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比利时全科医生培训生对其医院培训的学习目标:一项定性研究。

Learning objectives of Belgian general practitioner trainees regarding their hospital training: A qualitative study.

机构信息

Department of Family Medicine and Population Health, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.

出版信息

Eur J Gen Pract. 2022 Dec;28(1):173-181. doi: 10.1080/13814788.2022.2081319.

Abstract

BACKGROUND

In Europe, hospital training is integrated in the postgraduate curriculum of General Practitioners (GPs) according to the European Directives. However, little is known about the specific learning objectives of GP trainees during this training.

OBJECTIVES

This exploratory study investigated GP trainees' expected learning objectives for their hospital training and the factors influencing the learning process.

METHODS

Semi-structured interviews were conducted in three focus groups consisting of first-year GP trainees before their hospital training. Data were coded thematically and analysed in NVivo.

RESULTS

A total of 22 Belgian GP trainees (55% females, average age of 26.2 years) were interviewed. Three major themes emerged: learning objectives, factors influencing learning and organisational aspects. GP trainees mainly wanted to improve their knowledge of common conditions by conducting consultations and follow certain patients' hospitalisation trajectory. Emergency medicine or internal medicine was the preferred specialty. Other GP trainees wanted to learn more about some specific conditions. Conversely, an overloaded work schedule was dreaded to hinder effective learning. Regular meetings and supervision from their hospital trainer were deemed crucial to strengthen GP trainees' learning trajectory.

CONCLUSION

GP trainees wanted to learn more about both common conditions and some specific conditions. Their previous year in a GP setting strengthened their confidence and facilitated purposeful learning. Relieving GP trainees from administrative tasks when working as supplementary doctors could strike a better balance between the continuity of the clinical department and their personal learning objectives.

摘要

背景

在欧洲,根据欧洲指令,医院培训被纳入全科医生(GP)的研究生课程中。然而,对于 GP 受训者在培训期间的具体学习目标知之甚少。

目的

本探索性研究调查了 GP 受训者对其医院培训的预期学习目标,以及影响学习过程的因素。

方法

在三个焦点小组中对即将进行医院培训的第一年 GP 受训者进行了半结构化访谈。使用 NVivo 对数据进行主题编码和分析。

结果

共对 22 名比利时 GP 受训者(55%为女性,平均年龄为 26.2 岁)进行了访谈。出现了三个主要主题:学习目标、影响学习的因素和组织方面。GP 受训者主要希望通过进行咨询和跟踪某些患者的住院治疗轨迹来提高对常见疾病的认识。急诊医学或内科是首选专业。其他 GP 受训者希望更多地了解一些特定的疾病。相反,他们担心繁忙的工作安排会阻碍有效的学习。定期与医院培训师会面和监督被认为对加强 GP 受训者的学习轨迹至关重要。

结论

GP 受训者希望学习更多关于常见疾病和一些特定疾病的知识。他们在 GP 环境中的前一年增强了他们的信心,并促进了有目的的学习。当作为补充医生工作时,减轻 GP 受训者的行政任务可以在临床科室的连续性和他们的个人学习目标之间取得更好的平衡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b77/9291655/0ce74dc9ebe0/IGEN_A_2081319_F0001_C.jpg

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