The impact of localised general practice training on Queensland’s rural and remote general practice workforce

Peel, Raquel ORCID: https://orcid.org/0000-0002-4909-9844 and Young, Louise and Reeve, Carole and Kanakis, Katerina and Malau-Aduli, Bunmi and Sen Gupta, Tarun and Hays, Richard (2020) The impact of localised general practice training on Queensland’s rural and remote general practice workforce. BMC Medical Education, 20:119. pp. 1-10.

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Abstract

Background
The diverse rural medical education initiatives that have been developed in Australia to address the medical workforce maldistribution have been less successful in many smaller and remote communities. This study explored the factors that attract and retain GP registrars and supervisors and the impact that localised training (i.e., rural and remote workplace-based training and support) has on both GP registrars and supervisors, and the GP workforce in rural and remote underserved areas.

Methods
A purposive sample of 79 GP registrars, supervisors, practice managers, health services staff and community representatives living and working in areas of low GP workforce in rural and remote Australia were invited to participate in semi-structured interviews and one focus group divided over two phases. Thematic analysis was used to explore themes within the data.

Findings
Attractors and barriers to rural and remote practice were identified as the main themes. Attractors include family and community lifestyle factors, individual intrinsic motivators, and remote medicine experiences. In contrast, barriers include work related, location, or family factors. Further, localised GP training was reported to specifically influence GP registrars and supervisors through education, social and financial factors.

Conclusion
The current study has provided a contemporary overview of the issues encountered in expanding GP training capacity in rural and remote communities to improve the alignment of training opportunities with community and workforce needs. Strategies including matching scope of practice to registrar interests have been implemented to promote the attractors and lessen the barriers associated with rural and remote practice.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling (1 Jan 2015 -)
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling (1 Jan 2015 -)
Date Deposited: 15 Jul 2020 02:29
Last Modified: 17 Aug 2020 23:12
Uncontrolled Keywords: GP training, Medical education; Primary care services; Rural and remote health; Remote underserved communities; Medical workforce shortage; Rural general practice; Health care equity; Qualitative research; Thematic analysis
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111708 Health and Community Services
17 Psychology and Cognitive Sciences > 1701 Psychology > 170113 Social and Community Psychology
13 Education > 1301 Education Systems > 130101 Continuing and Community Education
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111717 Primary Health Care
Fields of Research (2020): 42 HEALTH SCIENCES > 4203 Health services and systems > 420305 Health and community services
52 PSYCHOLOGY > 5205 Social and personality psychology > 520599 Social and personality psychology not elsewhere classified
39 EDUCATION > 3903 Education systems > 390301 Continuing and community education
42 HEALTH SCIENCES > 4203 Health services and systems > 420319 Primary health care
Socio-Economic Objectives (2008): C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified
C Society > 93 Education and Training > 9305 Education and Training Systems > 930599 Education and Training Systems not elsewhere classified
Identification Number or DOI: https://doi.org/10.1186/s12909-020-02025-4
URI: http://eprints.usq.edu.au/id/eprint/38618

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