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Research

International graduates’ experiences of reflection in postgraduate training: a cross-sectional survey

Laura Emery, Ben Jackson, Phillip Oliver and Caroline Mitchell
BJGP Open 2022; 6 (2): BJGPO.2021.0224. DOI: https://doi.org/10.3399/BJGPO.2021.0224
Laura Emery
1 Academic Unit of Primary Care, The University of Sheffield, Sheffield, UK
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  • For correspondence: l.j.emery@sheffield.ac.uk
Ben Jackson
1 Academic Unit of Primary Care, The University of Sheffield, Sheffield, UK
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Phillip Oliver
1 Academic Unit of Primary Care, The University of Sheffield, Sheffield, UK
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Caroline Mitchell
1 Academic Unit of Primary Care, The University of Sheffield, Sheffield, UK
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    Figure 1. Response rates per UK regional primary care school.
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    Figure 2. Training in reflection by UK region in which GP training undertaken.

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    Table 1. Demographics of questionnaire participants comparisons with GMC data.
    Number of participantsPercentage of participantsNumberGMC dataPercentageGMC data
    Sexa
    Female25953.4%191156.0%
    Male22245.8%150244.0%
    Total4813413
    Age
    25–29449.1%2035.9%
    30–3419540.4%116434.1%
    35–3914429.4%101929.9%
    40+10221.1%102630.1%
    Total4853412
    Subregion PMQ
    Africa17335.7%116234.0%
    Europe and Oceania7214.8%52115.3%
     EAA Europe5912.2%40211.8%
     Non-EAA Europe112.3%1173.4%
     Oceania20.4%20.1%
    Middle East4910.1%2637.7%
    Rest of the World357.2%2076.1%
     Rest of Asia224.5%1303.8%
     South/ Central/ Latin America and Caribbean132.7%772.3%
    South Asia15632.2%126036.9%
    Total4853413
    • EAA = European Economic Area. GMC = General Medical Council. PMQ = primary medical qualification.

    • a’Prefer not to say’, n = 4.

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    Table 2. Survey responses crosstabs analysis with subregion of PMQ.
    AfricaEurope and OceaniaMiddle EastRest of the worldSouth AsiaTotalP value
    I experienced reflection as an undergraduate…
    Agree25 (14.5%)17 (23.6%)4 (8.2%)13 (37.1%)39 (25.0%)98 (20.2%)<0.001
    Disagree118 (68.2%)51 (70.8%)37 (75.5%)18 (51.4%)82 (52.6%)306 (63.1%)
    Unsure30 (17.3%)4 (5.6%)8 (16.3%)4 (11.4%)35 (22.4%)81 (16.7%)
    Total173724935156485
    The best support and advice I have received in reflection is from…
    I do not feel supported15 (8.7%)10 (13.9%)8 (16.3%)6 (17.1%)16 (10.3%)55 (11.4%)0.007
    Supervisors(CS/ES/TPD)86 (49.7%)45 (62.5%)26 (53.1%)19 (54.3%)106 (68.4%)282 (58.3%)
    Friends/peers63 (36.4%)14 (19.4%)15 (30.6%)7 (20.0%)30 (19.4%)129 (26.7%)
    Other (Self directed/online)9 (5.2%)3 (4.2%)03 (8.6%)3 (1.9%)18 (3.7%)
    Total173724935155484
    Reflection as I have experienced it in UK GP training is beneficial…
    Agree141 (95.3%)43 (74.1%)28 (73.7%)22 (88.0%)104 (89.7%)338 (87.8%)<0.001
    Disagree7 (4.7%)15 (25.9%)10 (26.3%)3 (12%)12 (10.3%)47 (12.2%)
    Total148583825116385
    • CS/ES/TPD = clinical supervisors, educational supervisors, and training programme directors. PMQ = primary medical qualification.

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International graduates’ experiences of reflection in postgraduate training: a cross-sectional survey
Laura Emery, Ben Jackson, Phillip Oliver, Caroline Mitchell
BJGP Open 2022; 6 (2): BJGPO.2021.0224. DOI: 10.3399/BJGPO.2021.0224

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International graduates’ experiences of reflection in postgraduate training: a cross-sectional survey
Laura Emery, Ben Jackson, Phillip Oliver, Caroline Mitchell
BJGP Open 2022; 6 (2): BJGPO.2021.0224. DOI: 10.3399/BJGPO.2021.0224
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Keywords

  • reflection
  • postgraduate education
  • international graduates
  • general practice
  • Primary healthcare
  • medical schools

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