master in general practice
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Master in General Practice. ICHO Curriculum Practical training Seminars/Peer review & selfstudy Masterthesis Selection of the practice trainers Selection of the group trainers Assessment & Evaluation Facts & Figures. L. G. A. B. 6 years undergraduate - PowerPoint PPT PresentationTRANSCRIPT
Master in General Practice
ICHO Curriculum
Practical training Seminars/Peer review & selfstudy
Masterthesis Selection of the practice trainers Selection of the group trainers Assessment & Evaluation Facts & Figures
6 years undergraduate
first year of education in General
Practice Master in Family Medicine
Practical training in a GP’s practice (2 years)
Seminars/Peer review (min. 40 hrs a year)
Thematical training sessions - Selfstudy
Masterthesis
L G A B
ICHO
ICHO
Consortium founded in 1984 Co-operation of the 4 Flemish universitary centres
of GP (Louvain, Ghent, Antwerp, Brussels) Primary goal: combine strength to liberate means
and staff for the development of GP vocational training as a universitary degree (1995)
01/10/2006: Master in General Practice
Curriculum
System of adult education Global aim = task profile of the GP Described in the “Final terms/Learning
aims”-document Personal learning agenda: trainees have to
take up responsability and put together their own training program
Curriculum
Practical training in a GP’s practice 24 months Preferably in the practice of a GP trainer (max.
12 months in a hospital) In selected training practices/appointed practice
trainers System of quality control & train the trainer 90% of the trainees do 2 years in a GP’s practice
Curriculum
Peer review and individual guidance by the group trainer Individual guidance
Intake discussion Regular short meetings before or after a seminar Yearly feedback and evaluation discussion Yearly evaluation report taking into account the evaluation by
the practice trainer During the seminars, the trainer pays attention to the personal
growth of every trainee Coaching via electronic portfolio
Curriculum
Peer review and individual guidance by the group trainer Peer review
Focus on critical reflection on concrete experiences Variety of experiences and personalities; group support Educational methods: case discussions, continuous registration of
patient contacts, thematic registration, discussion of literature, role playing difficult consultations, etc.
Function of group trainer = crucial!
Curriculum
Thematical training sessions & selfstudy In 2007-2008 20 topics are offered by ICHO
Live training sessions of 0,5 > 2,5 days (Orthopaedic examination of the shoulder, knee, ...; Menopause; Social problems in general practice; Taping; The psychotic patient; Etc)
Internet supported modules (Prevention of suicide; Spirometrics, Etc)
Each session = evaluated by trainees / feedback to lecturerHigh satisfaction trainees
Curriculum
Thematical training sessions & selfstudy Trainees choose topics (offered bij ICHO or
other organisations) according to their personal learning agenda
Medical literature Additional training: centres for family planning,
centres for psychological care, etc.
Masterproof
1) a project
2) a portfolio
Masterproof
Project A (quality improving) project Steps: study of literature – definition of the
research methodology – observation – analysis – conclusion – quality improving proposition – implementation - evaluation
Guidance by a promotor and the GP trainer
Masterproof
Learning portfolio Documenting & archiving the most important
learning activities Critical reflections on the learning activities Electronic support > exchanging information and
experiences with other trainees and trainers Guidance by the group trainer
Selection of the practice trainers
Minimum criteria: 2 introduction days with ICHO Being appointed as trainer by the Federal Public Service of Health 7 years of experience as a GP Variety of morbidity in the practice Well-organised patientfilesystem Practicing EBM Developing a personal learning plan Etc.
at least 2 educational sessions a year Personal development plans and electronic portfolio
Selection of the practice trainers
2 steps in the appointment & training by staff members of the universitary centres of GP 1st appointment for 2 years
Training of teaching competencies & the use of a portfolio
Re-appointment (4 years)Focus on personal learning plans & quality of
portfolio
Selection of the group trainers
Appointed by ICHO Introduction and specific agogic training Special training sessions by staff members of
the universitary centres of GP (yearly minimum 2 days training and/or workshops)
Peer-intervision
Assessment & Evaluation
Formative assessment based on learning agenda A list of goals set by the trainee and/or his trainers Regular assessment of the trainee by all trainers
summative evaluation Year 1: evaluative discussion with trainers; written
examination; interim report masterthesis; cases; video-analyses
Year 2: written knowledge test; oral examination; trainers report; OSCE’s; masterproof (manuscript-presentation-portfolio)
Final evaluation
Evaluation by trainer and coach Written knowledge test Oral examination OSCE: 20 stimulation stations Evaluation masterproof:
manuscript presentation (electronic) portfolio
Final evaluation
Reliability composite score = 0,92
Reliability knowledge test: 0,90 (Cronbach’s alfa internal consistency)
Final evaluation
Written knowledge test Based on a blueprint which indicates the
frequence of the themes to be questioned (all domains of competence of GP are covered)
160 multiple choice questions (extrended matching type)
Questions prepared each year by 5 GP’s and validated by staff members of the universitary centres of GP
Final evaluation
Oral examination 1 hour with two jury’s of 2 GP’s from at least 2 different
universities To show his competenties
5 cases from the trainees own practice With relevant literature Documentation on the handling of the problem
The jury’s chooses 2 cases: interrogation in depth (trainees critical reflection ability, professional maturity, trainees decisions based on sound evidence)
Final evaluation
Trainers report Evaluation of the learning process
(competencies, participation, personal development, progress)
Evaluation of the competence of the trainee as a GP
Group trainer’s report based on his own observations and on a report of the GP trainer
Final evaluation
OSCE’s (Objective Structured Clinical Examination) 20 sequential stations with various primary
health care problems Given period of time (8 minutes/station) Observation and scoring by GP’s
Final evaluation
Masterproof Manuscript (55%) - Presentation (20%) –
Portfolio (25%) Evaluation based on “Dublin descriptors”,
proven knowledge, used methodology, decision making, communication, attitude of life long learning, originality, etc.
Facts & Figures
230 GP-trainees 22 group trainers 20 stafmembers 350 GP-trainers (General Practices) 28 pairs GP-trainers (Hospital Services)