Ingham Gerard, Morgan Simon, Kinsman Leigh, Fry Jennifer
MBBS, FRACGP, DRANZCOG, GP Supervisor, Daylesford, VIC; Director of Education for Supervisors, Beyond Medical Education, Bendigo, VIC.
Aust Fam Physician. 2015 Apr;44(4):236-240.
The new Royal Australian College of General Practitioners' vocational training standards emphasise patient safety and matching the level of supervision to registrar competence.
All supervisors attending a regional training provider's annual education workshop were surveyed about their overall confidence in assessing the safety of their registrars' patients, their registrars' competence across the five RACGP domains of general practice and supervision methods used.
Of 84 supervisors, 92.8% expressed overall confidence in their ability to assess their registrars' competence and 10.7% were totally confident. Consultation observation and audit techniques were infrequently used in their assessments.
Supervisors reported confidence in their ability to assess their registrars' competence, suggesting readiness for outcomes-based standards. The low frequency of using supervision methods considered more effective in targeting registrars' 'unknown unknowns' and the reduction in confidence with greater experiences as a supervisor raises concerns about the accuracy of this self-assessment.
澳大利亚皇家全科医生学院新的职业培训标准强调患者安全，并使监督水平与住院医生的能力相匹配。
对参加地区培训提供者年度教育研讨会的所有监督员进行了调查，内容包括他们对评估住院医生患者安全的总体信心、住院医生在皇家澳大利亚全科医生学院全科医学五个领域的能力以及所使用的监督方法。
在84名监督员中，92.8%表示对评估住院医生能力有总体信心，10.7%完全有信心。在评估中很少使用会诊观察和审计技术。
监督员报告称对评估住院医生能力有信心，这表明他们已准备好采用基于结果的标准。在针对住院医生“未知的未知”方面，被认为更有效的监督方法使用频率较低，而且随着监督员经验的增加信心下降，这引发了对这种自我评估准确性的担忧。
