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The 'problem-question-reasoning-solution-teaching' (PQRST) framework for problem case discussion in general practice.

S Morgan1,2, S R Toukhsati1,3,4

  • 1General Practice Supervision Australia, Melbourne, Australia.

Education for Primary Care : an Official Publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors
|July 8, 2025
PubMed
Summary
This summary is machine-generated.

The problem-question-reasoning-solution-teaching (PQRST) framework enhances general practice training. Most GP trainers adopted PQRST for case discussions, reporting increased confidence and structured supervision.

Keywords:
Medical educationclinical reasoninggeneral practicesupervisionvocational training

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Area of Science:

  • Medical Education
  • General Practice Training

Background:

  • The problem-question-reasoning-solution-teaching (PQRST) framework was developed for general practitioner (GP) trainers.
  • It aims to structure problem case discussions (PCD) with trainees.

Purpose of the Study:

  • To describe and evaluate the utility of the PQRST framework in GP settings.
  • To assess the impact of PQRST education on GP trainers' practices.

Main Methods:

  • A one-hour educational activity on the PQRST framework was delivered.
  • GP trainers completed pre- and post-education surveys (N=165 pre, N=30 post) to evaluate its use.

Main Results:

  • Before education, most trainers were unfamiliar with PQRST.
  • Post-education, over 90% applied PQRST in PCD and planned continued use.
  • Trainers were significantly more likely to use problem representation formats (p<.001).

Conclusions:

  • The PQRST framework offers a structured approach to PCD.
  • It enhances GP trainer confidence and utility in supervision and training.