Hoftvedt B O, Westin S, Holm H A
Educational Unit, Norwegian Medical Association, Oslo.
Med Educ. 1988 Sep;22(5):445-8. doi: 10.1111/j.1365-2923.1988.tb00781.x.
Since 1985, the Norwegian Medical Association (NMA) has offered a 5-year specialist training programme in general practice. For two of these years the doctors take part in a group-based educational programme with bi-weekly meetings of 3 hours' duration. The evaluation study reported here had a dual purpose: to provide the groups with a method for exploring the group members' expectations of the programme, and to measure to what extent the programme had actually met these expectations within the first of the 2 years. Thirty-one of 38 groups, first established in spring 1986, responded on a postal inquiry where they were asked to list up to 10 features they expected to find in the educational programme. These expectations were rated by the groups on a five-point scale, where 5 denoted a fully met expectation. The four most frequent features analysed were: (1) increased comprehension of the characteristics and practice of general medicine; (2) good group collaboration; (3) facilitating the acquisition of medical knowledge; and (4) evaluation of clinical problems and patient management. Expectations for the first two of these features were nearly fully met, while the two others were met to a lesser degree. This type of evaluation seemed to be a useful tool for improving the group's way of functioning.
自1985年以来，挪威医学协会（NMA）提供了一项为期5年的全科医学专科培训计划。在这5年中的两年里，医生们参加一个基于小组的教育计划，每两周进行一次为期3小时的会议。此处报告的评估研究有双重目的：为各小组提供一种方法，以探索小组成员对该计划的期望，并衡量该计划在两年中的第一年实际满足这些期望的程度。1986年春季首次成立的38个小组中有31个对邮政调查做出了回应，调查要求他们列出在教育计划中期望看到的多达10个特点。各小组对这些期望按五分制进行评分，5分表示期望完全得到满足。分析的四个最常见特点是：（1）增强对全科医学特点和实践的理解；（2）良好的小组协作；（3）促进医学知识的获取；（4）对临床问题和患者管理的评估。对前两个特点的期望几乎完全得到满足，而另外两个特点的满足程度较低。这种评估似乎是改进小组运作方式的有用工具。
