P-36 The effect of training primary care doctors in the use of the Greig’s Record for Young Adults
Author(s):
D Ramnandan, R Permual, A Bissoonauth, S Siddiqui, N Philippe, T Iroku Malize
Year of Presentation:
2026
Objective: To assess preventive screening practices by primary care doctors for young adults 18 to 24 years and to
evaluate the perceived impact post training and implementation of Greig’s Health Record for Young Adults on time
management and quality of care.
Methods: This mixed methods study (Sept-Dec 2023) involved voluntarily recruited family medicine registrars, residents, and general practitioners from seven Central Georgetown health centers. Quantitative data utilised pre/ post questionnaires and consultation time logs; qualitative data were obtained from focus group discussions. Data were descriptively and thematically analyzed. Ethical approval was granted by the Ministry of Health Research Institutional Review Board.
Results: Twenty physicians participated. Vaccination screening was reported by 65% of participants (13), while mental health and sexual health screening were each reported by 50% (10). Symptomatic screening was conducted by 45%, HEEADSSS assessments by 30% (6), body mass index assessment by 25% (5), family planning by 15% (3), and substance use screening by 5% (1). Prior knowledge of Greig’s Health Record for Young Adults was reported by 15% (3). During the 12-week implementation, record completion took 10- 15 minutes/consultation. Participants reported improved consultation organization, time management, and perceived quality of care, with qualitative findings showing increased confidence in preventive counseling and better efficiency in addressing mental health/ substance use concerns.
Conclusion: Preventive health checks for young adults in Guyana are inconsistently delivered and vary in content and quality, reflecting reliance on individual physician practice rather than standardized guidance. Training and implementation of Greig’s Health Record for Young Adults supported a more structured approach to preventive care. All participating physicians reported improved time management and perceived quality of care. A larger study should be conducted to validate the results.