How do General Practice trainees experience the transition from hospital to General Practice: a qualitative study

dc.contributor.authorO'Neill, Aliceen
dc.contributor.authorDhalaigh, Fódhla Níen
dc.contributor.authorFoley, Tonyen
dc.contributor.authorDaly, Ornaen
dc.contributor.authorMartin, Michelleen
dc.contributor.authorMcHugh, Helenen
dc.contributor.authorJennings, Aisling A.en
dc.contributor.funderHealth Research Boarden
dc.contributor.funderIrish College of General Practitionersen
dc.date.accessioned2025-07-22T10:59:34Z
dc.date.available2025-07-22T10:59:34Z
dc.date.issued2025-07-07
dc.description.abstractBackground: Specialist training in General Practice (GP) incorporates hospital and community-based training. The transition from hospital to General Practice can be a challenging experience. A negative experience of this transition has been shown to impact the trainee’s desire to remain in General Practice. Aim: The aim of this study was to explore GP Trainees’ experiences of moving from hospital medicine to General Practice in Ireland. Methods: This qualitative study involved an initial focus group with GP trainees. The results of this focus group informed the development of a topic guide for subsequent one-to-one semi-structured interviews with General Practice Trainees from thirteen General Practice Training Schemes nationally. Interviews were analysed using reflexive thematic analysis. Results: 15 interviews were undertaken. The main themes identified were: 1) Finding your way - the trainer as a navigator 2) Running your own ship–developing autonomy and 3) Balancing the competing demands of General Practice. The evolving role of the trainer in supporting the transition was highlighted, as was the GP trainers’ role in navigating clinical uncertainty and in shaping the participants’ professional identities. The nuances of challenges such as time pressure and increased clinical responsibility were identified. These challenges were exacerbated by the pressure of clinical decision-making and a lack of confidence in applying this judgement in the community setting. Conclusion: The results of this study can be used to inform the development of improved structures to support GP trainees in their transition from hospital to community-based practice. en
dc.description.sponsorshipHealth Research Board (Summer Studentship 2024); Irish College of General Practitioners (Career Development Grant)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationO'Neill, A., Dhalaigh, F. N., Foley, T., Daly, O., Martin, M., McHugh, H. and Jennings, A. A. (2025) 'How do General Practice trainees experience the transition from hospital to General Practice: a qualitative study', Education for Primary Care, pp.1-11. https://doi.org/10.1080/14739879.2025.2515927en
dc.identifier.doi10.1080/14739879.2025.2515927en
dc.identifier.issn14739879en
dc.identifier.journaltitleEducation for Primary Careen
dc.identifier.urihttps://hdl.handle.net/10468/17735
dc.language.isoenen
dc.publisherTaylor and Francis Ltd.en
dc.rights© 2025 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.en
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectGeneral practiceen
dc.subjectMedical educationen
dc.subjectPostgraduate medical trainingen
dc.subjectProfessional transitionen
dc.subjectQualitative studyen
dc.subject~General Practice - Journal Articles~en
dc.titleHow do General Practice trainees experience the transition from hospital to General Practice: a qualitative studyen
dc.typeArticle (peer reviewed)en
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