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General practice is “different”: a qualitative study of adaptation experiences of East Staffordshire general practice speciality trainees

“…The participant experiences in this study illustrate how they were neither fully inside nor fully outside the hospital CoP [18], and what strategies were used in negotiating the process of moving from the periphery to the centre as described in Lave and Wenger's 'legitimate peripheral participation' [30]. Many GPSTs felt isolated and devalued in the hospital setting [13,[20][21][22]. Lack of a sense of belonging affected training and practice, which could impact on patient care.…”

“…Having invested in the discipline of general practice; GPSTs spend nearly half of their training in hospital-based settings where GPST learning needs are sometimes viewed as of secondary importance to core medical training [19][20][21][22]. Little is known about how trainees adapt and move forward with their training in this context.…”