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Understanding the relationship between GP training and improved patient care – a qualitative study of GP educators

Ahluwalia, S; Spicer, J; Patel, A; Cunningham, B; Gill, D; (2020) Understanding the relationship between GP training and improved patient care – a qualitative study of GP educators. Education for Primary Care , 31 (3) pp. 145-152. 10.1080/14739879.2020.1729252. Green open access

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Abstract

Introduction: Previous research has highlighted the benefits of receiving care in a postgraduate GP training practice including improved patient satisfaction, more appropriate secondary care usage, cancer diagnosis, and antibiotic prescribing. Whilst the influence of being registered in a postgraduate GP training practice on patient outcomes is modest relative to other factors such as deprivation, disease burden, demography, and ethnicity, the reasons for this benefit is not clear.Aim: This study explores how GP trainers perceive engagement with clinical education influences patient care.Methods: Socio-cultural theories were used as a framework for guiding the research. Semi-structured interviews were conducted with 11 GP educators. Interviews were recorded and transcribed verbatim. Data analysis involved thematic analysis.Results: GP educators identified four overarching themes that, for them, seemed to explain how clinical education mediates its influence on patient care. These included: influencing through (i) educational leadership; (ii) learners; (iii) the educational process; and (iv) educational standards.Discussion: Findings suggest that GP trainees have a significant effect on the learning environment, professional development of GP trainers, and patient care. The nature of the relationship between GP trainers and trainees appears far more bilateral than acknowledged in the apprenticeship model.

Type: Article
Title: Understanding the relationship between GP training and improved patient care – a qualitative study of GP educators
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/14739879.2020.1729252
Publisher version: https://doi.org/10.1080/14739879.2020.1729252
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Postgraduate GP training, patient outcomes, sociocultural theory
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > UCL Medical School
URI: https://discovery.ucl.ac.uk/id/eprint/10092609
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