UK-wide survey has identified important gaps in the training of GP trainees in relation to allergy care .

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Research Paper

Identifying current training provision and future training needs in allergy available for UK general practice trainees: national cross-sectional survey of General Practitioner Specialist Training programme directors

Jayne Ellis¹, Imran Rafi², Helen Smith³, ^*Aziz Sheikh<sup>4

1</sup> Academic FY2 in General Practice, St George’s Healthcare NHS Trust, London, UK

² Director, Clinical Innovation and Research Centre, Royal College of General Practitioners, London, UK

³ Professor of Primary Care, Division of Primary Care and Public Health, Brighton and Sussex Medical School, Brighton, UK

⁴ Professor of Primary Care Research and Development, Allergy and Respiratory Research Group, Centre for Population Health Sciences, The University of Edinburgh, Edinburgh, UK

Received 6 June 2012 • Accepted 2 August 2012 • Online 17 October 2012


Abstract
BACKGROUND: There are ongoing concerns about the quality of care provision for allergy in primary care. AIMS: To identify current training provision in allergy to GP trainees and to understand how this could be enhanced. METHODS: A cross-sectional survey of GP Speciality Training (GPST) programme directors was undertaken. Programme directors of the 174 GPST schemes were sent an online questionnaire which was informed by the content of the Royal College of General Practitioners curriculum. Quantitative data were descriptively analysed and a thematic analysis was undertaken of free text responses. RESULTS: We obtained responses from 146 directors representing 106 training programmes. Responses indicated that two-thirds (62%, 95% CI 53.1 to 71.5) of programmes were providing at least some allergy training, with the remaining third stating that they either provided no training or were unsure. Overall, one-third (33%, 95% CI 22.7 to 42.2) of programme directors believed that all the relevant allergy-related curriculum requirements were being met. Where provided, this training was believed to be best for organ-specific allergic disorders but was thought to be poorer for systemic allergic disorders, particularly food allergy where 67% (95% CI 57.5 to 76.5) of respondents indicated that training was poor. There was considerable interest in increasing the allergy training provided, preferably through eLearning modules and problem-based learning materials supported by those with relevant specialist knowledge. CONCLUSIONS: This UK-wide survey has identified important gaps in the training of GP trainees in relation to allergy care. Addressing these gaps, particularly in the management of systemic allergic disorders, should help to improve delivery of primary care-based allergy care.

Cite as: Ellis J, Rafi I, Smith H, Sheikh A. Identifying current training provision and future training needs in allergy available for UK general practice trainees: national cross-sectional survey of General Practitioner Specialist Training programme directors. Prim Care Respir J2012; Available from: URL: http://dx.doi.org/10.4104/pcrj.2012.00087

Keywords
Allergy, cross-sectional survey, GP trainees, primary care

* Corresponding author. Aziz Sheikh Tel: +44 (0)131 651 4151 Fax: +44 (0)131 650 9119 Email: aziz.sheikh@ed.ac.uk

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