Postgraduate Education In General Practice Research Articles

Integration of complementary and integrative medicine competencies in general practice postgraduate education \u2013 development of a novel competency catalogue in Germany

BackgroundComplementary and integrative medical procedures (CIM) play an important role in general practice (GP). Consequently, in some countries (e.g. USA, Australia) specific curricula for the integration of CIM competencies in GP postgraduate education exist. Although Germany is one of the countries where CIM is strongly integrated in general practice, no such catalogue exists up to date. The aim of this study was to define a set of CIM competencies that are seen as relevant and feasible for postgraduate education in the German general practice setting.MethodsWe used a multi-step, peer-based approach combining four different steps. Firstly, a survey among GP trainees (n = 138) was performed in order to assess needs and attitudes towards CIM. Then, existing competency-based CIM curricula were identified in international literature, translated into German and compared with the needs assessment from the survey. In a next step, we performed a survey among the CIM working group of the German Society for General Medicine and Family Medicine (DEGAM). As a last step, in a peer-based survey, GP trainers, GP trainees, and members of professional CIM associations (n = 131) evaluated a list of CIM competencies according to relevance and feasibility for general practice.ResultsWithin this multistage process, a final catalogue of 16 competencies was defined, covering the following areas: Medical knowledge, patient care and communication, practice-based learning, professionalism, and competencies based on the German healthcare system.ConclusionThe final catalogue of CIM competencies is intended to serve for GP training complementing the German competency-based curriculum for general practice. These competencies cover basic skills and are not intended to replace existing additional qualifications awarded by the medical associations in specific CIM methods, such as acupuncture or manual medicine. Therefore, a list of relevant competencies on CIM is available in order to serve as add-on for postgraduate education in general practice in Germany.

Berufsperspektive Allgemeinmedizin: Welche Faktoren beeinflussen die Nachwuchsgewinnung?

In some parts of Germany there is already a lack of general practitioners (GPs). The reasons for this lack are complex. On the one hand there is an increasing demand for GPs as a result to demographic changes and an increase in the number of chronic diseases. On the other hand fewer medical students decide to become a general practitioner. The aim of this study was to explore, from the perspective of GPs, factors influencing the choice of general practice as a career. Also analysed is the extent to which those factors influence medical students in their carrier choice. 16 GPs were interviewed. Qualitative content analysis according to Mayring has been assisted by the Atlas.ti software program. GPs thought that the occupational orientation of medical students would be strongly dependent on the attractiveness of their future profession. Factors affecting the day-to-day work of general practice and may deterring the carrier choice of students were: poor working and general conditions leading to an increasing dissatisfaction among GPs; decreasing prestige of GPs caused by changed personal and occupational values and attitudes within the society; as well as poor representation and image of general practice as a discipline within the medical curriculum. Various approaches aimed at different target groups can be derived from these identified factors: the government providing general and occupational conditions that would relieve GPs of excessive bureaucracy; universities and medical associations meeting the challenge by improving undergraduate and postgraduate education in general practice; and GPs themselves giving a more self-confident presentation of general practice.

If you think education is expensive - try ignorance - Bok’s Law1

Medical EducationVolume 35, Issue 2 p. 100-101 If you think education is expensive – try ignorance – Bok’s Law1 First published: 07 July 2008 https://doi.org/10.1111/j.1365-2923.2001.00861.x Dr Arthur Hibble Director of Postgraduate General Practice Education, East Anglian Deanery, Ida Darwin, Fulbourn, Cambridge CB1 5EE, UK AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume35, Issue2February 2001Pages 100-101 RelatedInformation

Training Practice Visiting in United Kingdom Deaneries: Similarities and Differences

Click to increase image sizeClick to decrease image sizeKey Words: educational managementgeneral practicegeneral practice trainers Additional informationNotes on contributorsJohnny Lyon-MarisJohnny Lyon-Maris, BSc MMed FRCP MRCGP, is Associate Director in Postgraduate General Practice Education, NHS Education South Central,Mohan KumarMohan Kumar, MBBS MRCGP PG DipGP, is Associate Director in Postgraduate General Practice Education, North Western Deanery,Glynis BuckleGlynis Buckle MSc DipMedEd FHEA MIHM, is Head of GP School in the Oxford DeaneryJohn PittsJohn Pitts, MSc(Med Ed) PhD MRCP FRCGP, is an Honorary Research Fellow, University of Winchester.

Grouping Specialty Registrars in Practice Placements: A Qualitative Study

Click to increase image sizeClick to decrease image sizeKey Words: community based learningeducational managementgeneral practicespecialty registrarsvocational training Additional informationNotes on contributorsJo BuchananJo Buchanan, MRCGP MMedEd Associate Postgraduate Dean at the South Yorkshire and South Humber Postgraduate Deanery.Pat LaneProfessor Pat Lane, FRCGP At the time of writing, Director of Postgraduate General Practice Education, South Yorkshire and South Humber Postgraduate Deanery.

