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A new competency model for general practice: implications for selection, training, and careers
Fiona Patterson1, Abdol Tavabie, MeiLing Denney
1Department of Psychology, University of Cambridge, Cambridge. F.patterson@workpsychologygroup.com
Summary
The scope of general practitioner (GP) competencies has expanded due to UK health service changes. Future importance ratings for most GP domains significantly increased, necessitating a review of training.
Area of Science:
- General Practice
- Medical Education
- Healthcare Policy
Background:
- UK health service structural and policy changes have altered general practitioner (GP) responsibilities.
- Previous job analysis studies require replication to assess current GP competency domains and selection criteria.
Purpose of the Study:
- To analyze the evolving competency domains and selection criteria for doctors entering GP training.
- To update the understanding of essential skills for general practice in the UK.
Main Methods:
- A three-phase, multisource, and multimethod approach was employed.
- Phase 1 involved stakeholder consultation (n=205) via interviews, focus groups, and behavioral observation.
- Phase 2 utilized a validation questionnaire (n=1082), followed by an expert panel review (n=6) in Phase 3.
Main Results:
- Eleven competency domains were identified, including a new domain: Leading for Continuing Improvement.
- Empathy and Perspective Taking, Communication Skills, Clinical Knowledge and Expertise, and Professional Integrity are currently most important.
- A significant future increase in the importance of most domains was observed (P<0.001), with Communication Skills and Empathy remaining high.
Conclusions:
- The breadth of competencies required for GPs has significantly increased, demanding resolution of competing priorities.
- Selection criteria require updated prioritization, particularly for domains like Effective Teamworking.
- Urgent review of GP training provisions is needed to align with the expanded competency requirements.
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