Schei E, Hoftvedt B O
Seksjon for allmennmedisin, Universitetet i Bergen.
Tidsskr Nor Laegeforen. 1998 Feb 28;118(6):895-9.
In 1994 a new module addressing the quality of practical procedures was added to the Norwegian general practice specialisation programme. Over a five-year period 31 practical procedures must be performed under the supervision of fellow GPs. In 1995 a survey was carried out by questionnaire among all specialist candidates registered in the new programme (n = 165, response rate 83%) and a control group consisting of all candidates registered in 1993 (n = 162, response rate 62%). The aims of the survey were to evaluate the candidates' motivation, self-rated level of competence, and the presence of barriers to programme implementation. The main group and control group were almost identical; mean age has 36.5 years, 37% were females. There were no differences in the self-rated levels of competence between the groups. The majority (80%) reported a need to improve their performance of practical procedures, and 93% stated that mutual guidance with colleagues would be of considerable benefit by improving technical performance, professional confidence and the quality of relationships with colleagues. The main barriers to mutual guidance were shortage of time, lack of structured opportunities for performing procedures in the presence of colleagues, and lack of instruction manuals or videos detailing the correct performance of procedures.
1994年,挪威全科医学专科培训计划中新增了一个关注实践操作质量的模块。在五年时间里,必须在全科医生同行的监督下完成31项实践操作。1995年,通过问卷调查对新计划中登记的所有专科培训候选人(n = 165,回复率83%)以及由1993年登记的所有候选人组成的对照组(n = 162,回复率62%)进行了调查。该调查的目的是评估候选人的动机、自我评定的能力水平以及计划实施过程中存在的障碍。主要组和对照组几乎相同;平均年龄为36.5岁,37%为女性。两组之间自我评定的能力水平没有差异。大多数人(80%)表示需要提高其实践操作的表现,93%的人表示同事之间的相互指导通过提高技术表现、专业信心以及与同事关系的质量会有很大益处。相互指导的主要障碍是时间短缺、缺乏在同事在场的情况下进行操作的结构化机会,以及缺乏详细说明正确操作步骤的指导手册或视频。