Developing a seminar curriculum for the Competence Center for General Practice in Baden-Wuerttemberg – a progress report

Stengel, Sandra; Förster, Christian; Fuchs, Monika; Bischoff, Martina; Ledig, Thomas; Streitlein-Böhme, Irmgard; Gulich, Markus; Haumann, Hannah; Valentini, Jan; Kohlhaas, Anja; Luckner, Andreas; Reith, Dorothee; Fehr, Folkert; Magez, Julia; Eismann-Schweimler, Jessica; Szécsényi, Joachim; Joos, Stefanie; Schwill, Simon

doi:10.3205/zma001432

Cited by 4 publications

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“…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%

“…The first German postgraduate training programme in GP—the KWBW Verbundweiterbildung plus Competence Centre for Postgraduate Medical Education Baden-Württemberg —aims to ensure basic competencies to help GP trainees master the challenges of primary care, including within rural areas. Since 2008, it offers a curriculum, seminar-programme, a structured mentoring programme and regional clinical rotations across Baden-Württemberg as well as ‘train-the-trainer’ courses for educators 16 17…”

Section: Introductionmentioning

confidence: 99%

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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

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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.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

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“…Ärztinnen und Ärzte in Weiterbildung sind für das Thema zwar sensibilisiert, es mangelt jedoch noch an konkreten Weiterbildungsangeboten zum Thema[17]. Speziell für die Allgemeinmedizin bieten beispielsweise die Kompetenzzentren Weiterbildung die Chance, bundesweit Ärztinnen und Ärzte in Weiterbildung für dieses Thema zu erreichen, weshalb eine Weiterbildungseinheit zum Fehlermanagement in ihre Curricula integriert werden sollte[18].Ziel der Studie war die Identifikation und Beschreibung von Elementen in Gutachten zu hausärztlichen Fehlern, was naturgemäß eine Limitation der Ergebnisse auf dieses Fachgebiet mit sich bringt. Eine Übertragbarkeit auf andere Fachdisziplinen ist nur teilweise gegeben, da das Kategoriensystem einige Spezifika der hausärztlichen Versorgung (z.…”

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Aus Fehlern lernen – qualitative Analyse von Gutachten zu hausärztlichen Behandlungsfehlern

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et al. 2023

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Zusammenfassung Hintergrund Die Gutachterkommissionen der Ärztekammern ermöglichen eine kostenfreie und außergerichtliche Bewertung von putativen ärztlichen Behandlungsfehlern. Sie erstellen Gutachten, die wertvolle Angaben zu Prozessschritten beinhalten, die dem eigentlichen Behandlungsfehler vorangehen. Ziel der vorliegenden Studie ist es, Prozessschritte in den Gutachtentexten zu identifizieren und systematisch zu kategorisieren, um damit die Voraussetzung für eine Auseinandersetzung mit Fehlern zu ermöglichen. Methodik In dieser Studie werden zehn zufällig ausgewählte und anonymisierte Gutachten der Gutachterkommission für Fragen ärztlicher Haftpflicht der Bezirksärztekammer Südwürttemberg mit festgestellten hausärztlichen Behandlungsfehlern nach der Methode der qualitativen Inhaltsanalyse ausgewertet. In einem iterativen Prozess wurden zentrale Elemente von Gutachten in ein deduktiv-induktiv erstelltes Kategoriensystem eingeordnet. Ergebnisse Es wurden sechs Hauptkategorien mit zugehörigen Unterkategorien identifiziert: 1) Strukturmerkmale des Gutachtens, 2) Arzt-Patienten-Kommunikation, 3) medizinischer Verlauf, 4) Patientenerleben, 5) Handlung Praxisteam, 6) Koordinierende Funktion im Gesundheitssystem. Das Kategoriensystem zeigte bei wiederholter Anwendung eine ausreichende Reliabilität. Schlussfolgerungen Fehler bieten die Chance, aus ihnen zu lernen. Die vorgeschlagene Systematik kann die Komplexität von Gutachten strukturieren und dadurch in verschiedenen Kontexten als Hilfsmittel dienen. Insbesondere ermöglicht sie eine differenzierte Betrachtung bei der Erstellung und vergleichenden Analyse von Gutachten und könnte in der Versorgungsforschung sowie in der Aus- und Weiterbildung genutzt werden.

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Keeping up with evidence-based recommendations – a qualitative interview study with general practitioners in Germany on information-seeking behaviour in cardiovascular care

et al. 2023

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Background Due to the nature of their work, general practitioners (GPs) need to be up to date with evidence in various medical domains. While much synthesised research evidence is easily accessible nowadays, in practice, the time to search for and review this evidence proposes a challenge. In German primary care, the knowledge infrastructure is rather fragmented, leaving GPs with relatively few primary care specific resources of information and many resources from other medical fields. This study aimed to explore GPs information-seeking behaviour regarding evidence-based recommendations in cardiovascular care in Germany. Methods To explore views of GPs a qualitative research design was chosen. Data was collected through semi-structured interviews. In total, 27 telephone interviews with GPs were conducted between June and November 2021.Verbatim transcript interviews were then analysed using thematic analysis, deriving at themes inductively. Results Two broad strategies of information-seeking behaviour in GP could be distinguished: (a) generic information-seeking behaviour and (b) casuistic information-seeking. The first referring to strategies GPs apply to keep up with medical developments such as new medication and the second referring to purposeful information exchange regarding individual patients, such as referral letters. The second strategy was also used to keep up with medical developments in general. Conclusion In a fragmented information landscape, GPs used information exchange on individual patients to remain informed about medical developments in general. Initiatives to implement recommended practices need to take this into account, either by using these sources of influence or by making GPs aware of possible bias and risks. The findings also emphasize the importance of systematic evidence-based sources of information for GPs. Trail registration We registered the study prospectively on 07/11/2019 at the German Clinical Trials Register (DRKS, www.drks.de) under ID no. DRKS00019219.

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Developing a seminar curriculum for the Competence Center for General Practice in Baden-Wuerttemberg – a progress report

Cited by 4 publications

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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

Aus Fehlern lernen – qualitative Analyse von Gutachten zu hausärztlichen Behandlungsfehlern

Keeping up with evidence-based recommendations – a qualitative interview study with general practitioners in Germany on information-seeking behaviour in cardiovascular care

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