Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

Usefulness of a virtual community of practice and Web 2.0 tools for general practice training: experiences and expectations of general practitioner registrars and supervisors

Stephen Barnett A E , Sandra C. Jones B , Sue Bennett C , Don Iverson D and Andrew Bonney A
+ Author Affiliations
- Author Affiliations

A Graduate School of Medicine, University of Wollongong, Wollongong, NSW 2522, Australia.

B Centre for Health Initiatives, University of Wollongong, Wollongong, NSW 2533, Australia.

C Faculty of Education, University of Wollongong, Wollongong, NSW 2522, Australia.

D Health and Behavioural Sciences, University of Wollongong, Wollongong, NSW 2522, Australia.

E Corresponding author. Email: sbarnett@uow.edu.au

Australian Journal of Primary Health 19(4) 292-296 https://doi.org/10.1071/PY13024
Submitted: 27 February 2013  Accepted: 9 June 2013   Published: 4 July 2013

Abstract

General practice training is a community of practice in which novices and experts share knowledge. However, there are barriers to knowledge sharing for general practioner (GP) registrars, including geographic and workplace isolation. Virtual communities of practice (VCoP) can be effective in overcoming these barriers using social media tools. The present study examined the perceived usefulness, features and barriers to implementing a VCoP for GP training. Following a survey study of GP registrars and supervisors on VCoP feasibility, a qualitative telephone interview study was undertaken within a regional training provider. Participants with the highest Internet usage in the survey study were selected. Two researchers worked independently conducting thematic analysis using manual coding of transcriptions, later discussing themes until agreement was reached. Seven GP registrars and three GP supervisors participated in the study (average age 38.2 years). Themes emerged regarding professional isolation, potential of social media tools to provide peer support and improve knowledge sharing, and barriers to usage, including time, access and skills. Frequent Internet-using GP registrars and supervisors perceive a VCoP for GP training as a useful tool to overcome professional isolation through improved knowledge sharing. Given that professional isolation can lead to decreased rural work and reduced hours, a successful VCoP may have a positive outcome on the rural medical workforce.

Additional keywords: family physician, general practice.


References

Barnett S, Jones SC, Bennett S, Iverson D, Bonney A (2012) General practice training and virtual communities of practice: a review of the literature. BMC Family Practice 13, 87
General practice training and virtual communities of practice: a review of the literature.CrossRef | 22905827PubMed |

Barnett S, Jones SC, Bennett S, Iverson D, Bonney A (2013) Perceptions of family physician trainees and trainers regarding the usefulness of a virtual community of practice. Journal of Medical Internet Research 15, e92
Perceptions of family physician trainees and trainers regarding the usefulness of a virtual community of practice.CrossRef | 23666237PubMed |

Campbell DG, Greacen JH, Giddings PH, Skinner LP (2011) Regionalisation of general practice training: are we meeting the needs of rural Australia? Medical Journal of Australia 194, S71

Cooper CD, Kurland NB (2002) Telecommuting, professional isolation, and employee development in public and private organizations. Journal of Organizational Behavior 23, 511–532.
Telecommuting, professional isolation, and employee development in public and private organizations.CrossRef |

Curran JA, Murphy AL, Abidi SS, Sinclair D, McGrath PJ (2009) Bridging the gap: knowledge seeking and sharing in a virtual community of emergency practice. Evaluation & the Health Professions 32, 314–327.
Bridging the gap: knowledge seeking and sharing in a virtual community of emergency practice.CrossRef |

David I, Poissant L, Rochette A (2012) Clinicians’ expectations of Web 2.0 as a mechanism for knowledge transfer of stroke best practices. Journal of Medical Internet Research 14, e121
Clinicians’ expectations of Web 2.0 as a mechanism for knowledge transfer of stroke best practices.CrossRef | 1:STN:280:DC%2BC38fkslCjsw%3D%3D&md5=5db78ba5e23f6f1dde16e376c5ecf11aCAS | 23195753PubMed |

Davis F, Bagozzi R, Warshaw P (1989) User acceptance of computer technology: a comparison of two theoretical models. Management Science 35, 982–1003.
User acceptance of computer technology: a comparison of two theoretical models.CrossRef |

Larkins SL, Spillman M, Vanlint JW, Hays RB (2003) Stress, personal and educational problems in vocational training. A prospective, interventional cohort study. Australian Family Physician 32, 473–475.