A UK-wide postal survey to evaluate palliative care education amongst General Practice Registrars

Objectives: To evaluate the content of General Practice Registrars’ (GPRs) palliative care education in the UK. Methods: Postal questionnaires were sent to 492 eligible GPRs across six purposively sampled UK postgraduate deaneries. Results: GPRs were satisfied with their course coverage on control of pain, other symptoms and communication skills, and were also moderately confident in applying the knowledge gained in these areas. They showed a high level of knowledge in the management of cancer-related pain. There was less satisfaction with the coverage given to syringe driver use (38%) and bereavement care (36%), with fewer expressing confidence in applying their knowledge to these areas. Conclusions: GPRs have mixed perceptions about their palliative care education. Future educational packages should ensure that GPRs receive planned systematic training in bereavement care and some practical experience in the use of syringe drivers. Both Postgraduate General Practice Education departments and specialist palliative care providers should explore ways of working more closely together to provide GPRs with more expertize in palliative care.

Foundation programme assessments in general practice

Click to increase image sizeClick to decrease image sizeKeywords: assessmenteducational managementfoundation programmesgeneral practicepostgraduate educationprimary care Additional informationNotes on contributorsRobert ClarkeRobert Clarke, MA FRCGP FRCP(UK) Dip IP Ed ILTM, is Associate Director of Postgraduate General Practice Education at the London Deanery.

Delivering the Foundation Programme curriculum in general practice

Click to increase image sizeClick to decrease image sizeKeywords: educational managementfoundation programmesgeneral practicepostgraduate educationprimary care Additional informationNotes on contributorsTim SwanwickTim Swanwick, MA (Cantab) MBBS DRCOG DCH FRCGP MA, is Director of Postgraduate General Practice Education at the London Deanery.

GP appraisal: a qualitative study highlights implications for future training

Click to increase image sizeClick to decrease image sizeKeywords: Appraisaleducational managementgeneral practitionersrevalidation. Additional informationNotes on contributorsOliver BoylanOliver Boylan, BA MEd, is a Lecturer and TrainerTerry BradleyTerry Bradley, MD FRCGP, is Associate Director of the Northern Ireland Council for Postgraduate Medical and Dental Education.Agnes McknightAgnes McKnight, MD FRCGP FRCP, is Regional Director of Postgraduate General Practice Education in Northern Ireland.

General Dentists' Perceptions of Educational and Treatment Issues Affecting Access to Care for Children with Special Health Care Needs

This study analyzed a data subset of a national survey of general dentists conducted in 2001 to determine their overall care of children with special health care needs (CSHCN). In the survey, dentists were asked to respond to questions in the following areas: did they provide care for CSHCN (children with cerebral palsy, mental retardation, and those who are medically compromised); what were their perceptions of the training they received in dental school related to CSHCN; what was their interest in additional training for CSHCN; and what factors influenced their willingness to provide care for CSHCN? Only about 10 percent see CSHCN often or very often, and only one in four respondents had hands-on experience with these patients in dental school. Postgraduate education in general practice or advanced general dentistry residency had no effect on willingness to care for CSHCN. Older dentists, those accepting Medicaid for all children, and those practicing in small communities were more likely to see CSHCN. Dentists willing to see CSHCN also were more likely to perform procedures associated with special needs and underserved child populations including pharmacologic management and stainless steel crowns. Dentists with hands-on educational experiences in dental schools with CSHCN were less likely to consider such factors as level of disability and patient behavior as obstacles to care and were more likely to desire additional education in care of CSHCN.

Experiences and career intentions of general practice registrars in Thames deaneries: postal survey

The national plan for the NHS in Britain has promised an additional 2000 general practitioners and 550 training places for general practice registrars by 2004.1 A study of the experiences...

Integrating undergraduate and postgraduate education in general practice: experience in Tayside.

Several forces have resulted in the creation in Tayside of the first formally integrated unit of undergraduate and postgraduate education in general practice in the United Kingdom. Forces that helped this integration included the desire for change, national developments in education, financial support through funds set aside to cover the additional cost of teaching, and a management structure which concentrates on shared leadership. Forces that hindered the integration included uneasiness about ideas for reforming traditional structures, institutional inertia, the complexity of financial arrangements, and tensions over priorities. The experience of managing institutional changes in Tayside has been invaluable and will lead to a more cohesive approach to undergraduate teaching, postgraduate training, and the provision of services relevant to the development of general practice.

Postgraduate education in general practice.

Postgraduate education in general practice.