{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T13:03:28Z","timestamp":1775653408373,"version":"3.50.1"},"reference-count":0,"publisher":"Royal College of General Practitioners","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJGP Open"],"accepted":{"date-parts":[[2026,3,24]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Musculoskeletal (MSK) conditions represent a substantial burden in primary care, accounting for one-third of disability-adjusted life years and approximately one in seven GP consultations. Despite this prevalence, concerns persist regarding GP trainee confidence and training adequacy in MSK medicine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the confidence, experience, and training preferences of Northern Ireland GP specialty trainees in musculoskeletal medicine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design &amp; setting<\/jats:title>\n                    <jats:p>A mixed-methods study carried out across Northern Ireland GP training localities, integrating an online survey and semi-structured interviews to examine GP trainees\u2019 clinical confidence and educational needs in musculoskeletal medicine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Mixed-methods study combining an online survey (n=54 respondents from 103 eligible ST2 trainees, 40.7% response rate) with semi-structured interviews (n=8 participants). Thematic analysis identified key themes using NVivo software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Trainees demonstrated moderate confidence in common examinations (knee and spine) but significant gaps in specialist areas including sports injuries, neuromuscular deficits, and procedural skills. Five major themes emerged: inconsistent foundational learning, undervalued MSK medicine, confidence gaps, desire for structural improvements, and support for interdisciplinary learning. Physiotherapists were overwhelmingly preferred as allied health educators (95.1% ranked first). Most trainees (52.38%) were neutral about training quality, with 40% dissatisfied with training quantity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A substantial mismatch exists between the prevalence of MSK presentations in general practice and the adequacy of training provided. Trainees advocate for increased practical, case-based learning in small groups with interdisciplinary involvement throughout their training programme.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3399\/bjgpo.2025.0264","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T12:00:11Z","timestamp":1775649611000},"page":"BJGPO.2025.0264","source":"Crossref","is-referenced-by-count":0,"title":["A mixed-methods qualitative study of Northern Ireland GP specialty trainees\u2019 clinical confidence and teaching expectations in musculoskeletal medicine"],"prefix":"10.3399","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4123-9806","authenticated-orcid":false,"given":"Neil","family":"Heron","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul Phillip","family":"Conlon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jim","family":"McMullan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1987","published-online":{"date-parts":[[2026,4,8]]},"container-title":["BJGP Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.3399\/BJGPO.2025.0264","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T12:00:11Z","timestamp":1775649611000},"score":1,"resource":{"primary":{"URL":"http:\/\/bjgpopen.org\/lookup\/doi\/10.3399\/BJGPO.2025.0264"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,8]]},"references-count":0,"alternative-id":["10.3399\/BJGPO.2025.0264"],"URL":"https:\/\/doi.org\/10.3399\/bjgpo.2025.0264","relation":{},"ISSN":["2398-3795"],"issn-type":[{"value":"2398-3795","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,8]]}}}