让全科医学培训生参与临床实践指南的修订。

Involving general practice trainees in clinical practice guideline adaptation.

机构信息

Department of Public Health and Primary Care, KU Leuven, Kapucijnenvoer 33, Blok J, PB 7001, B-3000, Leuven, Belgium.

Department of Primary and Interdisciplinary Care, University of Antwerp, Antwerp, Belgium.

出版信息

BMC Med Educ. 2018 Jun 22;18(1):148. doi: 10.1186/s12909-018-1252-9.

DOI:10.1186/s12909-018-1252-9

PMID:29929504

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6013901/

Abstract

BACKGROUND

It is unclear whether it is feasible to involve residents in guideline development or adaptation. We designed a multifaceted training program that combines training sessions, a handbook and a documentation tool to assist general practice (GP)-trainees in the adaptation of clinical practice guidelines (CPGs). The aim of this study is to adapt a database of CPGs by involving GP-trainees and to build evidence-based practice (EBP) learning capacity.

METHODS

We assessed each adaptation process and surveyed all GP-trainees who enrolled in our training program on their views on the program. They were asked to formulate an overall rating for the training and were asked to rate individual aspects of the training program (the training sessions, the handbook and the documentation tool).

RESULTS

To date, 122 GP-trainees followed the training and have adapted 60 different CPGs. Overall quality of their work was good. Based on an assessment of the content of the documentation tool, 24 (40%) adapted CPGs rated as good quality and 30 (50%) rated as moderate quality. Only 3 adapted CPGs (5%) were evaluated as being of poor quality. 51 (42%) GP-trainees completed the survey on user satisfaction. 98% (50) of the GP-trainees found the training to be of good overall quality. 86% of the GP-trainees were satisfied with the handbook but satisfaction was lowest for the documentation tool (47% satisfied).

CONCLUSION

It is possible to engage GP-trainees in CPG adaptation using a formal process when provided with training, feedback and documentation tools.

摘要

背景

目前尚不清楚让住院医师参与指南的制定或改编是否可行。我们设计了一个多方面的培训计划，该计划结合了培训课程、手册和文档工具，以帮助全科医学培训生（GP 培训生）改编临床实践指南（CPG）。本研究的目的是通过让 GP 培训生参与来改编 CPG 数据库，并建立基于证据的实践（EBP）学习能力。

方法

我们评估了每个改编过程，并对所有参加我们培训计划的 GP 培训生进行了调查，以了解他们对该计划的看法。他们被要求对培训进行总体评价，并对培训计划的各个方面（培训课程、手册和文档工具）进行评价。

结果

迄今为止，已有 122 名 GP 培训生参加了培训，并改编了 60 种不同的 CPG。他们工作的整体质量良好。根据对文档工具内容的评估，24 个（40%）改编的 CPG 质量良好，30 个（50%）质量中等。只有 3 个改编的 CPG（5%）质量较差。51 名（42%）GP 培训生完成了用户满意度调查。98%（50 名）的 GP 培训生认为培训整体质量良好。86%的 GP 培训生对手册表示满意，但对文档工具的满意度最低（47%满意）。