Lüer Sonja, Aebi Christoph
Department of Pediatrics, Bern University Hospital, Inselspital, University of Bern, Bern, Switzerland.
Adv Med Educ Pract. 2017 Apr 27;8:307-315. doi: 10.2147/AMEP.S131043. eCollection 2017.
One trend in medical education is outcomes-oriented training. Outcomes usually refer to individuals' acquisition of competencies, for example, during training in residency programs. However, little is known about outcomes of these programs. In order to fill this gap, human resource (HR) data were analyzed and alumni of a pediatric residency program were surveyed at the Department of Pediatrics, Bern University Hospital, Switzerland.
Residency program outcomes (demographics, career choices, part-time or full-time work status, competencies, feedback) were assessed through in-house HR databases, publicly available data on the Internet (physician directory and practice homepages), and 2 alumni surveys (S1, S2).
In all, 109 alumni met the inclusion criteria. Retention rate at the hospital was low (14%). Forty-six alumni (42%) in private practice were eligible for alumni surveys. Response rates were 87% (S1) and 61% (S2). Time intervals between 2 career decisions (selecting specialty of pediatrics vs selecting setting of private practice) varied widely (late-training decision to enter private practice). Mean employment level in private practice was 60% (range 20%-100%). Most valued rotation was emergency medicine; most desired competencies in future colleagues were the ability to work in a team, proficiency in pediatrics, and working economically.
A broadened view on outcomes - beyond individuals' competency acquisition - provides informative insights into a training program, can allow for informed program updates, and guide future program development.
医学教育的一个趋势是注重结果的培训。结果通常是指个人能力的获得，例如在住院医师培训项目中。然而，对于这些项目的结果知之甚少。为了填补这一空白，我们分析了人力资源（HR）数据，并对瑞士伯尔尼大学医院儿科的一个儿科住院医师培训项目的校友进行了调查。
通过内部人力资源数据库、互联网上公开的数据（医生名录和执业主页）以及两项校友调查（S1、S2）来评估住院医师培训项目的结果（人口统计学、职业选择、兼职或全职工作状态、能力、反馈）。
共有109名校友符合纳入标准。在医院的留用率较低（14%）。46名从事私人执业的校友（42%）符合校友调查的条件。回复率分别为87%（S1）和61%（S2）。两次职业决策（选择儿科专业与选择私人执业环境）之间的时间间隔差异很大（进入私人执业的培训后期决策）。私人执业中的平均就业水平为60%（范围为20%-100%）。最受重视的轮转科室是急诊医学；对未来同事最期望的能力是团队协作能力、儿科专业技能和经济高效地工作。
对结果的更广泛看法——超越个人能力的获得——能为培训项目提供有益的见解，有助于明智地更新项目，并指导未来的项目发展。
