How to strengthen basic competencies in self-care – a pre-post interventional study with postgraduate trainees in family medicine in Germany

Schwill, Simon; Krug, Katja; Valentini, Jan; Rentschler, Annalena; Nikendei, Christoph; Szécsényi, Joachim; Bugaj, Till Johannes

doi:10.1080/00325481.2021.1916298

Cited by 4 publications

(6 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In 2019, n=379 GP trainees participated in the curriculum of the KWBW Verbundweiterbildung plus . A total of 281 GP trainees attended 1 out of 13 independent 2-day seminars including the intervention (mean n=21, range [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31]. GP trainees in the study team as well as those with a previous board certification in a surgical field were excluded from participation (n=3/n=15).…”

Section: Resultsmentioning

confidence: 99%

“…Thereby, the compact intervention promoted GP trainees’ longitudinal competency development. Educational compact interventions have been shown to be a feasible, effective and time-efficient means of fostering competencies of GP trainees in the short and mid-term 18 19 24. This goes hand in hand with the learning theory of Sagasser et al ,25 who postulated a short-time and long-time learning loop of GP trainees.…”

Section: Discussionmentioning

confidence: 99%

“…Questionnaires developed by the study authors drawing on a comprehensive literature analysis, the Association for Medical Education in Europe guide 8720 and personal experience of medical training interventions were used18 19 to assess study outcomes. Attendees as well as non-attendees rated 29 competencies in surgery using a 5-point Likert scale (T1 and T4).…”

Section: Methodsmentioning

confidence: 99%

“…In response to this, we designed a short training course (compact intervention) on surgical competencies in our programme, specifically focussing on minor surgery/injuries in 2019. Educational compact interventions have shown to be feasible, effective and time-efficient means of fostering competencies of GP trainees in palliative care as well as self-care in the medium term 18 19. Based on this, we hypothesised that a compact intervention could be a useful approach to induce continuing competency development in minor surgery.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

How can competencies in minor surgery in general practice be increased? Assessing the effect of a compact intervention in postgraduate training: a mixed-methodsstudy

et al. 2022

Self Cite

View full text Add to dashboard Cite

ObjectivesWe aimed to assess general practice (GP) trainees’ self-perception of surgical competencies and to explore longitudinal effects of a compact intervention.DesignWe performed a mixed-methods study including a before and after comparison in the intervention group (IG), a comparison of attendees and non-attendees (control group (CG)) and a qualitative evaluation of the intervention. Competencies were self-assessed through surveys. Semi-structured interviews were performed after 9 months.SettingIn 2019, a 2-day voluntary seminar focussing on minor surgery/injuries was offered on 13 occasions by educators from KWBW Verbundweiterbildungplus (Competence Centre for Postgraduate Medical Education Baden-Württemberg).ParticipantsAll enrolled GP trainees were offered participation. GP trainees who did not attend a seminar (non-attendees) were recruited for CG after the 13th intervention.InterventionAttendees took part in an interactive, GP-oriented short course incorporating 270 min of focused minor surgery/injuries training (compact intervention) on the second day of the 2-day seminar.Results326 GP trainees (IG: n=257; CG: n=69) participated in the study. 17 attendees were interviewed. CG had more often experienced a surgical rotation (p=0.03) and reported higher interest in performing minor surgery in future practice (p=0.03). GP trainees self-rated their all-round competency in minor surgery as average (IG: 3.0±1.0, CG: 3.2±0.9, IG:CG p=0.06). After the intervention, attendees felt that surgical skills should be a core component of GP vocational training (p=0.05). After 9 months, attendees remembered a variety of content and valued the interactive, case-oriented, peer-to-peer approach in a mixed learning group. Some attendees reported they had started to overcome competency gaps in minor surgery.ConclusionsA compact intervention in minor surgery provides an ‘intense’ stimulus which could foster positive attitudes towards minor surgery and promote longitudinal personal development of related competencies in GP trainees, including those with little interest in surgery. Such measures appear crucial to support individual progress of GP trainees to provide comprehensive primary care.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

How can competencies in minor surgery in general practice be increased? Assessing the effect of a compact intervention in postgraduate training: a mixed-methodsstudy

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…This increased clinical support would need to be underpinned by adequate, standardised supervisor training [33], professional development and remuneration [34]. International studies have shown the need and successes of earlier support and intervention for GP trainees [35,36].…”

