{"title":"一般实践中问题案例讨论的“问题-问题-推理-解决-教学”（PQRST）框架。","authors":"S Morgan, S R Toukhsati","doi":"10.1080/14739879.2025.2518542","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and objective: </strong>The 'problem-question-reasoning-solution-teaching' (PQRST) framework was designed for GP trainers to use for problem case discussion (PCD) with trainees. We aimed to describe and evaluate the utility of the PQRST framework for PCD in the GP setting.</p><p><strong>Methods: </strong>We delivered a one-hour educational activity on the PQRST tool and evaluated its use in practice. GP trainers completed a pre-education survey (<i>N</i> = 165), followed by a post-education survey six weeks later (<i>N</i> = 30).</p><p><strong>Results: </strong>Before the educational activity, most respondents were unfamiliar with the PQRST framework. Six weeks following the PQRST education activity, over 90% of respondents had applied the PQRST framework during PCD and planned to continue using it. GP trainers were significantly more likely to ask their trainees to present cases using a problem representation format following PQRST education (<i>p</i> < .001).</p><p><strong>Discussion: </strong>The PQRST framework provided a more structured approach and greater confidence in PCD, indicating its utility in GP supervision and training.</p>","PeriodicalId":46436,"journal":{"name":"Education for Primary Care","volume":" ","pages":"1-6"},"PeriodicalIF":1.5000,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The 'problem-question-reasoning-solution-teaching' (PQRST) framework for problem case discussion in general practice.\",\"authors\":\"S Morgan, S R Toukhsati\",\"doi\":\"10.1080/14739879.2025.2518542\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and objective: </strong>The 'problem-question-reasoning-solution-teaching' (PQRST) framework was designed for GP trainers to use for problem case discussion (PCD) with trainees. We aimed to describe and evaluate the utility of the PQRST framework for PCD in the GP setting.</p><p><strong>Methods: </strong>We delivered a one-hour educational activity on the PQRST tool and evaluated its use in practice. GP trainers completed a pre-education survey (<i>N</i> = 165), followed by a post-education survey six weeks later (<i>N</i> = 30).</p><p><strong>Results: </strong>Before the educational activity, most respondents were unfamiliar with the PQRST framework. Six weeks following the PQRST education activity, over 90% of respondents had applied the PQRST framework during PCD and planned to continue using it. GP trainers were significantly more likely to ask their trainees to present cases using a problem representation format following PQRST education (<i>p</i> < .001).</p><p><strong>Discussion: </strong>The PQRST framework provided a more structured approach and greater confidence in PCD, indicating its utility in GP supervision and training.</p>\",\"PeriodicalId\":46436,\"journal\":{\"name\":\"Education for Primary Care\",\"volume\":\" \",\"pages\":\"1-6\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-07-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Education for Primary Care\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/14739879.2025.2518542\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PRIMARY HEALTH CARE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Education for Primary Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/14739879.2025.2518542","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
The 'problem-question-reasoning-solution-teaching' (PQRST) framework for problem case discussion in general practice.
Background and objective: The 'problem-question-reasoning-solution-teaching' (PQRST) framework was designed for GP trainers to use for problem case discussion (PCD) with trainees. We aimed to describe and evaluate the utility of the PQRST framework for PCD in the GP setting.
Methods: We delivered a one-hour educational activity on the PQRST tool and evaluated its use in practice. GP trainers completed a pre-education survey (N = 165), followed by a post-education survey six weeks later (N = 30).
Results: Before the educational activity, most respondents were unfamiliar with the PQRST framework. Six weeks following the PQRST education activity, over 90% of respondents had applied the PQRST framework during PCD and planned to continue using it. GP trainers were significantly more likely to ask their trainees to present cases using a problem representation format following PQRST education (p < .001).
Discussion: The PQRST framework provided a more structured approach and greater confidence in PCD, indicating its utility in GP supervision and training.
期刊介绍：
Education for Primary Care aims to reflect the best experience, expertise and innovative ideas in the development of undergraduate, postgraduate and continuing primary care education. The journal is UK based but welcomes contributions from all over the world. Readers will benefit from the broader perspectives on educational activities provided through the contributions of all health professionals, including general practitioners, nurses, midwives, health visitors, community nurses and managers. This sharing of experiences has the potential for enhancing healthcare delivery and for promoting interprofessional working.
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