GPSA recently completed a narrative analysis research project interviewing female GP supervisors about why women GPs supervise registrars, or choose not to. This GPSA funded research project aims to inform how to address the conditions to make it easier for women to supervise registrars in general practice.
This research was conducted in partnership with Monash University School of Rural Health, EV GP Training and Melbourne University.
The research findings present significant issues that intersect to potentially impact the interest and capacity for women to join and be retained in the GP supervision workforce. The findings can be applied to developing more specific resources, supports, and structures to enable women to participate in and sustain GP supervision at the level that they find acceptable and rewarding.
The full research report can be found here.
The major themes suggest that supervised learning in rural areas should be addressed at multiple levels of the system, the community, clinical settings, and clinicians. This requires a regionally guided long-term vision and stepwise planning.
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GPEx, in association with the University of Adelaide and GPSA, recently completed a study on the financial costs and revenue associated with teaching and supervision in Australian general practices. Experienced GP Supervisors and practice managers were asked to complete a short online questionnaire to describe the teaching and administrative activities associated with teaching GP registrars in a practice and the time spent on such activities to determine the cost of these activities. We hope that the results from this research will inform future policy and practice.
Have you experienced or observed conflict between registrars and GP supervisors? A joint research project between GPSA, GPRA and Monash University has gathered experiences of the sources and context of conflict in the GP registrar–supervisor relationship, and what works to resolve or prevent conflict. This research was collected via on online survey and one to one interviews with GP Supervisors and Practice managers as well as GP registrars. For more information read the study Explanatory Research Statement. This study has been approved by the Monash University Human Research Ethics Committee (project number 28176). Final research findings will be displayed on this page when available.
| Image | Title | Description | Download Link | Date |
|---|---|---|---|---|
 | Enabling uptake and sustainability of supervision roles by women GPs in Australia: a narrative analysis of interviews | This narrative inquiry aimed to explore the uptake and sustainability of supervision roles for women GPs in the Australian context. | Download | May 2022 |
 | Developing supervision capacity for training rural generalist doctors in small towns in Victoria | This project aimed to explore enablers and barriers to the supervision of RG2 learners across a core generalist curriculum in distributed towns in three rural Victorian regions. | Web Version | February 2022 |
 | The financial costs and revenue associated with teaching and supervision in General Practice | This project aimed to better understand the sustainability of GP supervision by determining the associated financial costs and revenue. This study included: interviews with supervisors (n=9) and practice managers (n=9); a survey of supervisors (n=238) and practice managers (n=142), and; a cost-revenue analysis. | Executive Summary | May 2022 |
 | Mandatory bulk billing policies may have differential rural effects: an exploration of Australian data | This study aimed to understand the patterns of bulk billing nationally and explore the characteristics of practices more or less likely to bulk bill patients, to identify the potential impact of a rapid shift to bulk billing only policies. | Web version | March 2022 |
 | Supervision Roadmap: Rural Generalist Training in Victoria | This collaborative research project lead by GPSA aimed to explore and expand on existing evidence about rural supervision to meet the learning needs of the RG2 group across the Victorian Rural Generalist Program curriculum. It specifically focused on three rural regions of Victoria: Hume, Loddon Mallee, and Barwon South West. Further, this project aimed to use this information to develop a Supervision Roadmap to guide the implementation of high-quality supervised learning across the core generalist curriculum in regional Victoria. | Executive Summary | October 2021 |
 | Developing supervision capacity for training rural generalist doctors in small towns in Victoria | This project aimed to explore enablers and barriers to the supervision of RG2 learners across a core generalist curriculum in distributed towns in three rural Victorian regions. | Download | October 2021 |
 | Exploring attributes of high-quality clinical supervision in general practice through interviews with peer-recognised GP supervisors | This research undertaken in 2019-20 interviewed 22 peer-recognised GP Supervisors and identified 7 key areas associated with quality supervision. These included reflecting and learning from other supervisors, structuring learning, caring relationships, involving the whole practice, learner centred approaches, building independence and encouraging reflection. This research was undertaken by GPSA with the support of the Australian Government’s General Practice Training Program. | Download | August 2021 |
