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The UK Primary Health Care Reforms dating from 1990 have resulted in traumatic stress for General Practitioners (GPs) within the UK National Health Service (NHS). Previously, their first task had always been to provide care. Now the objectives are purely economic, focusing on cost-effectiveness and meeting Government targets. This article compares the Balint Model, set out by Michael and Edna Balint in the 1950s, to what is required in the current situation, and shows how group analysis can help GPs come to terms with their new professional identity and how they see their future. [ABSTRACT FROM AUTHOR]

Educational groups are not often used for continuing professional development by general practitioners (GPs). The setting up and evaluation of a weekly educational group for mid-career GPs in South London are described. A feature was a regular 90-minute session facilitated by a group analyst, utilizing a combination of psychodynamic interpretation and practical problem solving by group members. The remainder of the time was spent on audit based education. Evaluation methods used at the beginning and end of the group were individual interviews with group members, together with job satisfaction and stress questionnaires, and data on practice services and health promotion activities. The results showed changes in practice activity and health care delivery with new and improved services. Perceived job stresses reduced for the majority of members and satisfaction increased. Facilitated educational groups where time is divided between task and support should be further evaluated as a model for GP continuing professional development. [ABSTRACT FROM AUTHOR]