Problem-solving treatment in general practice residency: a focus group study of registrars' views.

Abstract

OBJECTIVE: General practitioner (GP) registrars often express the need for more expertise of non-pharmacological treatments for patients with mental health problems. Problem-solving treatment (PST) could be an attractive option. We aimed to explore GP registrars' views on PST-training during residency and on the actual use of PST in general practice. METHODS: We performed a qualitative study with four focus groups, interviewing 18 Dutch registrars who had been trained in PST during residency. Data were analysed according to the principles of constant comparative analysis. RESULTS: Registrars thought that PST-training during residency was feasible, interesting and helpful, but found that it took too much time in everyday practice and was not a GP's task. All registrars, however, said they would use specific elements in a variety of consultations, for instance concretising problems, brainstorming about practical solutions, and activating patients. CONCLUSION: Registrars regarded PST-training during residency feasible and helpful. In daily practice they would apply specific elements of the treatment. PRACTICE IMPLICATIONS: We recommend residency programmes to offer training in PST or another psychological treatment with comparable elements. Training should fit in with the registrars' needs and level of training and experience.