Broomfield D, Humphris G M
Royal College of Surgeons in Ireland, Department of Family Medicine and General Practice, Mercers Medical Centre, Dublin, Ireland.
Med Educ. 2001 Oct;35(10):928-37.
Continuing education for the general practitioner (GP) is in need of revision. Much of today's continuing education is based upon a traditional didactic approach, which is believed to be inappropriate and inefficient for the learning needs of the increasingly stretched GP.
To investigate the educational needs of a group of GPs, using the response to cancer to construct an appropriate model for the provision of care in general practice.
The Delphi technique was adopted to reach "expert" consensus.
49 GPs currently practising within two health authorities within the north-west region of England.
Three waves of data collection were employed, with the same sample and the inclusion of an additional reference group.
Many issues relating to the difficulties experienced by GPs regarding care of cancer patients were identified, along with associated training needs. Successive rounds of this Delphi survey enabled consensus to be reached about the level of importance to be assigned to these issues. This technique avoided some of the problems associated with a conventional committee approach (e.g. time, expense and potential bias in decision-making process).
First, the Delphi technique provided a relatively quick means of gaining a consensus on the complex task set for participants. Second, continuing training for GPs would benefit from the adoption of a problem-based learning approach rather than traditional didactic methods.
全科医生（GP）的继续教育需要修订。当今的许多继续教育都基于传统的讲授法，而这种方法被认为对于日益忙碌的全科医生的学习需求而言并不合适且效率低下。
通过对癌症应对措施的反馈来构建一个适用于全科医疗护理的合适模型，从而调查一组全科医生的教育需求。
采用德尔菲技术以达成“专家”共识。
49名目前在英格兰西北部两个卫生当局辖区内执业的全科医生。
进行了三轮数据收集，样本相同且纳入了一个额外的参考组。
确定了许多与全科医生在癌症患者护理方面所遇到的困难相关的问题，以及相关的培训需求。德尔菲调查的连续几轮使得就这些问题应被赋予的重要性程度达成了共识。该技术避免了一些与传统委员会方法相关的问题（例如时间、费用以及决策过程中的潜在偏差）。
第一，德尔菲技术为就为参与者设定的复杂任务达成共识提供了一种相对快捷的方法。第二，全科医生的持续培训采用基于问题的学习方法而非传统讲授法将更有益处。
