Parity at last: a new funding model for undergraduate primary care education in England

Rosenthal, Joe; Darnton, Richard; Harding, Alex

doi:10.3399/bjgp22x719525

Cited by 3 publications

(7 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although these arrangements, were introduced to address underfunding, it is possible that this problem may have been less acute in the region studied, compared to other regions. However, with UK inflation predicted to reach 15% by 2023 15 underfunding could quickly become an issue again, given the exposure of undergraduate GP teaching to market cost-pressures (such as locum fees or overnight student accommodation) 14 Out thematic analysis confirms the findings of other studies that enjoyment was the main motivator for clinician involvement in teaching 16 -and one which can be reduced by perceived negative student attitudes 17 . While only 17/114 practices in our study judged student attitudinal issues to be one of their top four challenges to delivering placements, our data did contain at least one example of this causing clinicians to withdraw from teaching.…”

Section: Comparison With Existing Literaturesupporting

confidence: 66%

“…However, this result is probably not generalisable owing to the considerable regional variation in funding that existed in England before the introduction of national funding arrangements in September 2022. 15 Although these arrangements were introduced to address underfunding, it is possible that this problem may have been less acute in the region studied compared with other regions. However, with UK inflation predicted to reach 15% by 2023, 16 underfunding could quickly become an issue again, given the exposure of undergraduate GP teaching to market cost pressures (such as locum fees or overnight student accommodation).…”

Section: Discussionmentioning

confidence: 99%

“…At first sight this result may appear to contradict the considerable body of evidence concerning the relative underfunding of medical student teaching in primary care 1,13 . However, this result is probably not generalisable due to the considerable regional variation in funding that existed in England prior to the introduction of national funding arrangements in September 2022 14 . Although these arrangements, were introduced to address underfunding, it is possible that this problem may have been less acute in the region studied, compared to other regions.…”

Section: Comparison With Existing Literaturementioning

confidence: 90%

“…Relative underfunding of medical student teaching in primary care has recently been addressed in England 14 . Clinical workload and lack of space now appear to be by far the biggest threats to the future of medical student teaching capacity in primary care.…”

Section: Implications For Research and Practicementioning

confidence: 99%

See 3 more Smart Citations

The nature and prevalence of threats to medical student placement capacity in primary care: a survey of East of England GP practices

2022

Self Cite

View full text Add to dashboard Cite

BackgroundGP practices deliver vital medical student teaching in the face of increasingly challenging circumstancesAimTo understand the nature and scale of threats to medical student teaching capacity in primary careDesign & settingAn electronic survey of a pre-defined population of 120 East of England GP practices who host medical student placements.MethodThe survey was completed on behalf of the practice by the GP lead for medical student teaching. They were asked to pick (from a list of sixteen) the four main challenges they faced delivering medical student teaching placements, then explain their selection and suggest solutions. Thematic analysis of free text responses was undertaken from an activity theory perspective.ResultsResponses were received from 114 of the 120 practices in the study population (95% response rate). After clinical/practice workload (picked by 92 practices), lack of space in the practice was by far the most commonly selected challenge to delivering placements (picked by 63 practices). Thematic analysis produced a model whereby a practice’s decision to continue hosting students was influenced by level of motivation and burden of teaching, but only if a certain level of resource enablement is present. Analysis of free text responses suggested that space pressures were perceived as being exacerbated by the need to accommodate more clinicians – especially advanced practitioners employed by primary care networks under the additional roles reimbursement scheme (ARRS).ConclusionThis study provides much needed quantitative evidence to support the view that lack of space in GP premises is a major threat to the future of undergraduate general practice.

show abstract

Section: Comparison With Existing Literaturesupporting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Comparison With Existing Literaturementioning

confidence: 90%

Section: Implications For Research and Practicementioning

confidence: 99%

See 2 more Smart Citations

The nature and prevalence of threats to medical student placement capacity in primary care: a survey of East of England GP practices

2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…British Journal of General Practice, July 2022 317 description of the severity of chills. 1 The association between shivering and bacteraemia is proven more convincingly by showing that the relative risk increased in more severe categories of chills. However, our data showed no relation between rigors and the outcome sepsis.…”

mentioning

confidence: 99%