Kelly D R, Murray T S
Department of Postgraduate Medicine, University of Glasgow.
Br J Gen Pract. 1991 Dec;41(353):492-5.
A retrospective analysis of the experience and opinions of doctors receiving vocational training in general practice was obtained by postal questionnaire. Questionnaires were received by 974 doctors who had been vocationally trained in the west of Scotland between 1968 and 1987. The response rate was 64%. It was found that 94% of the respondents had enjoyed their trainee period, 82% had been given a choice of training practice and 86% had spent 12 months in a training practice. Only 81 respondents had trained in two practices. The most common method of monitoring the trainee's consultation was the trainer sitting in on the consultation; half of the doctors had experience of this (51%). For the majority regular tutorials were commonplace, but for 41% of respondents this was not so. However, those training after 1979 were significantly less likely to have never had tutorials than those training earlier. Nearly half of the doctors (49%) felt that certain aspects had been poorly covered or omitted from their training, notably practice management and finance. Again, this was significantly less likely among those training after 1979. When asked to give a rating of the training they had received 21% of the respondents rated it as excellent, 37% as very good, 30% as fairly good and 12% as poor/fairly poor or very poor. Notably, significantly fewer respondents training after 1979 rated their training as poor/fairly poor or very poor. Very few respondents had participated in a practice exchange but virtually all of those who had felt it had been beneficial.(ABSTRACT TRUNCATED AT 250 WORDS)
通过邮寄问卷对接受全科医学职业培训的医生的经历和意见进行了回顾性分析。974名于1968年至1987年在苏格兰西部接受职业培训的医生收到了问卷。回复率为64%。结果发现,94%的受访者享受他们的培训期,82%的人可以选择培训实习点,86%的人在培训实习点度过了12个月。只有81名受访者在两个实习点接受过培训。监测实习医生会诊的最常见方法是培训师旁听会诊;一半的医生有过这种经历(51%)。对大多数人来说,定期辅导很常见,但41%的受访者并非如此。然而,1979年之后接受培训的医生比早期接受培训的医生更不太可能从未接受过辅导。近一半的医生(49%)觉得他们培训中的某些方面涵盖不足或被遗漏,尤其是实习管理和财务方面。同样,1979年之后接受培训的医生出现这种情况的可能性明显更低。当被要求对他们接受的培训进行评分时,21%的受访者将其评为优秀,37%评为非常好,30%评为较好,12%评为差/较差或非常差。值得注意的是,1979年之后接受培训的受访者将他们的培训评为差/较差或非常差的明显更少。很少有受访者参加过实习交流,但几乎所有参加过的人都觉得这很有益。(摘要截选于250词)