Queensland Rural Generalist Pathway, Queensland Rural Medical Services, Darling Downs Hospital and Health Service, Level 18, 41 George Street, Brisbane, Qld 4000, Australia. Email:
Aust Health Rev. 2021 Jun;45(3):377-381. doi: 10.1071/AH19158.
The aim of this study was to learn from trainees separating from the Queensland Rural Generalist Pathway (QRGP) the reasons and circumstances around their decision so as to improve the efficiency of the program and experience of trainees. Forty-one QRGP trainees who separated without achieving a Rural Generalist (RG) end point to training were interviewed regarding their reasons for separation and thoughts on improving the program. The mean period of time enrolled in the QRGP was 2.87 years. Broadly, the cohort divided into those separating for specialist training, those moving into non-RG general practice and those undecided. Separation for specialist training tended to occur during prevocational years and that to general practice later in the program before trainees had completed advanced skill training. Female trainees were over-represented among trainees separating without completing training. This cohort provided their opinions on the strengths of the QRGP and possible improvements. Understanding and addressing the reasons for early separation suggested several strategies to improve the efficiency of the QRGP in selecting and retaining trainees. Lessons learned included the value of employer-provided coordinated prevocational placements and training, potential benefits of guiding rural-interested medical graduates who ultimately enter other specialist training and the need for greater liaison with external Australian General Practice Training administration organisations to coordinate transition of trainees. There is a need to further address accessibility of advanced training for all trainees.
本研究旨在了解从昆士兰农村全科医生培训途径（QRGP）中分离的学员的决定原因和情况，以提高该计划的效率和学员的体验。我们对 41 名未达到农村全科医生（RG）终点培训的 QRGP 分离学员进行了访谈，了解他们分离的原因以及对改进该计划的想法。学员参加 QRGP 的平均时间为 2.87 年。大致上，该队列分为因专科培训而分离、转入非 RG 全科实践以及尚未决定的学员。专科培训的分离往往发生在预备职业年期间，而全科实践的分离则发生在该计划后期，在学员完成高级技能培训之前。未完成培训而分离的女性学员比例过高。这群人对 QRGP 的优势和可能的改进提出了自己的意见。了解和解决早期分离的原因表明，有几种策略可以提高 QRGP 选择和保留学员的效率。吸取的教训包括雇主提供协调的预备职业安置和培训的价值、指导最终进入其他专科培训的农村感兴趣医学毕业生的潜在好处，以及需要与澳大利亚外部全科医生培训管理组织进行更多联络，以协调学员的过渡。需要进一步解决所有学员获得高级培训的机会问题。
