Lim J L, Chan N F, Cheong P Y
Graduate Family Medicine Centre, Singapore.
Singapore Med J. 1998 Dec;39(12):543-6.
The Private Practitioners Stream (PPS) of the Family Medicine Traineeship Programme for the Master of Medicine (Family Medicine) (MMed (FM)) was started in 1995. The portfolio-based learning approach was used as the staple learning method in the tutorial system. Due to the autonomy given to Family Medicine trainees in choosing the topics for the portfolio-based presentations, the completeness of coverage of the Family Medicine training syllabus is a research question.
To study if portfolio-based presentations in a tutorial system covered the broad based Family Medicine training syllabus.
Data in the one-page portfolio-based records developed were used to categorise the presentations according to the topics in the Family Medicine Modular Course.
In the three-year period since the introduction of the PPS, 83 tutorials were conducted in which 87 portfolio-based presentations were made. Thirteen (15%) were in the Whole Person Medicine category, 70 (80%) in the Disease Management category and 4 (5%) in the Practice Management category.
The portfolio-based learning is recognised as useful in continuing medical education because of the autonomy it gives to the adult learner. In our three years' experience, the one-page portfolio-based record developed was effective as the staple learning tool to cover the broad range of topics required in the defined syllabus of training and to meet the focus of the MMed(FM) examination.
医学硕士（家庭医学）家庭医学培训计划的私人执业医师方向（PPS）始于1995年。基于档案袋的学习方法被用作辅导系统中的主要学习方法。由于在基于档案袋的展示中，家庭医学实习生在选择主题方面具有自主性，因此家庭医学培训大纲的覆盖完整性成为一个研究问题。
研究辅导系统中基于档案袋的展示是否涵盖了基础广泛的家庭医学培训大纲。
利用所开发的单页档案袋记录中的数据，根据家庭医学模块化课程中的主题对展示进行分类。
自引入PPS的三年期间，共进行了83次辅导，其中有87次基于档案袋的展示。13次（15%）属于全人医学类别，70次（80%）属于疾病管理类别，4次（5%）属于实践管理类别。
基于档案袋的学习因其给予成年学习者的自主性而被认为在继续医学教育中有用。根据我们三年的经验，所开发的单页档案袋记录作为主要学习工具，有效地涵盖了规定培训大纲中所需的广泛主题，并符合医学硕士（家庭医学）考试的重点。
