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Training for general practice: a national survey.

H S Crawley1, J B Levin

  • 1Department of Applied Statistics, University of Reading.

BMJ (Clinical Research Ed.)
|April 7, 1990
PubMed
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General practice vocational training has improved since 1980, but junior hospital posts offer limited relevant study. Enhancing these posts and formal schemes is key for better doctor training.

Area of Science:

  • Medical Education
  • General Practice Training
  • Postgraduate Medical Education

Background:

  • Vocational training for general practice is crucial for developing competent primary care physicians.
  • Previous assessments in 1980 highlighted areas for improvement in general practice training programs.
  • Trainee-led initiatives have influenced the evolution of postgraduate medical education.

Purpose of the Study:

  • To compare current general practice vocational training with 1980 standards.
  • To evaluate differences in training between formal schemes and self-arranged posts.
  • To identify areas for enhancement in general practice training.

Main Methods:

  • A national questionnaire survey was conducted among United Kingdom and armed forces general practice trainees in 1989.

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  • Data were collected from 1657 trainees (73% response rate).
  • Trainees were categorized based on participation in formal training schemes versus self-arranged posts.

    • Main Results:

    • Significant improvements were observed in the trainee year and general practice study release courses between 1980 and 1989.
    • Junior hospital posts (average 3 years) offered minimal general practice-specific study opportunities.
    • Training during hospital posts differed significantly between formal scheme participants and those self-arranging posts.

    Conclusions:

    • Enforcing existing guidelines from the Joint Committee on Postgraduate Training for General Practice could further improve the trainee year.
    • The low priority given to training in junior hospital posts necessitates improvement.
    • Increased attachment of trainees to formal vocational training schemes and tailored study release courses for hospital doctors are recommended.