Difford F, Hughes R C
Medical Postgraduate Department, University of Bristol.
Br J Gen Pract. 1992 Jul;42(360):290-3.
An analysis was undertaken in the northern half of the South Western Regional Health Authority of general practitioners' attendance at courses accredited for the postgraduate educational allowance over one year. A total of 358 courses provided 2341 hours of accredited education and produced a total general practitioner attendance of 50,389 hours. The mean attendance per principal in the area was 49.2 hours although the region may be a net importer of attenders from outside the area. Of the 50,389 total hours of attendance, 28.3% were in health promotion, 48.2% in disease management and 23.5% in service management. Course provision and attendance varied considerably over the year. September, October and November accounted for 42.7% of the total hours of attendance, compared with 6.8% in June, July and August. Courses of two to four days or of one week duration accounted for 48.3% of total attendance hours; 10.1% of total attendance hours were at commercially organized courses and 5.6% at courses organized by practices. A total of 66.1% of attendance hours were in postgraduate centres and 6.8% in the practice. Courses with more than 30 participants accounted for 15.9% of courses attended. A total of 174 general practitioners and others organized courses, 21 of them influencing 33,521 hours of general practitioner education. The study shows that in this area, there was an encouraging provision, range and uptake of continuing education courses for general practitioners. The concentration of educational activities in postgraduate centres underlines the need for increased provision for developing educational skills for clinical tutors.
对西南地区卫生局北半部的全科医生参加为期一年的研究生教育津贴认可课程的情况进行了分析。共有358门课程提供了2341小时的认可教育，全科医生的总出勤时长达到50389小时。该地区每位负责人的平均出勤时长为49.2小时，不过该地区可能是外部出勤人员的净输入地。在50389小时的总出勤时长中，28.3%用于健康促进，48.2%用于疾病管理，23.5%用于服务管理。一年中课程的提供和出勤情况差异很大。9月、10月和11月占总出勤时长的42.7%，而6月、7月和8月仅占6.8%。时长为两到四天或一周的课程占总出勤时长的48.3%；10.1%的总出勤时长是参加商业组织的课程，5.6%是参加由诊所组织的课程。66.1%的出勤时长是在研究生中心，6.8%是在诊所。参与人数超过30人的课程占所参加课程的15.9%。共有174名全科医生和其他人组织了课程，其中21人影响了33521小时的全科医生教育。该研究表明，在这个地区，为全科医生提供的继续教育课程在数量、种类和参与度方面都令人鼓舞。教育活动集中在研究生中心，这凸显了需要增加为临床教师发展教育技能的资源投入。
