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Expectations and experiences associated with rural GP placements.

Taryn Elliott1, Tim Bromley, Anna Chur-Hansen

  • 1Adelaide to Outback GP Training Program, Adelaide, South Australia, Australia. taryn.elliott@adelaide.edu.au

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Rural general practice (GP) placements positively impact medical training. Many negative expectations about rural GP careers are unfounded, but support and planning can enhance the experience.

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Area of Science:

  • Medical Education
  • Rural Health
  • General Practice Training

Background:

  • Recruitment of general practitioners (GPs) to rural practice is a recognized challenge.
  • Medical placement experiences significantly influence career decisions.
  • Rural placements may present unique professional and psychosocial concerns for trainees.

Purpose of the Study:

  • To explore the pre-placement expectations of GP registrars regarding rural placements.
  • To investigate the post-placement experiences of GP registrars in rural settings.
  • To compare expectations with actual experiences to identify discrepancies.

Main Methods:

  • Qualitative research design utilizing semi-structured interviews.
  • 11 pre-placement and 19 post-placement GP registrars participated.
  • Thematic analysis was applied to interview transcripts, with rater consensus for theme extraction.

Main Results:

  • Registrars often held negative pre-placement expectations that were viewed positively post-placement.
  • Key positive experiences, such as strong support systems, were often unanticipated.
  • Negative experiences like separation from family and workload were consistent but manageable with planning.

Conclusions:

  • Pre-placement information and support are crucial to address unfounded negative expectations.
  • Open discussion of warranted negative expectations can facilitate proactive management strategies.
  • Collaborative efforts among supervisors, training providers, and agencies can improve rural GP placement experiences.