How do General Practice trainees experience the transition from hospital to General Practice: a qualitative study.

IF 1.5 Q3 PRIMARY HEALTH CARE

Education for Primary Care Pub Date : 2025-07-07 DOI:10.1080/14739879.2025.2515927

Alice O'Neill, Fódhla Ní Dhalaigh, Tony Foley, Orna Daly, Michelle Martin, Helen McHugh, Aisling A Jennings

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引用次数: 0

Abstract

Background: Specialist training in General Practice (GP) incorporates hospital and community-based training. The transition from hospital to General Practice can be a challenging experience. A negative experience of this transition has been shown to impact the trainee's desire to remain in General Practice.

Aim: The aim of this study was to explore GP Trainees' experiences of moving from hospital medicine to General Practice in Ireland.

Methods: This qualitative study involved an initial focus group with GP trainees. The results of this focus group informed the development of a topic guide for subsequent one-to-one semi-structured interviews with General Practice Trainees from thirteen General Practice Training Schemes nationally. Interviews were analysed using reflexive thematic analysis.

Results: 15 interviews were undertaken. The main themes identified were: 1) Finding your way - the trainer as a navigator 2) Running your own ship - developing autonomy and 3) Balancing the competing demands of General Practice. The evolving role of the trainer in supporting the transition was highlighted, as was the GP trainers' role in navigating clinical uncertainty and in shaping the participants' professional identities. The nuances of challenges such as time pressure and increased clinical responsibility were identified. These challenges were exacerbated by the pressure of clinical decision-making and a lack of confidence in applying this judgement in the community setting.

Conclusion: The results of this study can be used to inform the development of improved structures to support GP trainees in their transition from hospital to community-based practice.

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全科实习生如何经历从医院到全科实习的转变：一项定性研究。

背景：全科医生专科培训包括医院培训和社区培训。从医院到全科医生的过渡可能是一个具有挑战性的经历。这种转变的负面经历已被证明会影响受训者留在全科医生的愿望。目的：本研究的目的是探讨全科医生实习生的经验，从医院医学转移到全科医生在爱尔兰。方法：本定性研究包括对全科医生实习生的初步焦点小组。该焦点小组的结果为随后对来自全国13个全科医学培训计划的全科医学学员进行一对一半结构化访谈的主题指南的制定提供了信息。访谈采用反身性专题分析进行分析。结果：共进行了15次访谈。确定的主要主题是：1)找到你的路-作为领航员的培训师2)运行你自己的船-发展自主权和3)平衡全科医生的竞争需求。培训师在支持转变过程中不断发展的作用得到了强调，全科医生培训师在引导临床不确定性和塑造参与者职业身份方面的作用也得到了强调。确定了时间压力和临床责任增加等挑战的细微差别。临床决策的压力和对在社区环境中应用这种判断缺乏信心，加剧了这些挑战。结论：本研究的结果可用于告知改进结构的发展，以支持全科医生学员从医院到社区实践的过渡。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Education for Primary Care PRIMARY HEALTH CARE-

CiteScore

2.30

自引率

15.40%

发文量

期刊介绍： Education for Primary Care aims to reflect the best experience, expertise and innovative ideas in the development of undergraduate, postgraduate and continuing primary care education. The journal is UK based but welcomes contributions from all over the world. Readers will benefit from the broader perspectives on educational activities provided through the contributions of all health professionals, including general practitioners, nurses, midwives, health visitors, community nurses and managers. This sharing of experiences has the potential for enhancing healthcare delivery and for promoting interprofessional working.