Thomas Gareth, McNeill Helen
a Lancashire Care NHS Foundation Trust , Lancashire , UK.
b Faculty of Health and Social Care, Postgraduate Medical Institute , Edge Hill University , Ormskirk , UK.
Educ Prim Care. 2018 May;29(3):174-177. doi: 10.1080/14739879.2017.1416959. Epub 2018 Jan 5.
Background A '1-hour protected supervision model' is well established for Psychiatry trainees. This model is also extended to GP trainees who are on placement in psychiatry.
To explore the experiences of the '1-hour protected supervision model' for GP trainees in psychiatry placements in the UK. Methods Using a mixed methods approach, an anonymous online questionnaire was sent to GP trainees in the North West of England who had completed a placement in Psychiatry between February and August 2015. Results Discussing clinical cases whilst using the e-portfolio was the most useful learning event in this model. Patient care can potentially improve if a positive relationship develops between trainee/supervisor, which is impacted by the knowledge of this model at the start of the placement. Trainees found that clinical pressures were impacting on the occurrence of supervision. Conclusion The model works best when both GP trainees and their supervisors understand the model. The most frequently used and educationally beneficial aspect for GP trainees in psychiatry is the exploration of clinical cases using the learning portfolio as an educational tool. For effective delivery of this model of supervision, organisations must reflect on the balance between service delivery and allowing the supervisor and trainee adequate time for it to occur.
背景 “1小时受保护督导模式” 在精神科实习医生中已得到充分确立。该模式也扩展到了在精神科实习的全科医生实习医生。
探讨英国全科医生实习医生在精神科实习时对 “1小时受保护督导模式” 的体验。方法 采用混合方法，向2015年2月至8月间在精神科完成实习的英格兰西北部全科医生实习医生发送了一份匿名在线问卷。结果 在该模式中，使用电子档案袋讨论临床病例是最有用的学习活动。如果实习医生/督导之间建立起积极的关系，患者护理可能会得到改善，而这在实习开始时会受到对该模式了解程度的影响。实习医生发现临床压力正在影响督导的开展。结论 当全科医生实习医生及其督导都了解该模式时，该模式效果最佳。对于精神科的全科医生实习医生而言，最常用且在教育方面有益的方面是将学习档案袋作为教育工具来探讨临床病例。为了有效实施这种督导模式，各机构必须反思服务提供与为督导和实习医生留出足够时间进行督导之间的平衡。
