Higgins R, Gallen D, Whiteman S
Leicestershire, Northamptonshire and Rutland Postgraduate Deanery, Leicester, UK.
Postgrad Med J. 2005 Aug;81(958):519-23. doi: 10.1136/pgmj.2004.028902.
This review highlights the non-clinical training needs of new consultants, identifying strategies for meeting these needs. Non-clinical activities are integral to the consultant's role and senior clinicians need training in these areas. Concerns over the quantity and quality of current provision are compounded by changes the European Working Time Directive and Modernising Medical Careers initiative will bring. Accelerated progression to senior level and reduction in time for training suggest a pressing need to respond to the needs of new consultants. Ad hoc initiatives in a range of healthcare contexts offer examples of how training needs may be met, including mentoring and continuing professional development schemes. A multi-professional strategy, incorporating elements of higher professional education in general practice and other NHS initiatives (particularly management/leadership training), may offer an appropriate framework within which to capitalise on existing opportunities. There are, however, resource implications that need to be addressed.
本综述强调了新顾问医生的非临床培训需求,确定了满足这些需求的策略。非临床活动是顾问医生角色不可或缺的一部分,资深临床医生需要在这些领域接受培训。欧洲工作时间指令和医学职业现代化倡议带来的变化,加剧了人们对当前培训数量和质量的担忧。加速晋升到高级职位以及培训时间的减少,表明迫切需要满足新顾问医生的需求。一系列医疗保健环境中的临时举措提供了如何满足培训需求的实例,包括指导和持续专业发展计划。一种多专业策略,纳入全科医学高等专业教育的要素和其他国民保健服务倡议(特别是管理/领导力培训),可能提供一个适当的框架,以利用现有机会。然而,这会涉及资源问题,需要加以解决。