title: Clinical encounters of Australian general practice registrars with paediatric patients.
abstract: BACKGROUND
  Whether general practitioner (GP) registrars have adequate exposure to, and feel confident in, managing children's health during training is unknown.
  
  
  OBJECTIVE
  To determine the prevalence and associations of GP registrars' paediatric vs. non-paediatric consultations.
  
  
  METHODS
  Cross-sectional analysis from a cohort study of Australian GP registrars' 2010-2014 consultations.
  
  
  RESULTS
  889 registrars contributed details for 26,427 (21.8% (95% CI: 21.4-22.2) paediatric consultations. Paediatric patients were more likely to be male and new to the practice. Although paediatric patients were less likely to have a chronic disease (OR 0.38, 95% CI 0.36, 0.40) and presented with fewer problems (OR 0.59, 95% CI 0.57, 0.61), registrars were more likely to seek in-consultation advice (OR 1.25, 95% CI 1.19, 1.31) and generate learning goals (OR 1.12, 95% CI 1.07, 1.18) for paediatric consultations.
  
  
  CONCLUSIONS
  GP registrars appear to feel less confident in managing paediatric compared with adult consultations, suggesting an unmet training need.
authors.affiliation: a Centre for Community Child Health, The Royal Children's Hospital Melbourne , Parkville , Australia.|b Murdoch Childrens Research Institute , Parkville , Australia.|c Department of Paediatrics , University of Melbourne , Victoria , Australia.
authors.forename: Harriet
authors.initials: H
authors.lastname: Hiscock
authors.affiliation: a Centre for Community Child Health, The Royal Children's Hospital Melbourne , Parkville , Australia.|c Department of Paediatrics , University of Melbourne , Victoria , Australia.
authors.forename: Gary
authors.initials: G
authors.lastname: Freed
authors.affiliation: d Discipline of General Practice , University of Newcastle , Callaghan , Australia.
authors.forename: Simon
authors.initials: S
authors.lastname: Morgan
authors.affiliation: d Discipline of General Practice , University of Newcastle , Callaghan , Australia.
authors.forename: Amanda
authors.initials: A
authors.lastname: Tapley
authors.affiliation: e Hunter Medical Research Institute , New Lambton Heights , Australia.|f School of Medicine and Public Health, University of Newcastle , Callaghan , Australia.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Holliday
authors.affiliation: d Discipline of General Practice , University of Newcastle , Callaghan , Australia.
authors.forename: Andrew
authors.initials: A
authors.lastname: Davey
authors.affiliation: e Hunter Medical Research Institute , New Lambton Heights , Australia.
authors.forename: Jean
authors.initials: J
authors.lastname: Ball
authors.affiliation: g Discipline of General Practice , School of Medicine, The University of Queensland , Brisbane , Australia.
authors.forename: Mieke
authors.initials: M
authors.lastname: van Driel
authors.affiliation: h Victorian Metropolitan Alliance (VMA) , General Practice Training , Hawthorn East , Australia.|i Department of General Practice , University of Melbourne , Victoria , Australia.
authors.forename: Neil
authors.initials: N
authors.lastname: Spike
authors.affiliation: j Adelaide to Outback GP Training Program , North Adelaide , Australia.
authors.forename: Lawrie
authors.initials: L
authors.lastname: McArthur
authors.affiliation: d Discipline of General Practice , University of Newcastle , Callaghan , Australia.|k General Practice Training, Valley to Coast , Mayfield , Australia.
authors.forename: Parker
authors.initials: P
authors.lastname: Magin
mesh_terms: D000328:Adult; D000367:Age Factors; D001315:Australia; D000067576:Child Health; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005260:Female; D058006:General Practice / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D010372:Pediatrics / Q000706:statistics & numerical data*; D020377:Self Efficacy; D012737:Sex Factors; D012959:Socioeconomic Factors
keywords: General practice; child health; general practice education; health services; referral, consultation