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

Article

Peel, Raquel, Young, Louise, Reeve, Carole, Kanakis, Katerina, Malau-Aduli, Bunmi, 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, pp. 1-10. https://doi.org/10.1186/s12909-020-02025-4
Article Title

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

ERA Journal ID13446
Article CategoryArticle
AuthorsPeel, Raquel (Author), Young, Louise (Author), Reeve, Carole (Author), Kanakis, Katerina (Author), Malau-Aduli, Bunmi (Author), Sen Gupta, Tarun (Author) and Hays, Richard (Author)
Journal TitleBMC Medical Education
Journal Citation20, pp. 1-10
Article Number119
Number of Pages10
Year2020
PublisherBioMed Central Ltd.
Place of PublicationUnited Kingdom
ISSN1472-6920
Digital Object Identifier (DOI)https://doi.org/10.1186/s12909-020-02025-4
Web Address (URL)https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-020-02025-4
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.

KeywordsGP 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
ANZSRC Field of Research 2020420305. Health and community services
520599. Social and personality psychology not elsewhere classified
390301. Continuing and community education
420319. Primary health care
Byline AffiliationsSchool of Psychology and Counselling
James Cook University
Institution of OriginUniversity of Southern Queensland
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