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General practice as seen through the eyes of general practice trainees: a qualitative study.

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Beaulieu, Marie-Dominique [UCL] Dory, Valérie [UCL] Pestiaux, Dominique [UCL] Pouchain, Denis Gay, Bernard Boucher, Laurier

OBJECTIVE: To explore the perceptions of general practice trainees regarding their discipline and to compare these spontaneously expressed views with recently proposed definitions of general practice. MATERIAL AND METHODS: A qualitative focus-group study was conducted in one Belgian and two French medical schools. Twenty-eight trainees took part (16 from Belgium and 12 from France). The transcripts were analysed by the immersion crystallization method. RESULTS: The participants in this study seemed prepared to take on the many responsibilities outlined in various definitions of general practice, but feared personal commitment to accessibility and continuous care. Being skilled clinicians and patients' advocates formed their "raison d'être" in the healthcare system. They were reluctant to act as gatekeepers within the system, a role that might jeopardize their advocacy function for their patients. They mentioned the lack of appeal of entrepreneurship aspect of practice. Participants reported that training settings typically offer traditional models of practice, which sometimes led them to feel estranged from a profession that they felt needs reorganization. CONCLUSIONS: Participants' descriptions generally coincided with official definitions of general practitioners' tasks, except for practice management and gate-keeping aspects. They were willing to accept the burden of general practice as long as responsibility could be shared and as long as there was freedom for flexible progress along a modern career track.

Document type Article de périodique (Journal article) – Comparative Study, Journal Article, Research Support, Non-U.S. Gov't
Access type Accès restreint
Publication date 2006
Journal information "Scandinavian journal of primary health care" - Vol. 24, no. 3, p. 174-80 (2006)
Peer reviewed yes
issn 0281-3432
Publication status Publié
Affiliation UCL - MD/RMED/CAMG - Centre académique de médecine générale
MESH Subject Adult ; Attitude of Health Personnel ; Belgium ; Career Choice ; Clinical Competence ; Family Practice - education - organization & administration ; Female ; Focus Groups ; France ; Gatekeeping ; Humans ; Internship and Residency ; Male ; Physician's Role ; Physician-Patient Relations ; Physicians, Family - education - psychology ; Qualitative Research ; Referral and Consultation
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Bibliographic reference Beaulieu, Marie-Dominique ; Dory, Valérie ; Pestiaux, Dominique ; Pouchain, Denis ; Gay, Bernard ; et. al. General practice as seen through the eyes of general practice trainees: a qualitative study.. In: Scandinavian journal of primary health care, Vol. 24, no. 3, p. 174-80 (2006)
Permanent URL http://hdl.handle.net/2078.1/22337