Evidence in practice
Registrar exposure to older patients – does it vary between practices?
Registrars are known to see fewer older patients than experienced GPs. If opportunities for registrars to see older patients are further limited in some training practices, this could affect how well they develop skills in managing complex, age-related health needs.
Using data from the Registrar Clinical Encounters in Training (ReCEnT) study, we compared the proportion of registrar consultations with older patients (aged 65 years and over) across practices. The study collected data from 978 practices and 4643 registrars between 2010–23.
We found that when a registrar moved to a practice with more older patients, they saw approximately twice as many older patients than before. Conversely, if they moved to a practice with fewer older patients, they saw approximately half as many as before.
These findings suggest that registrar exposure to older patients is largely driven by the practice. As such, strategies to improve registrar engagement with older patients should be targeted at the practice level. For example, practices could include registrars in nursing home visits and facilitate opportunities for them to jointly manage older patient care with their supervisors.
Read the full study: Journal of Evaluation in Clinical Practice
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