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[逻辑模型——德国全科医学研究生医学教育能力中心综合评估框架的基本原理]

[The Logic Model - a rationale for an encompassing evaluation framework of the German Competence Centers for Postgraduate Medical Education in general practice].

作者信息

Förster Christian, Haumann Hannah, Schwill Simon, Bischoff Martina, Portenhauser Frank, Stengel Sandra, Barzel Anne, Koch Roland, Joos Stefanie

机构信息

Universitätsklinikum Tübingen, Institut für Allgemeinmedizin und Interprofessionelle Versorgung, Tübingen, Deutschland.

Universitätsklinikum Tübingen, Institut für Allgemeinmedizin und Interprofessionelle Versorgung, Tübingen, Deutschland.

出版信息

Z Evid Fortbild Qual Gesundhwes. 2021 Oct;165:77-82. doi: 10.1016/j.zefq.2021.08.003. Epub 2021 Aug 30.

DOI:10.1016/j.zefq.2021.08.003
PMID:34474993
Abstract

BACKGROUND

The Competence Centers for Postgraduate Medical Education (KW) established throughout Germany represent complex programs to increase the efficiency and quality of postgraduate medical education in general practice. So-called Logic Models serve as the framework for evaluations and quality management processes of complex programs in many areas. The aim of this article is to develop such a model, using the example of the Competence Center in Baden-Württemberg (KWBW) in order to structure its complex program logic and use it as a framework for future evaluations and quality management processes.

METHODS

The adaptation of the Logic Model to the KWBW took place in an informal, nominal group process with employees and participants of the program.

RESULTS

We identified 76 core elements of the KWBW. These core elements were classified in one of the five pillars of the Logic Model (input, activity, output, outcome and impact) and categorized according to fields of action and target groups.

DISCUSSION

The Logic Model, which was developed using the KWBW as an example, identifies and structures important core elements of a complex postgraduate medical training program for the first time. It seems to be well suited for visualizing the internal logic of this complex program and the interaction of the various elements within the KWBW. It can thus be used as the basis for a comprehensive and systematic evaluation concept and for quality assurance.

CONCLUSION

The model is also a prerequisite for comparative research questions of other university programs for postgraduate medical education and thus offers an opportunity for cooperative development efforts. This article therefore contributes to promoting quality in continuing medical training.

摘要

背景

在德国各地设立的毕业后医学教育能力中心(KW)代表了旨在提高全科医学毕业后医学教育效率和质量的复杂项目。所谓的逻辑模型在许多领域作为复杂项目评估和质量管理流程的框架。本文旨在以巴登 - 符腾堡州能力中心(KWBW)为例开发这样一个模型,以构建其复杂项目逻辑,并将其用作未来评估和质量管理流程的框架。

方法

逻辑模型针对KWBW的调整是在一个由该项目的员工和参与者组成的非正式名义小组过程中进行的。

结果

我们确定了KWBW的76个核心要素。这些核心要素被归类到逻辑模型的五个支柱之一(输入、活动、输出、成果和影响)中,并根据行动领域和目标群体进行了分类。

讨论

以KWBW为例开发的逻辑模型首次识别并构建了一个复杂的毕业后医学培训项目的重要核心要素。它似乎非常适合直观展示这个复杂项目的内部逻辑以及KWBW内各个要素之间的相互作用。因此,它可以用作全面系统评估概念和质量保证的基础。

结论

该模型也是其他大学毕业后医学教育项目比较研究问题的前提条件,从而为合作开发努力提供了机会。因此,本文有助于提升继续医学培训的质量。

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