Denney MeiLing
South East Scotland deanery.
BMJ Qual Improv Rep. 2014 May 29;3(1). doi: 10.1136/bmjquality.u204199.w1828. eCollection 2014.
UK three-year GP specialty training programmes consist of 18 months in hospital posts and 18 months in general practice. Within the hospital setting, clinical supervisors of GP trainees may have difficulty determining which learning opportunities available within the post are most relevant to training for a future career in general practice. Feedback from GP trainees has indicated that there is a lack of consistency in hospital posts regarding relevance of training for general practice. The aim of the project was to provide support to the hospital supervisors in order to improve the overall quality of hospital posts in GPST programmes and their relevance to General Practice training, and to provide guidance to GP trainees to target their learning most effectively within each specialty post to improve relevance to future career. The deanery set out to develop a tool, the Super Condensed Curriculum Guide (SCCG) consisting of a set of documents created for a specialty with involvement from stakeholder groups. It was intended that this guide would stand alongside the relevant part of the GP curriculum. A programme of familiarisation and initial training for clinical supervisors was delivered. Take-up of the clinical supervisor training sessions was not uniform. Following favourable initial feedback from trainee groups and clinical supervisors across the region, the guides were developed for the remaining specialties in the programme. Trainees were also informed about the guide and how it might help focus their learning in a hospital post. Feedback from trainees across the specialties was positive, but more needs to be done to engage clinical supervisors across the range of specialties. This will improve the utility of the tool, help to guide the clinical supervisor in their teaching, and make sure each post is as educationally effective as possible.
英国三年期的全科医生专科培训计划包括18个月的医院岗位培训和18个月的全科医疗培训。在医院环境中,全科医生培训学员的临床督导员可能难以确定该岗位内现有的哪些学习机会与未来全科医疗职业培训最为相关。全科医生培训学员的反馈表明,医院岗位在全科医疗培训相关性方面缺乏一致性。该项目的目的是为医院督导员提供支持,以提高全科医生专科培训计划中医院岗位的整体质量及其与全科医疗培训的相关性,并为全科医生培训学员提供指导,以便他们在每个专科岗位上最有效地进行学习,提高与未来职业的相关性。教区开始开发一种工具,即超级精简课程指南(SCCG),它由一组为某个专科编写的文件组成,并有利益相关者团体参与其中。该指南旨在与全科医生课程的相关部分并行使用。为临床督导员提供了一个熟悉和初步培训的项目。临床督导员培训课程的参与情况并不统一。在该地区的培训学员团体和临床督导员给出了积极的初步反馈后,为该计划中的其余专科编写了指南。学员们也被告知该指南以及它如何有助于他们在医院岗位上集中学习。各专科培训学员的反馈是积极的,但仍需做更多工作来让各专科临床督导员参与进来。这将提高该工具的实用性,帮助指导临床督导员的教学,并确保每个岗位在教育方面尽可能有效。