Alruqi Ibrahim, Al-Nasser Sami, Agha Sajida
Department of Medical Education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Family Medicine Department, King Abdulaziz Hospital, Ministry of the National Guard - Health Affairs, Al Ahsa, Saudi Arabia.
Adv Med Educ Pract. 2024 Jan 9;15:37-46. doi: 10.2147/AMEP.S431497. eCollection 2024.
Workplace-Based Assessment (WPBA) has been widely utilized for assessing performance in training sites for both formative and summative purposes. Currently, with the recently updated duration of the family medicine (FM) training program in Saudi Arabia from four years to three years, the possible impact of such a change on assessment would need to be investigated. This objective was to explore the experiences of FM residents regarding the usage of WPBA as an assessment tool for improving clinical teaching at King Abdulaziz Hospital (KAH), Al Ahsa, Saudi Arabia.
The study involves an exploratory qualitative phenomenological approach targeting family medicine resident in KAH was used. Purposive sampling techniques were used. In this descriptive study, data was collected through the utilization of 1:1 semi-structured interviews guided by directive prompts. All recorded interviews were transcribed verbatim. An inductive analytical approach was applied for thematic analysis of transcripts.
Fifteen participants were individually interviewed until data saturation was reached. The themes that emerged were organized into the categories of underlying principles of WPBA, the impact of the learning environment, associated opportunities and challenges, and making WPBA more effective. Participants expressed that the orientation provided by the program was insufficient, although the core principles were clear to them. They valued the senior peers' support and encouragement for the creation of a positive learning environment. However, time limit, workload, and a lack of optimum ideal implementation reduced the educational value and effectiveness of WPBA among senior residents.
The study examined residents' experiences with WPBA and concluded that low levels of satisfaction were attributed to implementation-related problems. Improvements should be made primarily in two areas: better use of available resources and more systematic prior planning. Revision and assignment of the selection process were suggested, in addition to the implementation of the new curriculum. The research will assist stakeholders in selecting and carrying out evaluation techniques that will enhance residents' abilities.
基于工作场所的评估（WPBA）已被广泛用于评估培训场所的表现，包括形成性和总结性目的。目前，随着沙特阿拉伯家庭医学（FM）培训计划的时长最近从四年更新为三年，需要调查这种变化对评估可能产生的影响。本研究的目的是探讨沙特阿拉伯艾哈萨国王阿卜杜勒阿齐兹医院（KAH）的家庭医学住院医师对使用WPBA作为改善临床教学评估工具的体验。
本研究采用探索性定性现象学方法，以KAH的家庭医学住院医师为研究对象。采用了目的抽样技术。在这项描述性研究中，数据通过在指导性提示引导下的一对一的半结构化访谈收集。所有记录的访谈都逐字转录。采用归纳分析方法对转录本进行主题分析。
对15名参与者进行了单独访谈，直至达到数据饱和。出现的主题分为WPBA的基本原则、学习环境的影响、相关的机遇和挑战以及提高WPBA的有效性几类。参与者表示该计划提供的指导不足，尽管他们对核心原则很清楚。他们重视资深同行对营造积极学习环境的支持和鼓励。然而，时间限制、工作量以及缺乏最佳理想的实施方式降低了WPBA在资深住院医师中的教育价值和有效性。
该研究考察了住院医师对WPBA的体验，并得出满意度较低归因于与实施相关问题的结论。应主要在两个方面进行改进：更好地利用现有资源和更系统的前期规划。除了实施新课程外，还建议对选拔过程进行修订和分配。该研究将帮助利益相关者选择和实施能够提高住院医师能力的评估技术。