 | Report on 2021 GPSA supervisor survey Part 1: The future of GP training | The 2021 GP Supervisors Australia (GPSA) Annual Survey revealed 70% of GP supervisor respondents were satisfied or very satisfied with their Regional Training Organisation (RTO). | Download | May 2021 |
 | Part 2: The single-employer model | There is strong policy debate about adopting a single-employer model for GP registrars, which involves registrars being employed by an entity outside of the practice where they are training, on a salary. | Download | May 2021 |
 | GP Clinical Learning Environment Framework research | The GPCLE is a new framework to guide continuous quality improvement of the practice learning environment. The GPCLE has been adapted for general practice training environments from the Best Practice Clinical Learning Environment (BPCLE) Framework as part of a research project funded by the Australian Government via the Australian General Practice Training (AGPT) Program. | Download | February 2021 |
 | A framework to guide the implementation of best practice clinical learning environments in community general practice: Australia | We aimed to develop a consensus-based framework to guide the implementation of high-quality learning environments suitable for the range of general practices and clinical learners | Download | January 2021 |
 | Challenges in General Practice during initial COVID 19 response | This study involved a national online survey of Australian GPs and was conducted in April and May 2020, with 572 respondents. We found that the response to the COVID-19 pandemic in Australia has resulted in major changes to general practice business models. | Download
| November 2020 |
 | A national survey of COVID-19 challenges, responses and effects in Australian general practice | The objective of this study was to explore challenges, responses and effects of COVID-19 in Australian general practice in the early stages of the pandemic | Download | November 2020 |
 | Supervising GP registrars – who does and doesn’t participate and why? | General Practice Training Tasmania (GPTT) in partnership with General Practice Supervisors Australia (GPSA) and Monash University invited 25 GPs to participate in a study designed to better understand the reasons why general practitioners (GPs) do or don’t supervise GP Registrars in rural areas of Tasmania and why. This study is the first systematic analysis of GPs participating in registrar supervision and what underpins their decision to participate. | Download | September 2020 |
 | An exploration of the experiences of GP registrar supervisors in small rural communities: a qualitative study | Exploring what makes rural GPs’ based outside of major regional centres, participate in supervising or not, their experiences of supervising, and impact of their practice context. | Download | September 2020 |
 | Adaptation and initial examination of the psychometric properties of the Short Supervisory Relationship Questionnaire (SSRQ) for use with general practice registrars | This paper presents an adaptation and initial validation of the clinical psychology supervisory relationship measure for GP registrars in an Australian context. | Download | August 2020 |
 | Factors related to rural general practitioners supervising general practice registrars in Australia:’A national cross-sectional study’ | This research aimed to use nationalscale data to explore the factors related to rural GPs participating in registrar supervision. | Download | Jan-Feb 2019 |
 | Measuring the educational alliance from the supervisor’s perspective (GP-SRMS) | The project set out to adapt and validate a tool to measure the educational alliance from the GP Supervisor’s perspective. The result is the GP-Supervisory Relationship Measure for Supervisors (GP-SRMS) which is now validated for use in the AGPT program and the Australian general practice sector. It is understood that this is a world-first. | Summary Findings | November 2018 |
 | Measuring the educational alliance with supervisors from the registrar perspective (GP-SRMR) | Following on from the successful work of GPTT, GPSA and Monash University to develop the GP Supervisory Relationship Measure for Supervisors (GP-SRMS), the GP Supervisory Relationship Measure for Registrars (GP-SRMR) project has successfully adapted and validated a complementary tool to explore the relationship from the registrar’s perspective. | Download | November 2018 |
| Image | Title | Description | Download Link | Date |
|---|---|---|---|---|
 | Learning to recognise what good practice looks like: how general practice trainees develop evaluative judgement | This paper explores how Australian general practice (GP) trainees develop their evaluative judgement. | Download | December 2021 |
 | Integrative Medicine in General Practice in Australia: A Mixed-Methods Study Exploring Education Pathways and Training Needs | This study aimed to map the Integrated medicine education and training pathways and needs of a cohort of Australian GPs | Download | December 2021 |
 | Associations of anticipated prescribing of long-acting reversible contraception by general practice registrars: A cross-sectional study | The aim of this study was to establish general practice registrars’ LARC training/insertion experience, as well as frequency of and factors associated with choosing LARC in response to clinical vignettes | Download | December 2021 |
