Wedderburn Clare, Scallan Samantha, Leach Camilla
Dorset Associate Dean for GP Education, Wessex School of General Practice, Wessex Deanery, Winchester, UK.
Educ Prim Care. 2010 Nov;21(6):360-7. doi: 10.1080/14739879.2010.11493941.
Recent calls for specialty training for general practice to be lengthened have reopened the debate as to the role and value of extensions to training. The literature on extensions and recent developments in the debate are reviewed in this paper, followed by an evaluation report of a novel approach to an extension scheme which ran in Wessex. The scheme was specifically designed not to be 'more of the same' experience as in the final GPST3 year, instead participants worked in two contrasting practices as well as participating in a full day of bespoke 'Learning Set' education. The scheme was evaluated with participants reporting the main outcomes to be increased confidence and 'readiness' to practise, better ability to identify learning 'blind spots' and feeling better prepared to embark on a career in general practice.
近期,关于延长全科医学专科培训时长的呼声再次引发了关于培训延长的作用和价值的争论。本文回顾了有关培训延长的文献以及该争论的最新进展,随后是一份对在韦塞克斯实施的一项新型培训延长计划的评估报告。该计划的特别之处在于,它并非与全科医学专科培训第三年的“常规”经历相同,而是让参与者在两种截然不同的医疗机构工作,同时参加一整天定制的“学习小组”教育。对该计划进行评估时,参与者报告称主要成果包括信心增强、对执业的“准备程度”提高、识别学习“盲点”的能力更强以及感觉为从事全科医学职业做好了更充分的准备。