Brambleby P, Coates R
East Sussex Health Authority, Battle, UK.
Postgrad Med J. 1997 May;73(859):279-82. doi: 10.1136/pgmj.73.859.279.
If the doctor undergoing higher professional training is to make best use of the attachment to a training location, and that training location is to make the most efficient use of the contribution of the trainee, then a written framework such as a learning contract can meet the needs of both. The first stage is to list the learning needs of the individual trainee and to match them with the work experience offered by the training location. Next, the work programme for the coming six to 12 months should be formalised in a learning contract, spelling out the tasks to be performed and the expected training benefit. This is then reviewed at agreed intervals and a written appraisal made. At the end of the attachment the trainee, trainer and any outside accrediting or auditing body, has a written account of what was expected, what was achieved, and the performance of trainee and trainer.
如果正在接受更高专业培训的医生要充分利用在培训地点的实习机会，而该培训地点要最有效地利用实习生的贡献，那么一份书面框架，如学习合同，就能满足双方的需求。第一阶段是列出个别实习生的学习需求，并将其与培训地点提供的工作经验相匹配。接下来，未来六至十二个月的工作计划应在学习合同中正式确定，详细说明要执行的任务和预期的培训收益。然后定期进行审查并做出书面评估。在实习结束时，实习生、培训师以及任何外部认证或审核机构都有一份关于预期内容、取得的成果以及实习生和培训师表现的书面记录。
