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2. Growth of Self-Perceived Clinical Competence in Postgraduate Training for General Practice and Its Relation to Potentially Influencing Factors

Author

Kramer, A. W. M., Zuithoff, P., Jansen, J. J. M., Tan, L. H. C., Grol, R. P. T. M., and van der Vleuten, C. P. M.

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.

Published
2007
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5. Automation of Medical Audit in General Practice

Author

Beckers, W. P. A., de Vries Robbé, P. F., van der Haring, E. J., Zwaard, A. M., Mokkink, H. G. A., Grol, R. P. T. M., Rienhoff, O., editor, Lindberg, D. A. B., editor, Stefanelli, Mario, editor, Hasman, Arie, editor, Fieschi, Marius, editor, and Talmon, Jan, editor

Published
1991
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16. Primary Prevention of Cardiovascular Diseases in General Practice: Mismatch between Cardiovascular Risk and Patients' Risk Perceptions

Author

van der Weijden, T., van Steenkiste, B., Stoffers, H.E.J.H., Timmermans, D.R.M., and Grol, R.

Subjects
Influence, Beliefs, opinions and attitudes, Prevention, Research, Risk factors, Health risk assessment -- Influence -- Research, Cardiac patients -- Beliefs, opinions and attitudes, Cardiovascular diseases -- Prevention -- Risk factors -- Research
Published
2007
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33. Which aspects of general practitioners' behaviour determine patients' evaluations of care?

Author

Jung, H.P., Horne, F. van, Wensing, M., Hearnshaw, H., and Grol, R.

Subjects
Patients -- Beliefs, opinions and attitudes, Physician and patient -- Research, Physicians -- Evaluation, Medical care -- Evaluation, Patient satisfaction -- Research, Health, Social sciences
Abstract

This qualitative study explored those behaviours of a general practitioner which were used by patients in their evaluations of 14 aspects of general practice care. Thirty patients were interviewed immediately after visiting their general practitioner. Interview transcripts were analyzed by two authors, who independently marked general practitioners' behaviours used by patients. Then, these text fragments were categorized into task or affective behaviours according to an existing taxonomy of doctor behaviour in consultations. The results showed that patients reported using task oriented behaviours when they evaluated task oriented aspects of general practice care. However, when they evaluated affective aspects they reported using both affective behaviours and task behaviours, although the latter to a lesser extent. The evaluations of 'tell you all you wanted to know about your illness', 'explain the purpose and the course of the treatment', 'pay attention to your feelings' and 'kind and attentive' are clearly linked to specific general practitioners' behaviour. Therefore, evaluations of these aspects can be interpreted straightforwardly. Evaluation of the aspects 'GP understands you', 'having faith in your GP' and 'were you involved in decisions about your medical treatment?' were based on a large variety of physician behaviours which may lead to interpretation problems. Thus, this study gives some important considerations for a better understanding of patients' evaluations of general practice care. Key words - patient satisfaction, general practice, evaluation

Published
1998

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