The inverse teaching law: Does general practice training propagate the inverse care law?

Research output: Contribution to conferencePosterpeer-review

Abstract

Background
All-cause mortality rates are higher in more deprived areas, as are COVID-19 mortality rates. Part of the solution is to increase access and availability to healthcare in underserved and deprived areas, which should include recruitment and placement of junior medical staff in underserved and deprived areas as we know doctors' career choices are influenced by prior experience in a specific working environment.

Question
Are current GP trainees being deprived of experience in high need areas?

Methods
A quantitative study of General Practices across NI involved in postgraduate GP training, using the GMC Programme and Site Approval list, comparing practice lists by deprivation indices, using the Northern Ireland Statistics Research Agency data. A ‘General Practice with blanket deprivation’ was defined as having over half of the registered patient list living in the most deprived quintile.

Results
169 (52%) General Practices in NI were registered on the GMC list as approved postgraduate training practices. 50% of NI’s ‘General Practices with blanket deprivation’ were registered as postgraduate GP training Practices, and 45.5% of practices without blanket deprivation.

Discussion
Practices with blanket deprivation were proportionately represented in NI. Exposure to General Practice in deprived areas is an essential step to improving future workforce recruitment and to closing the health inequality gap. This study is limited to NI, does not consider Practices with pocket deprivation, does not include data on how many training posts are currently being taken up and further work is required to compare institutions across the UK and Ireland.

Conference

ConferenceRoyal College of General Practitioners (RCGP) Annual conference in conjunction with World Family Doctors Caring for People (WONCA) Europe 2022
Abbreviated titleRCGP & WONCA 2022
Country/TerritoryUnited Kingdom
CityLondon
Period29/06/202201/07/2022
Internet address

Keywords

  • medical education
  • Deprivation, Socially perceived necessities, Poverty, Social exclusion, Sort Card, CAPI, Mode of administration.
  • Inverse care law

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