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
Permalink -

https://research.usq.edu.au/item/q5v2w/the-impact-of-localised-general-practice-training-on-queensland-s-rural-and-remote-general-practice-workforce

Log in to edit

Download files

Published Version
Peel_et_al-2020-BMC_Medical_Education.pdf
License: CC BY 4.0
File access level: Anyone

  • 124
    total views
  • 66
    total downloads
  • 1
    views this month
  • 1
    downloads this month

Export as

Related outputs

Assessing cultural safety in general practice consultations for Indigenous patients: protocol for a mixed methods sequential embedded design study
Brumpton, Kay, Ward, Raelene, Evans, Rebecca, Neill, Henry, Woodall, Hannah, McArthur, Lawrie and Sen Gupta, Tarun. 2023. "Assessing cultural safety in general practice consultations for Indigenous patients: protocol for a mixed methods sequential embedded design study." BMC Medical Education. 23 (1). https://doi.org/10.1186/s12909-023-04249-6
The Impact of Relationship Issues on the Mental Health of Students in Higher Education
Peel, Raquel and Ward, Natalie. 2022. "The Impact of Relationship Issues on the Mental Health of Students in Higher Education." Francis, Abraham P. and Carter, Margaret Anne (ed.) Mental Health and Higher Education in Australia. Singapore. Springer. pp. 241-256
Is awareness of suicide risk and intent culturally informed? A comparison between Australia and Brazil
Peel, Raquel, Buckby, Beryl and McBain, Kerry. 2017. "Is awareness of suicide risk and intent culturally informed? A comparison between Australia and Brazil." 6th Annual International Conference on Cognitive and Behavioral Psychology (CBP 2017). Singapore 06 - 07 Mar 2017 https://doi.org/10.5176/2251-1865_CBP17.32
The relationship sabotage scale: an evaluation of factor analyses and constructive validity
Peel, Raquel and Caltabiano, Nerina. 2021. "The relationship sabotage scale: an evaluation of factor analyses and constructive validity." BMC Psychology. 9, pp. 1-17. https://doi.org/10.1186/s40359-021-00644-0
Why do we sabotage love? A thematic analysis of lived experiences of relationship breakdown and maintenance
Peel, Raquel and Caltabiano, Nerina. 2020. "Why do we sabotage love? A thematic analysis of lived experiences of relationship breakdown and maintenance." Journal of Couple and Relationship Therapy. https://doi.org/10.1080/15332691.2020.1795039
The romantic self-saboteur: how do people sabotage love?
Peel, Raquel, McBain, Kerry, Caltabiano, Nerina and Buckby, Beryl. 2019. "The romantic self-saboteur: how do people sabotage love?" 3rd International Convention of Psychological Science (ICPS 2019). Paris, France 07 - 09 Mar 2019 Townsville, Australia.
What do psychologists have to say about self-sabotage in romantic relationships?
Peel, Raquel, McBain, Kerry, Caltabiano, Nerina and Buckby, Beryl. 2018. "What do psychologists have to say about self-sabotage in romantic relationships?" 17th Australian Psychological Society Psychology of Relationships Interest Group National Conference (APS-PORIG). Melbourne, Australia 14 - 15 Nov 2018 Australia.
Insight into rural and remote GP training and supervision in Queensland
Young, Louise, Peel, Raquel, Reeve, Carole, Malau-Aduli, Bunmi Sherifat, O'Sullivan, Belinda and Hays, Richard B.. 2019. "Insight into rural and remote GP training and supervision in Queensland." The Muster 2018: Global Community Engaged Medical Education Muster Conference. Mount Gambier, Australia 15 - 18 Oct 2019
Community engaged GP training. Does it make a difference?
Peel, Raquel, Reeve, Carole and Young, Louise. 2018. "Community engaged GP training. Does it make a difference?" Rural Medicine Australia Conference 2018. Darwin, Australia 25 - 27 Oct 2018
It is not what it seems. Heart break leads to mental health difficulties in higher education
Peel, Raquel, Buckby, Beryl, McBain, Kerry and Caltabiano, Nerina. 2018. "It is not what it seems. Heart break leads to mental health difficulties in higher education." 2nd Australasian Mental Health and Higher Education Conference. Townsville, Australia 06 - 07 Jul 2018
How is self-sabotage presented in romantic relationships?
Peel, Raquel, McBain, Kerry, Caltabiano, Nerina and Buckby, Beryl. 2017. "How is self-sabotage presented in romantic relationships?" 16th Australian Psychological Society Psychology of Relationships Interest Group National Conference (APS-PORIG). Melbourne, Australia 16 - 17 Nov 2017 Australia.
Who gets bullied at work? The role of emotion stability, psychological flexibility and coping in workplace bullying
