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dc.contributor.authorAnsell, S
dc.contributor.authorRead, J
dc.contributor.authorBryce, Marie
dc.date.accessioned2020-03-09T09:28:50Z
dc.date.issued2020-03-06
dc.identifier.issn0032-5473
dc.identifier.issn1469-0756
dc.identifier.urihttp://hdl.handle.net/10026.1/15436
dc.descriptionNo embargo required
dc.description.abstract

<jats:title>Abstract</jats:title><jats:sec><jats:title>Purposes of the study</jats:title><jats:p>To identify the challenges to well-being experienced by general practice postgraduate trainees and to explore how the trainees respond to those challenges.</jats:p></jats:sec><jats:sec><jats:title>Study design</jats:title><jats:p>Qualitative focus group study with doctors in their final year of general practice training (n=16). The participants in the study were recruited from one training scheme in South West England. Data were thematically analysed.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Participants reported challenges to well-being relating to dysfunctional relationships with colleagues and patients, their workload, a perceived lack of support at work and also physical environmental challenges. They identified response strategies focused on cognitive processing, physical self-care, focusing on their professional purpose, building supportive relationships and adapting their working environment where possible. Additionally, there were factors that could support trainee well-being, including personal factors such as adaptability and self-awareness, but also external and organisational factors, such as culture, supportive colleagues and organisational adaptability in relation to workload management. The importance to trainees of the idea of being a ‘good doctor’ arose repeatedly in the data, as did the importance of the organisational environment. Participants reported finding their training placements in secondary care environments particularly challenging.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>This research highlights the strategies that general practice trainees use in response to challenges, but also that the responsibility for maintaining well-being cannot be borne by individuals alone. This study identifies that supportive approaches by healthcare organisations and educators are vitally important to general practitioner trainees’ well-being.</jats:p></jats:sec>

dc.format.extent325-330
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoen
dc.publisherBMJ Publishing Group
dc.subjectMedical education
dc.subjectMedical profession
dc.titleChallenges to wellbeing for General Practice trainee doctors: a qualitative study of their experiences and coping strategies.
dc.typejournal-article
dc.typeJournal Article
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000538159600006&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue1136
plymouth.volume96
plymouth.publication-statusPublished
plymouth.journalPostgraduate Medical Journal
dc.identifier.doi10.1136/postgradmedj-2019-137076
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA23 Education
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2020-02-07
dc.rights.embargodate2020-3-10
dc.identifier.eissn1469-0756
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1136/postgradmedj-2019-137076
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2020-03-06
rioxxterms.typeJournal Article/Review


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