Dale, Jeremy, Russell, Rachel, Harkness, Frances, Wilkie, Veronica and Aiello, Matthew (2017) Extended training to prepare GPs for future workforce needs : a qualitative investigation of a 1-year fellowship in urgent care. British Journal of General Practice . doi:10.3399/bjgp17X691853 ISSN 0960-1643.
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Abstract
It has been argued that UK general practice specialist training should be extended to better prepare GPs for the challenges facing 21st-century health care. Evidence is needed to inform how this should occur. To investigate the experience of recently trained GPs undertaking a 1-year full-time fellowship programme designed to provide advanced skills training in urgent care, integrated care, leadership, and academic practice; and its impact on subsequent career development. Semi-structured interviews conducted longitudinally over 2 years augmented by observational data in the West Midlands, England. Participants were interviewed on at least three occasions: twice while undertaking the fellowship, and at least once post-completion. Participants' clinical and academic activities were observed. Data were analysed using a framework approach. Seven GPs participated in the pilot scheme. The fellowship was highly rated and felt to be balanced in terms of the opportunities for skill development, academic advancement, and confidence building. GPs experienced enhanced employability on completing the scheme, and at follow-up were working in a variety of primary care/urgent care interface clinical and leadership roles. Participants believed it was making general practice a more attractive career option for newly qualified doctors. The 1-year fellowship provides a defined framework for training GPs to work in an enhanced manner across organisational interfaces with the skills to support service improvement and integration. It appears to be well suited to preparing GPs for portfolio roles, but its wider applicability and impact on NHS service delivery needs further investigation. [Abstract copyright: © British Journal of General Practice 2017.]
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
| SWORD Depositor: | Library Publications Router |
| Library of Congress Subject Headings (LCSH): | Physicians (General practice) , Physicians (General practice)--In-service training |
| Journal or Publication Title: | British Journal of General Practice |
| Publisher: | Royal College of General Practitioners |
| ISSN: | 0960-1643 |
| Official Date: | 17 July 2017 |
| Dates: | Date Event 17 July 2017 Published 29 January 2017 Accepted |
| DOI: | 10.3399/bjgp17X691853 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Re-use Statement: | ** From PubMed via Jisc Publications Router. ** History: ** received: 09-11-2016 ** accepted: 29-01-2017 |
| Access rights to Published version: | Restricted or Subscription Access |
| Date of first compliant deposit: | 3 August 2017 |
| Date of first compliant Open Access: | 17 July 2018 |
| Funder: | Great Britain. National Health Service (NHS) |
| URI: | https://wrap.warwick.ac.uk/90811/ |
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