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全科医学职业培训中的操作技能——应该教什么?

Procedural skills in general practice vocational training - what should be taught?

作者信息

Sylvester Stephen, Magin Parker, Sweeney Kevin, Morgan Simon, Henderson Kim

机构信息

Scone, New South Wales, Australia.

出版信息

Aust Fam Physician. 2011 Jan-Feb;40(1-2):50-4.

Abstract

BACKGROUND

A list of procedural skills is an important component of a curriculum for general practice vocational training. This study aimed to establish an up-to-date list of core procedural skills that doctors undergoing general practice vocational training should be taught.

METHOD

A Delphi process was used to rank the importance of 185 general practice procedures. In 2009, 31 general practitioners took part in a two round Delphi process. A 4-point Likert scale was used to rate the importance of each procedure in vocational training.

RESULTS

Mean rating scores for all the procedural items listed were determined, and a core list of 112 procedures was agreed on the basis of the relative importance of procedures determined by the Delphi participants.

DISCUSSION

The ranked list of clinical procedures provides a resource to form the basis of a procedures training curriculum which can be adapted to different general practice training contexts.

摘要

背景

一份操作技能清单是全科医学职业培训课程的重要组成部分。本研究旨在制定一份最新的核心操作技能清单,供接受全科医学职业培训的医生学习。

方法

采用德尔菲法对185项全科医学操作的重要性进行排序。2009年,31名全科医生参与了两轮德尔菲法。采用4点李克特量表对每项操作在职业培训中的重要性进行评分。

结果

确定了所有列出的操作项目的平均评分,并根据德尔菲参与者确定的操作相对重要性,商定了一份包含112项操作的核心清单。

讨论

临床操作的排序清单提供了一种资源,可作为操作培训课程的基础,该课程可根据不同的全科医学培训环境进行调整。

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