Roos Marco, Steinhäuser Jost, Laux Gunter, Joos Stefanie, Szecsenyi Joachim
Universitätsklinikum Heidelberg, Abteilung Allgemeinmedizin und Versorgungsforschung, Heidelberg und Kompetenzzentrum Allgemeinmedizin Baden-Württemberg.
Z Evid Fortbild Qual Gesundhwes. 2011;105(2):110-5. doi: 10.1016/j.zefq.2010.11.006. Epub 2010 Dec 3.
In Germany content-related vocational training mostly is the responsibility of the trainees themselves. The aim of this needs assessment is to explore the requirements of a longitudinal training course in vocational training.
A combined quantitative-qualitative needs assessment was chosen. We used data of a continuous record keeping system in primary care to assess the occupational field, and the needs of vocational trainees were explored in a qualitative survey.
Data of more than 120,000 consulting problems in primary care were attributed to different medical expertises by frequency (orthopaedics 22.1%; internal medicine 17.2%; dermatology 12.2%; ear, nose, and throat medicine 11.9%). They revealed a high concordance between the needs derived from the consulting problems and the vocational trainees' needs identified in the qualitative survey (421 text units in the categories: medical expertise, competencies and skills and reflection on one's own performance).
The results of this needs assessment demonstrate the importance of vocational trainees' needs and the findings of health services research for improvement of content-related vocational training. Furthermore, the results form the basis for longitudinal training courses in vocational training, as shown in the approach of the training course within the training programme Verbundweiterbildung(plus).
在德国，与内容相关的职业培训主要由学员自己负责。本次需求评估的目的是探索职业培训中纵向培训课程的要求。
采用定量与定性相结合的需求评估方法。我们使用基层医疗中连续记录保存系统的数据来评估职业领域，并通过定性调查探索职业培训学员的需求。
基层医疗中超过120,000个咨询问题的数据按频率归因于不同的医学专业（骨科22.1%；内科17.2%；皮肤科12.2%；耳鼻喉科11.9%）。这些数据显示，从咨询问题得出的需求与定性调查中确定的职业培训学员的需求之间具有高度一致性（在医学专业、能力和技能以及对自身表现的反思等类别中有421个文本单元）。
本次需求评估的结果表明了职业培训学员需求以及卫生服务研究结果对于改进与内容相关的职业培训的重要性。此外，这些结果构成了职业培训中纵向培训课程的基础，如培训计划Verbundweiterbildung(plus)中的培训课程方法所示。
