Ismail Sharif I M F
Yeovil District Hospital, Somerset, England, UK,
Arch Gynecol Obstet. 2014 Dec;290(6):1159-67. doi: 10.1007/s00404-014-3351-0. Epub 2014 Jul 8.
The aim of this study was to compare foundation doctors in obstetrics and gynaecology to the former grade of senior house officer, as perceived by their consultant and middle grade colleagues.
A self-construct questionnaire was sent to College District Tutors in obstetrics and gynaecology in all hospitals in the United Kingdom, for circulation to all consultants and middle grade doctors in obstetrics and gynaecology in their departments.
A total of 155 questionnaires were returned, 143 completed and 12 indicating not having foundation doctors. Whilst about 50 % of respondents ranked the competencies of foundation year doctors as similar to that of the former senior house officer grade, the ratings were down in areas specific to obstetrics and gynaecology, such as seeing new patients in antenatal clinic, and up in general terms such as communication. General comments highlighted differences in ability and role and suggested longer attachments and less frequent changes in training structure.
The study highlighted the need to focus on teaching generic skills in shorter durations and reflection on whole-patient management, which are relevant to all specialities. It underlined the impact of more frequent change of doctors on service delivery and recommended having a further look at foundation training programme before making any future changes.
本研究旨在比较产科和妇科的住院医师与前高级住院医师级别,这是由他们的顾问和中级同事所感知到的。
一份自行编制的问卷被发送给英国所有医院的产科和妇科的学院区导师,以便在他们所在科室分发给所有产科和妇科的顾问医生和中级医生。
共收回155份问卷,143份填写完整,12份表示所在科室没有住院医师。虽然约50%的受访者将住院医师第一年的能力评级与前高级住院医师级别相似,但在产科和妇科的特定领域,如在产前诊所接待新患者方面的评级有所下降,而在沟通等一般方面的评级有所上升。总体评论强调了能力和角色上的差异,并建议延长实习时间,减少培训结构上的频繁变动。
该研究强调了在更短时间内专注于传授通用技能以及对全患者管理进行反思的必要性,这些对所有专业都适用。它强调了医生更频繁更换对服务提供的影响,并建议在未来做出任何改变之前进一步审视住院医师培训计划。