Ayesha Ehsan, Fatima Ehsan, Hamad Hanif
Infection control practices in public sector hospitals of Punjab: a critical analysis
BMJ open quality
background generalist approaches help address several challenges facing todays primary care however gps report insufficient support deliver advanced generalist medicine agm daily practice struggling within healthcare system imposes strict adherence singledisease focused guidelines aim aimed examine professional educational experiences newly qualified gps attending course agm understand redesign primary care systems support generalist work design setting qualitative study focusing agm uk general practice england conducted context research evaluation online career development programme agm method conducted 36 interviews 6 focus groups newly qualified gps attending online career development programme agm analysed data using framework analysis results three tensions experienced participants identified tension realistic idealistic practice tension different decisionmaking paradigms tension formation gps professional identities due grey areas practice deeply rooted primary care systems namely areas work adequately addressed current education service design conclusions findings implications tackling general practice workforce crisis highlighting solutions targeting individual problems suffice making visible grey areas everyday general practice describe changes needed target tensions described gps study ultimately enable enhance make visible complex work generalist medicine