Coelho Inês, Dias Matilde Padrão, Leal Catarina, Mestrinho Catarina, Gonçalves Ivone
Unidade de Saúde Familiar do Dafundo. Agrupamento de Centros de Saúde de Lisboa Ocidental e Oeiras. Lisboa. Portugal.
Unidade de Saúde Familiar do Dafundo. Agrupamento de Centros de Saúde de Lisboa Ocidental e Oeiras. Lisboa. Coordenação do Internato de Medicina Geral e Familiar. Administração Regional de Saúde de Lisboa e Vale do Tejo. Lisboa. Portugal.
Acta Med Port. 2021 Jun 30;34(7-8):517-522. doi: 10.20344/amp.13321. Epub 2021 May 6.
In Portugal, requirements for selection and training of General Practice trainers vary across the different regions of the country. The aim of our study was to assess the satisfaction of general practice trainees with their trainers of the Lisbon and Tagus Valley Regional Health Administration.
General Practice trainees were the target population for our cross-sectional, exploratory study. The authors developed a 16-item questionnaire based on the existing literature. The questions covered the following domains: patient safety, learning environment, trainer's feedback, the trainee/trainer relationship, assessment of educational progress and continuous professional development of trainers. Items were scored on a 5-point Likert-type scale. Data was collected at a meeting in October 2018 attended by General Practice trainees.
A total of 384 questionnaires were distributed, with a response rate of 59.9%. The majority of respondents were female (79.9%) and all years of specialty training were represented. Our study shows that 60.4% of General Practice trainees from the Lisbon and Tagus Valley Regional Health Administration are very satisfied with the teaching skills of their trainers. However, there was lower satisfaction with trainer's continuous professional development, trainer's feedback, and monitoring of educational progress. The majority (57.4%) of respondents did not give feedback to their supervisors about their teaching performance, mostly because they do not feel comfortable doing so or because they have not considered this.
The findings show a high degree of satisfaction of the general practice trainees with their trainers of the Lisbon and Tagus Valley Regional Health Administration. The high response rate attained is one of the strengths of the study. The authors make some suggestions for improvement of domains with lower satisfaction levels. Unfortunately, it is difficult to extrapolate the findings nationwide due to the differences between the training programmes of the different regions.
Although there is a high level of satisfaction, there is still potential for improvement, including the expansion of training programmes for trainers.
在葡萄牙，全国不同地区对全科医学培训师的选拔和培训要求各不相同。我们研究的目的是评估里斯本和塔霍河谷地区卫生管理局的全科医学实习生对其培训师的满意度。
全科医学实习生是我们横断面探索性研究的目标人群。作者根据现有文献编制了一份包含16个条目的问卷。问题涵盖以下领域：患者安全、学习环境、培训师反馈、实习生/培训师关系、教育进展评估以及培训师的持续专业发展。条目采用5点李克特量表评分。数据于2018年10月在一次由全科医学实习生参加的会议上收集。
共发放问卷384份，回复率为59.9%。大多数受访者为女性（79.9%），涵盖了各个专科培训年份。我们的研究表明，里斯本和塔霍河谷地区卫生管理局60.4%的全科医学实习生对其培训师的教学技能非常满意。然而，对培训师的持续专业发展、培训师反馈以及教育进展监测的满意度较低。大多数（57.4%）受访者没有就培训师的教学表现向其上级提供反馈，主要是因为他们这样做感觉不自在，或者因为他们没有考虑过这样做。
研究结果显示，里斯本和塔霍河谷地区卫生管理局的全科医学实习生对其培训师的满意度较高。获得的高回复率是该研究的优势之一。作者针对满意度较低的领域提出了一些改进建议。遗憾的是，由于不同地区培训项目存在差异，难以将研究结果推广至全国。
尽管满意度较高，但仍有改进的空间，包括扩大培训师培训项目。