Section: Transitions and A Sociocultural View Of General Practice Tra...mentioning

confidence: 99%

Transitions in general practice training: quantifying epidemiological variation in trainees’ experiences and clinical behaviours

et al. 2022

View full text Add to dashboard Cite

Background General Practice training in Australia is delivered through the apprenticeship model. General Practice supervisors support trainees transitioning from hospital-based work towards competent independent community-based practice. The timing and manner in which support should be provided is still not well understood. This study aimed to establish the variation in clinical and educational experiences and behaviours, and location, of general practice trainees’ consultations by stage of their vocational training. It was hypothesised that change is greater in earlier stages of training. Methods A cross-sectional analysis of data (2010–2018) from the Registrar Clinical Encounters in Training (ReCEnT) study, an ongoing cohort study of Australian GP registrars’ in-consultation clinical and educational experience and behaviours. Multinomial logistic regression assessed the association of demographic, educational, and clinical factors in different stages of training. The outcome factor was the training term. Results Two thousand four hundred sixteen registrars contributed data for 321,414 patient consultations. For several important variables (seeing patients with chronic disease; new patients; seeking in-consultation information or assistance; ordering pathology and imaging; and working in a small or regional practice), odds ratios were considerably greater for comparisons of Term 1 and 3, relative to comparisons of Term 2 and 3. Conclusion Differences experienced in demographic, clinical and educational factors are significantly more pronounced earlier in registrars’ training. This finding has educational and training implications with respect to resource allocation, trainee supervision and curriculum design. Sociocultural learning theory enables an understanding of the impact of transitions on, and how to support, general practice trainees and supervisors.

show abstract

Wie evaluieren wir die Förderung von Qualität und Effizienz der allgemeinmedizinischen Weiterbildung durch die Kompetenzzentren?

et al. 2023

View full text Add to dashboard Cite

Zusammenfassung Hintergrund In den vergangenen Jahren wurden in Deutschland 16 Kompetenzzentren für allgemeinmedizinische Weiterbildung (KW) mit dem Ziel gegründet, die Qualität und Effizienz der hausärztlichen Weiterbildung zu fördern. Ziel der Studie war es, geeignete Indikatoren für die externe Evaluation der KW zu identifizieren. Methoden Expert*innen aus den KW erarbeiteten ein Set aus möglichen Qualitätsindikatoren in 2 konsekutiven Workshops. Dieses Set wurde in einem 2‑stufigen Delphi-Prozess unter allen KW überarbeitet und priorisiert. Insgesamt nahmen im Zeitraum Februar bis Oktober 2020 70 Expert*innen aus 16 KW teil, davon 38 Expert*innen an beiden Befragungsrunden. Ergebnisse Die Expert*innen schlagen 61 mögliche Qualitätsindikatoren in 9 Themenbereichen vor: 1) Inanspruchnahme/Teilnahmequoten, 2) Qualität der praktischen Weiterbildung, 3) Qualität der KW-Angebote, 4) Organisation/Service, 5) objektive Kompetenzmessungen, 6) Erfolgs- und Abschlussquoten, 7) Versorgungsqualität und -quantität, 8) allgemeine Effekte und 9) Effizienz/Weiterbildungsdauer. Davon wurden 26 hoch, 18 mittelgradig und 17 gering priorisiert. Schlussfolgerungen Insbesondere quantitativ leicht zu erhebende Qualitätsindikatoren der Bereiche 1, 3, 4, 6 und 9 sind größtenteils etabliert und sollten für die Evaluation der KW fortgeführt werden. Darüber hinaus sollten geeignete Methoden zu inhaltlich-qualitativen Indikatoren, wie der Kompetenzentwicklung von Teilnehmer*innen in der Selbstwahrnehmung (3), der praktischen Weiterbildung (2), objektive Kompetenzmessung nach der Weiterbildung (5), zu allgemeinen Effekten (8) und zu Auswirkungen der KW auf die Versorgungsqualität (7), entwickelt werden. Methodisch wäre der Vergleich von Teilnehmer*innen und Nichtteilnehmer*innen durch eine externe, systematische Befragung erstrebenswert, sowohl während als auch nach der Weiterbildung. Verfahren zur objektiven Kompetenzbeurteilung von Absolvent*innen sollten in der allgemeinmedizinischen Weiterbildung etabliert werden.

show abstract

How to strengthen basic competencies in self-care – a pre-post interventional study with postgraduate trainees in family medicine in Germany

Cited by 4 publications

References 21 publications

How can competencies in minor surgery in general practice be increased? Assessing the effect of a compact intervention in postgraduate training: a mixed-methodsstudy

How can competencies in minor surgery in general practice be increased? Assessing the effect of a compact intervention in postgraduate training: a mixed-methodsstudy

Transitions in general practice training: quantifying epidemiological variation in trainees’ experiences and clinical behaviours

Wie evaluieren wir die Förderung von Qualität und Effizienz der allgemeinmedizinischen Weiterbildung durch die Kompetenzzentren?

Contact Info

Product

Resources

About