Einschätzung der Weiterbildung im Fach Allgemeinmedizin in Bayern – eine Online-Befragung von Ärzten in Weiterbildung

Karsch‐Völk, Marlies; Jäkel, K. T.; Schneider, Antonius; Rupp, Alica; Hörlein, Elisabeth; Steinhäuser, Jost

doi:10.1016/j.zefq.2016.04.001

Cited by 5 publications

(5 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…If the results of the self-assessments are compared with the results of an online survey of 95 physicians undergoing post-graduate training [ 15 ], it is noticeable that all items, and in particular the items “I feel confident when evaluating scientific studies/publications” and “I believe I have the business skills necessary for practicing medicine,” were rated higher by the attendees in our training course than by the physicians already undergoing post-graduate training in Germany. A total of 56% of the physicians in our courses responded to the question about confidence in evaluating scientific studies with the response categories 1 and 2, while only 27% of the physicians in post-graduate training agreed with this statement.…”

Section: Discussion and Outlookmentioning

confidence: 99%

“…First, at the beginning of the course participants were asked to do a self-assessment using a “medical practitioner barometer”. This questionnaire asked about the CanMeds competencies in the form of a self-assessment [ 15 ]. The scale used on the questionnaire was a five-point Likert scale ranging from 1=“agree completely” to 5=“disagree completely”.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Strategies for rural areas: The development of and initial experiences with a training course for physicians from third countries to prepare them for medical practice in Germany

Hahn

Steinhäuser

2019

GMS Journal for Medical Education; 36(3):Doc25

Self Cite

View full text Add to dashboard Cite

Section: Discussion and Outlookmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Strategies for rural areas: The development of and initial experiences with a training course for physicians from third countries to prepare them for medical practice in Germany

Hahn

Steinhäuser

2019

GMS Journal for Medical Education; 36(3):Doc25

Self Cite

View full text Add to dashboard Cite

“…Renunciation of self-employment is a trend among young PCPs that has been shown in different other studies before. 6 , 11 – 13 It can be speculated that the respondents took entrepreneurship as negligible due to their anticipated status as employee without business responsibility. Vocational training designers should nevertheless be capable of teaching primary care-specific business contents.…”

Section: Discussionmentioning

confidence: 99%

Improvements in primary care skills and knowledge with a vocational training program – a pre–post survey

Djalali

Tandjung

Rosemann

et al. 2017

AMEP

View full text Add to dashboard Cite

BackgroundFacing the upcoming shortage of primary care physicians (PCPs), medical and governmental organizations have recently made major investments to foster vocational training programs in Switzerland, designed to provide context-specific training for trainees in primary care practices. Less is known about the impact of these programs on the skills and specific knowledge of trainees. We aimed to evaluate the Cantonal program for vocational primary care training in the Canton of Zurich, Switzerland’s largest Canton.MethodsWe undertook a pretest–posttest study and surveyed physicians before and after participating in the Cantonal program for vocational primary care training in the Swiss Canton of Zurich. All trainees who participated in the program from 2013 until the end of 2015 were eligible. Primary outcome was the proportion of trainees being confident about their professional, organizational, examination and management skills before and after completing vocational training. Secondary outcomes were the proportion of trainees stating knowledge gain in entrepreneurship and the proportion of trainees being motivated to pursue a career as PCP.ResultsData of 47 trainees participating in the vocational training between 2013 and 2015 were eligible. In total, 35 (74.5%) participated in the T1 survey and 34 (72.3%) in the T2 survey. At T2, significantly more trainees (T1: 11%–89%, T2: 79%–100%) stated to be at least “slightly confident” about their skills (p<0.05 for each individual skill). Knowledge gain in entrepreneurship was highly expected and experienced by the trainees (55%–77% of respondents) in case of medicine-specific contents, but hardly expected in case of general business contents (≤47% of respondents). Concerning trainees’ motivation to pursue a career as PCP, we observed only a minimal, statistically insignificant change, suggesting that the vocational training did not alter trainees’ preconceived career plans as PCP.ConclusionGiven the measured increase in confidence, evaluation of training programs should focus on operationalizing key skills of PCPs. Given the lack of change in trainees’ motivation; however, statements about the effect of program implementation on national shortage of PCPs cannot be made.

