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评估表评估布雷斯特普通内科住院医师在门诊轮转期间的能力的可接受性和可行性。

Acceptability and feasibility of an evaluation table to assess the competency of general medicine interns during ambulatory rotations in Brest.

机构信息

Department of General Practice, University of Western Brittany, 22, av. Camille Desmoulins, 29238, Brest, FR, France.

ER 7479 SPURBO, University of Western Brittany, 22, av. Camille Desmoulins, 29238, Brest, FR, France.

出版信息

BMC Med Educ. 2024 Jun 6;24(1):636. doi: 10.1186/s12909-024-05357-7.

DOI:10.1186/s12909-024-05357-7
PMID:38844972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11157886/
Abstract

BACKGROUND

General practitioner interns need to acquire the expected clinical, communication, personal and professional competencies. Internship evaluations use qualitative evaluation tables to assess competency acquisition. However, there is no standardised evaluation table used in France. Some faculties use the exhaustive, precise, and manageable Exceler evaluation tool. We aim to evaluate opinions of General practice interns in Brest about the acceptability and feasibility of using the Exceler evaluation tool to monitor competency acquisition during internships.

METHODS

This qualitative study used intern focus groups. Six-open ended questions with optional follow-up questions were asked. Cards from the Dixit® game were used to guide and facilitate discussion. Open, axial, then integrative analysis of the verbatim was performed.

RESULTS

This is the first study to evaluate intern opinions about GP internship evaluations using focus groups. Participants felt that the quality of existing evaluations was insufficient, and it was difficult to monitor their progress. Adapting evaluations to individual profiles and backgrounds seemed necessary. Exceler appeared to be a possible solution due to its content validity, flexibility of use and accessibility. However, there were comments about possible modifications.

CONCLUSIONS

Analysing opinions of tutors, supervisors and other practice centers could help identify potential barriers and reveal solutions to facilitate its implementation and use.

TRIAL REGISTRATION

Not applicable.

摘要

背景

全科住院医师需要获得预期的临床、沟通、个人和专业能力。实习评估使用定性评估表来评估能力的获得情况。然而,在法国没有标准化的评估表。一些学院使用详尽、准确和易于管理的 Exceler 评估工具。我们旨在评估布雷斯特全科住院医师对使用 Exceler 评估工具监测实习期间能力获得情况的可接受性和可行性的意见。

方法

本定性研究采用了住院医师焦点小组。提出了六个开放式问题,并附有可选的后续问题。使用 Dixit®游戏的卡片来引导和促进讨论。对逐字记录进行了开放式、轴向和综合分析。

结果

这是第一项使用焦点小组评估全科住院医师实习评估的意见的研究。参与者认为现有评估的质量不足,难以监测他们的进展。适应个人档案和背景的评估似乎是必要的。Exceler 似乎是一种可能的解决方案,因为它具有内容有效性、使用的灵活性和可及性。然而,也有关于可能修改的评论。

结论

分析导师、主管和其他实践中心的意见,可以帮助确定潜在的障碍,并提出解决方案,以促进其实施和使用。

试验注册

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f48/11157886/f90e8ad5296e/12909_2024_5357_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f48/11157886/f90e8ad5296e/12909_2024_5357_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f48/11157886/f90e8ad5296e/12909_2024_5357_Fig1_HTML.jpg

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Acceptability and feasibility of an evaluation table to assess the competency of general medicine interns during ambulatory rotations in Brest.评估表评估布雷斯特普通内科住院医师在门诊轮转期间的能力的可接受性和可行性。
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