Exploring the preparedness of newly qualified general practitioners for independent practice in Ireland

ABSTRACT

Background

Newly qualified general practitioners’ (NQGPs) experiences of transition to independent practice are varied. Most Irish GP graduates see themselves as either assistant GPs, salaried GPs or locum GPs one year post-qualification, yet anticipate partnership ten years post-qualification. Research into GP trainees' transition to independent practice is scarce, yet perceived lack of preparedness can be associated with emotional exhaustion and burnout. 

Aims

To explore NQGPs experience of their transition to independent practice in Ireland.

Methods

A qualitative approach was taken, using virtual, semi-structured, one-to-one interviews with NQGPs within five years of graduation, practising in Ireland. Descriptive demographics of participants were obtained. Audio recordings of interviews were analysed using thematic analysis.

Results

NQGPs reported preparedness for their clinical role, but most did not feel prepared for their non-clinical role. While NQGPs regarded independent practice as an intensive step-up from GP training, they drew on the support of GP colleagues during this transition. The decision on job selection centred largely on practice factors including location, ethos, support, and career prospects. Participants continued to develop in their identity as a GP within this transitionary period.

Conclusion

This research provides a unique insight into the experiences of NQGPs in Ireland. Specialist GP training schemes are influential in how NQGPs perceive their preparedness for independent practice; however, external factors including  their place of work and alignment of professional goals play a part in this stage of NQGPs career.

KEYWORDS:

• General practice
• general practitioners
• learning
• professional education

Acknowledgments

This research was conducted as part of an MSc in Clinical Education from the University of Edinburgh under the supervision of Dr Derek Jones. The authors would like to thank the participants of the study.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Ethical Approval

Ethical approval for this research project was approved by the Research Ethics Committee of the ICGP (appendix 3).

Additional information

Funding

A grant was received from the ICGP Foundation for Research and Education under the reference of “Exploring the preparedness of newly qualified General Practitioners (GPs) for independent practice in Ireland”.