Learning by contract in family medicine training

Area of Science:

• Medical Education
• General Practice Training
• Family Medicine

Background:

• The Royal Australian College of General Practitioners established the Family Medicine Programme (FMP) as a national vocational training initiative.
• Vocational training in general/family practice requires effective educational methodologies for certification.

Purpose of the Study:

• To describe the educational philosophy underpinning the FMP.
• To explain the rationale for adopting 'learning by contract' in 1981.
• To share experiences in implementing this educational approach.

Main Methods:

• Descriptive analysis of the FMP's educational philosophy.
• Narrative account of the decision-making process for adopting 'learning by contract'.
• Case description of the authors' implementation experiences.

Main Results:

• The FMP's educational philosophy emphasizes a structured yet flexible approach to training.
• 'Learning by contract' was chosen to enhance the certification process for general practice trainees.
• Implementation involved specific strategies for contract development and monitoring.

Conclusions:

• The educational philosophy of the FMP strongly supported the adoption of 'learning by contract'.
• The 'learning by contract' method offers a valuable framework for vocational training in family medicine.
• Practical experience highlights the importance of clear guidelines and support in contract-based education.