Evaluation of combined specialist/generalist teaching rounds model in training of general practitioners

Abstract

Objective To evaluate the application of Combined Specialist/Generalist Teaching Rounds (CSGR) Model in training of general practitioners (GPs). Methods This study was based on the teaching rounds of hypertension. Eighty six GP trainees, who receive training courses from June to December 2012, were enrolled in the study. Forty seven trainees were randomly assigned to received CSGR model (study group) conducted by one cardiologist and one general practice mentor; while other 39 trainees were assigned to received the teaching round model (control group) conducted by one cardiologist. A comprehensive analysis was made based on a self-administered teaching rounds evaluation questionnaire and hypertension knowledge test among two groups after teaching rounds. Results Scores of 12 teaching rounds evaluation items in study group were significantly higher than those in control group, including inquiry of family factors, highlighting the importance of prevention and guidance of health education (Z=-2.668, -2.482, -2.269 respectively, all P<0.05). GPs in study group were more satisfied with general practice concept teaching than GPs in control group (χ2 =12.340, P<0.01). The average total score of hypertension knowledge in study group increased significantly after CSGR than before.(18.70±2.96 vs. 16.52±2.72, t=5.043, P<0.01); meanwhile there was no significant improvement in control group. 97.8%(44/45)GPs in study group identified with the cooperative, educational and medical value of CSGR model. Conclusion CSGR model takes the advantages of specialist and general practice, it can improve the quality and effectiveness of teaching rounds, enhance GP trainees clininical abilities and their clinical think of genernal practice. Key words: General practitioners; Teaching methods; Questionnaires