Practice-based small group learning in GP specialty training.

Area of Science:

• Medical Education
• General Practice Training
• Continuing Professional Development

Background:

• Practice-based small group learning (PBSGL) is an established continuing professional development (CPD) method for general practitioners (GPs).
• Its effectiveness has been demonstrated in various professional groups but not yet specifically examined in GP specialty training.
• PBSGL is increasingly utilized in GP specialty training programs.

Purpose of the Study:

• To explore the perspectives of GP specialty trainees (GPSTs) on the impact of PBSGL.
• To assess how PBSGL influences curriculum needs and preparation for independent practice.
• To understand GPSTs' views on facilitator roles in PBSGL.

Main Methods:

• A qualitative approach was employed to gather in-depth insights.
• One-to-one interviews were conducted with 16 GPSTs across different Scottish deaneries and training stages.
• Verbatim transcripts were analyzed using the constant comparative technique from grounded theory.

Main Results:

• Group learning was highly valued, with a preference for groups of trainees at similar career stages to foster psychological safety.
• PBSGL facilitated the identification of optimal care pathways and alternative approaches to patient management.
• Discussions within PBSGL groups aided trainees in developing strategies for future patient care.
• Facilitators adapted their involvement based on perceived group needs.

Conclusions:

• GPSTs experience learning uniquely due to their career stage, with a strong emphasis on the transition to independent practice.
• Facilitating this transition is a more pressing need for GPSTs than solely focusing on curriculum requirements.
• PBSGL appears to be a valuable tool in supporting GPSTs' readiness for independent practice.