Comparisons of the patient mixes of trainees and trainers for specific diseases and disease clusters between the first and third training year
| ICPC chapter/cluster/disease | First-year trainees (N=48), mean % (SD) | First-year trainers (N=64), mean % (SD) | Third-year trainees (N=23), mean % (SD) | Third-year trainers (N=36), mean % (SD) |
| ICPC chapters | ||||
| General | 5.1 (1.5) | 5.1 (1.5) | 5.1 (2.1) | 5.1 (2.3) |
| Blood (-forming) | 0.9 (0.5) | 1.2 (0.5) | 1.3 (0.6) | 1.3 (0.9) |
| Digestive | 8.9 (1/7) | 8.5 (1.3) | 8.9 (1.9) | 8.3 (1.7) |
| Eye | 3.3 (0.8) | 2.4 (0.6)† | 3.3 (1.1) | 2.7 (0.7) |
| Ear | 5.7 (1.6) | 3.8 (1.0)† | 4.8 (1.3) | 3.5 (0.9)† |
| Circulatory | 5.6 (2.6) | 9.0 (3.3)† | 6.8 (2.1) | 9.5 (2.4)† |
| Musculoskeletal | 16.4 (2.7) | 16.4 (2.7) | 15.3 (2.2) | 16.2 (2.5) |
| Neurology | 3.0 (0.8) | 3.1 (0.8) | 2.7 (0.7) | 3.2 (0.7)* |
| Psychiatry | 3.7 (1.7) | 7.0 (2.0)† | 5.0 (1.8) | 7.8 (3.2)† |
| Respiratory | 18.3 (3.5) | 13.8 (2.4)† | 16.5 (4.6) | 12.3 (2.7)† |
| Skin | 16.7 (3.1) | 12.9 (2.0)† | 16.7 (2.9) | 13.8 (2.8)† |
| Metabolic/endocrine | 2.1 (1.1) | 4.1 (1.8)† | 2.8 (1.4) | 3.8 (1.8) |
| Urology | 2.4 (1.0) | 2.9 (1.0) | 2.7 (1.5) | 3.0 (1.2) |
| Pregnancy | 2.0 (1.2) | 2.3 (1.6) | 2.0 (0.9) | 1.7 (0.9) |
| Female genital | 3.9 (2.3) | 4.3 (1.8) | 4.1 (1.2) | 3.9 (1.4) |
| Male genital | 1.1 (0.5) | 1.5 (0.6)† | 1.2 (1.0) | 1.9 (1.1) |
| Social problems | 0.8 (0.5) | 1.7 (1.1)† | 0.8 (0.4) | 1.9 (1.1)† |
| Cluster | ||||
| Acute diseases‡ | 1.8 (0.7) | 2.3 (0.8)† | 2.2 (0.9) | 2.4 (0.8) |
| Chronic diseases | 8.7 (3.2) | 15.8 (5.3)† | 10.8 (3.4) | 16.2 (4.6)† |
| Oncological | 0.4 (0.4) | 1.7 (1.4)† | 0.9 (0.9) | 1.8 (1.4)* |
| Diabetes mellitus | 0.8 (0.8) | 1.9 (1.3)† | 1.2 (1.3) | 1.7 (1.4) |
| CVRM-primary§(not diabetes) | 2.8 (1.7) | 5.8 (2.4)† | 3.7 (1.5) | 6.2 (2.2)† |
| CVRM-secondary¶ | 0.3 (0.2) | 0.7 (0.5)† | 0.4 (0.5) | 0.8 (0.5) |
| COPD | 0.60 (0.6) | 0.9 (0.7) | 0.7 (0.5) | 0.7 (0.5) |
| Minor illnesses‡ | 36.3 (5.9) | 27.8 (4.8)† | 35.9 (6.4) | 28.8 (5.9)† |
| Symptom diagnosis | 46.2 (6.9) | 40.4 (6.8)† | 43.1 (7.5) | 39.9 (6.8) |
| Other diseases | ||||
| Hypothyroiditis | 0.1 (0.2) | 0.4 (0.3)† | 0.2 (0.3) | 0.4 (0.3) |
| Asthma | 1.1 (0.7) | 1.3 (0.6) | 1.1 (0.6) | 1.3 (0.7) |
| Depression or depressed feelings | 0.8 (0.6) | 1.8 (0.8)† | 1.0 (0.8) | 1.8 (1.1)* |
| Irritable bowel syndrome | 0.3 (0.3) | 0.5 (0.4)* | 0.4 (0.4) | 0.5 (0.4) |
| Conjunctivitis | 0.7 (0.5) | 0.4 (0.2)† | 0.9 (0.6) | 0.5 (0.3)† |
| Sore throat** | 1.7 (0.8) | 1.0 (0.5)† | 1.6 (0.7) | 0.9 (0.4)† |
↵* Differences between trainers and trainees, p<0.01. First- and third-year trainees were tested separately against their trainers.
↵† p<0.001.
↵‡ The ICPC codes of these clusters are listed in the supplementary appendices.
↵§ Cardiovascular risk management, primary prevention: problems labelled as diagnostic, screening and preventive procedures of the cardiovascular system, complicated or uncomplicated hypertension, atherosclerosis, tobacco abuse, obesity, overweight and lipid disorder.
↵¶ Cardiovascular risk management, secondary prevention: ischaemic heart disease (with or without angina), myocardial infarction, transient ischaemic attack, stroke, intermittent claudication and aortic aneurysm. This cluster was derived from the Advice on the Recording of CVRM of the Dutch College of General Practitioners (NHG).
↵** Sore throat, tonsillitis, pharyngitis and peritonsillar abscess.
COPD, chronic obstructive pulmonary disease; CVRM, cardiovascular risk management; ICPC, International Classification of Primary Care.