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Becoming a general practitioner in Australia: Transformative learning and threshold concepts.
1MBBS, FRACGP, MMed Anth,@General Practitioner and GP Supervisor, RACGP@Training Program, Melbourne, Vic @.
Transformative learning theory and threshold concept theory offer valuable insights into the transformative experiences of early general practice training for registrars. These theories can enhance learning and teaching for future general practitioners.
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Area of Science:
- Medical Education
- Qualitative Research
- Psychology of Learning
Background:
- Previous research documented registrars' early general practice training journeys.
- This study delves deeper into the experiences of registrars in their initial general practice terms.
Purpose of the Study:
- To explore two registrars' training experiences in detail.
- To apply transformative learning theory and threshold concept theory to understand becoming a general practitioner.
- To seek fresh insights into the educational development of general practice registrars.
Main Methods:
- Qualitative narrative inquiry approach.
- Exploration of the experiences of 12 registrars in their first general practice term.
- In-depth examination of two selected registrars' stories.
Main Results:
- Both transformative learning theory and threshold concept theory demonstrated resonance with the registrars' described experiences.
- Theories provided a framework for understanding the qualitative data from registrars' narratives.
Conclusions:
- Early general practice training involves transformative experiences, characterized by a holistic change in 'meaning perspective' as described by transformative learning theory.
- Learning key threshold concepts is integral to the development of general practitioners.
- These theoretical frameworks can inform and improve learning strategies for registrars and teaching approaches for supervisors.

