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与全科医学专业培训满意度相关的因素——芬兰医师研究结果

Factors associated with general practice specialty training satisfaction - results from the Finnish Physician Study.

作者信息

Aine Tiina, Sumanen Markku, Heikkilä Teppo, Hyppölä Harri, Halila Hannu, Vänskä Jukka, Kujala Santero, Virjo Irma O, Mattila Kari

机构信息

Department of General Practice, University of Tampere, School of Medicine, FI-33014 University of Tampere, Finland.

Department of General Practice, University of Tampere, Finland.

出版信息

Educ Prim Care. 2014 Jul;25(4):194-201. doi: 10.1080/14739879.2014.11494277.

Abstract

In Finland, achieving licensure as a specialist in general practice takes six years, with four years of training in primary care. Usually training arrangements are evaluated by trainees and their trainers. In this study the opinions of licensed GPs with experience of working in practice were specifically addressed. Our aim was to evaluate Finnish general practitioners' satisfaction with their specialty training and with the training programme. Correlations between these evaluations were investigated using logistic regression analyses. Participants comprised 416 GPs and 131 GP trainees, who responded to the Finnish Physician 2008 Study (response rate 53.7%). The respondents were asked how satisfied they were with their own specialty training in general, how satisfied they were with 12 items in their specialty training programme, and how well specialty training matched the requirements of GP work. Two-thirds of GPs and GP trainees were satisfied with their specialty training. Almost three in four felt that GP training succeeded in matching the requirements of work in general practice. Good ratings of diagnostic skill learning during GP training were predictive of overall training satisfaction. Clinical training relevant to GP work is the key element in ensuring satisfaction with general practice specialty training. The views of qualified GPs with experience gained in work provide a valuable addition to the total transformational quality management of GP training.

摘要

在芬兰,要获得全科医学专科医生执照需要六年时间,其中四年用于初级保健培训。通常,培训安排由学员及其培训师进行评估。在本研究中,特别探讨了有实践工作经验的执业全科医生的意见。我们的目的是评估芬兰全科医生对其专科培训及培训计划的满意度。使用逻辑回归分析研究这些评估之间的相关性。参与者包括416名全科医生和131名全科医生学员,他们对《2008年芬兰医生研究》做出了回应(回复率为53.7%)。受访者被问及他们对自己总体专科培训的满意度、对专科培训计划中12项内容的满意度,以及专科培训与全科医生工作要求的匹配程度。三分之二的全科医生和全科医生学员对他们的专科培训感到满意。近四分之三的人认为全科医生培训总体上成功地符合了全科医疗工作的要求。在全科医生培训期间对诊断技能学习的良好评价可预测总体培训满意度。与全科医生工作相关的临床培训是确保对全科医学专科培训满意的关键因素。有工作经验的合格全科医生的意见为全科医生培训的全面变革质量管理提供了宝贵补充。

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