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Measuring learning by trainees in general practice

J G Howie, I Dingwall-Fordyce

    The Journal of the Royal College of General Practitioners
    |June 1, 1976
    PubMed
    Summary
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    General practice trainees improved their consultation skills over a year, nearing experienced physician behavior. Simulated patient consultations effectively evaluated this training progress.

    Area of Science:

    • Medical Education
    • General Practice Training
    • Clinical Skills Assessment

    Background:

    • Evaluating the effectiveness of general practice training is crucial for ensuring high-quality patient care.
    • Previous studies have utilized simulated consultations to assess the skills of experienced general practitioners.
    • Understanding trainee development within general practice is essential for refining educational programs.

    Purpose of the Study:

    • To assess the behavioral changes in general practice trainees during their training year.
    • To compare trainee performance in simulated consultations with that of experienced general practitioners.
    • To evaluate the utility of simulated consultations as a tool for assessing general practice training.

    Main Methods:

    • Twenty general practice trainees participated in simulated patient consultations at the beginning and end of their training year.

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  • The methodology mirrored a prior study conducted on established general practitioners.
  • Direct trainee-trainer comparisons were analyzed where feasible.

    • Main Results:

    • Trainees, as a group, demonstrated behavioral shifts towards those of experienced principals by the end of the training year.
    • This convergence in behavior was more pronounced in trainees on longer (three-year) programs compared to shorter (one-year) programs.
    • Analysis suggested that trainer characteristics did not definitively predict trainee outcomes, allowing for individuality.

    Conclusions:

    • Simulated consultations are a valuable method for evaluating the progress of general practice trainees.
    • The training year facilitates significant behavioral development in trainees, aligning them with experienced practitioners.
    • This assessment technique can aid in the challenging task of evaluating general practice training effectiveness.