RESUMEN
OBJECTIVES: This study constituted a formative evaluation of the relevance of the MSc course to the needs of Hungarian primary health care educators. DESIGN: A qualitative, naturalistic approach using in-depth interviews was used to construct the meaning of the experience of the MSc for the Hungarian participants. Interviews were triangulated using observation and documentary analysis. SETTING: The University of Exeter's Institute of General Practice. SUBJECTS: Eight Hungarian primary health care professionals. RESULTS: The evaluation data revealed that the attitude of the Hungarian students to their role as medical educators had been substantially changed by exposure to western models of adult education. There were a number of 'clashes of expectation' between the Hungarian students and the course staff in relation to the course requirements. Reconciliation of these differing expectations required a sequence of ongoing adjustments to the course content and delivery. CONCLUSIONS: Existing postgraduate courses for health educators can accommodate the needs of medical teachers from countries who are developing their primary health care education systems. Successful accommodation is facilitated by ensuring an adequate preparation in relation to language fluency, academic requirements of the course, familiarization with modern approaches to adult education as well as with the local health care delivery system.
Asunto(s)
Educación de Pregrado en Medicina , Enseñanza , Educación en Salud , Humanos , Hungría , Atención Primaria de Salud , Reino Unido/epidemiologíaRESUMEN
An experimental multidisciplinary course for prospective general practitioner and practice nurse trainers is described. Factual knowledge and attitudes were measured before and after the course and some of the changes measured emphasized the importance of multidisciplinary training. The ideas generated by the group of nurse trainers in terms of their future professional development were identified.
Asunto(s)
Educación Médica Continua , Educación Continua en Enfermería , Medicina Familiar y Comunitaria/educación , Enfermería de Consulta , Relaciones InterprofesionalesRESUMEN
Continuing medical education sessions are often poorly attended by general practitioners. One reason may be that these traditionally consist of lectures by hospital consultants with a strong theoretical bias which may have little relevance to the learning needs of general practitioners. To compare the learning styles of teachers and learners in general practice, learning style questionnaires were administered to 50 hospital clinical tutors, 78 general practitioner trainers, 63 trainees and 47 non-trainer principals. The questionnaire covered four different learning preferences: activist, reflector, theorist and pragmatist. The findings showed that the learning styles of hospital tutors and general practitioner trainers were statistically significantly different to those of non-trainer principals and trainees. The tutors and trainers scored much higher on theorist styles and to a lesser extent on reflector and pragmatist styles. There were no significant differences on activist scores. Since teachers tend to teach in their preferred learning style, which may not match the style of the recipients, these findings have implications for continuing medical education in general practice. These implications are discussed.
Asunto(s)
Educación Médica Continua , Aprendizaje , Médicos de Familia , Enseñanza/métodos , HumanosAsunto(s)
Salud , Atención Primaria de Salud , Salud Urbana , Humanos , Calidad de la Atención de Salud , Problemas Sociales , Reino UnidoAsunto(s)
Población Urbana , Servicios de Salud , Londres , Factores Socioeconómicos , Reino Unido , Salud Urbana , Remodelación UrbanaRESUMEN
A survey of children under 5 in an urban practice has been described and the means of detection of developmental abnormalities identified. It was found that 81% were queried by nonclinic means and only one child out of 150 had a minor abnormality which might otherwise have gone undetected if not seen at a screening clinic. These developmental screening clinics are expensive to run and yield very little return.
Asunto(s)
Servicios de Salud del Niño , Discapacidades del Desarrollo/diagnóstico , Preescolar , Análisis Costo-Beneficio , Humanos , Lactante , Recién NacidoRESUMEN
A detailed study of the workload of an urban practice was made during a six-month period before and after moving into a health centre to see if the pattern changed after the move. It was found that the services provided enabled a much greater proportion of routine work to be done by the practice nurse so that the doctor could spend more time with the patients seen by him.A survey of the opinion of patients showed that the great majority was pleased with the services offered in the new premises and did not feel that they had lost contact with their own doctor.