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Exploring resilience in rural GP registrars--implications for training.

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Summary

Rural general practice registrars navigate professional tensions to build resilience. Personal skills and supervisor support are key to maintaining well-being and clinical effectiveness in rural practice.

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Area of Science:

  • Medical Education
  • Rural Health
  • Psychology

Background:

  • General Practice (GP) registrars face unique challenges during their transition into rural practice.
  • International shortages in the rural generalist medical workforce necessitate support for rural GP registrars.
  • Understanding rural GP registrars' perceptions of resilience is crucial for developing effective support strategies.

Purpose of the Study:

  • To explore rural GP registrars' perceptions of their own resilience.
  • To identify strategies used by rural GP registrars to maintain resilience in their practice.
  • To inform support mechanisms for rural GP registrars in challenging environments.

Main Methods:

  • Qualitative interpretive research utilizing semi-structured interviews.
  • Data analysis involved an inductive approach with initial coding, constant comparison, and negative case analysis.
  • Eighteen GP registrars from diverse rural training programs participated.

Main Results:

  • Rural GP registrars experience dichotomous professional tensions (e.g., clinical caution vs. courage, flexibility vs. persistence).
  • Personal skills such as optimism, self-reflection, and metacognition were identified as facilitators of resilience.
  • Supervisors play a vital role in supporting and challenging registrars to enhance clinical resilience.

Conclusions:

  • Resilience in rural GP registrars is achieved by balancing professional tensions within individual limits.
  • Personal growth and professional development are essential for expanding these resilience limits.
  • Effective support systems are critical for fostering resilient healthcare providers in rural general practice.