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Table 3 Factors associated with trainees indicating that patient impressions of their competence decrease after they obtain in-consultation help a(total sample = 778; n = 712 observations used)

From: Configurations for obtaining in-consultation assistance from supervisors in general practice training, and patient-related barriers to trainee help-seeking: a survey study

Factor group

Variable

Class

Univariate

Adjusted

OR (95% CI)

P

OR (95% CI)

p

Registrar factors

Worked at practice previously

Yes

0.34 (0.15, 0.76)

0.008

0.26 (0.09, 0.75)

0.013

 

Has previous health qualification

Yes

1.57 (0.96, 2.56)

0.07

1.63 (0.91, 2.90)

0.10

 

Has post-grad medical qualification

Yes

1.44 (1.00, 2.06)

0.05

1.58 (1.07, 2.34)

0.021

 

Registrar age

 

0.92 (0.89, 0.96)

< 0.001

0.91 (0.87, 0.96)

< 0.001

 

Years prior to GP training

 

0.92 (0.86, 0.99)

0.02

1.05 (0.96, 1.15)

0.31

 

Training region

2

0.16 (0.04, 0.70)

0.015

0.22 (0.05, 1.04)

0.056

Comparator:1

3

1.17 (0.66, 2.05)

0.59

0.69 (0.37, 1.31)

0.26

4

1.30 (0.77, 2.20)

0.33

0.80 (0.42, 1.53)

0.50

5

0.57 (0.29, 1.11)

0.099

0.62 (0.30, 1.28)

0.19

Practice factors

Rurality (ASGC-RA) b

Inner regional

0.40 (0.25, 0.63)

< 0.001

0.64 (0.34, 1.21)

0.17

 

Comparator: Major City

Outer regional remote

0.39 (0.19, 0.81)

0.012

0.87 (0.37, 2.07)

0.75

 

SEIFA decile (socioeconomic index for area of disadvantage) b

 

1.09 (1.02, 1.17)

0.010

1.03 (0.96, 1.11)

0.42

  1. aOutcomes were dichotomised as ‘Decreases a lot’/‘Decreases somewhat’ and ‘Does not change’/‘Increases somewhat’/‘Increases a lot’
  2. bIncreased rurality indicated by higher ASGC-RA, and more disadvantaged locations indicated by lower SEIFA