{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T13:04:07Z","timestamp":1771247047716,"version":"3.50.1"},"reference-count":54,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T00:00:00Z","timestamp":1762214400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T00:00:00Z","timestamp":1762214400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001234","name":"Royal Australian College of General Practitioners","doi-asserted-by":"publisher","award":["ERG2022\u201001"],"award-info":[{"award-number":["ERG2022\u201001"]}],"id":[{"id":"10.13039\/501100001234","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["asmepublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Education"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Used sparingly before 2020, telehealth was quickly adopted throughout Australia in response to COVID\u201019. This required general practitioner (GP) trainees (registrars) and their educators (supervisors and medical educators) to rapidly learn telehealth as a primary consultation method. As telehealth use continues within primary health care beyond the pandemic, greater insight into the impact on GP training is required. This is particularly relevant to general practice settings in countries that, like Australia, utilise an apprenticeship\u2010style training model where the social space of in\u2010consultation learning with supervisors is key to registrars achieving competence. We aimed to explore the impact of telehealth uptake on Australian GP vocational training, with particular focus on the in\u2010consultation social space of registrars' learning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>Qualitative semi\u2010structured individual interviews with 15 registrars, five supervisors and five medical educators were conducted and analyzed using reflexive thematic analysis. Wenger's community of practice theory provided a conceptual framework for analysis and interpretation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Three key themes were generated. (1) The social space of learning can be disrupted by telehealth. Registrars described how telehealth changed the options for help\u2010seeking during consultations, delaying feedback for learning. Medical educators reported concerns about the delay of what should be immediate feedback for learning during consultations, whereas registrars and supervisors held mixed views on whether such delays impacted registrar learning. (2) Reduced in\u2010person clinical exposure creates educational challenges. Telehealth consultations resulted in a loss of experiences and skill\u2010development opportunities and reduced diversity of clinical practice. (3) Registrars and educators were managing and learning telehealth within a pandemic context. A lack of formal telehealth training to guide best practice required registrars and educators to learn how to utilise telehealth together.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The rapid uptake of telehealth altered the in\u2010practice social space of registrars' learning. As telehealth use continues, these findings highlight the need for telehealth\u2010specific training to maximise registrar learning during consultations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/medu.70061","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T05:35:45Z","timestamp":1762320945000},"page":"143-155","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Does telehealth disrupt the trainee\u2013supervisor learning environment in vocational general practice training? A qualitative study"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3586-4514","authenticated-orcid":false,"given":"Irena","family":"Patsan","sequence":"first","affiliation":[{"name":"College of Health, Medicine and Wellbeing, School of Medicine and Public Health University of Newcastle  Callaghan NSW Australia"},{"name":"GP Training Research The Royal Australian College of General Practitioners (RACGP)  Mayfield West NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8071-8749","authenticated-orcid":false,"given":"Parker","family":"Magin","sequence":"additional","affiliation":[{"name":"College of Health, Medicine and Wellbeing, School of Medicine and Public Health University of Newcastle  Callaghan NSW Australia"},{"name":"GP Training Research The Royal Australian College of General Practitioners (RACGP)  Mayfield West NSW Australia"},{"name":"School of Population Health, Faculty of Medicine University of New South Wales  Kensington NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4865-4823","authenticated-orcid":false,"given":"Penelope","family":"Abbott","sequence":"additional","affiliation":[{"name":"School of Medicine Western Sydney University  Campbelltown NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1920-7266","authenticated-orcid":false,"given":"Jordan","family":"Tait","sequence":"additional","affiliation":[{"name":"GP Training Research The Royal Australian College of General Practitioners (RACGP)  Mayfield West NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2256-2624","authenticated-orcid":false,"given":"Katie","family":"Fisher","sequence":"additional","affiliation":[{"name":"College of Health, Medicine and Wellbeing, School of Medicine and Public Health University of Newcastle  Callaghan NSW Australia"},{"name":"GP Training Research The Royal Australian College of General Practitioners (RACGP)  Mayfield West NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5884-3068","authenticated-orcid":false,"given":"Alison","family":"Fielding","sequence":"additional","affiliation":[{"name":"College of Health, Medicine and Wellbeing, School of Medicine and Public Health University of Newcastle  Callaghan NSW Australia"},{"name":"GP Training Research The Royal Australian College of General Practitioners (RACGP)  Mayfield West NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7547-779X","authenticated-orcid":false,"given":"Andrew","family":"Davey","sequence":"additional","affiliation":[{"name":"College of Health, Medicine and Wellbeing, School of Medicine and Public Health University of Newcastle  Callaghan NSW Australia"},{"name":"GP Training Research The Royal Australian College of General Practitioners (RACGP)  Mayfield West NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2063-1518","authenticated-orcid":false,"given":"Linda","family":"Klein","sequence":"additional","affiliation":[{"name":"College of Health, Medicine and Wellbeing, School of Medicine and Public Health University of Newcastle  Callaghan NSW Australia"},{"name":"GP Training Research The Royal Australian College of General Practitioners (RACGP)  Mayfield West NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,4]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Telehealth","author":"Australian Government Department of Health","year":"2022"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.13150"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH20183"},{"key":"e_1_2_12_5_1","unstructured":"Australian Government Department of Health.COVID\u201019 Temporary MBS Telehealth Services. Canberra: MBS Online.2021. 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Handbook of Qualitative Research Thousand Oaks","author":"Schwandt T","year":"1994"},{"key":"e_1_2_12_29_1","volume-title":"Australian General Practice Training Program: National Report on the 2020 National Registrar Survey","author":"Taylor R","year":"2021"},{"key":"e_1_2_12_30_1","unstructured":"Australian Government Department of Health.Modified Monash model (MMM).2023[cited 2023]. Available from:https:\/\/www.health.gov.au\/sites\/default\/files\/documents\/2019\/12\/modified\u2010monash\u2010model\u2010mmm\u2010suburb\u2010and\u2010locality\u2010classification\u2010home\u2010care\u2010subsidy\u2010modified\u2010monash\u2010model\u2010suburb\u2010and\u2010locality\u2010classification\u2010home\u2010care\u2010subsidy_0.pdf"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1704846"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X05279903"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692163241234800"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1080\/14780887.2020.1769238"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/160940690600500304"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/23265507.2017.1300068"},{"issue":"12","key":"e_1_2_12_37_1","first-page":"926","article-title":"Perceptions of ad hoc supervision encounters in general practice training: a qualitative interview\u2010based study","volume":"44","author":"Morrison J","year":"2015","journal-title":"Aust Fam Physician"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010020\u201002280\u20105"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1983.03340060055026"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.31128\/AJGP\u201011\u201021\u20106229"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0280733"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12961-021-00812-z"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102020\u2010046857"},{"issue":"8","key":"e_1_2_12_44_1","article-title":"Revolution in UK general practice due to COVID\u201019 pandemic: a cross\u2010sectional survey","volume":"12","author":"Sharma SC","year":"2020","journal-title":"Cureus"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1080\/14739879.2020.1806736"},{"key":"e_1_2_12_46_1","volume-title":"Telehealth Data From the Registrar Clinical Encounters in Training (ReCEnT) Project","author":"Tapley A","year":"2025"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X16632968"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.50762"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010021\u201002719\u20103"},{"key":"e_1_2_12_50_1","unstructured":"The Royal Australian College of General Practitioners.Guide to providing telephone and video consultations in general practice.2021. 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