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Updated: Nov 17, 2025

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Key elements of effective postgraduate GP educational environments: a mixed methods study.

Bunmi S Malau-Aduli1, Faith O Alele2, Paula Heggarty2

  • 1College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia bunmi.malauaduli@jcu.edu.au.

BMJ Open
|February 16, 2021
PubMed
Summary
This summary is machine-generated.

Most general practice registrars are satisfied with their training environment. A supportive educational setting, particularly in rural areas, enhances satisfaction and encourages registrars to continue in rural practice.

Keywords:
education & training (see medical education & training)medical education & trainingprimary care

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Area of Science:

  • Medical Education
  • General Practice Training
  • Rural Health

Background:

  • Satisfaction with postgraduate general practice (GP) training is linked to the quality of the educational environment.
  • Understanding registrar satisfaction is crucial for effective training program design and workforce retention.

Purpose of the Study:

  • To assess GP registrars' satisfaction with a distributed training model in a regional setting.
  • To explore the relationship between satisfaction and academic performance in GP registrars.

Main Methods:

  • A 3-year longitudinal study using a mixed-methods approach.
  • Quantitative data collected via the Scan of Postgraduate Educational Environment Domains tool.
  • Qualitative data gathered through focus group discussions.

Main Results:

  • 92% of 651 GP registrars reported satisfaction with the training environment.
  • Fellows showed higher satisfaction than registrars in training (p=0.001).
  • Academic performance and practice location did not significantly impact satisfaction.

Conclusions:

  • The distributed training model at James Cook University fosters a positive and supportive learning environment.
  • This model enhances educational experiences and may improve GP registrar retention in rural/remote areas.
  • Findings offer insights for similar training programs in diverse settings.