Transitions, adaptation and uncertainty in general practice training

The adjustment to general practice experienced by registrars is inevitable and can be confronting. The training for independent specialist practice occurs in unique clinical environments and circumstances. If not accounted for, the transition process might prove an insurmountable barrier resulting in burnout and attrition from the training program.

This paper provides an understanding of the transition process and explores specific contributing factors, including uncertainty. Registrars, supervisors and medical educators will be provided with practical strategies to navigate these factors.

Although the adjustment is inevitable, adversity is not. Rather, this experience can be formative given the right support and environment. Acknowledging the presence and impact of uncertainty, having adequate supervision within a supportive community of practice, being exposed to a varied case mix, engaging with shared decision-making processes and using safety netting are all important in ensuring the transition process is formative.