新校友培训和独立监督实践体验（NEXT-UP）：一项对早期执业全科医生的横断面研究的方案。

New alumni EXperiences of Training and independent Unsupervised Practice (NEXT-UP): protocol for a cross-sectional study of early career general practitioners.

机构信息

Discipline of General Practice, School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.

NSW and ACT Research and Evaluation Unit, GP Synergy Ltd - Newcastle, Mayfield West, New South Wales, Australia.

出版信息

BMJ Open. 2019 May 30;9(5):e029585. doi: 10.1136/bmjopen-2019-029585.

DOI:10.1136/bmjopen-2019-029585

PMID:31152045

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6549658/

Abstract

INTRODUCTION

General practice in Australia, as in many countries, faces challenges in the areas of workforce capacity and workforce distribution. General practice vocational training in Australia not only addresses the training of competent independent general practitioners (GPs) but also addresses these workforce issues. This study aims to establish the prevalence and associations of early career (within 2 years of completion of vocational training) GPs' practice characteristics; and also to establish their perceptions of utility of their training in preparing them for independent practice.

METHODS AND ANALYSIS

This will be a cross-sectional questionnaire study. Participants will be former registrars ('alumni') of three regional training organisations (RTOs) who achieved general practice Fellowship (qualifying them for independent practice) between January 2016 and July 2018 inclusive. The questionnaire data will be linked to data collected as part of the participants' educational programme with the RTOs. Outcomes will include alumni rurality of practice; socioeconomic status of practice; retention within their RTO's geographic footprint; workload; provision of nursing home care, after-hours care and home visits; and involvement in general practice teaching and supervision. Associations of these outcomes will be established with logistic regression. The utility of RTO-provided training versus in-practice training in preparing the early career GP for unsupervised post-Ffellowship practice in particular aspects of practice will be assessed with χ tests.

ETHICS AND DISSEMINATION

Ethics approval is by the University of Newcastle Human Research Ethics Committee, approval numbers H-2018-0333 and H-2009-0323. The findings of this study will be widely disseminated via conference presentations and publication in peer-reviewed journals, educational practice translational workshops and the GP Synergy Research subwebsite.

摘要

简介

与许多国家一样，澳大利亚的全科医学领域在劳动力能力和劳动力分布方面面临挑战。澳大利亚的全科医学职业培训不仅旨在培养有能力的独立全科医生（GP），还旨在解决这些劳动力问题。本研究旨在确定早期职业（完成职业培训后 2 年内）GP 实践特征的流行率和相关性；并确定他们对培训在为独立实践做准备方面的实用性的看法。

方法和分析

这将是一项横断面问卷调查研究。参与者将是三家地区培训组织（RTO）的前注册医师（“校友”），他们在 2016 年 1 月至 2018 年 7 月期间获得了全科医学院士资格（有资格独立行医）。问卷调查数据将与参与者在 RTO 接受教育计划收集的数据相关联。结果将包括校友的实践地点的农村性；实践的社会经济地位；在 RTO 的地理范围内的保留率；工作量；提供养老院护理、下班后护理和家访；以及参与全科医学教学和监督。将使用逻辑回归确定这些结果的相关性。将使用 χ 检验评估 RTO 提供的培训与在职培训在为早期职业 GP 准备独立行医后的某些方面的实用性。