Vocational training in family medicine: A qualitative study of perspectives of trainers in community-based training

Abstract

Objective: To investigate how trainers perceived the vocational training programme in family medicine in Hong Kong. Design: Structured discussion with trainers who had trainees in the community-based segment of the vocational training programme of the Hong Kong College of Family Physicians. Subjects: Forty seven eligible trainers were identified and invited to attend the discussion. Thirteen trainers participated in two structured discussions. Main outcome measures: The opinions expressed by the participants towards the vocational training programme. Results: The response rate was 27.7%. The trainers were clear about their roles but saw an overlap between their functions and those of the trainees' supervisors. They were unsure on what to teach and how to teach, and looked for guidance from the Hong Kong College of Family Physicians. They felt that there should be more varied training methods, more resources at training centres, better training arrangements and more coordination among training stakeholders. Some trainers experienced difficulties with their trainees. All trainers saw the benefit of an annual trainers workshop. Conclusion: It is recommended that the College provides better organisation for and training of trainers. A trainers co-ordinator, a trainers handbook and an annual trainers workshop are some suggestions.