職場での評価を受けたイギリスの一般診療の研修生の経験
Julie Pattinson1, Joseph Akanuwe1, Sureyya Sonmez Efe2
1Community and Health Research Unit, University of Lincoln, Lincoln, UK.
まとめ
ワークプレイス・ベース・アセスメント (WPBA) で発達的な結果に直面している一般医の研修生には,個別化された支援と公正なプロセスが必要です. コミュニケーション,人間関係,幸福感を重視することは 医療従事者の研修の成功に不可欠です
科学分野:
- 医学教育
- 一般診療の訓練
- 能力評価
背景:
- ワークプレイスベースアセスメント (WPBA) は,英国の一般診療 (GP) の免許と進歩の不可欠な部分です.
- 能力向上の年次評価 (ARCP) パネルでは,研修生の能力が評価され,開発上の成果 (2または3) は改善が必要な領域を示します.
- この研究では,開発上のARCPの結果の後に,GPの研修生によるWPBAの経験を調査しています.
研究 の 目的:
- 開発上のARCPの成果を得たGPの研修生の実体験を調査する.
- ワークプレイスベースアセスメント (WPBA) で直面する課題とファシリテーターを特定する.
- 研修生を支援し,WPBAプロセスを改善するための戦略を策定する.
主な方法:
- 体系的な基礎理論を用いた質的設計
- 2020年から2023年までの間に開発結果を受けた20人のGP研修生との半構造面接を実施しました.
- データ分析はNVivo 14ソフトウェアによって促進されています.
主要な成果:
- 早期介入の可能性 (支援,情報提供),WPBAの有効性や公平性,コミュニケーションの困難 (文化,言語),同級生と教育関係の影響,福祉への悪影響など5つの主要なテーマが浮上した.
- 訓練生は,個別化された支援,透明な評価プロセス,改善されたコミュニケーション戦略の必要性を強調しました.
- 経験は訓練段階や人口統計学的特徴によって異なる.
結論:
- 発達上の成果を体験するGPの研修生は,早期に個別化された介入と改善されたWPBAの公平性から恩恵を受けます.
- コミュニケーションの障壁を取り除き,サポート関係を促進し,福祉への影響を軽減することは,トレーニングの成功にとって不可欠です.
- 推奨事項には,評価の有効性,透明性,そしてGPの訓練における課題を克服するための標的型支援の提供が含まれています.
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