Primary Care Clinical Unit, Faculty of Medicine, University of Queensland, Brisbane, Australia.
General Practice Training Queensland (GPTQ), Springwood, Australia.
Educ Prim Care. 2021 Mar;32(2):104-108. doi: 10.1080/14739879.2020.1864779. Epub 2020 Dec 29.
Timely clinical supervision of trainee consultations plays a key role in ensuring the safety of patients under the care of general practice trainees, and in trainee learning and professional development. Trainee requests for assistance during their consultations present supervisors with a number of challenges, however, and a number of factors act as barriers to, or reduce the utility of, this in-consultation assistance from the trainee's perspective. Face-to-face supervision in the presence of the patient presents particular challenges and opportunities. It is important to address barriers to trainee help-seeking and improve both trainee and supervisor skills in promoting safe, effective and efficient in-consultation supervision. We introduce a model (β-LACTAM) to assist supervisors in planning and delivering their face-to-face in-consultation supervision. The recent evidence which informed the development of this model is outlined, and some preliminary findings from a pilot of β-LACTAM in Australian general practice training are presented.
及时对实习医生的问诊进行临床监督，对于确保在全科实习医生照护下的患者安全，以及促进实习医生的学习和职业发展，起着关键作用。然而，实习医生在问诊中寻求帮助时，会给带教医生带来一系列挑战，并且从实习医生的角度来看，有许多因素会对这种问诊中获得的协助形成阻碍，或者降低其效用。在有患者在场的情况下进行面对面监督，会带来特殊的挑战和机遇。解决阻碍实习医生寻求帮助的问题，并提高实习医生和带教医生在促进安全、有效和高效的问诊中监督方面的技能，这一点非常重要。我们引入了一个模型（β-内酰胺），以帮助带教医生规划和实施他们的面对面问诊中监督。概述了为开发该模型而提供信息的最新证据，并介绍了β-内酰胺在澳大利亚全科医学培训中的试点研究的初步结果。