Larkins SL, Spillman M, Parison J, Hays RB, Vanlint J, Veitch C (2004) Isolation, flexibility and change in vocational training for general practice: personal and educational problems experienced by general practice registrars in Australia. Family Practice 21, 559–566.
Isolation, flexibility and change in vocational training for general practice: personal and educational problems experienced by general practice registrars in Australia.CrossRef | 15367479PubMed |

Lave J, Wenger E (1991) ‘Situated learning: legitimate peripheral participation.’ (Cambridge University Press: Cambridge, UK)

McGowan BS, Wasko M, Vartabedian BS, Miller RS, Freiherr DD, Abdolrasulnia M (2012) Understanding the factors that influence the adoption and meaningful use of social media by physicians to share medical information. Journal of Medical Internet Research 14, e117
Understanding the factors that influence the adoption and meaningful use of social media by physicians to share medical information.CrossRef | 23006336PubMed |

Moore T, Sutton K, Maybery D (2010) Rural mental health workforce difficulties a management perspective. Rural and Remote Health 10, 1519

Paton C, Bamidis PD, Eysenbach G, Hansen M, Cabrer M (2011) Experience in the use of social media in medical and health education. Contribution of the IMIA Social Media Working Group. Yearbook of Medical Informatics 6, 21–29.

Poissant L, Ahmed S, Riopelle RJ, Rochette A, Lefebvre H, Radcliffe-Branch D (2010) Synergizing expectation and execution for stroke communities of practice innovations. Implementation Science 5, 44
Synergizing expectation and execution for stroke communities of practice innovations.CrossRef | 20529305PubMed |

Probst G, Borzillo S (2008) Why communities of practice succeed and why they fail. European Management Journal 26, 335–347.
Why communities of practice succeed and why they fail.CrossRef |

Stewart SA, Abidi SS (2012) Applying social network analysis to understand the knowledge sharing behaviour of practitioners in a clinical online discussion forum. Journal of Medical Internet Research 14, e170
Applying social network analysis to understand the knowledge sharing behaviour of practitioners in a clinical online discussion forum.CrossRef | 23211783PubMed |

Straume K, Sondena MS, Prydz P (2010) Postgraduate training at the ends of the Earth: a way to retain physicians? Rural and Remote Health 10, 1356

Thomson JS, Anderson KJ, Mara PR, Stevenson AD (2011) Supervision: growing and building a sustainable general practice supervisor system. Medical Journal of Australia 194, S101–S104.

Valaitis RK, Akhtar-Danesh N, Brooks F, Binks S, Semogas D (2011) Online communities of practice as a communication resource for community health nurses working with homeless persons. Journal of Advanced Nursing 67, 1273–1284.
Online communities of practice as a communication resource for community health nurses working with homeless persons.CrossRef | 21306424PubMed |

Weiss RS (1973) ‘Loneliness: the experience of emotional and social isolation.’ (The MIT Press: Cambridge, MA)

Wenger E (1998) ‘Communities of practice: learning, meaning and identity.’ (Cambridge University Press: Cambridge, UK)

Wenger E (2000) Communities of practice and social learning systems. Organization 7, 225–246.
Communities of practice and social learning systems.CrossRef |

Williams ES, Konrad TR, Scheckler WE, Pathman DE, Linzer M, McMurray JE, Gerrity M, Schwartz M (2001) Understanding physicians’ intentions to withdraw from practice: the role of job satisfaction, job stress, mental and physical health. Health Care Management Review 26, 7–19.
Understanding physicians’ intentions to withdraw from practice: the role of job satisfaction, job stress, mental and physical health.CrossRef | 1:STN:280:DC%2BD3M3ksFSgsg%3D%3D&md5=b4785f7873e43a845a3bb11e6c86a38cCAS | 11233355PubMed |



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