May S A, Kinnison T
Royal Veterinary College, University of London, Hatfield, Hertfordshire, UK.
Vet Rec. 2015 Jul 4;177(1):13. doi: 10.1136/vr.103109. Epub 2015 May 6.
The lack of effectiveness of traditional models of continuing professional development is increasingly recognised. While they can lead to increased knowledge of participants, research suggests that there is a general failure to produce meaningful and sustained changes in clinician behaviours. The aim of this study was to explore the effect of the Royal College of Veterinary Surgeons' (RCVS) new individual outcomes-focused approach to delivery of continuing professional development (CPD) through the reflective accounts of participant experiences. Content analysis of 12 summaries of their learning, produced by early pioneers of the Professional Key Skills (PKS) Module of the RCVS Certificate in Advanced Veterinary Practice, revealed that the benefits of the PKS-related professional development is best understood through 'a framework of 'stakeholder' dynamics', with impact and behavioural change at the individual participant level having an effect on practice team behaviours, leading to patient, owner and business benefits. It can be concluded that, at least for these early pioneers, this new model for CPD has resulted in changes that have gone beyond knowledge accumulation to changed practitioner behaviours and recognisable patient, owner and business benefits.
传统的持续专业发展模式缺乏成效这一点日益得到认可。虽然这些模式能够增加参与者的知识，但研究表明，总体上未能在临床医生行为上产生有意义且持续的改变。本研究的目的是通过参与者经历的反思性记录，探讨英国皇家兽医学院（RCVS）以个体成果为导向的持续专业发展（CPD）新方法的效果。对RCVS高级兽医实践证书专业关键技能（PKS）模块的早期先驱者撰写的12篇学习总结进行内容分析后发现，与PKS相关的专业发展的益处最好通过“利益相关者”动态框架来理解，个体参与者层面的影响和行为改变会对实践团队行为产生作用，进而带来患者、所有者和业务方面的益处。可以得出结论，至少对于这些早期先驱者而言，这种CPD新模型带来的改变已超越了知识积累，实现了从业者行为的改变以及可识别的患者、所有者和业务方面的益处。
