ORCID Profile
0000-0001-7530-8462
Current Organisations
Western Sydney University
,
University of New South Wales
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Publications
Advance care decision making and planning
Publisher: The Royal Australian College of General Practitioners
Date: 11-2018
Early-career general practitioners’ perceptions of the utility of vocational training for subsequent independent practice
Publisher: Informa UK Limited
Date: 27-02-2023
Failure to thrive potentially secondary to maternal venlafaxine use
Publisher: SAGE Publications
Date: 02-2016
An indurated, longitudinal plaque on the arm of a seven-year-old girl
Publisher: The Royal Australian College of General Practitioners
Date: 10-2018
Atypical melanoma: clinicopathological features and management in general practice
Publisher: Royal College of General Practitioners
Date: 27-10-2022
Coeliac disease presenting as apparent haemochromatosis
Publisher: Wiley
Date: 07-2016
DOI: 10.1111/IMJ.13083
Blistered skin in a 30-year-old woman
Publisher: CSIRO Publishing
Date: 2019
DOI: 10.1071/HC19086
In children requiring intravenous fluid for hydration maintenance, which out of hypotonic saline and isotonic saline is less likely to result in the development of hyponatraemia?
Publisher: Wiley
Date: 03-2017
DOI: 10.1111/JPC.13265
Abstract: The administration of intravenous fluids remains a common intervention for hospitalised children. Commonly used hypotonic fluids administered at maintenance rates provide 2-4 mmol/kg/day of sodium. Being hypotonic, the development of hyponatraemia remains a risk. The consequences of hyponatraemia are not insignificant, with possibilities of irreversible neurological morbidity and mortality. There is currently no clear consensus on the optimal composition of fluids to be used for intravenous rehydration. A review of the available literature suggests that children who receive isotonic fluid have a lower risk of developing hyponatraemia, regardless of the rate of administration. This result is most applicable in the first 24 h of administration in a wide age group of paediatric patients with varying severities of illness.
A waxy plaque on an infant aged six months
Publisher: The Royal Australian College of General Practitioners
Date: 06-2022
Transitions in general practice training: quantifying epidemiological variation in trainees’ experiences and clinical behaviours
Publisher: Springer Science and Business Media LLC
Date: 23-02-2022
DOI: 10.1186/S12909-022-03178-0
Abstract: General Practice training in Australia is delivered through the apprenticeship model. General Practice supervisors support trainees transitioning from hospital-based work towards competent independent community-based practice. The timing and manner in which support should be provided is still not well understood. This study aimed to establish the variation in clinical and educational experiences and behaviours, and location, of general practice trainees’ consultations by stage of their vocational training. It was hypothesised that change is greater in earlier stages of training. A cross-sectional analysis of data (2010–2018) from the Registrar Clinical Encounters in Training (ReCEnT) study, an ongoing cohort study of Australian GP registrars’ in-consultation clinical and educational experience and behaviours. Multinomial logistic regression assessed the association of demographic, educational, and clinical factors in different stages of training. The outcome factor was the training term. Two thousand four hundred sixteen registrars contributed data for 321,414 patient consultations. For several important variables (seeing patients with chronic disease new patients seeking in-consultation information or assistance ordering pathology and imaging and working in a small or regional practice), odds ratios were considerably greater for comparisons of Term 1 and 3, relative to comparisons of Term 2 and 3. Differences experienced in demographic, clinical and educational factors are significantly more pronounced earlier in registrars’ training. This finding has educational and training implications with respect to resource allocation, trainee supervision and curriculum design. Sociocultural learning theory enables an understanding of the impact of transitions on, and how to support, general practice trainees and supervisors.
Delusional infestation: an Australian multicentre study of 23 consecutive cases
Publisher: Wiley
Date: 04-2015
DOI: 10.1111/IMJ.12719
Abstract: Delusional infestation remains a debilitating condition that is therapeutically challenging for clinicians. This case series identifies 23 patients with delusional infestation in an Australian setting. The majority of patients are women and unlikely to have a psychiatric comorbid background. The use of unnecessary anti-parasitic medication is prevalent.
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Related Funding Activities
No related grants have been discovered for Michael Tran.