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

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Title: How do General Practice trainees experience the transition from hospital to General Practice: a qualitative study.
Authors: O'Neill, Alice (AUTHOR), Dhalaigh, Fódhla Ní (AUTHOR), Foley, Tony (AUTHOR), Daly, Orna (AUTHOR), Martin, Michelle (AUTHOR), McHugh, Helen (AUTHOR), Jennings, Aisling A. (AUTHOR)
Source: Education for Primary Care. Sep2025, Vol. 36 Issue 5, p198-208. 11p.
Subjects: FAMILY medicine, MEDICAL education, QUALITATIVE research, FOCUS groups, AUTONOMY (Psychology), OCCUPATIONAL roles, HOSPITAL care, INTERVIEWING, PRIMARY health care, LABOR mobility, DESCRIPTIVE statistics, MENTORING, HOSPITAL medical staff, RESEARCH methodology, DATA analysis software, SOCIAL support
Geographic Terms: IRELAND
Abstract: Background: 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. [ABSTRACT FROM AUTHOR]
Copyright of Education for Primary Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: How do General Practice trainees experience the transition from hospital to General Practice: a qualitative study.
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  Data: <searchLink fieldCode="AR" term="%22O'Neill%2C+Alice%22">O'Neill, Alice</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dhalaigh%2C+Fódhla+Ní%22">Dhalaigh, Fódhla Ní</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Foley%2C+Tony%22">Foley, Tony</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Daly%2C+Orna%22">Daly, Orna</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Martin%2C+Michelle%22">Martin, Michelle</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McHugh%2C+Helen%22">McHugh, Helen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jennings%2C+Aisling+A%2E%22">Jennings, Aisling A.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Education+for+Primary+Care%22">Education for Primary Care</searchLink>. Sep2025, Vol. 36 Issue 5, p198-208. 11p.
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– Name: Abstract
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  Data: Background: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Education for Primary Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/14739879.2025.2515927
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 198
    Subjects:
      – SubjectFull: FAMILY medicine
        Type: general
      – SubjectFull: MEDICAL education
        Type: general
      – SubjectFull: QUALITATIVE research
        Type: general
      – SubjectFull: FOCUS groups
        Type: general
      – SubjectFull: AUTONOMY (Psychology)
        Type: general
      – SubjectFull: OCCUPATIONAL roles
        Type: general
      – SubjectFull: HOSPITAL care
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      – SubjectFull: INTERVIEWING
        Type: general
      – SubjectFull: PRIMARY health care
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      – SubjectFull: LABOR mobility
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      – SubjectFull: DESCRIPTIVE statistics
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      – SubjectFull: MENTORING
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      – SubjectFull: HOSPITAL medical staff
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      – SubjectFull: RESEARCH methodology
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      – SubjectFull: DATA analysis software
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      – SubjectFull: SOCIAL support
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      – SubjectFull: IRELAND
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      – TitleFull: How do General Practice trainees experience the transition from hospital to General Practice: a qualitative study.
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              M: 09
              Text: Sep2025
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              Y: 2025
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