Early-career general practitioners' perceptions of the utility of vocational training for subsequent independent practice

被引:3
作者
Tran, Michael [1 ]
Wearne, Susan [2 ,3 ]
Fielding, Alison [4 ,5 ]
Moad, Dominica [4 ,5 ]
Tapley, Amanda [4 ,5 ]
Holliday, Elizabeth [4 ]
Ball, Jean [6 ]
Davey, Andrew [4 ,5 ]
van Driel, Mieke [7 ]
FitzGerald, Kristen [8 ,9 ]
Spike, Neil [10 ,11 ,12 ]
Bentley, Michael [8 ]
Kirby, Catherine [10 ]
Magin, Parker [4 ,5 ]
机构
[1] Univ New South Wales, Dept Gen Practice, Sydney, NSW, Australia
[2] Australian Natl Univ, ANU Med Sch, Acad Unit Gen Practice, Canberra, ACT, Australia
[3] Australian Govt Dept Hlth, Hlth Workforce Div, Canberra, ACT, Australia
[4] Univ Newcastle, Sch Med & Publ Hlth, Newcastle, Australia
[5] Reg Training Org RTO, GP Synergy, NSW & ACT Res & Evaluat Unit, Mayfield West, Australia
[6] Hunter Med Res Inst HMRI, Clin Res Design & Stat Support Unit CReDITSS, Newcastle, Australia
[7] Univ Queensland, Fac Med, Gen Practice Clin Unit, Brisbane, Qld, Australia
[8] Reg Training Org, Australian Gen Practice Training, Gen Practice Training Tasmania GPPT, Hobart, Tas, Australia
[9] Univ Tasmania, Tasmanian Sch Med, Hobart, Tas, Australia
[10] Eastern Victoria Gen Practice Training Reg Traini, Australian Gen Practice Training, Melbourne, NSW, Australia
[11] Univ Melbourne, Dept Gen Practice & Primary Hlth Care, Melbourne, Australia
[12] Monash Univ, Fac Med Nursing & Hlth Sci, Sch Rural Hlth, Churchill, NSW, Australia
关键词
Education; medical; graduate; family practice; general practice; primary health care; in-practice experience; COGNITIVE APPRENTICESHIP; FAMILY MEDICINE; HEALTH; TIME;
D O I
10.1080/14739879.2023.2176264
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
PurposeTo evaluate Australian early-career general practitioners' perceptions of the utility of their prior vocational training in preparing them for independent specialist practice. We hypothesised that in-practice teaching would be perceived as more useful than formal education delivered by Regional Training Organisations (RTOs).Methods and materialsA cross-sectional questionnaire-based study of early-career general practitioners (RTO 'alumni'). The outcomes were Likert scale ratings of alumni's perceived impact of RTO education versus in-practice training on their preparedness for independent practice. Ratings were compared using Wilcoxon signed-rank tests. Multivariable linear regression was used to establish alumni characteristics associated with perceptions of utility of in-practice versus RTO-delivered education.ResultsThree hundred and fifty-four alumni responded (response rate 28%). In-practice training was rated statistically significantly higher than RTO education for minor procedural skills, teaching skills, professional responsibilities, tolerating clinical uncertainty, and preparing for managing child and adolescent health, aged care, chronic disease, multi-morbidity and mental health. RTO education rated higher than in-practice training for practising evidence-based medicine and Aboriginal and Torres Strait Islander health. For a number of further areas, there was no statistically significant difference in alumni ratings of utility.ConclusionsIn-practice or RTO-led teaching was perceived as more useful for some components of independent practice, whilst for others there was no significant difference. The findings support recognition of the individual educational components of a blended education/training structure.
引用
收藏
页码:74 / 82
页数:9
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