How does the workload and work activities of procedural <scp>GP</scp>s compare to non‐procedural <scp>GP</scp>s?

Russell, Deborah; McGrail, Matthew Richard

doi:10.1111/ajr.12321

Cited by 16 publications

(16 citation statements)

References 8 publications

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“…The FACRRM group are predominantly male (75–83%, or 60% for graduates >1995), despite the majority of Australia’s recent medical graduates being female (around 55–60%). This may relate to ACRRM’s relatively large initial recognition of prior learning process to grow the faculty at its initiation, but it may also reflect that female GPs are less likely to practice procedural skills and often desire more control of their working hours [ 44 , 45 ]. Flexible training options, supportive team practices with sufficient staff relief, salaried employment options, female-tailored continuing professional development topics, and robust social and professional network opportunities may be important strategies to attracting more females to this workforce [ 44 , 46 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value

McGrail

O’Sullivan

2020

IJERPH

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Strategies are urgently needed to foster rural general practitioners (GPs) with the skills and professional support required to adequately address healthcare needs in smaller, often isolated communities. Australia has uniquely developed two national-scale faculties that target rural practice: the Fellowship in Advanced Rural General Practice (FARGP) and the Fellowship of the Australian College of Rural and Remote Medicine (FACRRM). This study evaluates the benefit of rural faculties for supporting GPs practicing rurally and at a broader scope. Data came from an annual national survey of Australian doctors from 2008 and 2017, providing a cross-sectional design. Work location (rurality) and scope of practice were compared between FACRRM and FARGP members, as well as standard non-members. FACRRMs mostly worked rurally (75–84%, odds ratio (OR) 8.7, 5.8–13.1), including in smaller rural communities (<15,000 population) (41–54%, OR 3.5, 2.3–5.3). FARGPs also mostly worked in rural communities (56–67%, OR 4.2, 2.2–7.8), but fewer in smaller communities (25–41%, OR 1.1, 0.5–2.5). Both FACRRMs and FARGPs were more likely to use advanced skills, especially procedural skills. GPs with fellowship of a rural faculty were associated with significantly improved geographic distribution and expanded scope, compared with standard GPs. Given their strong outcomes, expanding rural faculties is likely to be a critical strategy to building and sustaining a general practice workforce that meets the needs of rural communities.

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Section: Discussionmentioning

confidence: 99%

Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value

McGrail

O’Sullivan

2020

IJERPH

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“…The MABEL cohort has already been assessed as reasonably representative of GPs nationally and applied extensively to inform general practice workforce policy. [23][24][25][26] Of rural GP respondents in 2016, 941 self-reported whether they were currently teaching or supervising registrars. General practice registrars were excluded, as were GPs who were not currently in the paid workforce, and those who were permanently retired.…”

Section: Methodsmentioning

confidence: 99%

Factors related to rural general practitioners supervising general practice registrars in Australia: A national cross-sectional study

et al. 2019

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Background and objective General practice training in Australia is uniquely structured to allow half of all registrars to train in rural areas, in order to increase rural workforce development and access to rural primary care. There is, however, limited national-scale information about rural general practice supervisors who underpin the capacity for rural general practice training. The objective of this research was to explore the factors related to rural general practitioners (GPs) supervising general practice registrars. Methods Results were obtained using multivariate analysis of the 2016 Medicine in Australia: Balancing Employment and Life survey data. Results Overall, 57.8% of rural GPs were supervising registrars. Supervising was strongly related to being Australiantrained, working in a larger practice, and supervising medical students and interns. Discussion Rural supervising capacity could be increased through supporting GPs in smaller practices to engage in supervision and maintaining the strong involvement of GPs in larger practices. Other important factors may include a greater number of Australian-trained graduates working in rural general practice and increased support for international medical graduates to Fellow and feel confident to supervise.

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“…GPs practising advanced skills are essential in smaller rural and remote communities, where specialists are commonly lacking 14 . Proceduralists are more likely to stay in these communities than non‐procedurally active GPs 15 .…”

Section: Education and Trainingmentioning

confidence: 99%

Where to next for rural general practice policy and research in Australia?

Walters

McGrail

Carson

et al. 2017

Medical Journal of Australia

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How does the workload and work activities of procedural GPs compare to non‐procedural GPs?

Abstract: The longer working hours and higher on-call demands experienced by rural and remote procedural GPs demand improved solutions, such as changes to service delivery models, so that long-term procedural GP careers are increasingly attractive to current and aspiring rural GPs.

Cited by 16 publications

References 8 publications

Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value

Faculties to Support General Practitioners Working Rurally at Broader Scope: A National Cross-Sectional Study of Their Value

Factors related to rural general practitioners supervising general practice registrars in Australia: A national cross-sectional study

Where to next for rural general practice policy and research in Australia?

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