Article 2020

‘…And how did that make you feel?’ - GP trainees’ perceptions of Balint on a local UK vocational training scheme

Education for Primary Care
Journal · Vol. 31 · Issue 5 · pp. 281-289
Abstract

Balint allows colleagues to explore emotions generated from doctor-patient interactions, complexities sometimes overlooked within traditional curricula. With an increasing burnout rate, evidence-based strategies to support trainee general practitioners (GPs) are needed and we investigated if Balint could be one way to improve this. There are no recent studies looking at Balint in UK GP training. Our aim was to establish GP trainees’ understanding of the purpose of Balint and perceived advantages and disadvantages. Qualitative methodology was used to conduct semi-structured interviews with trainees and alumni participating in Balint within a suburban London Vocational Training Scheme. Emergent coding was performed and a phenomenological approach taken to thematic analysis. Eleven participants took part in the study. Balint provided a supportive, confidential outlet to help normalise trainees’ feelings after challenging doctor-patient interactions. Multiple viewpoints, the chance to vent and a sense of comradery was unanimously enjoyed. Participants could see potential benefits for delivery of care, patient safety and remaining up-to-date. There was debate over inclusion of clinical management, and variation in preferred facilitation styles. Disparity in Balint contribution was attributed to differing personalities and confidence levels. With the growing demands of general practice, a flexible approach to Balint facilitation could add value in training by providing a peer platform to help address the hidden curriculum. © 2020 Informa UK Limited, trading as Taylor & Francis Group.

Keywords

Author Keywords

Training Reflection General Practice burnout Balint

Index Keywords

adult female human male medical education procedures psychology Humans Internship and Residency Article Thematic analysis Vocational education curriculum qualitative research education general practitioner General Practitioners Social support perception clinical article emotion semi structured interview patient safety Emotions personality Education, Medical, Graduate burnout alumnus facilitation England doctor patient relationship drug safety London Physician-Patient Relations
Author Affiliations
NHS GP, Royal College of General Practitioners, United Kingdom, London, United Kingdom
Funding & Acknowledgements
No funding information
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