Integrated general practitioner training pathways: Components, barriers and enablers

Abstract

Background and objective General practitioners (GPs) need postgraduate training pathways specific to their needs and integrated into local health environments. This scoping review investigates components of integrated GP training pathways including the barriers and enablers of effective pathways for GP recruitment and retention. Methods This review was guided by methodological framework of Arksey and O’Malley and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Extension for Scoping Reviews Checklist. MEDLINE, EMBASE, CINAHL and Scopus databases were searched for articles published between 2013 and March 2024. Included articles were analysed and categorised by thematic analysis. Results Twenty-seven articles were included, resulting in six key themes: (1) place-based training; (2) trainee background and connections; (3) support structures; (4) professional identity; (5) trainee demographics; and (6) family factors. Discussion The components, barriers and enablers of GP training pathways identified will guide development and evaluation of improved integrated training pathway options for GP trainees in Australia. © The Royal Australian College of General Practitioners 2025

Keywords

Author Keywords

Not provided

Index Keywords

training human Humans Systematic Review Article Thematic analysis demographics Australia education general practice general practitioner General Practitioners controlled study postgraduate education Preferred Reporting Items for Systematic Reviews and Meta-Analyses scoping review therapy meta analysis pharmacoeconomics checklist Cinahl Scopus

Author Affiliations

Tasmanian School of Medicine, Hobart, TS, Australia

Year 5 Lead Rural Clinical School, Tasmanian School of Medicine, Hobart, TS, Australia

Menzies Institute, University of Tasmania, Hobart, TS, Australia

Funding & Acknowledgements

Royal Australian College of General Practitioners, RACGP

This scoping review is part of a larger research project that is supported by The Royal Australian College of General Practitioners (RACGP) with funding from the Australian Government under the Australian General Practice Training Program.

References 10 References

1 General Practitioner Workforce Why the Neglect Must End, (2022)

2 General Practice Health of the Nation 2022, (2022)

3 Schubert, Nicholas S., International approaches to rural generalist medicine: A scoping review, Human Resources for Health, 16, 1, (2018)

4 Sen Gupta, Tarun K., The Queensland health rural generalist pathway: Providing a medical workforce for the bush, Rural and Remote Health, 13, 2, (2013)

5 Racgp Profession Led Community Based Training, (2021)

6 Saito, Manabu, Evaluation of postgraduate rural medical training programs and implications for rural workforce development: a systematic review, Rural and Remote Health, 22, 2, (2022)

7 undefined, (2022)

8 Townsend, David, Overcoming negative perceptions among Australian medical students about a career in general practice, Medical Journal of Australia, 206, 4, pp. 149-150.e1, (2017)

9 Gardiner, Maria, Effectiveness of cognitive behavioural coaching in improving the well-being and retention of rural general practitioners, Australian Journal of Rural Health, 21, 3, pp. 183-189, (2013)

10 Curran, Vernon R., The role of medical education in the recruitment and retention of rural physicians, Medical Teacher, 26, 3, pp. 265-272, (2004)

Integrated general practitioner training pathways: Components, barriers and enablers

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