How a problem-based learning approach could help Japanese primary care physicians: a qualitative study
How a problem-based learning approach could help Japanese primary care physicians: a qualitative study
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DOI：
10.5116/ijme.5de7.99c7
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发表时间：
2019-12-26
影响因子：
3.1
通讯作者：
Ohno, Iwao
中科院分区：
文献类型：
--
作者：
Seki, Masayasu;Fujinuma, Yasuki;Ohno, Iwao
目的：本研究旨在确定初级保健医生在日本谁没有正式的初级保健training.Methods的培训需求：我们进行了一个焦点小组访谈与7名日本初级保健医生谁以前没有经历过专业培训的初级保健，并已被招募到一个家庭医学培训计划，使用基于问题的学习方法。在项目开始时，医生们参加了面试。讨论被记录下来，转录的采访进行了分析，使用编码和理论化的方法steps.Results：三个主题出现。首先，对于那些从专业转向初级保健的医生，缺乏标准的再教育计划。第二，在日本的本科和研究生医学教育中，初级保健培训不足。第三，持续的专业发展计划应涵盖必要的初级保健practice.Conclusions沟通技巧，态度和行为：这项研究澄清了需要在我们的培训计划，参与初级保健再培训的初级保健医生解决。重要的是要考虑如何最好地包括沟通技巧，态度，和初级保健所需的行为在该计划所涵盖的主题。随着该计划的进一步迭代，重要的是要检查它是否满足初级保健医生的需求。这将是必要的，以调查再教育计划的需要，更多的医生在许多领域，并强调初级保健再教育的重要性，在这些能力的本科和研究生医学教育。
Objectives: This study aimed to identify training needs among primary care physicians in Japan who had no formal primary care training.Methods: We conducted a focus group interview with seven Japanese primary care physicians who had not previously undergone specialist training in primary care and had been recruited to a family medicine training program that used a problem-based learning approach. At the start of the program, the physicians attended the interview. The discussion was recorded, and the transcribed interview was analyzed using the Steps for Coding and Theorization method.Results: Three main themes emerged. First, there is a lack of standard re-education programs for physicians who move away from their specializations into primary care. Second, there is insufficient training on primary care in undergraduate and postgraduate medical education in Japan. Third, continuing professional development programs should cover the communication skills, attitudes, and behaviors necessary for primary care practice.Conclusions: This study clarified the needs to be addressed in our training program for primary care physicians involved in retraining in primary care. It is important to consider how to best include the communication skills, attitudes, and behaviors necessary for primary care among the topics covered in the program. As the program undergoes further iteration, it will be important to check whether it meets the needs of primary care practitioners. It will be necessary to investigate the needs of re-education programs for more physicians in many areas, and to emphasize the importance of primary care re-education in these abilities in undergraduate and postgraduate medical education.