Cargando…

An exploration of the experiences of GP registrar supervisors in small rural communities: a qualitative study

BACKGROUND: In Australia registrar training to become a general practitioner (GP) involves three to four years of supervised learning with at least 50% of GP registrars training wholly in rural areas. In particular rural over regional GP placements are important for developing future GPs with broade...

Descripción completa

Detalles Bibliográficos
Autores principales: Couch, Danielle, O’Sullivan, Belinda, Russell, Deborah, McGrail, Matthew, Wallace, Glen, Bentley, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7487663/
https://www.ncbi.nlm.nih.gov/pubmed/32891144
http://dx.doi.org/10.1186/s12913-020-05697-2
_version_ 1783581533586587648
author Couch, Danielle
O’Sullivan, Belinda
Russell, Deborah
McGrail, Matthew
Wallace, Glen
Bentley, Michael
author_facet Couch, Danielle
O’Sullivan, Belinda
Russell, Deborah
McGrail, Matthew
Wallace, Glen
Bentley, Michael
author_sort Couch, Danielle
collection PubMed
description BACKGROUND: In Australia registrar training to become a general practitioner (GP) involves three to four years of supervised learning with at least 50% of GP registrars training wholly in rural areas. In particular rural over regional GP placements are important for developing future GPs with broader skills because the rural scope of practice is wider. Having enough GP supervisors in smaller rural communities is essential such training. We aimed to explore what makes rural GPs’ based outside of major regional centres, participate in supervising or not, their experiences of supervising, and impact of their practice context. METHODS: Semi-structured interviews were undertaken with 25 GPs based in rural Tasmania (outside of major regions - Hobart and Launceston), in towns of < 25,000 population, to explore the GPs’ professional backgrounds, their experiences of supervising GP registrars, their practice context and their decisions about supervising GP registrars or not. Thematic analysis was undertaken; key ideas, concepts and experiences were identified and then reviewed and further refined to core themes. RESULTS: Supervising was perceived to positively impact on quality of clinical care, reduce busy-ness and improve patient access to primary care. It was energising for GPs working in rural contexts. Rural GPs noted business factors impacted the decision to participate in supervision and the experience of participating: including uncertainty and discontinuity of registrar supply (rotational training systems), registrar competence and generating income. CONCLUSIONS: Supervising is strongly positive for rural GPs and related to job satisfaction but increasing supervision capacity in rural areas may depend on better policies to assure continuity of rural registrars as well as policies and systems that enable viable supervision models tailored to the context.
format Online
Article
Text
id pubmed-7487663
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-74876632020-09-16 An exploration of the experiences of GP registrar supervisors in small rural communities: a qualitative study Couch, Danielle O’Sullivan, Belinda Russell, Deborah McGrail, Matthew Wallace, Glen Bentley, Michael BMC Health Serv Res Research Article BACKGROUND: In Australia registrar training to become a general practitioner (GP) involves three to four years of supervised learning with at least 50% of GP registrars training wholly in rural areas. In particular rural over regional GP placements are important for developing future GPs with broader skills because the rural scope of practice is wider. Having enough GP supervisors in smaller rural communities is essential such training. We aimed to explore what makes rural GPs’ based outside of major regional centres, participate in supervising or not, their experiences of supervising, and impact of their practice context. METHODS: Semi-structured interviews were undertaken with 25 GPs based in rural Tasmania (outside of major regions - Hobart and Launceston), in towns of < 25,000 population, to explore the GPs’ professional backgrounds, their experiences of supervising GP registrars, their practice context and their decisions about supervising GP registrars or not. Thematic analysis was undertaken; key ideas, concepts and experiences were identified and then reviewed and further refined to core themes. RESULTS: Supervising was perceived to positively impact on quality of clinical care, reduce busy-ness and improve patient access to primary care. It was energising for GPs working in rural contexts. Rural GPs noted business factors impacted the decision to participate in supervision and the experience of participating: including uncertainty and discontinuity of registrar supply (rotational training systems), registrar competence and generating income. CONCLUSIONS: Supervising is strongly positive for rural GPs and related to job satisfaction but increasing supervision capacity in rural areas may depend on better policies to assure continuity of rural registrars as well as policies and systems that enable viable supervision models tailored to the context. BioMed Central 2020-09-05 /pmc/articles/PMC7487663/ /pubmed/32891144 http://dx.doi.org/10.1186/s12913-020-05697-2 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Couch, Danielle
O’Sullivan, Belinda
Russell, Deborah
McGrail, Matthew
Wallace, Glen
Bentley, Michael
An exploration of the experiences of GP registrar supervisors in small rural communities: a qualitative study
title An exploration of the experiences of GP registrar supervisors in small rural communities: a qualitative study
title_full An exploration of the experiences of GP registrar supervisors in small rural communities: a qualitative study
title_fullStr An exploration of the experiences of GP registrar supervisors in small rural communities: a qualitative study
title_full_unstemmed An exploration of the experiences of GP registrar supervisors in small rural communities: a qualitative study
title_short An exploration of the experiences of GP registrar supervisors in small rural communities: a qualitative study
title_sort exploration of the experiences of gp registrar supervisors in small rural communities: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7487663/
https://www.ncbi.nlm.nih.gov/pubmed/32891144
http://dx.doi.org/10.1186/s12913-020-05697-2
work_keys_str_mv AT couchdanielle anexplorationoftheexperiencesofgpregistrarsupervisorsinsmallruralcommunitiesaqualitativestudy
AT osullivanbelinda anexplorationoftheexperiencesofgpregistrarsupervisorsinsmallruralcommunitiesaqualitativestudy
AT russelldeborah anexplorationoftheexperiencesofgpregistrarsupervisorsinsmallruralcommunitiesaqualitativestudy
AT mcgrailmatthew anexplorationoftheexperiencesofgpregistrarsupervisorsinsmallruralcommunitiesaqualitativestudy
AT wallaceglen anexplorationoftheexperiencesofgpregistrarsupervisorsinsmallruralcommunitiesaqualitativestudy
AT bentleymichael anexplorationoftheexperiencesofgpregistrarsupervisorsinsmallruralcommunitiesaqualitativestudy
AT couchdanielle explorationoftheexperiencesofgpregistrarsupervisorsinsmallruralcommunitiesaqualitativestudy
AT osullivanbelinda explorationoftheexperiencesofgpregistrarsupervisorsinsmallruralcommunitiesaqualitativestudy
AT russelldeborah explorationoftheexperiencesofgpregistrarsupervisorsinsmallruralcommunitiesaqualitativestudy
AT mcgrailmatthew explorationoftheexperiencesofgpregistrarsupervisorsinsmallruralcommunitiesaqualitativestudy
AT wallaceglen explorationoftheexperiencesofgpregistrarsupervisorsinsmallruralcommunitiesaqualitativestudy
AT bentleymichael explorationoftheexperiencesofgpregistrarsupervisorsinsmallruralcommunitiesaqualitativestudy