Smith F, Fuller J, Hilton S, Freeman G
Division of General Practice and Primary Care, St George's Hospital Medical School, London, UK.
Fam Pract. 1998 Apr;15 Suppl 1:S40-4.
A recognition of the inability of vocational training schemes (VTS) to teach all the skills needed for modern general practice, and the increasing unwillingness of vocationally trained doctors to commit to GP principal posts, has led to the promotion and piloting of post-VTS educational schemes. The London Academic Training Scheme (LATS) is a year's attachment to a University Department of General Practice in London, comprising seven academic and three clinical sessions.
We aimed to carry out an evaluation of the first 2 years of the LATS from the perspectives of the registrar, their departmental supervisor and the practice.
Data were collected by questionnaires, interviews and focus groups, at the beginning, during and at the end of the scheme.
Results are available up to the midway point of the second (1996) intake. The registrars achieved confidence and success in research, with six publications in peer-referenced journals from the first cohort so far. Eight of this cohort were working in inner London 6 months later, seven in academic posts. The overwhelming career intention of the second cohort midway is to work in academic general practice in London. The registrars enjoyed their teaching opportunities and increased their confidence but would have liked more training and more time for teaching. All the supervisors identified positive effects on their departments, but some found the time commitment and the process of supervision challenging. Two out of the dozen practices involved with the first cohort had reservations about the attachment. The rest cited benefits in clinical care, involvement in research and time for their own development.
The scheme fulfilled its immediate aims and is addressing the recruitment and retention of GPs in the inner city. Continuing follow-up is planned.
认识到职业培训计划（VTS）无法教授现代全科医疗所需的所有技能，以及接受职业培训的医生越来越不愿意担任全科医疗主任职位，促使人们推广和试点VTS后教育计划。伦敦学术培训计划（LATS）是在伦敦大学全科医疗系为期一年的实习，包括七次学术课程和三次临床课程。
我们旨在从住院医生、他们的部门主管和实习机构的角度对LATS的前两年进行评估。
在该计划开始、进行期间和结束时，通过问卷调查、访谈和焦点小组收集数据。
结果截至第二批（1996年）学员入学的中期。住院医生在研究方面获得了信心并取得了成功，到目前为止，第一批学员已在同行评审期刊上发表了六篇论文。该批学员中有八人在6个月后在内伦敦工作，七人担任学术职位。第二批学员中期的主要职业意向是在伦敦从事学术性全科医疗工作。住院医生享受了教学机会并增强了信心，但希望得到更多培训和更多教学时间。所有主管都指出该计划对他们的部门有积极影响，但有些人发现时间投入和监督过程具有挑战性。参与第一批学员实习的十二家实习机构中有两家对实习有所保留。其余机构提到了在临床护理、参与研究以及自身发展时间方面的益处。
该计划实现了其近期目标，正在解决内城区全科医生的招聘和留用问题。计划继续进行跟踪。
