Effects of hospital rotation on general practitioner trainee learning.

Abstract

Introduction: Denmark is experiencing a shortage of general practitioners (GPs), with rural regions like Region Zealand being particularly affected. Despite efforts to attract GP trainees to these positions, many remain vacant, raising concerns about future access to primary care. A possible barrier to recruitment in underserved regions is the hospital-based portion of GP training, which may shape trainees' perceptions of rural practice. Understanding how hospital rotations shape learning, supervision and well-being is essential for informing strategies to improve recruitment and retention.

Methods: A cross-sectional survey was conducted among all 55 GP trainees in hospital rotations in Region Zealand. An anonymised questionnaire assessed supervision, learning opportunities and work environment. Quantitative data were analysed statistically, and qualitative responses underwent thematic analysis.

Results: Among 55 trainees, 33 (60%) responded. Most respondents valued supervision and relevant learning experiences, though the quality and consistency of these experiences varied. Only 21% reported GP-specific educational activities. High-value learning formats included outpatient clinics and peer sparring.

Conclusions: Hospital rotations are vital to GP training but face structural and educational challenges. Enhancing supervision, relevance of learning, and support may improve training and retention in rural areas.

Funding: This work was supported by the "En læge tæt på dig" grant.

Trial registration: Not relevant.