Williams C, Cantillon P, Cochrane M
Social Science Research Unit, University of London, London, UK.
Med Educ. 2000 Sep;34(9):716-20. doi: 10.1046/j.1365-2923.2000.00688.x.
To explore the concerns of pre-registration house officers (PRHOs) and the views of hospital consultants in relation to pre-registration rotations with a general practice component.
As part of a larger qualitative study evaluating how a group of 24 PRHOs learn in hospital and primary care settings, face-to-face semistructured interviews were conducted with the PRHOs, and semistructured telephone interviews with the PRHOs' educational supervisors were carried out.
The interviews with the PRHOs highlighted their concerns about how consultants might view PRHO rotations into general practice. However, the majority of consultants interviewed recognized and valued specific aspects of the experience to be gained by PRHOs in general practice, including the relationship between primary and secondary care; communications skills; specific clinical skills, and an understanding of the natural course of illnesses. The experience was seen as valuable for PRHOs considering either a general practice or a hospital career. Of the 17 consultants, 10 were also confident that 4-month placements in surgery and medicine would give PRHOs adequate experience in either specialty, providing the placements were sufficiently busy.
Medical school deans and medical students considering PRHO rotations with a general practice component can be encouraged by the fact that, in this small study, the majority of hospital consultants interviewed valued the specific experience offered by these rotations, and felt that adequate medical and surgical experience could be gained in busy 4-month hospital placements.
探讨预注册住院医师（PRHOs）的担忧以及医院顾问对于包含全科医疗部分的预注册轮转的看法。
作为一项更大规模定性研究的一部分，该研究评估了24名PRHOs在医院和基层医疗环境中的学习方式，对PRHOs进行了面对面的半结构化访谈，并对PRHOs的教育主管进行了半结构化电话访谈。
对PRHOs的访谈突出了他们对顾问如何看待PRHOs轮转至全科医疗的担忧。然而，大多数接受访谈的顾问认可并重视PRHOs在全科医疗中可获得的特定经验方面，包括初级和二级医疗之间的关系、沟通技巧、特定临床技能以及对疾病自然病程的理解。对于考虑从事全科医疗或医院工作的PRHOs而言，这种经验被视为有价值的。在17名顾问中，10名还确信，在外科和内科进行4个月的实习能让PRHOs在任何一个专科获得足够的经验，前提是实习安排足够忙碌。
在这项小型研究中，大多数接受访谈的医院顾问重视这些轮转所提供的特定经验，并认为在忙碌的4个月医院实习中可以获得足够的内科和外科经验，这一事实可为医学院院长和考虑包含全科医疗部分的PRHOs轮转的医学生提供鼓励。
