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Related Experiment Videos

A critical incident study of general practice trainees in their basic general practice term

M R Diamond1, M Kamien, M G Sim

  • 1Department of General Practice, University of Western Australia, Perth.

The Medical Journal of Australia
|March 20, 1995
PubMed
Summary

First-year general practice (GP) trainees face challenges with difficult patients and clinical decisions, highlighting the need for targeted training. Analyzing critical incidents can improve vocational training and undergraduate curricula for future GPs.

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Area of Science:

  • Medical Education
  • General Practice Training
  • Qualitative Research

Background:

  • The initial general practice (GP) attachment is a critical period for vocational training.
  • Understanding trainee experiences is vital for effective medical education.

Purpose of the Study:

  • To explore the experiences of general practice trainees during their first GP attachment.
  • To identify critical incidents that highlight competent or poor professional practice.

Main Methods:

  • Qualitative analysis using the critical incident technique.
  • Open-ended interviews with 39 GP trainees from the RACGP Family Medicine Program in Western Australia.

Main Results:

  • Trainees reported 180 critical incidents, with over 50% involving difficult patients, paediatrics, doctor-patient relationships, counselling, obstetrics/gynaecology, interprofessional relationships, and cardiovascular disorders.

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  • Key skills identified in critical incidents included interpersonal (rapport, listening), diagnostic (clinical assessment, investigations), and management (seeking help).
  • Trainees experienced anxiety over management decisions and guilt over diagnostic or management errors.

    • Conclusions:

    • The first GP term is a crucial developmental transition for future general practitioners.
    • Analysis of critical incidents can inform the RACGP Training Program to enhance learning for doctors in vocational training.
    • Findings have implications for planning undergraduate medical curricula to better prepare trainees.