The experiences of DMS trained GPs and direct entrants in their first 5 years post CCT: a qualitative analysis

Jodie Blackadder-Weinstein; Michael Smith

doi:10.3399/bjgp19X702749

Abstract

Background In developing the Ministry of Defence (MoD) First5 network, a database of all Tri-Service doctors in their First5 years post receiving their certificate of completion of training (CCT). However, on building the database, up to 23% of doctors, trained by the MoD were no longer regular service military personal within 5 years of completing their GP training.

Aim To explore the experience of Defence Medical Services (DMS) trained GPs and direct entrants in in their First5 years post CCT.

Method An invitation was extended to all GPs currently in the DMS and all those that trained in the Defence Deanery, who gained their CCT between 2011 and 2018. An initial focus group of was conducted, the themes then contributed to the semi-structured interview questions.

Results Five themes were identified from the focus groups and interviews: Is the apprenticeship model dead? What is my role again? ‘I just don’t think they got the best care they could’ve’. The importance of autonomy and innovation. Should I stay or should I go now?

Conclusion DMS should work to establish an environment in which all military First5s have autonomy over their practice; the ability innovate; and a forum in which they can share. This must go hand-in-hand with newly qualified military GPs being supported in their management and administrative learning, while being mentored by an engaged colleague to help understand ‘what’s next’ in their portfolio career.

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The experiences of DMS trained GPs and direct entrants in their first 5 years post CCT: a qualitative analysis

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