A qualitative study of pre‐registration house officers in general practice

Medical EducationPublished 1 December 1999

Jan Illing, George Taylor, Tim van Zwanenberg

DOI10.1046/j.1365-2923.1999.00411.x

Source URL

Citations16

SJR quartileQ1

SJR score1.44

SNIP2.40

TL;DR

A unique pre‐registration house officer (PRHO) rotation involving half a week in general practice over a 4‐month period and house officers’ and supervisors’ views were sought on the value of this type of rotation.

Abstract

OBJECTIVES: To evaluate a unique pre-registration house officer (PRHO) rotation involving half a week in general practice over a 4-month period. House officers' and supervisors' views were sought on the value of this type of rotation. DESIGN: Qualitative study using semi-structured interviews. SETTING: A four-partner postgraduate training practice in a deprived urban part of North-east England. SUBJECTS: Pre-registration house officers and supervisors. RESULTS: House officers gained in educational and clinical terms from their period in general practice. They had a high level of individual supervision and teaching and encountered a wider spectrum of illness than in hospital. They found certain aspects of general practice stressful. The supervision required was greater than that needed for a registrar. The supervision of house officers requires support and possibly further education for the supervisor. CONCLUSIONS: General practice can provide valuable supervised experience at this stage of a doctor's career.

Keywords

Health Professions

Nurse Education TodayA method of analysing interview transcripts in qualitative research

2,499 Citations1991Philip Burnard

A method of analysing qualitative interview data is outlined as a stage-by-stage process and the researcher in the field of qualitative work is urged to be systematic and open to the difficulties of the task of understanding other people's perceptions.

BMJPreregistration rotation including general practice at St Mary's Hospital Medical School.

47 Citations1985Conrad M. Harris, H A F Dudley +2 more

The four months spent in general practice were needed to allow time for the house officers to adapt to the new setting but did not seem to have an important effect on their experience in medicine and surgery.

View PDF

BMJPreregistration house officers in general practice

34 Citations1995Joe Wilton

Investigations of general practice rotation showed that general practice based house officers worked fewer hours but did more clinical work, received more individual teaching, and had more responsibility, suggesting other medical schools should consider introducing rotations in general practice.

BMJThe preregistration houseman in general practice.

20 Citations1982George Freeman, C. R. COLES

The experiment raised several questions, some of which were specific to the type of rotation organised and others that were more fundamental to the whole concept of the preregistration house physician in general practice.

View PDF

Medical EducationA house officer in general practice: a different experience

6 Citations1989Nigel Oswald, M. KASSIMATIS

A single house officer's attachment in general practice, organized in a particular way and with specified aims, provided experience similar in some ways to hospital posts, but was broader in general clinical content and emphasized the continuity between primary and secondary care.

BMJThe preregistration alternative

6 Citations1994C Illingworth

I was told that I was only “a clerking machine”; the comment was meant to reassure me that as a new junior house physician responsibility for patient care did not rest on my shoulders alone, but I found it devaluing.

Medical EducationPre‐registration posts in general practice: the chance of a lifetime?

5 Citations1989Nigel Oswald

BMJSpending some of the preregistration year in general practice [.

3 Citations1989F. M. Hull

A combination of smoking and haemodynamic factors might promote atherogenesis in specific sites of the arterial tree and perhaps more in peripheral than in coronary arteries.

View PDF

PubMedWhat do deans of medical schools and heads of departments of general practice think of preregistration rotations in general practice?

3 Citations1996J Wilton

Given the current interest in medical teaching in the community, preregistration rotations in general practice deserve more attention, according to the degree of interest expressed by medical school deans and heads of departments of general practice.