Sustained benefits of a generalist training programme for UK doctors: A survey-based follow-up study

Cserzo, Dorottya ORCID: https://orcid.org/0000-0003-2676-9427 and Bullock, Alison ORCID: https://orcid.org/0000-0003-3800-2186 2024. Sustained benefits of a generalist training programme for UK doctors: A survey-based follow-up study. BMJ Open 14 (2) , e079435. 10.1136/bmjopen-2023-079435

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Abstract

Objectives: To conduct a follow-up of all broad-based training (BBT) trainees who participated in the original evaluation completed in 2017. The follow-up study explored the impact of BBT on career decisions, sustained benefits and unintended disadvantages of the programme, and views on the future of training. Design: Scoping interviews informed the design of an online survey. The interview transcripts were analysed thematically. The survey was piloted with six volunteers and sent out to all former BBT trainees. Data from the survey were transferred to Excel and SPSS for analysis. The open text comments on the survey were subject to a thematic content analysis. Setting: Participants were working in general practice, paediatrics, psychiatry, or medicine. Participants: Eight former BBT trainees participated in the scoping interviews. Interview participants were selected to ensure a diversity of current specialties and to represent all three BBT cohorts. All former BBT trainees were invited to complete the survey (n=118) and 70 replied. Results: The benefits of BBT were sustained over time: participants were confident in their career decisions, took a holistic approach to care, and capitalised on their experiences in other specialties in their current roles. A minority of trainees also experienced temporary challenges when they joined a specialty training programme after completing the BBT. Whatever their speciality, experience in core medicine, paediatrics, psychiatry and general practice was valued. Disadvantages were short lived (catching up upon transition specialty training) or affected a minority (impact on sense of belonging). Conclusions: The BBT programme supported the development of generalist doctors. Greater attention needs to be given to training secondary care doctors who take a holistic view of the patient and navigate their specialist care.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Social Sciences (Includes Criminology and Education) Cardiff Unit for Research and Evaluation in Medical and Dental Education (CUREMeDE)
Publisher:	BMJ Publishing Group
ISSN:	2044-6055
Date of First Compliant Deposit:	18 December 2023
Date of Acceptance:	14 December 2023
Last Modified:	15 Nov 2024 09:36
URI:	https://orca.cardiff.ac.uk/id/eprint/164940

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