Exploring resilience in rural GP registrars – implications for training

Walters, Lucie, Laurence, Caroline O., Dollard, Joanne, Elliott, Taryn and Eley, Diann S. (2015) Exploring resilience in rural GP registrars – implications for training. BMC Medical Education, 15 1: Art. No.: 110-Art. No.: 110. doi:10.1186/s12909-015-0399-x

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Author Walters, Lucie
Laurence, Caroline O.
Dollard, Joanne
Elliott, Taryn
Eley, Diann S.
Title Exploring resilience in rural GP registrars – implications for training
Journal name BMC Medical Education   Check publisher's open access policy
ISSN 1472-6920
Publication date 2015
Year available 2015
Sub-type Article (original research)
DOI 10.1186/s12909-015-0399-x
Open Access Status DOI
Volume 15
Issue 1
Start page Art. No.: 110
End page Art. No.: 110
Total pages 8
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2016
Language eng
Formatted abstract
Resilience can be defined as the ability to rebound from adversity and overcome difficult circumstances. General Practice (GP) registrars face many challenges in transitioning into general practice, and additional stressors and pressures apply for those choosing a career in rural practice. At this time of international rural generalist medical workforce shortages, it is important to focus on the needs of rural GP registrars and how to support them to become resilient health care providers. This study sought to explore GP registrars’ perceptions of their resilience and strategies they used to maintain resilience in rural general practice.

In this qualitative interpretive research, semi-structured interviews were recorded, transcribed and analysed using an inductive approach. Initial coding resulted in a coding framework which was refined using constant comparison and negative case analysis. Authors developed consensus around the final conceptual model. Eighteen GP registrars from: Australian College of Rural and Remote Medicine Independent Pathway, and three GP regional training programs with rural training posts.

Six main themes emerged from the data. Firstly, rural GP registrars described four dichotomous tensions they faced: clinical caution versus clinical courage; flexibility versus persistence; reflective practice versus task-focused practice; and personal connections versus professional commitment. Further themes included: personal skills for balance which facilitated resilience including optimistic attitude, self-reflection and metacognition; and finally GP registrars recognised the role of their supervisors in supporting and stretching them to enhance their clinical resilience.

Resilience is maintained as on a wobble board by balancing professional tensions within acceptable limits. These limits are unique to each individual, and may be expanded through personal growth and professional development as part of rural general practice training.
Keyword Resilience
GP Registrars
Medical education
Vocational training
Rural generalism
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
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Created: Mon, 06 Jul 2015, 05:30:04 EST by Diann Eley on behalf of School of Medicine