Hospital training for general practice: views of trainees in the North Western region.

Aims:The aim was to compare Eastern, Makkah, and Asir regions in term of residents’ perception of the achievement of training objectives, and to assess various rotations based on residents’ perception.Settings and Design:This cross-sectional study was done among family medicine residents in the Eastern, Makkah, and Asir regions.Methodology:A questionnaire was developed by the investigator and validated by two experts. All residents, except R1 residents, were included. All data were collected by the investigator by direct contact with the residents.Statistical Analysis Used:Cronbach's alpha, analysis of variance, t-test, and univariate regression model as appropriate, were used.Results:Reliability of the questionnaire was found to be 75.4%. One hundred and seven (response rate: 83.6%) residents completed the questionnaire. There were 51 (47.7%), 27 (25.2%), and 29 (27.1%) residents in the program in the Eastern region, Makkah, and Asir, respectively. The mean age was 29.1 ± 2.5 years; half of the residents were male, most of (83.2%) were married, and more than half (54.2%) of had worked in primary health care before joining the program. Overall, 45% of the residents perceived that they had achieved the training objectives. The highest rotations as perceived by the residents were psychiatry and otolaryngology while the lowest were orthopedics and ophthalmology. There were significant differences among the study regions with regard to the rotations in family medicine, internal medicine, orthopedics, general surgery, and emergency medicine.Conclusions:Overall, a good percentage of the residents perceived that they had achieved the training objectives. The rotations differed in the studied regions. Psychiatry and otolaryngology had the highest percentage of family medicine residents who perceived that they had achieved the training objectives while lowest was in internal medicine and obstetrics and gynecology. The highest rotations as perceived by the family medicine residents were psychiatry and otolaryngology while lowest were orthopedics and ophthalmology. Sharing of experience and further studies are needed to improve the program rotations.

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“…This response rate was representative of the program residents in the studied regions, which was higher than other studies. [ 10 11 12 ]…”

Section: Discussionmentioning

confidence: 99%

Family medicine training in Saudi Arabia: Are there any variations among different regions?

Zuhairah

Al-Dawood

Khamis

2015

J Fam Community Med

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“…The troubling views of GPs/SHOs about their training were not the only indications of concern about the appropriateness of the training on offer for general practitioners, especially in their hospital posts. Research shows that reliance on junior doctors to provide medical services in hospitals creates tension between service and training needs, with service needs dominating (Reeve & Bowman 1989; Crawley & Levin 1990; Kelly & Murray 1991; Barrie & Greenlaugh 1993; Charlton 1993; Dillner 1993; Williams et al. 1997).…”

Section: Introductionmentioning

confidence: 99%

Working and learning in hospitals: junior doctors adrift in fragmented communities

McKee

2002

Learn Health Soc Care

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This paper is based upon an ethnographic study of senior house officers (SHOs; second and third year residents) intending to become general practitioners (GPs; family doctors who practise in the community). GPs/SHOs in four very different hospitals and their associated training schemes were case‐studied. The methods included structured and semi‐structured interviews, observations of training events and occupational experience, shadow studies and focus groups. Major changes in hospitals have transformed the experience of working and learning for both GPs/SHOs and consultants. Continuity of care and the stability of medical teams appears to have given way to episodic care provided by frequently changing teams, led by consultants who are subspecialists within their own field. Does hospital training still provide the breadth of clinical experience appropriate for general practice? In hospital‐based training, GPs/SHOs who are doing a ‘real’ job make ‘real’ mistakes. They do so in a climate that is increasingly intolerant of error. They receive very different messages about the acceptability of mistakes and their place in the learning process. What appears to be missing is an educational framework for recognizing and understanding both the nature of a mistake and its clinical and educational implications. The persistent message from those involved in hospital training was that it could be improved. It seems that what is needed is a radical reconsideration and reconceptualization of how to address the learning and teaching issues of providing training that prepares GPs/SHOs for the real demands practice.

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“…The problems of Senior House Officer (SHO) training have been extensively documented in recent years 1 . 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 There has also been a series of documents that has focused on training for SHOs and may have facilitated a climate of change. A report in 1991 by the Scottish Council of Postgraduate Medical Education gave their definition of good practice regarding SHO training and also gave some suggestions on how improvements could be achieved 15 .…”

Section: Introductionmentioning

confidence: 99%

The development and evaluation of a personal learning log for Senior House Officers

Kelly¹,

Murray²

1999

Medical Education

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While the problems of hospital training are well documented, an attempt to improve the situation using a learning log did not have a statistically significant impact on SHO knowledge or confidence. A six-month hospital post appears to present many opportunities for learning but these are not exploited. It is suggested that three things are needed. Firstly, active participation by and personalized feedback from a senior member of staff, with training where needed. Secondly, protected time for tutorials with a planned system of formative assessment, and thirdly, a more positive approach to learning by both SHOs and consultants. Once this occurs, a learning log may have a more significant impact on training.

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Hospital training for general practice: views of trainees in the North Western region.

Cited by 27 publications

References 3 publications

Family medicine training in Saudi Arabia: Are there any variations among different regions?

Family medicine training in Saudi Arabia: Are there any variations among different regions?

Working and learning in hospitals: junior doctors adrift in fragmented communities

The development and evaluation of a personal learning log for Senior House Officers

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