Lack of GP psoriasis training can have implications for acne

Many registrars and newly qualified GPs see few cases of psoriasis during their vocational training, potentially making future treatment and management of psoriasis challenging. An Australian study assessed how often specialist GP vocational trainees – or registrars – provide clinical management of psoriasis.

The study by Nawaz and colleagues analysed data from 1,741 registrars and 241,888 consultations. They found that only 0.22 percent of registrar consultations involved a psoriasis diagnosis or issue.

“While this is comparable to the frequency with which established GPs encounter psoriasis, this equates to approximately once every eight weeks, or approximately 10 times during registrars’ three core general practice training terms.”

A follow-up appointment was organised for only 36% of psoriasis diagnoses, suggesting low continuity of care.
Along with a lack of undergraduate and hospital experience of the disease, this low frequency of psoriasis management suggests there may be unmet learning needs relating to the condition, they wrote.


“We think that this could be the case with acne management as well,” All About Acne co-chair JoAnn See said. “Trainees will see few acne cases throughout their training which means long-term management of these patients will be difficult.

Acne is such a common condition that GPs see in day-to-day practice, so it would be good for registrars to have a firm understanding of the disease before they go out into practice.”

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