How GPs learn.

As the requirements for the revalidation of general practitioners (GPs) unfold, there is an increasing emphasis on demonstrating effective continued medical education (CME) based on identified learning needs. This qualitative study aimed to promote understanding of how GPs currently approach their learning. The behaviour of one group of GPs was studied to explore how they assessed and met individual learning needs. The GPs studied showed a pragmatic approach, valuing learning that gave them practical advice and instant access to information for patient-specific problems. The main driver for the GPs' learning was discomfort during their daily work if a possible lack of knowledge or skills was perceived. However, some learning benchmarked current good practice or ensured continued expertise. Learning purely for interest was also described. The GPs in this study all demonstrated a commitment to personal learning, although they were not yet thinking about demonstrating the effectiveness of this for revalidation. The GPs prioritised their learning needs and were beginning to use some objective assessment methods to do this and the GP appraisal process was found to have a mainly positive effect on learning.