Enhancing General Practitioner Confidence And Competence In Acute Ent Management: A Targeted Educational Intervention
Main Article Content
Abstract
Because they serve the local community, GPs need to know a wide range of information to successfully diagnose and treat patients. The abilities and background of GPs depend on the medical school they completed and the particular training programs involved. Learning opportunities about ear, nose and throat (ENT) diseases are not common as there are rarely planned ENT rotations, so few educational activities and various curricula, yet they are experienced every day by primary care providers. We wanted to find out if trainees felt they were not prepared to handle most ENT conditions and if they would be interested in a separate ENT teaching session. Strong interest in an educational intervention was shown by the findings. As a result, we structured a planned teaching course for managing and evaluating common ENT emergencies and then gathered information from a questionnaire completed after the session to evaluate their confidence and knowledge. It was evident after the session that participants gained a better ability to handle ENT problems. In addition, the majority of students said they were very satisfied with the program. According to this research, general practice vocational trainees need educational initiatives aimed at their specific needs in all specialties to support their effectiveness in community medical work.
Article Details
References
GP Taskforce Final Report Securing the Future GP Workforce Delivering the Mandate on GP Expansion. 2014:63.
Griffiths E. Incidence of ENT problems in general practice. J R Soc Med. 1979;72(10):740–742.
Donnelly MJ, Quraishi MS, McShane DP. ENT and general practice: a study of paediatric ENT problems seen in general practice and recommendations for general practitioner training in ENT in Ireland. Ir J Med Sci. 1995;164(3):209–211.
Farooq M, Ghani S, Hussain S. Prevalence of ear, nose and throat diseases and adequacy of ENT training among general physicians. Int J Pathol. 2016;14(3):113–115.
Sandhu DPS, Waddell A. Teaching ENT in primary care. Otolaryngol Open Access. 2016;6(2):228.
Sandhu DPS. How can we create a curriculum fit for tomorrow’s doctors and patients? [webpage on the Internet] Br Med J Careers. 2015. [Accessed October 15, 2017].
Royal College of General Practitioners Guidance for deaneries/LETBs on the standards for GP specialty training [webpage on the Internet]; 2014. [Accessed October 15, 2017].
Royal College of General Practitioners The RCGP Curriculum: Clinical Modules [webpage on the Internet] 2015. [Accessed October 15, 2017].
Khan M, Saeed SR. Provision of undergraduate otorhinolaryngology teaching within general medical council approved UK medical schools. J Laryngol Otol. 2012;126(4):340–344.
Clamp P, Gunasekaran S, Pothier DD, Saunders MW. ENT in general practice: training, experience and referral rates. J Laryngol Otol. 2007;121(6):580–583.
Powell J, Cooles FA, Carrie S, Paleri V. Is undergraduate medical education working for ENT surgery? A survey of UK medical school graduates. J Laryngol Otol. 2011;125(9):896–905.
Illing J, Peile E, Morrison J. How prepared are medical graduates to begin practice? A comparison of three diverse UK medical schools. Final Report for the GMC Education Committee. General Medical Council/Northern Deanery; 2008. p. 30.
Griffin A, Abouharb T, Etherington C, Bandura I. Transition to independent practice: a national enquiry into the educational support for newly qualified GPs. Educ Prim Care. 2010;21(5):299–307.
Sabey A, Hardy H. Views of newly qualified GPs about their training and preparedness: lessons for extended generalist training. Br J Gen Pract. 2015;65(633):e270–e277.
Dare A, Fancourt N, Robinson E, Wilkinson T, Bagg W. Training the intern: the value of a pre-intern year in preparing students for practice. Med Teach. 2009;31(8):e345–e350.
Berridge EJ, Freeth D, Sharpe J, Roberts CM. Bridging the gap: supporting the transition from medical student to practising doctor – a two-week preparation programme after graduation. Med Teach. 2007;29(2–3):119–127.
Henderson J, Valenti L, Miller GC. General practice antibiotic prescribing for management of otitis media in children. Aust Fam Physician. 2016;45(6):363–365.
Hutchinson L. Teaching and learning in the clinical context [webpage on the Internet] London Deanery; 2003. [Accessed October 15, 2017].
Okuda Y, Bryson EO, DeMaria S, Jr, et al. The utility of simulation in medical education: what it the evidence? Mt Sinai J Med. 2009;76(4):330–343.
Nathavitharana K. Online generic induction for doctors in training: an end to repetition? Br J Hosp Med (Lond) 2011;72(10):586–589.
Department of Health . A mandate from the Government to Health Education April 2014 to March 2015. England: Williams Lea; 2014. Delivering high quality, effective, compassionate care: Developing the right people with the right skills and the right values; p. 52.