Abstract
Clinical education/training is increasingly being expanded to community general practice settings (primary care clinics led by doctors). This plays an important role in developing a skilled “primary-care ready” workforce. However, there is limited information to guide the implementation of high-quality learning environments suitable for the range of general practices and clinical learners they oversee. We aimed to develop a consensus-based framework to address this. A co-design participatory action research method involved working with stakeholders to agree a project plan, collect and interpret data and endorse a final framework. As a starting point, an initial draft framework was adapted from an existing framework, the Best Practice Clinical Learning Environment (BPCLE) Framework. We gathered feedback about this from a national GP Supervisor Liaison Officer Network (SLON) (experienced GP clinical supervisors) during a 90-minute face-to-face focus group. They rated their agreement with the relevance of objectives and elements, advising on clear terminology and rationale for including/excluding various components. The resulting framework was refined and re-tested with the SLON and wider GP educational stakeholders until a final graphically designed version was endorsed. The resulting “GP Clinical Learning Environment” (GPCLE) Framework is applicable for planning and benchmarking best practice learning environments in general practice.
Highlights
There is an increasing body of research that indicates health workforce development should occur from the ground up, based on meeting the needs of the community [1]
Whilst most of the literature aligned with existing best practice learning environment frameworks like the Best Practice Clinical Learning Environment (BPCLE) Framework, there was no published material consolidating all aspects of high-quality learning environments in general practice, tailored to suit all health disciplines
We developed principles to guide the development of a GPfocused framework, namely that the framework should address all types of learners, in diverse general practice settings and comprehensively cover all the elements of a highquality learning environment
Summary
There is an increasing body of research that indicates health workforce development should occur from the ground up, based on meeting the needs of the community [1]. With an ageing population in many countries, the World Health Organization (WHO) notes the demand for integrated management of chronic and complex care (including for conditions like diabetes, asthma, heart disease and depression) is increasing [2] Preventing and managing such diseases will depend on the availability of regular primary healthcare workers practising at the appropriate scope [3]. Achieving this relies on training a skilled, high-quality primary care workforce that is capable of working at the level required, in community-based medically-led primary care clinics, which we call “general practices”. Draft GPCLE Framework a Circulate to a national Supervisor Liaison Officer Network
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