Mason Hannah M, Seidu Abdul-Aziz, Albert Francis, Anderson Emma M, Alele Faith O, McArthur Lawrie, Hollins Aaron, Heggarty Paula, Sen Gupta Tarun, Hays Richard, Malau-Aduli Bunmi S
College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia.
University of the Sunshine Coast, Sippy Downs, Queensland, Australia.
BMJ Open. 2025 Mar 13;15(3):e089890. doi: 10.1136/bmjopen-2024-089890.
Advanced skills training (AST) is a requirement for rural generalist training in Australia. This study explored the lived experience of general practitioners who have undertaken AST to better appreciate its value and fitness for purpose.
Thirteen participants were recruited via convenience sampling. A descriptive phenomenological study design was employed. Semistructured interviews were conducted and thematically analysed to identify patterns in the data.
Participants identified the professional value of AST, describing improved clinical competence, clinical courage, development of professional networks, work satisfaction and recognition. AST enabled better provision and continuity of care to rural communities. Potential service mismatches between AST specialty selection and perceived community needs are a current challenge.
Recommendations include refining the programme selection process, increasing programme flexibility and developing clearer guidelines to navigate training pathways. Future research should explore the value of AST from community perspectives to inform tailored approaches.
高级技能培训（AST）是澳大利亚农村全科医生培训的一项要求。本研究探讨了接受过AST培训的全科医生的生活经历，以更好地理解其价值和是否符合目的。
通过便利抽样招募了13名参与者。采用描述性现象学研究设计。进行了半结构化访谈并进行了主题分析，以识别数据中的模式。
参与者确定了AST的专业价值，描述了临床能力的提高、临床勇气、专业网络的发展、工作满意度和认可度。AST使农村社区能够获得更好的医疗服务和持续护理。目前面临的一个挑战是AST专业选择与感知到的社区需求之间可能存在服务不匹配的情况。
建议包括完善课程选择过程、增加课程灵活性以及制定更清晰的指南以指导培训路径。未来的研究应从社区角度探索AST的价值，以为量身定制的方法提供信息。
