Impact of participation in continuing medical education small group learning (CME-SGL) on the stress, morale, and professional isolation of rurally-based GPs: a qualitative study in Ireland.

burnout, professional continuing professional development education, medical, continuing family practice general practice general practitioners postgraduate education primary health care rural medicine

Journal

BJGP open
ISSN: 2398-3795
Titre abrégé: BJGP Open
Pays: England
ID NLM: 101713531

Informations de publication

Date de publication:
29 Oct 2019
Historique:
received: 09 09 2019
accepted: 12 09 2019
entrez: 31 10 2019
pubmed: 31 10 2019
medline: 31 10 2019
Statut: aheadofprint

Résumé

The pressures of general practice contribute to high levels of stress, low morale, and burnout in some GPs. In addition, rurally-based doctors may experience significant professional isolation. Participation in continuing medical education (CME) appears to reduce stress, and may improve the retention of rural GPs. As part of a larger study devised to examine the effectiveness of regular participation in CME small group learning (SGL) on rurally-based Irish GPs, this study explored whether CME-SGL had any impact on GP stress, morale, and professional isolation. This was a qualitative study involving four CME-SGL groups based in rural Ireland. Semi-structured focus group interviews were conducted in established CME-SGL groups in four different rural geographical locations. Interviews were audiorecorded, transcribed verbatim, and analysed thematically. All members of these CME-SGL groups ( Delivery of CME through locally-based SGL provides as an important means of supporting GPs working in rural areas. The non-educational benefits of CME-SGL, as described by these Irish GPs, are of relevance for rural doctors in other countries.

Sections du résumé

BACKGROUND BACKGROUND
The pressures of general practice contribute to high levels of stress, low morale, and burnout in some GPs. In addition, rurally-based doctors may experience significant professional isolation. Participation in continuing medical education (CME) appears to reduce stress, and may improve the retention of rural GPs.
AIM OBJECTIVE
As part of a larger study devised to examine the effectiveness of regular participation in CME small group learning (SGL) on rurally-based Irish GPs, this study explored whether CME-SGL had any impact on GP stress, morale, and professional isolation.
DESIGN & SETTING METHODS
This was a qualitative study involving four CME-SGL groups based in rural Ireland.
METHOD METHODS
Semi-structured focus group interviews were conducted in established CME-SGL groups in four different rural geographical locations. Interviews were audiorecorded, transcribed verbatim, and analysed thematically.
RESULTS RESULTS
All members of these CME-SGL groups (
CONCLUSION CONCLUSIONS
Delivery of CME through locally-based SGL provides as an important means of supporting GPs working in rural areas. The non-educational benefits of CME-SGL, as described by these Irish GPs, are of relevance for rural doctors in other countries.

Identifiants

pubmed: 31662316
pii: bjgpopen19X101673
doi: 10.3399/bjgpopen19X101673
pmc: PMC6995863
pii:
doi:

Types de publication

Journal Article

Langues

eng

Informations de copyright

Copyright © 2019, The Authors.

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Auteurs

Stephanie Dowling (S)

ICGP Assistant National Academic Director of CME, Irish College of General Practitioners, Dublin, Ireland drstephanie.dowling@gmail.com.
Research Student, Health Sciences Centre, University College Dublin School of Medicine, Dublin, Ireland.

Jason Last (J)

Associate Dean, Director of Education Development and Academic Affairs, University College Dublin School of Medicine, Health Sciences Centre, University College Dublin, Dublin, Ireland.

Henry Finnegan (H)

Former National Director of ICGP CME (retired), Irish College of General Practitioners, Dublin, Ireland.

Pat Daly (P)

ICGP CME Tutor, Irish College of General Practitioners, Dublin, Ireland.

John Bourke (J)

ICGP CME Tutor, Irish College of General Practitioners, Dublin, Ireland.

Conor Hanrahan (C)

ICGP CME Tutor, Irish College of General Practitioners, Dublin, Ireland.

Pat Harrold (P)

ICGP CME Tutor, Irish College of General Practitioners, Dublin, Ireland.

Geoff McCombe (G)

Post-doctoral Research Fellow, University College Dublin School of Medicine, Health Sciences Centre, University College Dublin, Dublin, Ireland.

Walter Cullen (W)

Professor of Urban General Practice and Head of Subject, General Practice, University College Dublin School of Medicine, Health Sciences Centre, University College Dublin, Dublin, Ireland.

Classifications MeSH