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GP registrar consultations addressing menopause-related symptoms: a cross-sectional analysis

De Giovanni, Jasmine, M.1; Tapley, Amanda, BBiomedSc (Hons), MMedStat1; Druce, Penny, L., MBBS, FRACGP, BA2; Davey, Andrew, R., BSc, BE (Hons), DCH, BMed, MClinEpid, FRACGP1; van Driel, Mieke, L., MD, MSc, PhD, FRACGP3; Henderson, Kim, M., BNurs1; Catzikiris, Nigel, F., BE (Envl) (Hons), BExSci1; Mulquiney, Katie, J., BND1; Morgan, Simon, MBBS, MPH, FRACGP2; Spike, Neil, A., MBBS, FRACGP4; Kerr, Rohan, H., MBBS, FRACGP, FARGP5; Magin, Parker, J., PhD, FRACGP1

doi: 10.1097/GME.0000000000001042
Original Articles

Objective: To investigate the prevalence and associations of general practitioner registrars’ (trainees’) management of women with menopause-related symptoms.

Methods: A cross-sectional analysis from the Registrar Clinical Encounters in Training (ReCEnT) cohort study. In ReCEnT registrars collected data of 60 consecutive consultations on three occasions during training. The outcome factor was menopause-related problems/diagnoses (compared with other problems/diagnoses). Associations of registrar, patient, practice, and consultation-independent variables were assessed by univariate and multivariable logistic regression.

Results: In all, 1,333 registrars conducted 189,774 consultations involving 295,017 problems/diagnoses. Of these, there were 1,291 problems/diagnoses (0.44% of all problems/diagnoses) relating to menopause. Significant multivariable independent associations of a problem being menopause-related were registrar female sex (odds ratio [OR] 2.74, 95% confidence interval [CI] 2.30-3.26) and registrars working part-time (OR 0.84, 95% CI 0.72-0.98 for full-time work). Consultation-related associations included an increased number of problems addressed in the consultation (OR 1.29, 95% CI 1.21-1.37), and menopause-related problems/diagnoses not being new (OR 0.75, 95% CI 0.66-0.86). Significant educational associations were increased odds of recourse to in-consultation sources of information or assistance (OR 2.09, 95% CI 1.80-2.44) and of generating learning goals (OR 3.15, 95% CI 2.66-3.72).

Conclusions: Registrars seek more assistance and further knowledge about menopause compared with other problems. Thus, they may find the area particularly challenging and could benefit from further education regarding managing menopause. Our findings may help inform the design of measures aimed at improving the delivery of menopause training for general practice registrars.

1School of Medicine and Public Health, University of Newcastle

2GP Synergy General Practice Regional Training Organisation

3Discipline of General Practice and Primary Care Clinical Unit, Faculty of Medicine, The University of Queensland

4Eastern Victoria GP Training, Department of General Practice, University of Melbourne

5General Practice Training Tasmania.

Address correspondence to: Professor Parker J. Magin, PhD, FRACGP, School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan 2308, NSW, Australia. E-mail: parker.magin@newcastle.edu.au

Received 26 September, 2017

Revised 6 November, 2017

Accepted 6 November, 2017

Funding/support: During the data collection period 2010 to 2015, funding of the ReCEnT study was by the participating educational organizations: General Practice Training Valley to Coast, the Victorian Metropolitan Alliance, General Practice Training Tasmania, Tropical Medicine Training, and Adelaide to Outback GP Training Program. These organizations were funded by the Australian Department of Health. Since 2016, the ReCEnT study is funded by an Australian Commonwealth Department of Health Commissioned Research Grant, and supported by GP Synergy, the general practice Regional Training Organization for New South Wales and the Australian Capital Territory. GP Synergy is funded by the Australian Department of Health. The particular study reported in this manuscript was supported by Ms De Giovanni's GP Synergy Medical Student Research Scholarship.

Financial disclosure/conflicts of interest: None reported.

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© 2018 by The North American Menopause Society.