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Pre-registration house officers in general practice: review of evidence

Illing, J., van Zwanenberg, T., Cunningham, W.F., Taylor, G., O'Halloran, Cath and Prescott, R. (2003) Pre-registration house officers in general practice: review of evidence. British medical journal, 326. pp. 1019-1022. ISSN 0959-8138

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Objectives: To examine the strengths and weaknesses of the national and local schemes for preregistration house officers to spend four months in general practice, to identify any added value from such placements, and to examine the impact on career choices.
Design: Review of all studies that reported on placements of preregistration house officers in general practice.
Setting: 19 accounts of preregistration house officers' experience in general practice, ranging from single case reports to a national evaluation study, in a variety of locations in Scotland and England.
Participants: Views of 180 preregistration house officers, 45 general practitioner trainers, and 105 consultant trainers.
Main outcome measures: Main findings or themes weighted according to number of studies reporting them and weighted for sample size.
Results: The studies were unanimous about the educational benefits of the placements. The additional learning included communication skills, social and psychological factors in illness, patient centred consultations, broadening of knowledge base, and dealing with uncertainty about diagnosis and referral.
Conclusions: Despite the reported benefits and recommendations of the scheme, it is not expanding. General practitioner trainers reported additional supervision that was unremunerated. The reforms of the senior house officer grade may resolve this problem by offering the placements to senior house officers, who require less supervision.

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Item Type: Article
Additional Information: © 2003 BMJ Publishing Group Ltd
Uncontrolled Keywords: doctor communication medical education
Subjects: R Medicine > R Medicine (General)
Schools: School of Human and Health Sciences
References: Fuglsang H, Olesgaard P, Pedersen NF, Olesen F. Patients’ attitudes towards and satisfaction with interns in general practice. Practicing interns and patient satisfaction. Ugeskrift Laeger 158;1996:5768-72. 2 General Medical Council. The new doctor: supplement on general clinical training in general practice. London: GMC, 1998. 3 Grant J, Southgate L. Pre-registration house officer placements in general practice. Milton Keynes: Centre for Education in Medicine, Open University, 2000. (NHSE Report.) 4 Illing J, Taylor G, van Zwanenberg T. A qualitative study of house officer attachments in general practice. Med Educ 1999;33:894-900. 5 Rowan-Robinson M, Challis M. Pre-registration house officer (PRHO) placements in general practice: reflections on the experience in Mid-Trent. Educ Gen Pract 2000;11(3):259-67. 6 Hewitt N, McKinstry B, Wilton J. Pre-registration house officers in general practice: a report on the experience in South East Scotland 1998-99. Educ Gen Pract 2002;12:185-92. 7 Harris CM, Dudley HA, Jarman B, Kidner PH. Preregistration rotation including general practice at St Mary’s hospital medical school. BMJ 1985;290:1811-3. 8 Freeman GK, Coles CR. The pre-registration houseman in general practice. BMJ 1982;284:1379-831. 9 Parsons S, Gregg R. A qualitative evaluation of general practice rotations during the pre-registration house officer (PRHO) year in the North Thames region. London: Queen Mary and Westfield College, University of London, 1998. 10 Williams C, Cantillon P, Cochrane M. The clinician and education experiences of pre-registration house officers in general practice. Med Educ 2001;35(8):774-81. 11 Wilton J. Pre-registration house officers in general practice. BMJ 1995;310:369-72. 12 Page J. Evaluation of the experiences of pre-registration house officers. Manchester: North West Deanery, University of Manchester, 2001. 13 McGuiness BW. A house officer attachment in general practice. Practitioner 1982;226:1216-8. 14 Taylor G, Thomas M. The pre-registration year in general practice as an educational and diagnostic tool. Educ Gen Pract 1997;8:51-5. 15 Oswald N, Kassimatis M. A house officer attachment in general practice: a different experience. Med Educ 1989;23:322-7. 16 Illingworth C. The pre-registration alternative. BMJ 1994;308:1109. 17 Greenwood KH. What the GP re-registration house officer saw—a personal view. Med Educ 2001;35:305. 18 Moore I. Dr Isobel Moore’s story. Educ Gen Pract 2000;11(3):329-330. 19 Oswald N. Preregistration house jobs in general practice. BMJ 1998;317:2. 20 Cohen M. The GP pre-registration house officer: the potential learning experience of primary care. Hosp Med 1998;59:502-4. 21 Blackamore M. Life as a GP preregistration house officer. BMJ 2002;324:111. 22 Williams C, Cantillon P, Cohrane M. Pre-registration rotations into general practice: the concerns of pre-registration house officers and the views of hospital consultants. Med Educ 2000;34:716-20. 23 Williams C, Cantillon P, Cochrane M. Pre-registration house officer rotations incorporating general practice; does the order of the rotation matter? Med Educ 2001;35:572-7. 24 Thistlewaite JE. Making and sharing decisions about management with patients: the views and experiences of pre-registration house officers in general practice and hospital. Med Educ 2002;36:49-55. 25 Williams C, Cantillon P, Cochrane M. Pre-registration house officers in general practice: the views of GP trainers. Fam Pract 2001;18:619-21. 26 Edwards C, Lambert TW, Goldacre MJ, Parkhouse J. Early medical career choices and eventual careers. Med Educ 1997;31 237-42. 27 Holden J, Pullen S. Trainee interns in general practices. NZ Med J 1997;110:377-9. 28 Donaldson L. Chief Medical Officer unfinished business: proposals for the reform of the senior house officer grade.A paper for consultation. NHS, 2002.
Depositing User: Sara Taylor
Date Deposited: 22 Feb 2007
Last Modified: 28 Aug 2021 23:37


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