Murray T S, Dyker G S, Campbell L M
West of Scotland Committee for Postgraduate Medical Education, University of Glasgow.
Br J Gen Pract. 1993 Jan;43(366):19-21.
The educational attainment of general practitioners in the west of Scotland region who subscribed to a centrally organized educational scheme for the postgraduate education allowance was compared with that of their colleagues who did not subscribe to the scheme. During the year studied (1990-91) 1712 of the 1830 principals in general practice in the region had sufficient sessions to claim their postgraduate education allowance. Of these 1712 doctors the 1353 who subscribed to the educational scheme attended a mean of 15.7 educational half day sessions during the study year in comparison with a mean of 12.5 half days attended by the 359 doctors who did not subscribe to the scheme. This difference was observed in all three categories of education--disease management, service management and health promotion--and was greatest in health promotion where subscribers attended a mean of 4.7 half days and non-subscribers 3.1. The doctors who were members of the scheme had achieved a better balance of education. A higher number had attended an educational day in each of the three categories, with the increase being 10.5% for subscribers versus non-subscribers for disease management, 20.0% for service management and 39.1% for health promotion. The differences between the two groups were greater for combinations of categories and 66.6% of subscribers had attended an educational day in each of the three categories compared with 40.9% of non-subscribers. A centrally organized educational scheme for a region can give a balanced spread of education and is likely to meet the educational requirements of the new contract for general practitioners.
对苏格兰西部地区参与中央组织的研究生教育津贴计划的全科医生的教育程度，与未参与该计划的同行进行了比较。在研究年份（1990 - 1991年），该地区1830名全科医生负责人中有1712人有足够的课程节数来申领研究生教育津贴。在这1712名医生中，参与教育计划的1353人在研究年度平均参加了15.7个半天的教育课程，而未参与该计划的359名医生平均参加了12.5个半天的课程。在疾病管理、服务管理和健康促进这三类教育中均观察到了这种差异，且在健康促进方面差异最大，参与计划者平均参加4.7个半天的课程，未参与者为3.1个半天。参与该计划的医生实现了更好的教育平衡。在这三类教育中，参与计划的医生参加教育日的人数更多，在疾病管理方面，参与者比未参与者增加了10.5%，服务管理方面增加了20.0%，健康促进方面增加了39.1%。两组在不同类别组合方面的差异更大，66.6%的参与者在这三类教育中均参加了教育日，而未参与者这一比例为40.9%。为一个地区中央组织的教育计划能够实现教育的均衡分布，并有可能满足全科医生新合同的教育要求。
