Evaluating GP trainees’ feedback : a mixed-methods analysis of family medicine placements in Malta’s 2023 Specialist Training Programme

Abstract

BACKGROUND: The Specialist Training Programme in Family Medicine (STPFM) was established in Malta in 2007 to provide structured and rigorous training for General Practitioners (GPs). It focuses on clinical rotations in diverse settings, fostering skills in patient-centered care, diagnosis and preventive strategies. Trainee evaluations are critical for assessing and enhancing the programme’s effectiveness.

OBJECTIVES: This study aimed to analyze GP trainees’ evaluations of their Family Medicine placements in 2023. The objectives were to assess satisfaction levels, identify challenges, and propose enhancements to improve the training experience.

METHOD: A descriptive, cross-sectional, retrospective study was conducted using mandatory evaluation forms completed by GP trainees after their Family Medicine placements. Quantitative data were analyzed using satisfaction ratings, while qualitative data underwent item-content analysis to explore key themes and suggestions. Ethical considerations were met, with approval from relevant authorities.

RESULTS: All 65 eligible GP trainees (100% response rate) participated, providing high satisfaction scores (76.1% - 92%). Teaching by trainers received the highest satisfaction (91.5%), while audit/ performance review had the lowest (76.1%). Public sector trainers were rated higher in emergency care and minor surgery, while private sector trainers excelled in chronic disease management and practice management. Qualitative feedback highlighted the need for more hands-on training, structured interaction with trainers, and balanced scheduling.

CONCLUSION: The study revealed generally high trainee satisfaction with Family Medicine placements, underscoring strengths such as effective teaching and a supportive learning environment. Key recommendations include enhancing schedule flexibility, implementing constructive feedback mechanisms, increasing practical skills training, and fostering collaborative learning through peer discussions and home visit opportunities. These insights aim to refine and strengthen the STPFM, ensuring it continues to meet the evolving needs of trainees and healthcare systems.