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Published on: August 9, 2024
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How do General Practice trainees experience the transition from hospital to General Practice: a qualitative study.
Alice O'Neill1, Fódhla Ní Dhalaigh2, Tony Foley2
1Cork General Practice Training Scheme, St Mary's Health Campus, Cork, Ireland.
Summary
Transitioning from hospital to General Practice (GP) is challenging for trainees. Effective trainer support is crucial for navigating autonomy, clinical uncertainty, and professional identity development during this critical career phase.
Area of Science:
- Medical Education
- General Practice Training
- Qualitative Research
Background:
- General Practice (GP) specialist training integrates hospital and community settings.
- The transition from hospital to community-based GP practice presents significant challenges.
- Negative transition experiences can deter trainees from continuing in General Practice.
Purpose of the Study:
- To explore the experiences of General Practice (GP) trainees during their transition from hospital medicine to community-based practice in Ireland.
- To identify key challenges and supportive factors influencing GP trainees' adaptation to General Practice.
Main Methods:
- A qualitative study employing an initial focus group with GP trainees.
- One-to-one semi-structured interviews were conducted with 15 GP trainees across 13 national training schemes.
- Data analysis utilized reflexive thematic analysis to identify emerging themes.
Main Results:
- Key themes included the trainer's role as a navigator, developing trainee autonomy, and balancing competing demands.
- The trainer's evolving role in supporting transition, navigating clinical uncertainty, and shaping professional identity was highlighted.
- Challenges such as time pressure, increased clinical responsibility, and confidence in community-based decision-making were identified.
Conclusions:
- Findings can inform the development of enhanced support structures for GP trainees.
- Improved transition support is essential for retaining trainees in General Practice.
- Understanding trainee experiences is vital for optimizing medical education in General Practice.
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