainees. J R Coll Gen Pract 1980; 30(221): 729-733.
43. Johnson N, Hasler J, Toby J, Grant J. Consensus minimum standards for use in a trainer's report for summative assessment in general practice. Br J Gen Pract 1996; 46(404): 140-144. (Pubitemid 26092849)
44. Jolly BC, Jones A, Dacre JE, et al. Relationships between students' clinical experiences in introductory clinical courses and their performances on an objective structured clinical examination (OSCE). Acad Med 1996; 71(8): 909-916. (Pubitemid 26277329)