Almeneessier Aljohara S, AlYousefi Nada A, AlWatban Lemmese F, Alodhayani Abdulaziz A, Alzahrani Ahmed M, Alwalan Saleh I, AlSaad Samaher Z, Alonezan Anas F
Department of Family and Community Medicine, College of Medicine, King Saud University (KSU), Riyadh, Kingdom of Saudi Arabia.
King Saud University Medical City, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Adv Med Educ Pract. 2021 Apr 19;12:371-382. doi: 10.2147/AMEP.S283379. eCollection 2021.
BACKGROUND/OBJECTIVES: Practicing independently in an ambulatory care setting demands mastering the knowledge and skills of commonly performed minor procedures. Educational hands-on activities are one way to ensure competent family medicine practitioners. This study aims to evaluate a minor procedure workshop for family medicine trainees using the Kirkpatrick model for short- and long-term workshop effectiveness and to identify facilitators and obstacles faced by the trainees during their practices to gain procedural skills.
A cross-sectional study was conducted in four-time intervals: during the workshop (pre- and post-workshop), 12 weeks after the workshop to evaluate the short-term effectiveness and change of behavior, and 12 months after the workshop to evaluate the long-term effectiveness of the workshop. Statistical Package for Social Sciences 22 was used for data analysis.
Forty postgraduate trainees (R1-R4) attended the workshop and participated in the survey. Overall, the workshop was accepted and highly perceived by the trainees, and the pre-workshop confidence level was lower than the post-workshop confidence level. The workshop met the expectation of 100% in obstetric and gynecological procedures workshop with 97% satisfaction rate, followed by dermatology (97.5%, 90%), orthopedic (95%, 87%), general surgery (97.5%, 84%), combined ophthalmology and otorhinolaryngology workshop (82.5%, 74%). At 12 weeks, 24 postgraduate trainees (R2-R4) responded to the survey, and low competency occurred with uncommon procedures in practice. At 12 months only 16 trainees (R3-R4) responded to the survey. Learning effect was higher as post-workshop and varied with the passage of time. Changes in the competency level were noticed, with the number of procedures performed being not statistically significant (P> 0.05).
Practicing family medicine in an ambulatory health-care setting safely needs the mastering of minor office procedure skills. Evaluating educational workshops is important to ensure effective outcomes and identify the factors of trainees, supervisors, institutions, and patients that influence or hinder the performance of minor procedures in a family medicine clinic.
背景/目的:在门诊护理环境中独立执业需要掌握常见小手术的知识和技能。教育实践活动是确保家庭医学从业者胜任工作的一种方式。本研究旨在使用柯克帕特里克模型评估针对家庭医学实习生的小手术工作坊的短期和长期效果,并确定实习生在实践中获得手术技能时所面临的促进因素和障碍。
在四个时间间隔进行横断面研究:工作坊期间(工作坊前和工作坊后)、工作坊后12周以评估短期效果和行为变化,以及工作坊后12个月以评估工作坊的长期效果。使用社会科学统计软件包22进行数据分析。
40名研究生实习生(R1 - R4)参加了工作坊并参与了调查。总体而言,该工作坊被实习生接受并给予高度评价,工作坊前的信心水平低于工作坊后的信心水平。该工作坊在妇产科手术工作坊中达到了100%的期望,满意度为97%,其次是皮肤科(97.5%,90%)、骨科(95%,87%)、普通外科(97.5%,84%)、眼科和耳鼻喉科联合工作坊(82.5%,74%)。在12周时,24名研究生实习生(R2 - R4)回复了调查,在实践中不常见的手术操作能力较低。在12个月时,只有16名实习生(R3 - R4)回复了调查。学习效果在工作坊后更高,并随时间推移而变化。注意到能力水平有变化,所执行手术的数量无统计学意义(P>0.05)。
在门诊医疗环境中安全地从事家庭医学需要掌握小型门诊手术技能。评估教育工作坊对于确保有效结果以及识别影响或阻碍家庭医学诊所小手术操作的实习生、带教老师、机构和患者等因素很重要。