Growth of Self-Perceived Clinical Competence in Postgraduate Training for General Practice and its Relation to Potentially Influencing Factors |
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Authors: | AWM Kramer P Zuithoff JJM Jansen LHC Tan RPTM Grol CPM van der Vleuten |
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Institution: | (1) Centre for Postgraduate Training in General Practice, University Medical Centre , Nijmegen, The Netherlands;(2) Present address: National Centre for Evaluation of Postgraduate Training in General Practice (SVUH), Mauritsstraat 92, 3583HV Utrecht, The Netherlands;(3) Centre for Quality of Care Research, University of Nijmegen, Nijmegen, The Netherlands;(4) Department of Educational Development & Research, University of Maastricht, Maastricht, The Netherlands |
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Abstract: | Objective To examine the increase in self-perceived clinical competence during a three-year postgraduate training in general practice
and to explore the relation between the growth of self-perceived competence and several background variables.
Design Cohort, 1995–1998.
Setting Three-year Postgraduate Training for General practice in the Netherlands
Participants All Dutch trainees who followed postgraduate training from September 1995 to September 1998 (N=191).
Intervention We asked the trainees at the start and at the end of their postgraduate training to complete a questionnaire, which assessed
their self-perceived knowledge, clinical skills and consultations skills.
We collected information about potentially influencing background variables. Amongst these were variables such as: age, gender,
prior medical experience, the effort someone has spent upon her/his education, insight in weak and strong areas of clinical
competence and knowledge and skills levels.
Main outcome measure Self-perceived competence.
Results A total of 127 trainees completed both questionnaires (190 at the first administration and 128 at the second one).
We found statistically significant growth of self-perceived clinical competence. Self-perceived consultation skills increased
more than self-perceived knowledge and clinical skills. The afore mentioned background variables did not relate in any way
with the growth of self-perceived clinical competence.
Conclusion This study shows that a 3-year postgraduate training in general practice enhances self-perceived clinical competence. However,
we still do not know how to explain this improvement. Further study into the theoretical concept of self-assessment in medical
education and into the factors contributing to the feeling of being competent, is required. |
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Keywords: | contribution of an educational program to the feeling of being competent factors contributing to the feeling of being competent growth of self-perceived clinical competence lifelong learning postgraduate training in general practice self-assessment of clinical competence self-perceived clinical competence theoretical concept of self-assessment |
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