Producing a general practice workforce

Background: Medical workforce problems still dominate headlines despite considerable investment in education, training and other initiatives. There is little consensus about what Australia's general practice workforce should look like or what training outcomes should be reported. Objective: The aim of this paper was to explore a number of issues relevant to outcomes of workforce programs and offer suggestions for identifying and overcoming these issues. Discussion: Social accountability literature highlights the importance of outcomes focusing on community needs. We suggest that evaluations should 'count what counts' and be careful what is counted. Numbers are only part of the story; not everything that counts is counted, and synergies and cooperation are key. Australia has many general practice workforce programs that are generally heading in the right direction. We believe that closer attention to appropriate outcome measures is important if we are to maximise return on investment and get the best outcomes for the community.

[1]  D. Carson,et al.  Where to next for rural general practice policy and research in Australia? , 2017, The Medical journal of Australia.

[2]  J. Karnon,et al.  Improving the planning of the GP workforce in Australia: a simulation model incorporating work transitions, health need and service usage , 2016, Human Resources for Health.

[3]  I. Couper,et al.  Education for rural practice in rural practice , 2016, Education for primary care : an official publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors.

[4]  Judi Walker,et al.  Outcomes of Australian rural clinical schools: a decade of success building the rural medical workforce through the education and training continuum. , 2015, Rural and remote health.

[5]  S. Kitchener Reporting rural workforce outcomes of rural‐based postgraduate vocational training , 2015, The Medical journal of Australia.

[6]  R. Hays,et al.  Positive impacts on rural and regional workforce from the first seven cohorts of James Cook University medical graduates. , 2014, Rural and remote health.

[7]  G. Riley,et al.  Impact of the Rural Clinical School of Western Australia on work location of medical graduates , 2014, The Medical journal of Australia.

[8]  G. Luscombe,et al.  Medical graduates becoming rural doctors: rural background versus extended rural placement , 2013, The Medical journal of Australia.

[9]  T. Gupta,et al.  The Queensland Health Rural Generalist Pathway: providing a medical workforce for the bush , 2013 .

[10]  A. Neusy,et al.  Measuring social accountability in health professional education: Development and international pilot testing of an evaluation framework , 2013, Medical teacher.

[11]  D. Campbell,et al.  Regionalisation of general practice training — are we meeting the needs of rural Australia? , 2011, The Medical journal of Australia.

[12]  C. Joyce,et al.  Nature of association between rural background and practice location: A comparison of general practitioners and specialists , 2011, BMC health services research.

[13]  R. Hays Rural initiatives at the James Cook University School of Medicine: a vertically integrated regional/rural/remote medical education provider. , 2001, The Australian journal of rural health.

[14]  M. Kamien The social accountability of medical schools , 1996 .