 | Mid-career graduate practice outcomes of the James Cook University medical school: key insights from the first 20 years | This study investigates whether non-metropolitan practice location outcomes continue into mid-career, and identifies the key underlying demographic, selection process, curriculum and postgraduate training factors associated with JCU graduates choosing to currently practise in regional, rural and remote areas of Australia. | Download | December 2021 |
 | Exploring Doctors’ Emerging Commitment to Rural and General Practice Roles over Their Early Career | This study aimed to explore changes in the level of certainty about career interest in working in general practice and working rurally, as doctors pass through various early career stages. | Download | November 2021 |
 | Barriers to getting into postgraduate specialty training for junior Australian doctors: An interview-based study | This study explored the barriers of pre-registrar (junior) doctors getting into specialty training programs to inform tailored support and re-design of speciality entry systems. | Download | October 2021 |
 | Longitudinal Outcome of Programmatic Assessment of International Medical Graduates | The current standard assessment for IMGs is by clinical examination in observed structured clinical encounter (OSCE). This study introduced a programmatic performance-based assessment for IMGs. | Download | September 2021 |
 | Training and retention in rural and remote Australia: Examining the association between GP vocational training placements and subsequent practice location in Western Australia | This paper aims to provide insights on the association between exposure to rural general practice vocational training placements and subsequent rural practice location in Western Australia. | Download
| August 2021 |
 | PQRST: A framework for case discussion and practice-based teaching in general practice training | In this article, a new five-stage model of case discussion is proposed: PQRST. The stages are: P – What is the patient’s problem?, Q – What is the registrar’s question?, R – How well does the registrar reason?, S – What is the solution?, and T – What can be taught? | Download | August 2021 |
 | The opioid-prescribing practices of Australian general practice registrars: an interview study. | To explore attitudes, beliefs, knowledge and self-reported factors influencing the opioid-prescribing decisions of Australian GP registrars. | Download | August 2021 |
 | Immunising older Australians: Pre-COVID-19 vaccine perspectives from general practice training | This study explores general practice registrars’ attitudes towards immunisation of older adults, the barriers faced, and the role supervisors play in developing adult immunisation skills. | Download | June 2021 |
 | Prescribing of long-acting reversible contraception by general practice registrars across different rural regions of Australia: A cross-sectional analysis of the Registrar Clinical Encounters in Training Study data. | This study aimed to describe the pattern of prescribing long-acting reversible contraception by Australian general practitioner registrars across different classifications of rurality/urbanicity | Download | June 2021 |
 | Flinders University rural medical school student program outcomes | The study demonstrates the strong correlation between the Flinders University RCS Program in South Australia and long-term rural medical workforce outcomes. | Download | May 2021 |
 | Queensland Rural Generalist Pathway: why do trainees separate without achieving a Rural Generalist end point? | The aim of this study was to learn from trainees separating from the Queensland Rural Generalist Pathway (QRGP) the reasons and circumstances around their decision so as to improve the efficiency of the program and experience of trainees. | Download | April 2021 |
 | Identifying the at-risk General Practice trainee: a retrospective cohort meta-analysis of General Practice registrar flagging | This study examines the predictive and consequential validity of flagging systems used by Australian General Practice regional training organisations (RTOs) in relation to Fellowship examinations. | Download | February 2021 |
 | Flags for seeking help: making supervisor expectations of general practice trainee help-seeking explicit. | This study introduces a tool, ‘Flags for Seeking Help’, which was modified from an existing checklist, to assist supervisors to tailor their input to the care of their trainee’s patients. | Download | February 2021 |
 | Good help: a model for providing in-consultation supervision of general practice trainees. | This study introduces a model (β-LACTAM) to assist supervisors in planning and delivering their face-to-face in-consultation supervision. | Download | December 2020 |
 | Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning | This study used focus groups and interviews with general practice supervisors to explore their approaches to trainee help-seeking and in-consultation supervision. | Download | August 2020 |
Thank you to everyone who provided information for our 2022 National Survey
The winners of our draw are:
Janus van Heerden
Monica Theron
James Courts
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