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A Framework to Guide the Implementation of Best Practice Clinical Learning Environments in Community General Practice: Australia

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journal contribution
posted on 2021-05-07, 00:26 authored by B O’sullivan, Helen HicksonHelen Hickson, R Kippen, D Cohen, P Cohen, G Wallace
Clinical education/training is increasingly being expanded to community general practice settings (primary care clinics led by doctors). This plays an important role in developing a skilled “primary-care ready” workforce. However, there is limited information to guide the implementation of high-quality learning environments suitable for the range of general practices and clinical learners they oversee. We aimed to develop a consensus-based framework to address this. A co-design participatory action research method involved working with stakeholders to agree a project plan, collect and interpret data and endorse a final framework. As a starting point, an initial draft framework was adapted from an existing framework, the Best Practice Clinical Learning Environment (BPCLE) Framework. We gathered feedback about this from a national GP Supervisor Liaison Officer Network (SLON) (experienced GP clinical supervisors) during a 90-minute face-to-face focus group. They rated their agreement with the relevance of objectives and elements, advising on clear terminology and rationale for including/excluding various components. The resulting framework was refined and re-tested with the SLON and wider GP educational stakeholders until a final graphically designed version was endorsed. The resulting “GP Clinical Learning Environment” (GPCLE) Framework is applicable for planning and benchmarking best practice learning environments in general practice.


This study was funded by the Australian Government Department of Health under the Australian General Practice Training Program, via the General Practice Supervisors Australia, which the department funds to support and research registrar supervision as part of delivering high-quality general practice training.


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International Journal of Environmental Research and Public Health





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