show abstract

“…Um Ausgangslage und Entwicklung hinsichtlich Kompetenzen für eine Tätigkeit in der Primärversorgung während der Aus-und Weiterbildung beurteilen zu können, wurde im Kontext der Verbundweiterbildung plus ein spezifisches Erhebungsinstrument, das sogenannte Allgemeinarztbarometer entwickelt und in verschiedenen Studien eingesetzt [10][11][12][13]. Mittels des Allgemeinarztbarometers werden in Anlehnung an die Kompetenzfelder des CanMEDS-Frameworks (sog.…”

Section: Introductionunclassified

“…Zusätzlich hatten die Lehrärzt*innen die Möglichkeit, je Item die Antwortmöglichkeit ,,Kann ich nicht beurteilen'' zu wählen. Das ABA wurde aus dem Allgemeinarztbarometer entwickelt, welches ursprünglich als Selbsteinschätzungsinstrument für Ärzt*innen in Weiterbildung verwendet wurde[10][11][12][13]. Vor Übernahme der Items für unsere Studie erfolgten keine kognitiven Interviews zur Evaluation der (zu diesem Zeitpunkt schon etablierten) Items.…”

unclassified

Das Allgemeinarztbarometer A – ein Instrument zur Erhebung von primärärztlichen Kompetenzen in der medizinischen Ausbildung

Kötter

Rose

Götz

et al. 2020

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

Self Cite

View full text Add to dashboard Cite

Introduction: The primary goal of medical education and training is to develop clinical competencies. Competency-based curricula exist for both medical education which-once the current reform is implemented-will be geared more towards primary care, and specialty training for General Practice. The ''Allgemeinarztbarometer'' is a German-language instrument to assess primary care competencies during specialty training and has so far been mainly used as a self-assessment tool. The aim of this study was (i) to test the application of the ''Allgemeinarztbarometer'' in the context of medical education as an external assessment tool (in its ''Allgemeinarztbarometer A [ABA]'' version) and (ii) to evaluate its basic psychometric properties. Methods: Physicians involved in teaching were asked to assess medical students after a two-week internship in General Practice during their fifth year of study using the ABA (9-item external assessment version). After data processing and displaying basic distributions, we conducted exploratory factor analysis, followed by confirmatory factor analysis. The detected factor structure was then tested for internal consistency. Results: A total of 150 completed questionnaires were included in the analysis. One item showed a high number of missing values (response option ''Not assessable''). Exploratory factor analysis indicated a twofactor structure (''Patient-oriented skills'' and ''General Practice decision-making''). Three items were not unambiguously assignable and hence erased. Confirmatory factor analysis validated the identified factor structure. The two factors showed a Cronbach's ␣ of 0.73 and 0.84 (moderate to very good internal consistency). Discussion: Our study provides a first analysis of the ABA in the context of medical education. The detected two-dimensional structure shows a high goodness-of-fit when giving up three items still used in this survey. The analysis of missing data showed a high number of ''I can't say'' answers when assessing the development of strategies against burnout. Conclusions: The ABA (6-item version) seems to be a suitable tool for the external assessment of General Practice competencies in the context of medical education. Further studies are needed to evaluate both the completeness of the assessment and the external assessability of certain items in the context of medical education.

show abstract

Einschätzung der Weiterbildung im Fach Allgemeinmedizin in Bayern – eine Online-Befragung von Ärzten in Weiterbildung

Cited by 5 publications

References 8 publications

Strategies for rural areas: The development of and initial experiences with a training course for physicians from third countries to prepare them for medical practice in Germany

Strategies for rural areas: The development of and initial experiences with a training course for physicians from third countries to prepare them for medical practice in Germany

Improvements in primary care skills and knowledge with a vocational training program – a pre–post survey

Das Allgemeinarztbarometer A – ein Instrument zur Erhebung von primärärztlichen Kompetenzen in der medizinischen Ausbildung

Contact Info

Product

Resources

About

Einschätzung der Weiterbildung im Fach Allgemeinmedizin in Bayern – eine Online-Befragung von Ärzten in Weiterbildung

Cited by 5 publications

References 8 publications

Strategies for rural areas: The development of and initial experiences with a training course for physicians from third countries to prepare them for medical practice in Germany

Strategies for rural areas: The development of and initial experiences with a training course for physicians from third countries to prepare them for medical practice in Germany

Improvements in primary care skills and knowledge with a vocational training program &ndash; a pre&ndash;post survey

Das Allgemeinarztbarometer A – ein Instrument zur Erhebung von primärärztlichen Kompetenzen in der medizinischen Ausbildung

Contact Info

Product

Resources

About

Improvements in primary care skills and knowledge with a vocational training program – a pre–post survey