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

Cserzo, Dorottya ORCID: and Bullock, Alison ORCID: 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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Objectives The study aimed 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 specialty, experience in core medicine, paediatrics, psychiatry and general practice was valued. Disadvantages were short-lived (catching up on 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: Published Online
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: 9 February 2024
Date of Acceptance: 14 December 2023
Last Modified: 09 Feb 2024 17:00

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