Armson Heather, Kinzie Sarah, Hawes Dawnelle, Roder Stefanie, Wakefield Jacqueline, Elmslie Tom
UCMC Sunridge, 3465 26th Ave NE, Calgary, AB T1Y 6L4, Canada.
Can Fam Physician. 2007 Sep;53(9):1477-85.
PROBLEM ADDRESSED The need for effective and accessible educational approaches by which family physicians can maintain practice competence in the face of an overwhelming amount of medical information.
The practice-based small group (PBSG) learning program encourages practice changes through a process of small-group peer discussion-identifying practice gaps and reviewing clinical approaches in light of evidence.
The PBSG uses an interactive educational approach to continuing professional development. In small, self-formed groups within their local communities, family physicians discuss clinical topics using prepared modules that provide sample patient cases and accompanying information that distils the best evidence. Participants are guided by peer facilitators to reflect on the discussion and commit to appropriate practice changes.
The PBSG has evolved over the past 15 years in response to feedback from members and reflections of the developers. The success of the program is evidenced in effect on clinical practice, a large and increasing number of members, and the growth of interest internationally.
解决的问题 面对海量医学信息，家庭医生需要有效且易于获取的教育方法来保持执业能力。
基于实践的小组（PBSG）学习项目通过小组同伴讨论过程鼓励实践变革——识别实践差距并根据证据审查临床方法。
PBSG采用互动式教育方法进行持续专业发展。在当地社区自行组建的小组中，家庭医生使用准备好的模块讨论临床主题，这些模块提供示例患者病例及提炼最佳证据的相关信息。参与者在同伴引导者的指导下反思讨论内容并承诺进行适当的实践变革。
在过去15年中，PBSG根据成员反馈和开发者的思考不断发展。该项目的成功体现在对临床实践的影响、大量且不断增加的成员数量以及国际上兴趣的增长。
