Ibrahim S H, Ali S K, Sadaf S
Aga Khan University, Karachi, Pakistan.
Educ Health (Abingdon). 2010 Aug;23(2):334. Epub 2010 Jul 20.
A web-based evaluation system for residents to provide feedback on faculty was piloted in four training programs at the Aga Khan University prior to institution-wide implementation. Of the four programs, less than 50% of forms were submitted by residents of three programs while more than 70% of forms were submitted by the residents of one program. This study was conducted to identify reasons for the varying participation rates of the four programs with a view to improving the system.
A qualitative approach was employed using focus group discussions (FGDs). Volunteers were invited and three groups of eight to ten residents each were formed. Participants for FGDs were selected from all residency years. FGDs were used to identify residents' perceptions regarding the web-based faculty evaluation system and to identify residents' problems and concerns with completing the web-based faculty evaluating forms.
Technical issues in completing and submitting the forms online were identified to be the main deterrents to completing the evaluation forms. Non-accessibility of a resource person for resolving technical problems with the software and the burden of taking time out to complete the forms were considered as limiting factors by many residents. Residents recommended a focused orientation session to the new system within the departments.
Residents' confidence and support are key to promoting adequate participation in web-based evaluations. Focused orientation sessions, reinforcement, reminders, assurances of confidentiality, and removal of technical glitches should help to improve resident participation.
在全机构实施之前,阿迦汗大学在四个培训项目中试点了一个基于网络的住院医师对教员进行反馈的评估系统。在这四个项目中,三个项目的住院医师提交的表格不到50%,而一个项目的住院医师提交的表格超过70%。开展这项研究是为了找出四个项目参与率不同的原因,以期改进该系统。
采用焦点小组讨论的定性方法。邀请了志愿者,每组由八到十名住院医师组成,共三组。焦点小组讨论的参与者从所有住院医师年份中选取。焦点小组讨论用于确定住院医师对基于网络的教员评估系统的看法,并找出住院医师在填写基于网络的教员评估表格时遇到的问题和担忧。
在线填写和提交表格时的技术问题被确定为完成评估表格的主要障碍。许多住院医师认为,没有资源人员来解决软件技术问题以及抽出时间填写表格的负担是限制因素。住院医师建议在各部门内针对新系统举办一次集中培训课程。
住院医师的信心和支持是促进基于网络评估充分参与的关键。集中培训课程、强化措施、提醒、保密保证以及消除技术故障应有助于提高住院医师的参与度。