Learning Together 1: an educational model for training GPs, paediatricians: initial findings

Abstract

Learning Together is primarily an educational intervention, where paediatric registrars [SpRs] and General Practice (GP) registrars [GPSTs] see children together in a primary care setting. Over a six month period in 2013/2014, 44 learning pairs were set up mainly in North East and Central London. Proof of concept for the model at scale was achieved. Reported learning demonstrated: clinical learning themes of new knowledge, skill and communication skills; and collaborative themes of ongoing collaboration, satisfaction with team working and change in attitudes. These themes were identified in both sets of trainees. The self-reported learning is backed up by the results of a retrospective notes review of four common conditions based on NICE guidelines; constipation, asthma, feverish illness and eczema (CAFE). Guidance adherence improved from 57% before the intervention in solo GP training consultations to 72% during the joint clinic intervention (p < 0.01). After the intervention when the GP registrars returned to normal consultations, guidance adherence was 77% compared to before the intervention (p < 0.01). In addition 99% of the parents, who handed in feedback forms or took part in interviews, reported a good experience of care, and 87% reported increased confidence to manage their children’s health following the consultation. A second, linked article examines the cost utility of Learning Together in its South London extension.

Keywords:

• General practice
• paediatrics
• Learning Together
• children
• health
• integrated

Acknowledgments

The authors acknowledge the leadership of UCL Partners, who hosted and managed the project, and successfully bid for funds. The project group included Jessica Davies, Jenny Jackson, Mark Newman and Michelle Kennedy who gave generously of their time and skills, and advisors Hannah-Rose Douglas and Damian Roland.