Beard Jonathan, Strachan Alasdair, Davies Helena, Patterson Fiona, Stark Patsy, Ball Steve, Taylor Peter, Thomas Sarah
South Yorkshire and South Humber Deanery, Sheffield, UK.
Med Educ. 2005 Aug;39(8):841-51. doi: 10.1111/j.1365-2929.2005.02236.x.
To develop an education and assessment framework for the second year of the Foundation Programme (F2).
A total of 23 PRHOs were recruited to the F2 pilot in August 2003. The training posts included a variety of specialties at 2 hospital trusts plus primary care. Trainee expectations and satisfaction were evaluated using questionnaires administered before and at the end of the pilot. At the end of the pilot, 10 trainees participated in a focus group and 19 trainers participated in a semistructured telephone interview.
The majority of trainees (78%) felt that their expectations of the F2 pilot were met and all felt that they had improved their generic skills. Attendance at the generic education programme was 95%. The majority of trainees found the assessment framework useful. The percentage of undecided trainees in terms of career aspirations dropped from 48% to 13%. Trainees valued the breadth of experience provide by the year and the support provided by the programme directors and each other. A need for better communication, administrative support and time for assessment was highlighted by the trainers.
Early, focused education on generic skills will benefit both doctors and their patients. More varied career experience will help to ensure that doctors make appropriate and timely career decisions. Pilots are identifying good practice and areas that need improvement.
为基础培训项目（F2）的第二年制定一个教育与评估框架。
2003年8月，共有23名预注册住院医师（PRHO）被招募到F2试点项目中。培训岗位包括2家医院信托机构的多个专业以及基层医疗。通过在试点开始前和结束时发放问卷来评估学员的期望和满意度。试点结束时，10名学员参加了焦点小组讨论，19名培训师参加了半结构化电话访谈。
大多数学员（78%）认为他们对F2试点项目的期望得到了满足，并且所有人都觉得自己的通用技能有所提高。通用教育项目的出勤率为95%。大多数学员认为评估框架很有用。在职业抱负方面，尚未做出决定的学员比例从48%降至13%。学员们重视这一年所提供的丰富经验以及项目主任和彼此提供的支持。培训师强调需要更好的沟通、行政支持和评估时间。
早期针对通用技能的集中教育将使医生及其患者都受益。更多样化的职业经历将有助于确保医生做出恰当且及时的职业决策。试点项目正在找出良好做法和需要改进的领域。
