Ann Arbor, Mich. Australian doctors-in-training spend significantly less time consulting with pediatric patients than they do with adults, according to a new study published in the journal Australian Family Physician.
The study found that the proportion of longer consultations more than 20 minutes -- for children was significantly less than that for adults and seniors among general practice registrars, says Gary Freed, M.D., M.P.H., the lead author on the study and Australian-American health policy fellow, Australian Health Workforce Institute at the University of Melbourne and professor of pediatrics and child health policy at the University of Michigan.
The study also found that among the general practitioner registrars in the study, the overall duration of visits for children were much shorter than for adults, Freed says. In the study, of all consultations with children under 4 years old, only one consultation was for more than 40 minutes.
"The fact that all but one of the registrars in the study never saw a child for an extended consultation is quite remarkable," Freed says.
Similar demographic trends are occurring in the United States and studies have also shown that family physicians provide care for fewer children than in years past, Freed says. Some family physician training programs in the United States are exploring novel ways to ensure their residents receive adequate exposure to pediatric patients.
Freed and his co-authors also found that for patients 14 and under in Australia, a greater proportion of the visits were attributed to the 10 most common diagnoses, compared with adult patients. That suggests the registrars are getting exposed to a limited range of ailments and symptoms among children.
"These results raise the possibility that exposure of registrars to chronic illness in children, and to a range of diagnostic conditions, may be quite limited," says Freed.
|Contact: Mary F. Masson|
University of Michigan Health System