Prevalence and Associations of General Practice Registrars’ Management of Atopic Dermatitis: A Cross-Sectional Analysis from the Registrar Clinical Encounters in Training Study

Introduction: Atopic dermatitis (AD) is a chronic inflammatory condition which imposes substantial burden upon patients and their families. As a frequent primary care presentation, general practice (GP) trainees must develop adequate skills in AD diagnosis and management. Objectives: We aimed to...

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Autores principales:	Anneliese Willems, Amanda Tapley, Alison Fielding, Er Tsing Vivian Tng, Elizabeth Holliday, Mieke L van Driel, Jean Ball, Andrew Davey, Irena Patsan, Kristen FitzGerald, Neil Spike, Parker Magin
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2021
Materias:	atopic dermatitis eczema general practice family practice dermatologists Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/bb31481dc4d64445938a5df1f2556bb7
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spelling	oai:doaj.org-article:bb31481dc4d64445938a5df1f2556bb72021-11-15T15:17:20ZPrevalence and Associations of General Practice Registrars’ Management of Atopic Dermatitis: A Cross-Sectional Analysis from the Registrar Clinical Encounters in Training Study10.5826/dpc.1104a1282160-9381https://doaj.org/article/bb31481dc4d64445938a5df1f2556bb72021-09-01T00:00:00Zhttps://dpcj.org/index.php/dpc/article/view/1660https://doaj.org/toc/2160-9381 Introduction: Atopic dermatitis (AD) is a chronic inflammatory condition which imposes substantial burden upon patients and their families. As a frequent primary care presentation, general practice (GP) trainees must develop adequate skills in AD diagnosis and management. Objectives: We aimed to explore the prevalence and associations of GP registrars’ management of patients with AD. Methods: This study used data from the Registrar Clinical Encounters in Training (ReCEnT) project, an ongoing cohort study of the clinical and educational experience of Australian GP registrars. Registrar, patient, and consultation factors were independent variables in multivariable logistic regression with outcome factor ‘diagnosis/problem being AD’. Results: From 2010-2019, 2,783 registrars (96% response rate) provided data from 381,180 consultations. AD was encountered in 0.6% of consults. AD was more likely to be seen in patients aged 0-1 years and patients from a non-English speaking background. AD was less likely to be seen in Aboriginal or Torres Strait Islander patients. Learning goals were more likely to be generated for AD and these consultations were associated with registrars seeking information or assistance. AD was strongly associated with a medication being prescribed, of which the most prescribed medications were mild or moderate potency topical corticosteroids. Conclusions: Our findings suggest that, similar to other dermatological presentations, registrars find AD challenging to manage. There may be some gaps in AD management knowledge and application. Anneliese WillemsAmanda TapleyAlison FieldingEr Tsing Vivian TngElizabeth HollidayMieke L van DrielJean BallAndrew DaveyIrena PatsanKristen FitzGeraldNeil SpikeParker MaginMattioli1885articleatopic dermatitiseczemageneral practicefamily practicedermatologistsDermatologyRL1-803ENDermatology Practical & Conceptual (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	atopic dermatitis eczema general practice family practice dermatologists Dermatology RL1-803
spellingShingle	atopic dermatitis eczema general practice family practice dermatologists Dermatology RL1-803 Anneliese Willems Amanda Tapley Alison Fielding Er Tsing Vivian Tng Elizabeth Holliday Mieke L van Driel Jean Ball Andrew Davey Irena Patsan Kristen FitzGerald Neil Spike Parker Magin Prevalence and Associations of General Practice Registrars’ Management of Atopic Dermatitis: A Cross-Sectional Analysis from the Registrar Clinical Encounters in Training Study
description	Introduction: Atopic dermatitis (AD) is a chronic inflammatory condition which imposes substantial burden upon patients and their families. As a frequent primary care presentation, general practice (GP) trainees must develop adequate skills in AD diagnosis and management. Objectives: We aimed to explore the prevalence and associations of GP registrars’ management of patients with AD. Methods: This study used data from the Registrar Clinical Encounters in Training (ReCEnT) project, an ongoing cohort study of the clinical and educational experience of Australian GP registrars. Registrar, patient, and consultation factors were independent variables in multivariable logistic regression with outcome factor ‘diagnosis/problem being AD’. Results: From 2010-2019, 2,783 registrars (96% response rate) provided data from 381,180 consultations. AD was encountered in 0.6% of consults. AD was more likely to be seen in patients aged 0-1 years and patients from a non-English speaking background. AD was less likely to be seen in Aboriginal or Torres Strait Islander patients. Learning goals were more likely to be generated for AD and these consultations were associated with registrars seeking information or assistance. AD was strongly associated with a medication being prescribed, of which the most prescribed medications were mild or moderate potency topical corticosteroids. Conclusions: Our findings suggest that, similar to other dermatological presentations, registrars find AD challenging to manage. There may be some gaps in AD management knowledge and application.
format	article
author	Anneliese Willems Amanda Tapley Alison Fielding Er Tsing Vivian Tng Elizabeth Holliday Mieke L van Driel Jean Ball Andrew Davey Irena Patsan Kristen FitzGerald Neil Spike Parker Magin
author_facet	Anneliese Willems Amanda Tapley Alison Fielding Er Tsing Vivian Tng Elizabeth Holliday Mieke L van Driel Jean Ball Andrew Davey Irena Patsan Kristen FitzGerald Neil Spike Parker Magin
author_sort	Anneliese Willems
title	Prevalence and Associations of General Practice Registrars’ Management of Atopic Dermatitis: A Cross-Sectional Analysis from the Registrar Clinical Encounters in Training Study
title_short	Prevalence and Associations of General Practice Registrars’ Management of Atopic Dermatitis: A Cross-Sectional Analysis from the Registrar Clinical Encounters in Training Study
title_full	Prevalence and Associations of General Practice Registrars’ Management of Atopic Dermatitis: A Cross-Sectional Analysis from the Registrar Clinical Encounters in Training Study
title_fullStr	Prevalence and Associations of General Practice Registrars’ Management of Atopic Dermatitis: A Cross-Sectional Analysis from the Registrar Clinical Encounters in Training Study
title_full_unstemmed	Prevalence and Associations of General Practice Registrars’ Management of Atopic Dermatitis: A Cross-Sectional Analysis from the Registrar Clinical Encounters in Training Study
title_sort	prevalence and associations of general practice registrars’ management of atopic dermatitis: a cross-sectional analysis from the registrar clinical encounters in training study
publisher	Mattioli1885
publishDate	2021
url	https://doaj.org/article/bb31481dc4d64445938a5df1f2556bb7
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Prevalence and Associations of General Practice Registrars’ Management of Atopic Dermatitis: A Cross-Sectional Analysis from the Registrar Clinical Encounters in Training Study

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