RESUMEN
BACKGROUND: To obtain good quality evidence-based clinical work there needs to be a culture of critical appraisal, and strong bridges between the clinical and the academic worlds in general practice. AIM: The aim was to educate the general practitioner (GP) trainees to obtain critical appraisal skills, and through the development and implementation of the mandatory programme to gradually empower the GP community to achieve academic capacity by creating a link between the GP researchers and the GP training community. This was done by developing a faculty, giving teaching skills to GP academics, and research skills to GP clinicians; and creating an awareness of the potential benefits of critical appraisal in training GP surgeries. METHODS: Development and implementation of a faculty and a programme through a participatory action research-inspired project, with process evaluation from the beginning of the planning phase. RESULTS: From 2006 to 2009, we built a teaching faculty of 25 teachers among clinical GPs and GP academics; developed the training programme; and delivered the programme to 95 GP trainees. Some of the GP trainees later showed an interest in more substantial research projects, and GP trainers with no previous association with the research environment started to show an interest through their function as GP trainers. The GP academics of the faculty, however, felt that it was difficult to continue the engagement because of the still increasing demand for published knowledge production in academia. CONCLUSION: It is possible to support the development of general academic capacity in general practice using participatory design in collaboration with GP academics and clinicians, building bridges between academia and clinical work, as well as within academia between research publication and teaching. There is, however, a generic barrier in the regulation of academia itself.
Asunto(s)
Investigación Biomédica/educación , Educación Médica/normas , Medicina Basada en la Evidencia/educación , Medicina General/educación , Investigación Biomédica/métodos , Dinamarca , Educación Médica/métodos , Medicina Basada en la Evidencia/métodos , HumanosRESUMEN
In 2004 training in critical appraisal became a mandatory part of the Danish medical specialist training. In this article we describe how the course was designed and implemented on the basis of experience from previous research training initiatives targeting GPs and GP-trainees; and how we continuously develop the course and tailor the training of teachers for the course using a multi-method participatory evaluation design, theoretically based on Stenhouse's definition of the curriculum as a process and the teachers as researchers.