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Transitions, adaptation and uncertainty in general practice training.

Michael Tran¹, Shaun Prentice²

¹MBBS (Hons), BSc (Med) (Hons), DCH, FRACGP, AFHEA, General Practitioner, Erskineville Doctors, Newtown, NSW; Lecturer in General Practice, Discipline of General Practice, School of Population Health, UNSW Medicine @ Health, Sydney, NSW.

Australian Journal of General Practice

|November 4, 2025

Summary

This summary is machine-generated.

The transition to independent practice for registrars can be challenging but is not inherently negative. With proper support and strategies addressing uncertainty, this critical period can be a formative experience for future specialists.

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Area of Science:

Medical Education
General Practice Training

Background:

The transition to independent practice for registrars presents unique challenges.
This period can be confronting, potentially leading to burnout and attrition if unmanaged.

Purpose of the Study:

To understand the registrar transition process and identify key contributing factors like uncertainty.
To offer practical strategies for registrars, supervisors, and educators.

Main Methods:

Qualitative exploration of the registrar transition experience.
Identification of critical success factors for navigating the adjustment period.

Main Results:

The transition is inevitable but adversity is not.
Key factors for a formative transition include managing uncertainty, supervision, varied case mix, shared decision-making, and safety netting.

Conclusions:

The registrar adjustment period can be highly formative with appropriate support.
Proactive strategies are essential for a successful and positive transition into specialist practice.