Global Overview

General practice / family medicine is the largest single specialty in every country. It offers remarkable breadth, continuity of care, community focus and increasingly competitive career prospects. Training duration is shorter than most hospital specialties (2–4 years) and quality of life during training is generally better.

Training by Country

CountryTraining DurationProgrammeExit Qualification
UK3 yearsNHS GP Training (GPST)MRCGP
USA3 yearsACGME Family Medicine ResidencyABFM Board Certification
Canada2 yearsCFPC ResidencyCCFP
Australia3+ yearsRACGP or ACRRMFRACGP or FACRRM
Ireland3 years (moving to 4)ICGP GP TrainingMICGP
New Zealand3 yearsRNZCGPFRNZCGP

What to Expect in GP Training

  • Mix of community general practice placements and hospital specialty rotations
  • Significant autonomy earlier than most hospital specialties
  • WPBA (workplace-based assessments) throughout — COTs, CBDs, mini-CEX
  • Portfolio-based assessment alongside examinations
  • Rural and remote general practice opportunities in Australia/NZ/Canada with additional financial incentives

Career Options After GP Training

  • NHS salaried GP, partner, locum (UK)
  • Private practice / direct primary care (USA)
  • Rural generalist medicine (Australia/NZ) — procedural skills, obstetrics, anaesthetics
  • GP with special interest (GPwSI): minor surgery, dermatology, cardiology
  • Medical education, academic general practice, clinical leadership
  • International GP work — high demand globally, particularly in rural areas