Laurence Caroline O, Black Linda E
Adelaide to Outback GP Training Program, University of Adelaide, Adelaide, SA, Australia.
Med J Aust. 2009 Jul 20;191(2):102-4. doi: 10.5694/j.1326-5377.2009.tb02704.x.
To ascertain the teaching load of general practices, the capacity for expansion of general practice-based teaching and the support required to achieve this.
DESIGN, SETTING AND PARTICIPANTS: Questionnaire-based survey of general practitioners and practices who were teaching medical students, junior doctors or GP registrars in partnership with the Adelaide to Outback GP Training Program or the Discipline of General Practice at the University of Adelaide in South Australia in 2007.
Current teaching load of general practices; GPs' reasons for teaching; capacity of practices to increase teaching loads; and support required to realise practices' full teaching capacity.
In 2007, the 76 practices involved in the survey taught, in total, 326 medical students, 39 junior doctors and 84 GP registrars. Exposing students and doctors to general practice was cited most often by the 194 GP respondents as the reason for teaching. Few practices rated the support payments for teaching as adequate or fairly adequate. A number of practices were able to increase their teaching load within their current levels, with most being able to teach more medical students (39% of practices) or registrars (42% of practices). All practices able to increase their teaching load stated that their capacity to expand was conditional on extra resources, including more physical space, subsidies and teachers.
Scope exists to increase teaching in the general practices surveyed and is related to the level, or levels, of teaching undertaken by the practices. Targeted support seems essential if practices are to increase their teaching load.
确定全科医疗的教学负担、基于全科医疗的教学扩展能力以及实现这一目标所需的支持。
设计、地点和参与者：2007年对与南澳大利亚阿德莱德至内陆全科医生培训项目或阿德莱德大学全科医疗学科合作，教授医科学生、初级医生或全科医生注册学员的全科医生及诊所进行基于问卷调查的研究。
全科医疗目前的教学负担；全科医生的教学原因；诊所增加教学负担的能力；以及实现诊所全部教学能力所需的支持。
2007年，参与调查的76家诊所共教授326名医科学生、39名初级医生和84名全科医生注册学员。194名全科医生受访者最常提到的教学原因是让学生和医生接触全科医疗。很少有诊所认为教学支持费用充足或比较充足。一些诊所有能力在现有水平上增加教学负担，其中大多数能够教授更多医科学生（39%的诊所）或注册学员（42%的诊所）。所有能够增加教学负担的诊所都表示，其扩展能力取决于额外资源，包括更多的物理空间、补贴和教师。
在所调查的全科医疗中存在增加教学的空间，这与诊所所承担的教学水平有关。如果诊所要增加教学负担，有针对性的支持似乎至关重要。
