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Moving general practitioner training into primary care with cluster-based learning: a qualitative study in the West
Manjo Doug1, Neil Johnson, Martin Wilkinson
1Institute of Clinical Education, Warwick Medical School, University of Warwick, Coventry, UK. m.doug@warwick.ac.uk
Summary
Cluster-Based Learning (CBL) pilots in UK general practice training showed varied implementation. Key barriers included trainer reluctance and concerns over losing current training benefits without proven added value.
Area of Science:
- Medical Education
- General Practice Training
- Qualitative Research
Background:
- High numbers of general practitioner trainees strain postgraduate facilities.
- Need for adaptable training formats to meet diverse learner needs.
- Exploration of innovative educational models in specialty training.
Purpose of the Study:
- To explore the early implementation of cluster-based learning (CBL) pilots in UK general practice specialty training.
- To identify facilitators and barriers to CBL adoption.
- To gather insights on optimal CBL structure and delivery.
Main Methods:
- Qualitative study employing semi-structured one-to-one interviews.
- 10 key informants from 14 general practice training schemes.
- Thematic content analysis using the constant comparative method.
Main Results:
- Significant variation in CBL pilot implementation across schemes.
- Effective facilitation, organization, and enthusiastic facilitators were crucial.
- Mixed trainee groups enhanced shared learning; CBL allowed targeted training.
- Concerns about losing current benefits and lack of evidence for CBL's added value were key barriers.
- Trainer reluctance due to lack of confidence and funding issues hindered implementation.
Conclusions:
- CBL holds potential for targeted training but faces implementation challenges.
- Addressing trainer confidence, providing funding, and demonstrating added value are essential for successful CBL.
- Future CBL models may involve learner-led sessions with supervisor facilitation and TPDs focusing on supervision quality improvement.
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