Prepared to practice? An evaluation of PGME training at Oman
Transcription
Prepared to practice? An evaluation of PGME training at Oman
Prepared to practice? An evaluation of PGME training at Oman Medical Specialty Board: Graduates' perspectives Authors: R. Al-Bualy, M. Al-Jufaili, A. Al-Maniri, S. Al-Sinani, H. Al-Sabti, N. Al-Lamki Date: 1 October 2016 I do not have an affiliation (financial or otherwise) with a pharmaceutical, medical device or communications organization. Je n’ai aucune affiliation (financière ou autre) avec une entreprise pharmaceutique, un fabricant d’appareils médicaux ou un cabinet de communication. 2 Overview • Graduate Survey • Quality improvement • Stakeholders input • Outcomes study 3 Setting • Oman Medical Specialty Board (OMSB) • 18 training programs • Established in 2007 • 650 residents • 400 graduates 4 Study Goal • Outcomes evaluation Impact of programs • Graduates perceptions: Preparedness for practice Professional confidence Institutional support 5 Methods • Cross sectional study • Institutional Alumni Survey (adapted) 295 graduates 18 programs • Demographic data – training & scholarly activities • Constructs Preparedness for practice – 14 items Professional confidence – 4 items Institutional support – 2 items 6 Sample Survey Questions • Preparedness for Practice (14): Overall, I was satisfied with my training program I had collegial relationships with my Trainers An influential mentor was an important factor in my career choice My training prepared me to handle complex situations. I was involved in the care of patients with a wide variety of pathology. I learned the importance of teamwork. If I had the choice again, I would opt to be trained in this program. My training helped me become a more effective communicator. 7 Sample Survey Questions • Confidence (4) Immediately after graduation, how competent did you feel to practice your clinical specialty? How well do you feel you can assess the effectiveness of your patient care practices? When you left the program, how confident were you that you would be able to pass your exit examination? How confident are you in your ability to critically evaluate research articles? • Support (2) In your professional development? In your personal/family life? 8 Results • Response rate = 173 out of 295 (58.64%) 26% - hospital based programs 62% - medical programs 12% - surgical programs • Reliability: 0.94 Cronbach’s Alpha • Average scores (SD): Preparedness for practice (56): 46.56 (7.26) Professional Confidence (16): 12.72 (2.29) Institutional support (8): 5.63 (1.54) 9 Results • Highest scores: Surgical programs respondents » preparation for medical practice » professional confidence. General Surgery, OBGYN and OMFS obtained the highest averages • Common areas of concern: Ability to critically evaluate research Influence of a mentor on career choice Institutional support during training • Other concerns: Issues with trainer preparedness and engagement 10 Recommendations • Ongoing efforts to ensure a strong scholarly focus and career guidance Wellness unit • Strengthen Resident-Trainer relationship and collaboration Retreats • Assess trainer-resident ratios and trainer performance Accreditation • Focus on Resident and Institutional Research Research committee 11 Future efforts • Follow up • Continuous and regular survey • Employer survey • Database 12 References • Deloney L, Lensing S, Hicks E, Clardy J. The Institutional Alumni Survey (IAS): A Measure of Graduate Performance & Program Quality. MedEdPORTAL Publications; 2013. Available from: https://www.mededportal.org/publication/9615 http://dx.doi.org/10.15766/mep_2374-8265.9615 13 Help us improve. Your input matters. Aidez-nous à nous améliorer. Votre opinion compte! • Download the ICRE App, • Téléchargez l’application de la CIFR • Visit the evaluation area in the Main Lobby, near Registration, or • Visitez la zone d’évaluation dans le hall principal, près du comptoir d’inscription, ou • Go to: http://www.royalcollege.ca/icreevaluations to complete the session evaluation. • Visitez le http://www.collegeroyal.ca/evaluationscifr afin de remplir une évaluation de la séance. You could be entered to win 1 of 3 $100 gift cards. Vous courrez la chance de gagner l’un des trois chèques-cadeaux d’une valeur de 100. 14