Dickinson J A, Chan C S Y, Wun Y T, Tsang K W K
Department of Community and Family Medicine, The Chinese University of Hong Kong, 4/F, Room 409, School of Public Health, Prince of Wales Hospital, Shatin, NT, Hong Kong.
Fam Pract. 2002 Aug;19(4):416-21. doi: 10.1093/fampra/19.4.416.
Postgraduate programmes offer an opportunity to learn family medicine for physicians in practice who were unable to obtain formal training in the immediate postgraduate phase of their career. Since 1985, the Chinese University of Hong Kong has provided a part-time 1-year diploma course at hours convenient for private practitioners. The curriculum has evolved, reducing public health components and increasing family medicine concepts. Between six and 16 students took the course each year until 1999, when formal recognition led to increased popularity.
The aim of this study was to evaluate the components and outcomes of the course as a prelude to further development.
Evaluation comprised a structured telephone interview conducted with two enrollees from each year of the course (total 28), selected randomly from class lists.
Participants were mostly young doctors, with an average of 5 years in general practice. Many graduates are now prominent in training and development of family medicine in Hong Kong. Graduates rated most components favourably, but found the original research components too demanding, and not useful subsequently for most. Counselling, family dynamics, consultation and practice organization skills were valued. Conventional continuing education components, such as lectures by specialists, were evaluated poorly.
This course has proved useful in the Hong Kong context, being practical for physicians, and allowing them to study ideas they would not otherwise encounter. Critical appraisal and evidence-based medicine exercises now replace the former research components.
研究生课程为那些在职业生涯的研究生阶段未能获得正规培训的在职医生提供了学习家庭医学的机会。自1985年以来，香港中文大学为私人执业医生提供了一个为期1年的兼职文凭课程，上课时间方便他们安排。课程设置不断演变，减少了公共卫生内容，增加了家庭医学概念。在1999年获得正式认可从而更受欢迎之前，每年有6至16名学生参加该课程。
本研究旨在评估该课程的内容和成果，为进一步发展做准备。
评估包括对课程每年的两名学员进行结构化电话访谈（共28人），从班级名单中随机选取。
参与者大多是年轻医生，平均有5年的全科医疗经验。现在许多毕业生在香港家庭医学的培训和发展方面表现突出。毕业生对大多数课程内容评价良好，但认为原来的研究内容要求过高，而且对大多数人后来并无用处。咨询、家庭关系、诊疗及执业组织技能受到重视。传统的继续教育内容，如专家讲座，评价较差。
在香港的背景下，本课程已证明是有用的，对医生来说很实用，使他们能够学习到他们原本不会接触到的理念。现在批判性评估和循证医学练习取代了以前的研究内容。