Peel, Raquel, Buckby, Beryl and McBain, Kerry. 2017. "Who gets bullied at work? The role of emotion stability, psychological flexibility and coping in workplace bullying." Carter, Margaret Anne, Francis, Abraham, Pagliano, Paul, Siliezar, Larissa and Buckby, Beryl (ed.) Inaugural Australasian Mental Health and Higher Education Conference (2017). Townsville, Australia Townsville, Australia.
Defining romantic self-sabotage: a thematic analysis of interviews with practising psychologists
Peel, Raquel, Caltabiano, Nerina, Buckby, Beryl and McBain, Kerry. 2019. "Defining romantic self-sabotage: a thematic analysis of interviews with practising psychologists." Journal of Relationships Research. 10, pp. 1-9. https://doi.org/10.1017/jrr.2019.7
Mental health diagnoses and relationship breakdown: which is the chicken and which the egg?
Peel, Raquel, Caltabiano, Nerina, Buckby, Beryl and McBain, Kerry. 2018. "Mental health diagnoses and relationship breakdown: which is the chicken and which the egg?" International Journal of Innovation, Creativity and Change. 4 (3), pp. 98-116.
Building general practice training capacity in rural and remote Australia with underserved primary care services: a qualitative investigation
Young, Louise, Peel, Raquel, O'Sullivan, Belinda and Reeve, Carole. 2019. "Building general practice training capacity in rural and remote Australia with underserved primary care services: a qualitative investigation." BMC Health Services Research. 19, pp. 1-10. https://doi.org/10.1186/s12913-019-4078-1
Comparing the effect of stigma on the recognition of suicide risk in others between Australia and Brazil
Peel, Raquel, Buckby, Beryl and McBain, Kerry Anne. 2017. "Comparing the effect of stigma on the recognition of suicide risk in others between Australia and Brazil." Global Science and Technology Forum (GSTF) Journal of Psychology. 3 (2), pp. 1-10. https://doi.org/10.5176/2345-7872_3.2_43
Developing a rural workforce through innovative medical education: it's different Down Under
Eley, Diann, Young, Louise, Baker, Peter and Wilkinson, David. 2008. "Developing a rural workforce through innovative medical education: it's different Down Under." Teaching and Learning in Medicine: an international journal. 20 (1), pp. 53-61. https://doi.org/10.1080/10401330701542677
Medical students and rural general practitioners: congruent views on reality of recruitment into rural medicine
Eley, Diann, Young, Louise, Shrapnel, Marilyn, Wilkinson, David, Baker, Peter and Hegney, Desley. 2007. "Medical students and rural general practitioners: congruent views on reality of recruitment into rural medicine." Australian Journal of Rural Health. 15 (1), pp. 12-20.
Adults with intellectual disability in regional Australia: incidence of disability and provision of accommodation support to their ageing carers
Eley, Diann, Boyes, Joanne, Young, Louise and Hegney, Desley. 2009. "Adults with intellectual disability in regional Australia: incidence of disability and provision of accommodation support to their ageing carers ." Australian Journal of Rural Health. 17 (3), pp. 161-166. https://doi.org/10.1111/j.1440-1584.2009.01062.x
Exploring temperament and character traits in nurses and nursing students in a large regional area of Australia
Eley, Diann, Eley, Robert, Young, Louise and Rogers-Clark, Cath. 2011. "Exploring temperament and character traits in nurses and nursing students in a large regional area of Australia." Journal of Clinical Nursing. 20 (3-4), pp. 563-570. https://doi.org/10.1111/j.1365-2702.2009.03122.x
Perceptions of mental health service delivery among staff and Indigenous consumers: it's still about communication
Eley, Diann, Young, Louise, Hunter, Keith, Baker, Peter, Hunter, Ernest and Hannah, Dominique. 2007. "Perceptions of mental health service delivery among staff and Indigenous consumers: it's still about communication." Australasian Psychiatry. 15 (2), pp. 130-134. https://doi.org/10.1080/10398560601121017
Knowing your allies: medical education and interprofessional exposure
Young, Louise, Baker, Peter, Waller, Susan, Hodgson, Lynette and Moor, Michelle. 2007. "Knowing your allies: medical education and interprofessional exposure ." Journal of Interprofessional Care. 21 (2), pp. 155-163. https://doi.org/10.1080/13561820601176915
Tools and methodologies for investigating the mental health needs of indigenous patients: it's about communication
Eley, Diann, Hunter, Keith, Young, Louise, Baker, Peter, Hunter, Ernest and Hannah, Dominique. 2006. "Tools and methodologies for investigating the mental health needs of indigenous patients: it's about communication." Australasian Psychiatry. 14 (1), pp. 33-37.