GP post-entry clinical training. Part 2: GP vocational training. A systematic overview of the literature

Weir R, Ali W, Hancock S
Record ID 32006001520
English
Authors' objectives:

The review aimed to address the following questions; 1. Is the ageing population contributing to increasing illness rates?

2. What models of vocational training are used in Australia, UK and Canada?

3. What were the key recommendations made in reviews of GP vocational training undertaken in Australia, UK and Canada during the period 1996 onwards?

4. What is the effectiveness and cost effectiveness of GPs in the health care system, in relation to patient related outcomes utilising their central co-ordinator role?

5. What is the effectiveness and cost effectiveness for length and quality of vocational training of GPs for patient related outcomes and health system outcomes?

6. What features make New Zealand unique in regards to vocational training of general practitioners?

7. How does the shifting of care from general practitioners to nurses impact on patient outcomes, process of care and resource utilisation?

Authors' results and conclusions: Key points consistently identified in the vocational training programs of the Canada, UK and Australia were: - The important role of training by general practitioners in general practice settings and ensuring any hospital training is relevant to the skills necessary for GP work. - Reliance on experiential based learning with built in time for broader activities including time for reflection and continuing professional development. - The Canadian program is a two year program with a minimum of eight months spent in a general practice. However, further exploration of three year training programs has been suggested. - The UK program is of three years duration with hospital based training for a minimum of one year and GP based training for a minimum of one year. Currently most of the remaining year tends towards hospital based training but there appears to be interest in increasing the time spent in the general practice setting. In particular, some recommend further time in general practice after the summative assessment on the basis of results from small scale evaluations. - In Australia, the training program is of three years duration and standards suggest a minimum time of 18 months in general practice.
Authors' methods: Review
Details
Project Status: Completed
URL for project: http://nzhta.chmeds.ac.nz/publications.htm
Year Published: 2006
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: New Zealand
MeSH Terms
  • Education, Medical, Graduate
  • Family Practice
  • Physicians, Family
Contact
Organisation Name: New Zealand Health Technology Assessment
Contact Address: Department of Public Health and General Practice, Christchurch School of Medicine and Health Sciences, University of Otago, P.O. Box 4345, Christchurch, New Zealand. Tel: +64 3 364 1145; Fax: +64 3 364 1152;
Contact Name: nzhta@chmeds.ac.nz
Contact Email: nzhta@chmeds.ac.nz
Copyright: New Zealand Health Technology Assessment (NZHTA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.