Article Gold Open Access 2023

General practice undergraduate and vocational training: ambulatory teaching and trainers’ curriculum and remuneration – a cross-sectional study among 30 member countries of WONCA Europe

BMC Medical Education
Journal · Vol. 23 · Issue 1 · Art. 439
Abstract

Background: After a long phase without any propositions for real ambulatory training inside general practitioners’ offices, general practice (GP) vocational training has begun to appear progressively and has been integrated into undergraduate medical programmes. The aim of this study was to provide an overview of GP vocational training and GP trainers in member countries of the World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians (WONCA) Europe. Method: We carried out this cross-sectional study between September 2018 and March 2020. The participants responded to a questionnaire in real-life conversations, video conferences or e-mail exchanges. The respondents included GP trainers, teachers and general practitioners involved in the GP curriculum recruited during European GP congresses. Results: Representatives from 30 out of 45 WONCA Europe member countries responded to the questionnaire. Based on their responses, there is a well-established period for GP internships in undergraduate medical programmes, but with varying lengths. The programmes for some countries offer an internship after students graduate from medical school but before GP specialisation to ensure the career choice of the trainees. After specialisation, private practice GP internships are offered; however, in-hospital GP internships are more common. GP trainees no longer have a passive role during their internships. GP trainers are selected based on specific criteria and in countries, they have to follow some teacher training programmes. In addition to income from medical appointments carried out by GP trainees, GP trainers from some countries receive additional remuneration from various organisations. Conclusion: This study collected information on how undergraduate and postgraduate medical students are exposed to GP, how GP training is organised and the actual status of GP trainers among WONCA Europe member countries. Our exploration of GP training provides an update of the data collected by Isabel Santos and Vitor Ramos in the 1990s and describes some specificities that can inspire other organisations to prepare young, highly qualified general practitioners. © 2023, The Author(s).

Keywords

Author Keywords

Vocational training medical education General Practice Family Medicine primary health care Ambulatory teaching

Index Keywords

adult cross-sectional study female human male medical education questionnaire Cross-Sectional Studies Humans Decision making Article Vocational education curriculum general practice general practitioner medical student Students, Medical human experiment medical school teacher training postgraduate student organization specialization Europe family medicine primary health care private practice conversation e-mail remuneration videoconferencing
Author Affiliations
Department of General Medicine, Université de Versailles Saint-Quentin-en-Yvelines, Versailles, Ile-de-France, France, Centre de Recherche en Épidémiologie et Santé des Populations, Villejuif, Ile-de-France, France
Department of General Medicine, Université de Versailles Saint-Quentin-en-Yvelines, Versailles, Ile-de-France, France
Funding & Acknowledgements
No funding information
References 10 References
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