Hallewell Rosalyn, Bryant Catherine, Deaner Andrew, Ruggles Ruth, Birns Jonathan
Health Education England, London, UK.
Health Education England, London, UK and consultant in stroke medicine, geriatrics and general medicine, St Thomas' Hospital, London, UK.
Future Healthc J. 2020 Jun;7(2):120-124. doi: 10.7861/fhj.2019-0043.
Physicians take time out of training for a variety of reasons and, on their return, they often lack confidence and feel 'out of touch'. These trainees require enhanced support and concerns have been raised about trainers' lack of skills and knowledge in this area. A standardised workshop was developed and delivered to address this with a mixed-methods evaluation approach used to analyse data from participants before and after training. Quantitative analysis showed significant pre- to post-course improvements in trainers' ability to understand, explain and manage issues pertaining to trainees taking time out of training. Qualitative analysis yielded three 'learning' themes surrounding knowledge, understanding and awareness of support needed for returning trainees and three 'action' themes surrounding disseminating information, providing resources and actively supporting returning trainees. Framework analysis of follow-up interviews demonstrated not only retention of topics learned but also positive changes in behaviour.
医生因各种原因中断培训,而当他们回归时,往往缺乏信心,感觉“脱节”。这些学员需要更多支持,人们也对培训师在这方面缺乏技能和知识表示担忧。为此开发并举办了一个标准化工作坊,并采用混合方法评估来分析培训前后参与者的数据。定量分析表明,培训师在理解、解释和处理与中断培训学员相关问题的能力上,课程前后有显著提升。定性分析产生了围绕回归学员所需支持的知识、理解和意识的三个“学习”主题,以及围绕传播信息、提供资源和积极支持回归学员的三个“行动”主题。后续访谈的框架分析表明,不仅学到的主题得以保留,行为也有积极改变。