van Leeuwen Y D, Mol S S, Pollemans M C, Drop M J, Grol R, van der Vleuten C P
University of Limburg, Maastricht, The Netherlands.
Fam Pract. 1995 Sep;12(3):313-7. doi: 10.1093/fampra/12.3.313.
In this study the level of knowledge of general practitioners (GPs) in different stages of their career, from the undergraduate level onwards to more than 20 years after certification, has been investigated. The total body of knowledge as well as the knowledge about different aspects of care was established. Participants were 108 medical students, 445 postgraduate trainees in six different stages of their training and 351 GPs with 5 to more than 20 years of experience. They all took the same written test, designed to assess knowledge closely related to patient care. An increase in test score was found from the start of postgraduate training onwards followed by a decrease starting 5-10 years after certification. The curves for the different aspects of care varied. It is concluded that the body of knowledge of GP-trainees increases during postgraduate training and reaches the level of knowledge of GPs who are less than 10 years certified. From 10 years after certification onwards the knowledge decreases as well as changes over time. The latter had also been found in two American studies relating to the knowledge of certified GPs and internists. The results seem important for the organization and content of postgraduate training and continuous medical education.
在本研究中，对全科医生（GP）在其职业生涯不同阶段（从本科阶段开始直至获得认证20多年后）的知识水平进行了调查。确定了知识的总体情况以及关于不同护理方面的知识。参与者包括108名医学生、处于六个不同培训阶段的445名研究生学员以及351名具有5至20多年经验的全科医生。他们都参加了相同的笔试，该笔试旨在评估与患者护理密切相关的知识。从研究生培训开始，测试分数有所提高，随后在获得认证5至10年后开始下降。不同护理方面的曲线各不相同。得出的结论是，全科医生学员的知识体系在研究生培训期间有所增加，并达到了获得认证不到10年的全科医生的知识水平。从获得认证10年后开始，知识不仅会减少，而且会随时间变化。这一点在两项关于获得认证的全科医生和内科医生知识的美国研究中也有发现。这些结果对于研究生培训和继续医学教育的组织与内容似乎具有重要意义。
