eCite Digital Repository
Benefits and challenges of multi-level learner rural general practices – an interview study with learners, staff and patients
Citation
Morrison, T and Brown, J and Bryant, M and Nestel, D, Benefits and challenges of multi-level learner rural general practices - an interview study with learners, staff and patients, BMC Medical Education, 14 pp. 234-246. ISSN 1472-6920 (2014) [Refereed Article]
![]() | PDF 324Kb |
Copyright Statement
© 2014 Morrison et al. Licensed under Creative Commons Attribution 2.0 Generic (CC BY 2.0) https://creativecommons.org/licenses/by/2.0/
DOI: doi:10.1186/1472-6920-14-234
Abstract
Background
General practices vary in the provision of training and education. Some practices have training as a major focus with the presence of multi-level learners and others host single learner groups or none at all. This study investigates the educational benefits and challenges associated with ‘multi-level learner’ practices.
Methods
This paper comprised three case studies of rural general practices with multiple levels of learners. Qualitative data were collected from 29 interviews with learners (n = 12), staff (n = 12) and patients (n = 5). Interviews were initially analyzed using open and axial coding and thematic analysis.
Results
Thematic analysis showed ‘multi-level learning’ in general practices has benefits and challenges to learners and the practice. Learner benefits included knowledge exchange, the opportunity for vertical peer learning, a positive learning environment and the development of a supportive network. The presence of multi-level learners promoted sharing of knowledge with all staff, a sense of community, an increase in patient services and enthused supervisors. Challenges for learners included perception of decreased access to supervisors, anxiety with peer observation, reduced access to patient presentations and patient reluctance to be seen by a learner. Practice challenges were administration requirements, high learner turnover, infrastructure requirements and the requirement for supervisors to cater to a range of learner level needs.
Conclusions
The presence of medical students, interns and registrars in general practice has educational benefits to the learners extending to the other stakeholders (staff and patients). Multi-level learners present challenges to the learners and the practice by increasing pressures on resources, staff (administrative and supervisors) and infrastructure.
Item Details
Item Type: | Refereed Article |
---|---|
Keywords: | multi-level learners, vertical integration, rural general practice, education, registrars, interns, medical students |
Research Division: | Commerce, Management, Tourism and Services |
Research Group: | Strategy, management and organisational behaviour |
Research Field: | Organisational planning and management |
Objective Division: | Expanding Knowledge |
Objective Group: | Expanding knowledge |
Objective Field: | Expanding knowledge in commerce, management, tourism and services |
UTAS Author: | Bryant, M (Professor Melanie Bryant) |
ID Code: | 114004 |
Year Published: | 2014 |
Web of Science® Times Cited: | 6 |
Deposited By: | TSBE |
Deposited On: | 2017-02-01 |
Last Modified: | 2018-05-04 |
Downloads: | 133 View Download Statistics |
Repository Staff Only: item control page