Challenges to well-being for general practice trainee doctors: a qualitative study of their experiences and coping strategies.

Postgraduate Medical Journal
Sarah AnsellMarie Bryce

Abstract

To identify the challenges to well-being experienced by general practice postgraduate trainees and to explore how the trainees respond to those challenges. Qualitative focus group study with doctors in their final year of general practice training (n=16). The participants in the study were recruited from one training scheme in South West England. Data were thematically analysed. Participants reported challenges to well-being relating to dysfunctional relationships with colleagues and patients, their workload, a perceived lack of support at work and also physical environmental challenges. They identified response strategies focused on cognitive processing, physical self-care, focusing on their professional purpose, building supportive relationships and adapting their working environment where possible. Additionally, there were factors that could support trainee well-being, including personal factors such as adaptability and self-awareness, but also external and organisational factors, such as culture, supportive colleagues and organisational adaptability in relation to workload management. The importance to trainees of the idea of being a 'good doctor' arose repeatedly in the data, as did the importance of the organisational env...Continue Reading

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