Experiences and career intentions of general practice registrars from the Netherlands

For some years prospective general practitioners (GPs) from the Netherlands have come to Britain to complete their training. Not all report enjoying t heir time here, and many leave this country after training. The aim of this study was to examine reasons for coming to Britain, experiences, perceptio ns and career intentions. The sample consisted of 14 general practice regis trars working in their practice year in Southern England. Data were collect ed through in-depth semistructured interviews and analysed by thematic qual itative analysis. The main reasons for training in this country were easier access, a quicker route to specialization and the quality of training prov ided. Most had positive professional and personal experiences and saw the B ritish system of training GPs as up to date and supportive of their educati onal and professional needs. They highlighted some of the positive aspects of the British system, such as the emphasis on teamwork and collaboration w ith other primary care professionals. They did, however, point out problems and conflicts; for instance, they saw the hearth care system in Britain as more bureaucratic and as providing unequal access for different groups of the population. Despite their fear of litigation, which they saw as one of the drawbacks for British general practitioners, most looked favourably on the option of staying in or returning to this country if possible. All regi strars valued their stay in Britain; however, personal circumstances often dictated a return to Holland. Our findings have implications for manpower p lanning and recruitment for general practice in both Britain and Holland.