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Remodelling general practice training: Tension and innovation.

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  • 1MBBS, MFM (Clin), FRACGP, FACRRM, Director of Education Quality Improvement, Eastern Victoria General Practice Training, Churchill, Vic; Adjunct Senior Lecturer, School of Rural Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Vic.

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General practice training in Australia is undergoing changes. This study identified key tensions and innovative solutions to improve the training model for doctors.

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Area of Science:

  • Medical Education
  • Health Systems Research
  • Organizational Change Theory

Background:

  • The Australian general practice training system is transitioning to two primary colleges.
  • Institutional change theory highlights that organizational structures in tension with training needs drive innovation.
  • International general practice training organizations have navigated similar challenges.

Purpose of the Study:

  • To identify key tensions in general practice training delivery.
  • To explore innovative responses to these training tensions.
  • To inform the strategic remodelling of Australian general practice training.

Main Methods:

  • Qualitative interpretative analysis of interviews.
  • Interviews conducted with senior educators and stakeholders in Australia and internationally.

Main Results:

  • Eight significant tensions in general practice training were identified.
  • Associated innovative strategies for addressing these tensions were documented.

Conclusions:

  • The study provides actionable recommendations for enhancing general practice training in Australia.
  • Findings can guide the strategic development of future training models.
  • Addressing identified tensions is crucial for effective training reform.