Adolescent health

March 2011

Research

PORRIGE

A cohort study of general practice registrars

Volume 40, No.3, March 2011 Pages 138-141

Mark Nelson

Julie Bunyard

Stephen Quinn

Danielle Williams

Background

Current general practitioner shortages need to be addressed, especially in areas of need. This study was designed to investigate which registrar characteristics were associated with retention in the field of general practice (and in the region of training).

Methods

The authors performed a retrospective cohort study of people who entered general practice training in Tasmania from 1995–2005, and included a crosssectional survey conducted between November 2008 and April 2009 that assessed the association between baseline characteristics and current field of practice and practice location.

Results

Fifty-four percent of the cohort was working in general practice in Tasmania at the time of the survey. General practice registrars were more likely to be a GP working in Tasmania if they were nonmedically partnered (OR 14.42, p=0.001). They were also more likely to be living in Tasmania if they were older (OR 1.47, p=0.029) or nonmedically partnered (OR 23.4, p=0.014).

Discussion

Regional training providers may best be able to serve their training region by addressing the specific needs of the general practice registrar family unit.

Current Australian general practice workforce shortages need to be addressed. Recent increases in medical undergraduate numbers appear to taking a significant step toward addressing this problem in the medium to long term.1 A significant proportion of these new cohorts will need to be interested and enrolled in general practice postgraduate training programs. Retention in both the profession and practice is essential to provide the clinical services demanded by the community where the regional training is located.

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Correspondence afp@racgp.org.au

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