Abstract No. 725 (Free Standing Paper) : A PILOT EVALUATION OF TEACHING GENOGRAMS IN GENERAL PRACTICE

Conference: 
Author(s): 
Fatovich B, Smith J
Royal Australian College of General Practitioners Training Program Western Australia
Text: 
Introduction:
General Practice Registrars in the RACGP Training Program WA participate in educational activities that raise their awareness of contextual issues. The teaching approach is case-based emphasising genograms (medical family trees). Registrars bring a case of a difficult patient or heartsink patient who is likely to be under their care for six months. Over three sessions spread across their placement they are introduced to the concepts of patient-centred care and genograms. Indications for genograms and a range of other related issues are covered.
Methods: The participants in this program for the past four years were identified and sent a questionnaire designed to explore their views on the teaching sessions, current use of genograms, the response of patients to this inquiry and basic demographic data. In order to provide a basis for comparison, their results are compared to a group of general practice supervisors and medical educators who had been given a single teaching session on genograms.
Results: Early responses demonstrate a strongly positive response from more senior GPs, the Registrars do not use it significantly. The discussion considers the training and general practice implications of this information.
Conclusion:
Preliminary analysis suggests that general practice Registrars have a modest interest in use of genograms. Experienced GPs have a breadth and depth of understanding of general practice that enables them to have a broader perspective on family issues compared to younger GPs. There is a significant challenge in teaching general practice Registrars about the contextual nature of general practice.