Educational and research utility of the registrar clinical encounters in training (ReCEnT) project: an exploration of mechanisms using the context, input, process and product (CIPP) framework.

IF 4.3 3区 医学 Q1 PRIMARY HEALTH CARE
Michael Tran, Susan Wearne, Andrew Davey, Parker Magin
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引用次数: 0

Abstract

Background: The Registrar Clinical Encounters in Training (ReCEnT) project is an Australian general practice vocational training programme with integrated and interdependent education and research functions. Trainees (registrars) contemporaneously document in-consultation clinical experience and actions.

Objectives: Using a realist lens, we elucidate the mechanisms underpinning project outcomes to answer questions around programme effectiveness, impacts, sustainability and the lessons and findings that are translatable to other primary care training programmes.

Methods: The context, input, process and product framework was used. As a means to understand the interactions between each of the interdependent components, it allows for inferences regarding causal mechanisms for specific outcomes.

Results: Context: ReCEnT occurs within an apprenticeship-like model of general practice vocational training entailing a central supervisor/apprentice relationship. ReCEnT has demystified the content and characteristics of registrar consultations. Input: multiple stakeholder involvement is both advantageous and a logistical challenge, with the programme's success dependent on registrars, practices and training providers providing detailed and accurate data, with prompt subsequent processing.

Process: contemporaneous consultation data collection in different stages of training constitutes a component of registrars' programmatic assessment. Product: individualised feedback provides educational benefit through reflection. Clinical and educational research questions can be addressed with resulting research translation feeding back into the programme model and government policy. Clinical behaviour change is also evaluated.

Conclusion: ReCEnT is unique, globally, in its scope and longevity (2010-present). Creation of meaningful, individualised feedback facilitates reflection and provides both immediate educational benefits and the substrate for further research, programme and policy design and targeted formal teaching and learning.

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注册医师临床经验培训(近期)项目的教育和研究效用:利用情境、投入、过程和产品(CIPP)框架探索机制。
背景:注册医师临床培训(近期)项目是澳大利亚的全科职业培训项目,具有综合和相互依存的教育和研究功能。学员(注册员)同时记录会诊中的临床经验和行动。目标:从现实的角度,我们阐明了支撑项目成果的机制,以回答有关项目有效性、影响、可持续性以及可转化为其他初级保健培训项目的经验教训和发现的问题。方法:采用上下文、输入、过程和产品框架。作为理解每个相互依赖的组成部分之间相互作用的一种手段,它允许对特定结果的因果机制进行推断。结果:背景:最近发生在全科实践职业培训的学徒模式中,需要中央主管/学徒关系。最近对书记官长协商的内容和特点进行了澄清。投入:多方利益相关者的参与既是有利的,也是后勤方面的挑战,项目的成功取决于注册商、实践和培训提供者能否提供详细和准确的数据,并及时进行后续处理。过程:在培训的不同阶段同时收集咨询数据是注册商方案评估的一个组成部分。产品:个性化反馈通过反思提供教育效益。临床和教育研究问题可以通过将研究成果转化反馈到项目模型和政府政策中来解决。临床行为改变也被评估。结论:从范围和寿命(2010年至今)来看,ReCEnT在全球范围内是独一无二的。创造有意义的、个性化的反馈有助于反思,既提供了直接的教育效益,又为进一步的研究、方案和政策设计以及有针对性的正式教学提供了基础。
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来源期刊
CiteScore
9.70
自引率
0.00%
发文量
27
审稿时长
19 weeks
期刊介绍: Family Medicine and Community Health (FMCH) is a peer-reviewed, open-access journal focusing on the topics of family medicine, general practice and community health. FMCH strives to be a leading international journal that promotes ‘Health Care for All’ through disseminating novel knowledge and best practices in primary care, family medicine, and community health. FMCH publishes original research, review, methodology, commentary, reflection, and case-study from the lens of population health. FMCH’s Asian Focus section features reports of family medicine development in the Asia-pacific region. FMCH aims to be an exemplary forum for the timely communication of medical knowledge and skills with the goal of promoting improved health care through the practice of family and community-based medicine globally. FMCH aims to serve a diverse audience including researchers, educators, policymakers and leaders of family medicine and community health. We also aim to provide content relevant for researchers working on population health, epidemiology, public policy, disease control and management, preventative medicine and disease burden. FMCH does not impose any article processing charges (APC) or submission charges.
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