To determine perceived barriers to continuing education for Australian hospital-based prevocational doctors, a cross sectional cohort survey was distributed to medical administrators for secondary redistribution to 2607 prevocational doctors from Although these individual groups have over-arching representative governing bodies, they have traditionally existed with minimal consultation and collaboration, leading to a fragmented approach to education. 4 Inadequate funding for education, documented by the Australian Government Productivity Commission, represents a significant practical barrier to prevocational education.5 Current systems for delivery of education, heavily reliant on the "apprenticeship model", are recognised as under-resourced, reliant on the goodwill of the educators and unsustainable.
6Barriers to continuing medical education (CME) for doctors in specialist training and general practice have been documented.
7-9However little is known about the barriers to education facing prevocational doctors for whom this educational framework is proposed. Gleason gives an Australian junior doctor' s perspective, noting that no published data exist documenting the amount of teaching available.
10Due to lack of data, Gleason provides experience-based generalisations: junior doctors spend minimal time involved in structured education and learning; teaching is of variable quality and relevance; and junior doctors' attendance at educational activities is prevented by high workloads, constant interruptions and emphasis on service provision.The Australian Government Department of Health and Ageing commissioned a Learning Needs Assessment Project, an Australia-wide questionnaire regarding educational issues for hospital-based prevocational doctors. Dent et al reported results related to occupational preparedness and exposure to and desirability of existing and future educational methods.11 This study examined responses from this national questionnaire pertaining to perceived barriers to continuing education experienced by prevocational doctors.For Australian public hospital-based doctors, we aimed to determine the perceived barriers to CME during the prevocational years, identify rotations where barriers were perceived to be greatest, and examine whether variations in these perceptions existed between subgroups of prevocational doctors.
Methods
DefinitionPrevocational doctors were defined as doctors working in Australian public hospitals in postgraduate years one and two and doctors in subsequent years who had not enrolled in a specialist training program.
QuestionnaireThe methodology of this study has been previously reported.11 Briefly, the questionnaire, developed at St Vincent's Hospital Melbourne, consisted of 45 items with graded Likert-type scales and free text questions. The questionnaire aimed to determine the occupation-related preparedness, preferred educational methods, and barriers to CME of prevocational doctors and gathered demographic data including age, gender, postgraduate year, university ...