General Practice Registrars’ Management of and Specialist Referral Patterns for Atopic Dermatitis

Background: Atopic dermatitis (AD) is a common presentation in the general practice (GP) setting. Implementation of appropriate referral pathways is instrumental for best patient care and is an essential skill for Australian GP registrars. Objectives: We aimed to explore the prevalence and assoc...

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Autores principales:	Anneliese Willems, Amanda Tapley, Alison Fielding, Vivian Tng, Elizabeth Holliday, Mieke van Driel, Jean Ball, Andrew Davey, Kristen FitzGerald, Neil A. Spike, Parker J. Magin
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2021
Materias:	atopic dermatitis eczema referral and consultation general practice dermatologists Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/bd4eba757d0f4a23b1d18b71bc746158
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spelling	oai:doaj.org-article:bd4eba757d0f4a23b1d18b71bc7461582021-11-17T08:28:16ZGeneral Practice Registrars’ Management of and Specialist Referral Patterns for Atopic Dermatitis10.5826/dpc.1101a1182160-9381https://doaj.org/article/bd4eba757d0f4a23b1d18b71bc7461582021-01-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/1376https://doaj.org/toc/2160-9381 Background: Atopic dermatitis (AD) is a common presentation in the general practice (GP) setting. Implementation of appropriate referral pathways is instrumental for best patient care and is an essential skill for Australian GP registrars. Objectives: We aimed to explore the prevalence and associations of GP registrar referrals to specialists for AD management. Methods: A cross-sectional analysis utilizing data from the Registrar Clinical Encounters in Training (ReCEnT) project, an ongoing cohort study that documents in-consultation clinical and educational experience of Australian GP registrars. Registrar, patient, and consultation factors associated with referrals for AD were established using logistic regression. Results: A A total of 3,285 (0.55%) of 595,412 diagnoses managed were AD, of which 222 (6.8%) resulted in referral. Of these referrals, 70% were to dermatologists, 17% to allergists/immunologists, and 10% to pediatricians. Associations of referral included registrar female gender, patient age, longer consultation duration; an established (rather than new) AD diagnosis; supervisor advice being sought; and learning goals being generated. Conclusions: Both registrar and patient factors influence AD referral patterns. Registrars referred established rather than newly diagnosed AD, suggesting a level of comfort in initial management. Referral was associated with longer consultations, seeking supervisor advice, and generation of learning goals—suggesting these are more complex presentations and, possibly, registrar learning opportunities. A significant proportion of referrals were to non-dermatologist specialists. The implication of this for optimal patient care is a subject for further study. Anneliese WillemsAmanda TapleyAlison FieldingVivian TngElizabeth HollidayMieke van DrielJean BallAndrew DaveyKristen FitzGeraldNeil A. SpikeParker J. MaginMattioli1885articleatopic dermatitiseczemareferral and consultationgeneral practicedermatologistsDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 11, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	atopic dermatitis eczema referral and consultation general practice dermatologists Dermatology RL1-803
spellingShingle	atopic dermatitis eczema referral and consultation general practice dermatologists Dermatology RL1-803 Anneliese Willems Amanda Tapley Alison Fielding Vivian Tng Elizabeth Holliday Mieke van Driel Jean Ball Andrew Davey Kristen FitzGerald Neil A. Spike Parker J. Magin General Practice Registrars’ Management of and Specialist Referral Patterns for Atopic Dermatitis
description	Background: Atopic dermatitis (AD) is a common presentation in the general practice (GP) setting. Implementation of appropriate referral pathways is instrumental for best patient care and is an essential skill for Australian GP registrars. Objectives: We aimed to explore the prevalence and associations of GP registrar referrals to specialists for AD management. Methods: A cross-sectional analysis utilizing data from the Registrar Clinical Encounters in Training (ReCEnT) project, an ongoing cohort study that documents in-consultation clinical and educational experience of Australian GP registrars. Registrar, patient, and consultation factors associated with referrals for AD were established using logistic regression. Results: A A total of 3,285 (0.55%) of 595,412 diagnoses managed were AD, of which 222 (6.8%) resulted in referral. Of these referrals, 70% were to dermatologists, 17% to allergists/immunologists, and 10% to pediatricians. Associations of referral included registrar female gender, patient age, longer consultation duration; an established (rather than new) AD diagnosis; supervisor advice being sought; and learning goals being generated. Conclusions: Both registrar and patient factors influence AD referral patterns. Registrars referred established rather than newly diagnosed AD, suggesting a level of comfort in initial management. Referral was associated with longer consultations, seeking supervisor advice, and generation of learning goals—suggesting these are more complex presentations and, possibly, registrar learning opportunities. A significant proportion of referrals were to non-dermatologist specialists. The implication of this for optimal patient care is a subject for further study.
format	article
author	Anneliese Willems Amanda Tapley Alison Fielding Vivian Tng Elizabeth Holliday Mieke van Driel Jean Ball Andrew Davey Kristen FitzGerald Neil A. Spike Parker J. Magin
author_facet	Anneliese Willems Amanda Tapley Alison Fielding Vivian Tng Elizabeth Holliday Mieke van Driel Jean Ball Andrew Davey Kristen FitzGerald Neil A. Spike Parker J. Magin
author_sort	Anneliese Willems
title	General Practice Registrars’ Management of and Specialist Referral Patterns for Atopic Dermatitis
title_short	General Practice Registrars’ Management of and Specialist Referral Patterns for Atopic Dermatitis
title_full	General Practice Registrars’ Management of and Specialist Referral Patterns for Atopic Dermatitis
title_fullStr	General Practice Registrars’ Management of and Specialist Referral Patterns for Atopic Dermatitis
title_full_unstemmed	General Practice Registrars’ Management of and Specialist Referral Patterns for Atopic Dermatitis
title_sort	general practice registrars’ management of and specialist referral patterns for atopic dermatitis
publisher	Mattioli1885
publishDate	2021
url	https://doaj.org/article/bd4eba757d0f4a23b1d18b71bc746158
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General Practice Registrars’ Management of and Specialist Referral Patterns for Atopic Dermatitis

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