Exploring how a patient encounter tracking and learning tool is used within general practice training: a qualitative study.

Introduction. In Australian general practitioner (GP) training, feedback and reflection on inpractice experience is central to developing GP registrars' (trainees') clinical competencies. Patient encounter tracking and learning tools (PETALs) that encompass an audit of consecutive patient consultati...

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Publicado en:Journal of Primary Health Care Vol. 16; no. 1; pp. 41 - 53
Autores principales: Bentley, Michael, Taylor, Jennifer, Fielding, Alison, Davey, Andrew, Moad, Dominica, van Driel, Mieke, Magin, Parker, Klein, Linda
Formato: algorithm research tables/charts Journal Article
Publicado: CSIRO Publishing Mar2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2024
      vid: 16
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      pub: CSIRO Publishing
      place: Canberra ACT, <Blank>
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        atl: Exploring how a patient encounter tracking and learning tool is used within general practice training: a qualitative study.
      aug:
        au:
          Bentley, Michael
          Taylor, Jennifer
          Fielding, Alison
          Davey, Andrew
          Moad, Dominica
          van Driel, Mieke
          Magin, Parker
          Klein, Linda
        affil: GP Training Research Department, The Royal Australian College of General Practitioners, Level 1, 20 Mcintosh Drive, Mayfield West, NSW 2304, Australia
      sug:
        subj:
          Family Practice
          Medical Staff, Hospital Education
          Professional-Patient Relations
          Learning Methods
          Human
          Funding Source
          Physicians, Family Education
          Feedback
          Audit
          Referral and Consultation
          Faculty, Medical
          Supervisors and Supervision
          Australia
          Focus Groups
          Interviews
          Thematic Analysis
          Reports
          Reflection
          Information Needs
          Learning
          Quantitative Studies
          Surveys
          Faculty Attitudes
          Attitude of Health Personnel
          Quality Improvement
          Qualitative Studies
          Email
          Purposive Sample
          Interview Guides
          Data Analysis Software
          Medical Practice
          Communication
      ab: Introduction. In Australian general practitioner (GP) training, feedback and reflection on inpractice experience is central to developing GP registrars' (trainees') clinical competencies. Patient encounter tracking and learning tools (PETALs) that encompass an audit of consecutive patient consultations, feedback, and reflection are used to determine registrars' in-practice exposure and have been suggested as a tool for learning within a programmatic assessment framework. However, there is limited qualitative literature on the utility of PETALs in GP training. Aim. To provide greater understanding of how PETALs are used in GP training, using Registrars' Clinical Encounters in Training (ReCEnT) as a case study. Methods. Medical educators, supervisors, and registrars from two Australian regional GP training organisations participated in focus groups and interviews, designed to explore participants' perceptions of ReCEnT's utility. Data were analysed using reflexive thematic analysis. Results. Eight themes were identified that enhance our understanding of: how ReCEnT reports are used (reassuring registrars, facilitating self-reflection, identifying learning needs), what enables ReCEnT to reach its full potential (a culture of reflection, meaningful discussions with supervisors and medical educators, valuing objective data), and differences in understanding about ReCEnT's role in a programmatic assessment framework (as a tool for learning, as 'one piece of the puzzle'). Discussion. The findings were used to develop a Structure-Process-Outcomes model to demonstrate how ReCEnT is currently used and explores how it can be used for learning, rather than of learning, in a programmatic assessment framework for GP training. ReCEnT's longitudinal format has potential for enhancing learning throughout training.
      pubtype: Academic Journal
      doctype:
        algorithm
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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