Evaluation of extended training for general practice in Northern Ireland: qualitative study.
OBJECTIVE
To evaluate participants' perceptions of the impact on them of an additional six months' training beyond the standard 12 month general practice vocational training scheme.


METHODS
Qualitative study using focus groups.


METHODS
General practice vocational training in Northern Ireland.


METHODS
13 general practitioner registrars, six of whom participated in the additional six months' training, and four trainers involved in the additional six months' training.


METHODS
: Participants' views about their experiences in 18 month and 12 month courses.


RESULTS
Participants reported that the 12 month course was generally positive but was too pressurised and focused on examinations, and also that it had a negative impact on self care. The nature of the learning and assessment was reported to have left participants feeling averse to further continuing education and lacking in confidence. In contrast, the extended six month component was reported to have restimulated learning by focusing more on patient care and promoting self directed learning. It developed confidence, promoted teamwork, and gave experience of two practice contexts, and was reported as valuable by both ex-registrars and trainers. However, both the 12 and 18 month courses left participants feeling underprepared for practice management and self care.


CONCLUSIONS
12 months' training in general practice does not provide doctors with the necessary competencies and confidence to enter independent practice. The extended period was reported to promote greater professional development, critical evaluation skills, and orientation to lifelong learning but does not fill all the gaps.
Sibbett
Caryl H
CH
Graduate School of Education, Queen's University Belfast, Belfast BT7 1HL. c.sibbett@qub.ac.uk
Thompson
William T
WT
Crawford
Maureen
M
McKnight
Agnes
A
D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards; D004503:Education, Medical, Graduate / Q000458:organization & administration*; D005194:Family Practice / Q000193:education* / Q000592:standards; D006801:Humans; D009660:Northern Ireland; D010821:Physicians, Family / Q000523:psychology; D015397:Program Evaluation; D014829:Vocational Education / Q000458:organization & administration*