Desai Mitesh, Davies Olubanke, Menon-Johansson Anatole, Sethi Gulshan Cindy
Department of Genitourinary medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Int J STD AIDS. 2018 Jul;29(8):738-743. doi: 10.1177/0956462418754970. Epub 2018 Feb 28.
Specialty trainees in genitourinary medicine (GUM) are required to attain competencies described in the GUM higher specialty training curriculum by the end of their training, but learning opportunities available may conflict with service delivery needs. In response to poor feedback on trainee satisfaction surveys, a four-year modular training programme was developed to achieve a curriculum competencies-based approach to training. We evaluated the clinical opportunities of the new programme to determine: (1) Whether opportunity cost of training to service delivery is justifiable; (2) Which competencies are inadequately addressed by direct clinical opportunities alone and (3) Trainee satisfaction. Local faculty and trainees assessed the 'usefulness' of the new modular programme to meet each curriculum competence. The annual General Medical Council (GMC) national training survey assessed trainee satisfaction. The clinical opportunities provided by the modular training programme were sufficiently useful for attaining many competencies. Trainee satisfaction as captured by the GMC survey improved from two reds pre- to nine greens post-intervention on a background of rising clinical activity in the department. The curriculum competencies-based approach to training offers an objective way to balance training with service provision and led to an improvement in GMC survey satisfaction.
生殖泌尿医学（GUM）专业培训学员需要在培训结束时达到GUM高级专业培训课程中描述的能力要求，但现有的学习机会可能与服务提供需求相冲突。针对学员满意度调查中收到的负面反馈，制定了一项为期四年的模块化培训计划，以实现基于课程能力的培训方法。我们评估了新计划的临床机会，以确定：（1）培训对服务提供的机会成本是否合理；（2）哪些能力仅通过直接临床机会无法充分解决；（3）学员满意度。当地教员和学员评估了新模块化计划对实现每项课程能力的“有用性”。年度医学总会（GMC）全国培训调查评估了学员满意度。模块化培训计划提供的临床机会对于获得许多能力非常有用。在该部门临床活动增加的背景下，GMC调查所反映的学员满意度从干预前的两项红色提升到干预后的九项绿色。基于课程能力的培训方法提供了一种客观的方式来平衡培训与服务提供，并提高了GMC调查的满意度。
