Maher B, O'Neill R, Faruqui A, Bergin C, Horgan M, Bennett D, O'Tuathaigh C M P
a Medical Education Unit, University College Cork , Cork , Ireland.
b School of Medicine, Brookfield Health Sciences Complex , University College Cork , Cork , Ireland.
Educ Prim Care. 2018 Jan;29(1):13-21. doi: 10.1080/14739879.2017.1338536. Epub 2017 Jun 14.
Doctors' continuing professional development (CPD) training needs are known to be strongly influenced by national and local contextual characteristics. Given the changing national demographic profile and government-mandated changes to primary care health care provision, this study aimed to investigate Irish General Practitioners' (GPs) perceptions of, and preferences for, current and future CPD programmes.
A cross-sectional questionnaire, using closed- and open-ended questions, was administered to Irish GPs, focusing on training needs analysis; CPD course content; preferred format and the learning environment.
The response rate was 719/1000 (71.9%). GPs identified doctor-patient communication as the most important and best-performed GP skill. Discrepancies between perceived importance (high) and current performance (low) emerged for time/workload management, practice finance and business skills. GPs identified clinically-relevant primary care topics and non-clinical topics (stress management, business skills, practice management) as preferences for future CPD. Flexible methods for CPD delivery were important. Gender and practice location (urban or rural) significantly influenced CPD participation and future course preference.
The increasing diversity of services offered in the Irish primary care setting, in both clinical and non-clinical areas, should be tailored based to include GP practice location and structure.
众所周知，医生的持续专业发展（CPD）培训需求受到国家和地方背景特征的强烈影响。鉴于国家人口结构的变化以及政府对初级保健服务规定的改变，本研究旨在调查爱尔兰全科医生（GPs）对当前和未来CPD项目的看法及偏好。
采用封闭式和开放式问题的横断面调查问卷，对爱尔兰全科医生进行调查，重点关注培训需求分析、CPD课程内容、偏好的形式和学习环境。
回复率为719/1000（71.9%）。全科医生将医患沟通视为最重要且表现最佳的全科医生技能。在时间/工作量管理、实践财务和商业技能方面，感知重要性（高）与当前表现（低）之间存在差异。全科医生将临床相关的初级保健主题和非临床主题（压力管理、商业技能、实践管理）视为未来CPD的偏好内容。灵活的CPD交付方式很重要。性别和实践地点（城市或农村）对CPD参与度和未来课程偏好有显著影响。
爱尔兰初级保健环境中提供的临床和非临床服务日益多样化，应根据全科医生的实践地点和结构进行调整。
