Ross Medical Practice, Killarney, Co Kerry, Ireland.
University of Dundee, Dundee, Scotland.
Ir J Med Sci. 2023 Dec;192(6):2861-2879. doi: 10.1007/s11845-023-03350-5. Epub 2023 Apr 19.
Postgraduate General Practice (GP) training is structured around a formal curriculum set out by the training body. It also includes a "hidden curriculum" of experiential workplace learning in a heterogenous learning environment [1]. There is no formal national annual survey of GP trainees and their views in Ireland.
The research aim was to evaluate what the trainee population think of their training environment, and to analyse the contributory factors. A mixed methods cross-sectional survey was distributed to all third- and fourth-year GP trainees (N = 404). The Manchester Clinical Placement Index was adapted for the study.
The response rate was 30.94% (N = 125). Questions 1 to 7 provided a description of the characteristics of the study population. The remainder of the questions focused on aspects which relate to constituents of the learning environment. The responses were broadly and convincingly positive and supportive of the good work being done in GP training and by trainers in Ireland today across both qualitative and quantitative findings. One notable exception was in the area of feedback where single handed fourth year practices were found to be underperforming.
The current research findings were broadly positive and supportive of the good work being done in GP training and by trainers in Ireland today. Further research will be needed to validate the study instrument and to further refine some aspects of its configuration. The implementation of such a survey on a regular basis may have merit as part of the quality assurance process in GP education alongside existing feedback structures [2].
研究生全科医学(GP)培训围绕培训机构制定的正式课程进行。它还包括在异质学习环境中体验式工作场所学习的“隐性课程”[1]。爱尔兰没有对全科医学受训者及其意见进行正式的全国年度调查。
本研究旨在评估受训人群对培训环境的看法,并分析促成因素。一项混合方法横断面调查分发给所有第三年和第四年的全科医学受训者(N=404)。曼彻斯特临床实习指数被改编用于该研究。
回复率为 30.94%(N=125)。问题 1 至 7 描述了研究人群的特征。其余问题侧重于与学习环境要素相关的方面。从定性和定量研究结果来看,回答总体上是广泛而有力的,对目前爱尔兰全科医学培训和培训师所做的工作表示肯定和支持。一个值得注意的例外是反馈领域,发现单人执业的第四年实习表现不佳。
目前的研究结果总体上是积极的,支持目前爱尔兰的全科医学培训和培训师所做的工作。需要进一步的研究来验证研究工具,并进一步完善其某些方面的配置。定期进行这样的调查可能具有一定的价值,可以作为全科医学教育质量保证过程的一部分,与现有的反馈结构[2]一起使用。