Longer in primary care: a mixed-methods study of the Welsh GP training model

Cserzo, Dorottya ORCID: https://orcid.org/0000-0003-2676-9427 and Bullock, Alison ORCID: https://orcid.org/0000-0003-3800-2186 2023. Longer in primary care: a mixed-methods study of the Welsh GP training model. British Journal of General Practice Open 10.3399/BJGPO.2023.0159

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Abstract

Background A new model of general practitioner (GP) training was introduced in Wales, whereby trainees spend one year in hospital and two years in general practice (the 1+2 model), a change from the previous model of 18 months in each setting. Aim To evaluate the 1+2 model of GP training in Wales. Design & setting Longitudinal mixed-methods evaluation via repeated surveys and focus groups with GP trainers and trainees across the Welsh training schemes. Method Yearly surveys and focus groups between June 2020 and December 2022. Quantitative survey data was analysed in SPSS. Qualitative survey data and focus group transcripts were analysed thematically. Results Spending more time in general practice was seen as a major benefit. The consensus was that general practice is the best place to learn essential consultation skills. Furthermore, general practice was viewed as a flexible educational setting where knowledge gaps can be addressed. The main concern about the 1+2 model was that trainees would miss experience of key specialties. However, as trainees progressed through the training programme, this concern diminished. All trainees and most trainers thought that the benefits of the 1+2 model outweighed drawbacks. Conclusion Spending more time in general practice during GP training appears to improve how prepared trainees felt for practice. Future changes should explore options to enhance hospital experience without reducing time spent in general practice.

Item Type:	Article
Date Type:	Published Online
Status:	In Press
Schools:	Social Sciences (Includes Criminology and Education)
Publisher:	Royal College of General Practitioners
ISSN:	2398-3795
Date of First Compliant Deposit:	8 December 2023
Date of Acceptance:	19 September 2023
Last Modified:	12 Mar 2024 13:31
URI:	https://orca.cardiff.ac.uk/id/eprint/164625

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