Piterman L, McCall L
Department of Community Medicine and General Practice, Monash University.
Aust Fam Physician. 2000 Apr;29 Suppl 1:30-7.
To evaluate 'Principles of General Practice' (formerly known as the Academic Basis of General Practice), a core unit of the Graduate Diploma/Masters in Family Medicine.
Content analysis of feedback sheets and transcripts from teleconferences were analysed to facilitate the process evaluation of this core unit. Content analysis of qualitative responses to the question: 'What did you learn?' at the end of the course formed the impact evaluation.
GPs who participated in the evaluation of the Principles of General Practice highlighted four learning outcomes in response to the question: 'What did you learn?' Categories included discipline specific and patient specific. Personal and professional outcomes were further divided into the following subcategories: affirmation of current practice; confidence in dealing with uncertainty; engaging in reflective practice; overcoming professional isolation; and providing opportunities for career change.
The most cited reasons for participating in this course were the professional and personal. Students found that the course clarified their roles, raised self-esteem and confidence, and provided them with a sense of pride in their profession. The reflective learning style resulted in students gaining insight into themselves and their therapeutic roles, with reported changes in clinical practice, including more confidence in dealing with uncertainty. In addition to meeting course objectives there were a number of unanticipated outcomes identified. The most surprising was the recognition that general practice was a medical specialty, supported by a body of literature. For some, this assisted them to overcome feelings of professional isolation and alienation. A number of students saw this course as a stimulus to blending their clinical work with a teaching role to enhance professional growth and satisfaction.
评估《全科医学原理》(原名为《全科医学学术基础》),这是家庭医学研究生文凭/硕士课程的一个核心单元。
对反馈表和电话会议记录进行内容分析,以促进对该核心单元的过程评估。对课程结束时“你学到了什么?”这一问题的定性回答进行内容分析,形成影响评估。
参与《全科医学原理》评估的全科医生针对“你学到了什么?”这一问题突出了四个学习成果。类别包括特定学科和特定患者方面。个人和专业成果进一步细分为以下子类别:对当前实践的肯定;应对不确定性的信心;进行反思性实践;克服职业孤立感;以及提供职业转变机会。
参加本课程最常被提及的原因是专业和个人方面的。学生们发现该课程明确了他们的角色,提高了自尊和信心,并让他们对自己的职业产生了自豪感。反思性学习方式使学生对自己和他们的治疗角色有了深入了解,临床实践也有了变化,包括应对不确定性时更有信心。除了实现课程目标外,还发现了一些意外成果。最令人惊讶的是认识到全科医学是一个有文献支持的医学专业。对一些人来说,这有助于他们克服职业孤立感和疏离感。许多学生将本课程视为将临床工作与教学角色相结合以促进职业成长和满意度的一种激励。