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[全科医学研究生培训期间积极参与研究和教学:未来全科医生的观点]

[Active participation in research and teaching during post-graduate GP training: perspectives of future general practitioners].

作者信息

Haumann Hannah, Flum Elisabeth, Joos Stefanie

机构信息

Institut für Allgemeinmedizin und Interprofessionelle Versorgung, Universitätsklinikum Tübingen, Tübingen, Deutschland.

Abteilung Allgemeinmedizin und Versorgungsforschung, Universitätsklinikum Heidelberg, Marsilius-Arkaden Turm West, Heidelberg, Deutschland.

出版信息

Z Evid Fortbild Qual Gesundhwes. 2016 Dec;118-119:65-72. doi: 10.1016/j.zefq.2016.11.001. Epub 2016 Nov 19.

Abstract

BACKGROUND

Academic institutions of general practice at German medical faculties have grown during the past years. This leads to an increase in the need of qualified young researchers and teachers in general practice (GP). Little is known about the interest in research and teaching skills and their training among general practice trainees and young GPs.

RESEARCH QUESTION

This cross-sectional survey among GP trainees and young GPs examined 1. if there is an interest in the training in research and teaching skills during post-graduate GP training, 2. which fostering and hindering factors have an effect on this interest and 3. which roles are attributed to academic institutions of general practice.

METHODS

A web-based cross-sectional study was performed among members of "Verbundweiterbildung, a network of GP trainees, as well as "Junge Allgemeinmedizin Deutschland", the German network of young GPs. Descriptive analysis was conducted.

RESULTS

148 GP trainees and young GPs participated in the study, 76% (n=109) of them were GP trainees. There was interest in a position in research and teaching during post-graduate GP training among 55% (n=78). Factors associated with the interest in a position in research and teaching during post-graduate GP training were (MV 5-point Likert scale ± SD): compatibility of clinical work and research/teaching and of family and career (4.4±0.8; 4.7±0.6 respectively). The roles of academic institutions of general practice were attributed to training of medical students (4.6±0.6), post-graduate GP training (4.5±0.7) and research (4.5±0.7). GP trainees assessed the importance of training in research and teaching skills during post-graduate GP training and of the compatibility of family and career differently from young GPs (3.7±1.0 vs. 4.1±0.8 p=0.027; 4.8±0.5 vs. 4.3±0.9, p=0.016). Those interested in a position in research and teaching during post-graduate GP training showed a stronger interest in specific training in research skills (3.7±1.1 vs. 2.8±1.1, p<0.001), a future clinical position in a research practice (3.8±1.2 vs. 2.5±1.2, p<0.001) and as a lecturer at an academic institution of general practice (4.3±0.9 vs. 3.9±1.1, p=0.04).

DISCUSSION

There is an interest in professional involvement in research and teaching during post-graduate GP training among GP trainees and young GPs. For those interested, structured concepts (e.g. "clinician scientist") need to be developed in order to facilitate the combination of clinical work and a position in research and teaching during post-graduate GP training. In doing so, the existing potential could be better exploited and more future GPs could be involved in research and teaching.

摘要

背景

在过去几年中,德国医学院校的全科医学学术机构不断发展。这导致对全科医学(GP)领域合格的年轻研究人员和教师的需求增加。对于全科医学实习生和年轻全科医生对研究及教学技能的兴趣及其培训情况,人们了解甚少。

研究问题

这项针对全科医学实习生和年轻全科医生的横断面调查研究了:1. 在全科医学研究生培训期间,他们对研究和教学技能培训是否感兴趣;2. 哪些促进因素和阻碍因素对这种兴趣产生影响;3. 全科医学学术机构被赋予了哪些角色。

方法

对“联合继续医学教育”(一个全科医学实习生网络)以及“德国年轻全科医学”(德国年轻全科医生网络)的成员进行了一项基于网络的横断面研究。进行了描述性分析。

结果

148名全科医学实习生和年轻全科医生参与了该研究,其中76%(n = 109)为全科医学实习生。55%(n = 78)的人对全科医学研究生培训期间的研究和教学岗位感兴趣。与全科医学研究生培训期间对研究和教学岗位的兴趣相关的因素(MV 5分李克特量表±标准差)为:临床工作与研究/教学的兼容性以及家庭与职业的兼容性(分别为4.4±0.8;4.7±0.6)。全科医学学术机构的角色被赋予医学生培训(4.6±0.6)、全科医学研究生培训(4.5±0.7)和研究(4.5±0.7)。全科医学实习生对研究生培训期间研究和教学技能培训的重要性以及家庭与职业兼容性的评估与年轻全科医生不同(3.7±l.0对4.1±0.8,p = 0.027;4.8±0.5对4.3±0.9,p = 0.016)。那些对全科医学研究生培训期间的研究和教学岗位感兴趣的人对研究技能的特定培训表现出更浓厚的兴趣(3.7±1.1对2.8±1.1,p<0.001),对未来在研究实践中的临床岗位(3.8±1.2对2.5±1.2,p<0.001)以及在全科医学学术机构担任讲师(4.3±0.9对3.9±1.1,p = 0.04)也表现出更浓厚的兴趣。

讨论

全科医学实习生和年轻全科医生对全科医学研究生培训期间参与研究和教学工作感兴趣。对于那些感兴趣的人,需要制定结构化的概念(例如“临床科学家”),以便在全科医学研究生培训期间促进临床工作与研究和教学岗位的结合。这样做可以更好地挖掘现有潜力,使更多未来的全科医生参与到研究和教学中。

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