Pettigrew Luisa M, Perera Dinusha, Wass Val
International Department, RCGP, London, UK.
Educ Prim Care. 2013 Jul;24(4):251-7. doi: 10.1080/14739879.2013.11494184.
The UK's Royal College of General Practitioners accredits overseas examinations in family medicine through MRCGP[INT] rather than exporting MRCGP UK. There is limited research on the motivating factors and outcomes of this practice on candidates.
To explore factors motivating Sri Lankan doctors to pursue the South Asian MRCGP[INT] and their perceived benefits and barriers to sitting the examination.
Qualitative semi-structured 1:1 interviews with 14 successful past MRCGP[INT]SA candidates were undertaken in Sri Lanka. Findings were analysed with N-Vivo software. A phenomenological approach was used. Interpretive dimensions were applied drawing on information from interviews, informal conversations and observations.
Motivators to sit the examination included a desire to improve patient care and seeking recognition as a family doctor. Younger doctors had hopes of increased future income and there was some expectation that the examination may improve overseas employment prospects. The examination conferred greater confidence, new patient-centred communication skills, introduced the use of evidence-based guidelines and increased awareness of the UK health system to most participants. There were examples of diffusion of knowledge through different teaching channels. Relative to Sri Lankan examinations, formal training opportunities were limited and value for money of annual membership fees were questioned. Financial and geographical barriers to the examination were noted.
Currently MRCGP[INT]SA offers additional value for successful candidates in Sri Lanka who perceive accreditation by a UK college favourably. Improvement of pre- and post-exam support linked to MRCGP[INT]SA in Sri Lanka is needed. Further research into the long-term impact is necessary, in particular regarding equity of access, migration and local training development.
英国皇家全科医师学院通过MRCGP[INT]认证海外家庭医学考试，而非输出英国的MRCGP。关于这种做法对考生的激励因素和结果的研究有限。
探讨促使斯里兰卡医生参加南亚MRCGP[INT]考试的因素，以及他们对参加该考试所感知到的益处和障碍。
在斯里兰卡对14名过去成功通过MRCGP[INT]SA考试的考生进行了定性半结构化一对一访谈。使用N-Vivo软件对研究结果进行分析。采用现象学方法。根据访谈、非正式交谈和观察所得信息应用解释维度。
参加考试的动机包括改善患者护理的愿望以及寻求成为家庭医生的认可。年轻医生希望未来收入增加，并且有人期望该考试可能会改善海外就业前景。该考试让大多数参与者更有信心，带来了以患者为中心的新沟通技巧，引入了循证指南的使用，并提高了对英国卫生系统的认识。有通过不同教学渠道知识传播的实例。相对于斯里兰卡的考试，正规培训机会有限，且对年度会员费的性价比提出了质疑。注意到参加考试存在经济和地理障碍。
目前，MRCGP[INT]SA对斯里兰卡的成功考生具有额外价值，他们对获得英国学院的认证评价良好。需要改进斯里兰卡与MRCGP[INT]SA相关的考前和考后支持。有必要进一步研究其长期影响，特别是在获取机会的公平性、移民和当地培训发展方面。
