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Neurophobia among general practice trainees: The evidence, perceived causes and solutions

Abstract Introduction As general practice (GP) is the main source of referrals to neurologists, neurology education for GP trainees is important. We investigated the existence of neurophobia, contributing factors and potential prevention strategies among GP trainees. Methods In a questionnaire surve... Full description

Journal Title: Clinical neurology and neurosurgery 2014, Vol.122, p.124-128
Main Author: McCarron, Mark O
Other Authors: Stevenson, Michael , Loftus, Angela M , McKeown, Pascal
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: Netherlands: Elsevier B.V
ID: ISSN: 0303-8467
Link: https://www.ncbi.nlm.nih.gov/pubmed/24794168
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recordid: cdi_proquest_miscellaneous_1540234811
title: Neurophobia among general practice trainees: The evidence, perceived causes and solutions
format: Article
creator:
  • McCarron, Mark O
  • Stevenson, Michael
  • Loftus, Angela M
  • McKeown, Pascal
subjects:
  • Adult
  • Confidence intervals
  • Education
  • Family medicine
  • General practice
  • General Practice - education
  • General Practice - standards
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Internship and Residency - standards
  • Likert scale
  • Neurology
  • Neurology - education
  • Neurosurgery
  • Northern Ireland
  • Physicians
  • Physicians (General practice)
  • Postgraduate education
  • Primary care
  • Studies
ispartof: Clinical neurology and neurosurgery, 2014, Vol.122, p.124-128
description: Abstract Introduction As general practice (GP) is the main source of referrals to neurologists, neurology education for GP trainees is important. We investigated the existence of neurophobia, contributing factors and potential prevention strategies among GP trainees. Methods In a questionnaire survey interest, knowledge, confidence and perceived difficulty in neurology were compared with different medical specialties. Reasons for difficulty with neurology, postgraduate neurology education experience, learning methods and suggested teaching improvements were examined. Results Of 205 GP trainees, 118 (58%) completed the questionnaire. Threshold analyses justified categorical intervals for the Likert responses. Trainees recorded poorer knowledge ( p < 0.001), less confidence ( p < 0.001) and more perceived difficulty ( p < 0.001) with neurology than with any other medical specialty. GP trainees had less interest in neurology than any other medical specialty (Duncan test, p < 0.001). There was a similar gradation in difficulty and confidence perception across medical specialties. Hospital and community-based neurology teaching was graded as “poor” or “very poor” by over 60% of GP trainees. There were multiple perceived causes of neurophobia, including neuroanatomy and poor quality teaching. More organised clinical teaching and referral guidance were suggested to address GP neurophobia. Conclusions Neurophobia is common among GP trainees in Northern Ireland. GP trainees have clear and largely uniform ideas on improving their neurology education. GP training posts should reflect the importance of neurology within the GP curriculum.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0303-8467
fulltext: fulltext
issn:
  • 0303-8467
  • 1872-6968
url: Link


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descriptionAbstract Introduction As general practice (GP) is the main source of referrals to neurologists, neurology education for GP trainees is important. We investigated the existence of neurophobia, contributing factors and potential prevention strategies among GP trainees. Methods In a questionnaire survey interest, knowledge, confidence and perceived difficulty in neurology were compared with different medical specialties. Reasons for difficulty with neurology, postgraduate neurology education experience, learning methods and suggested teaching improvements were examined. Results Of 205 GP trainees, 118 (58%) completed the questionnaire. Threshold analyses justified categorical intervals for the Likert responses. Trainees recorded poorer knowledge ( p < 0.001), less confidence ( p < 0.001) and more perceived difficulty ( p < 0.001) with neurology than with any other medical specialty. GP trainees had less interest in neurology than any other medical specialty (Duncan test, p < 0.001). There was a similar gradation in difficulty and confidence perception across medical specialties. Hospital and community-based neurology teaching was graded as “poor” or “very poor” by over 60% of GP trainees. There were multiple perceived causes of neurophobia, including neuroanatomy and poor quality teaching. More organised clinical teaching and referral guidance were suggested to address GP neurophobia. Conclusions Neurophobia is common among GP trainees in Northern Ireland. GP trainees have clear and largely uniform ideas on improving their neurology education. GP training posts should reflect the importance of neurology within the GP curriculum.
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subjectAdult ; Confidence intervals ; Education ; Family medicine ; General practice ; General Practice - education ; General Practice - standards ; Health Knowledge, Attitudes, Practice ; Humans ; Internship and Residency - standards ; Likert scale ; Neurology ; Neurology - education ; Neurosurgery ; Northern Ireland ; Physicians ; Physicians (General practice) ; Postgraduate education ; Primary care ; Studies
ispartofClinical neurology and neurosurgery, 2014, Vol.122, p.124-128
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abstractAbstract Introduction As general practice (GP) is the main source of referrals to neurologists, neurology education for GP trainees is important. We investigated the existence of neurophobia, contributing factors and potential prevention strategies among GP trainees. Methods In a questionnaire survey interest, knowledge, confidence and perceived difficulty in neurology were compared with different medical specialties. Reasons for difficulty with neurology, postgraduate neurology education experience, learning methods and suggested teaching improvements were examined. Results Of 205 GP trainees, 118 (58%) completed the questionnaire. Threshold analyses justified categorical intervals for the Likert responses. Trainees recorded poorer knowledge ( p < 0.001), less confidence ( p < 0.001) and more perceived difficulty ( p < 0.001) with neurology than with any other medical specialty. GP trainees had less interest in neurology than any other medical specialty (Duncan test, p < 0.001). There was a similar gradation in difficulty and confidence perception across medical specialties. Hospital and community-based neurology teaching was graded as “poor” or “very poor” by over 60% of GP trainees. There were multiple perceived causes of neurophobia, including neuroanatomy and poor quality teaching. More organised clinical teaching and referral guidance were suggested to address GP neurophobia. Conclusions Neurophobia is common among GP trainees in Northern Ireland. GP trainees have clear and largely uniform ideas on improving their neurology education. GP training posts should reflect the importance of neurology within the GP curriculum.
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