Wie evaluieren wir die Förderung von Qualität und Effizienz der allgemeinmedizinischen Weiterbildung durch die Kompetenzzentren?

Background: In the last 5 years, 16 Competence Centers for Postgraduate Medical Education (KW) were founded in Germany with the aim to promote the quality and efficiency of specialty training in Family Medicine. The aim of the study was to identify suitable indicators for the external evaluation of the KW. Methods: Experts from the KW developed a set of possible quality indicators in two consecutive workshops. This set was revised and prioritized in a two-stage Delphi process among all KW. In total, 70 experts from 16 KW participated in the period February to October 2020, 38 of them in both survey rounds. Results: The participants proposed and prioritized 61 possible quality indicators in 9 subject areas: (1) participation rates, (2) quality of practical training, (3) quality of KW offers, (4) service, (5) objectified assessment of competences, (6) success and completion rates, (7) quality and quantity of patient care, (8) general effects, and (9) efficiency/duration of training. Conclusions: Quantitatively easy to collect quality indicators of the areas (1), (3), (4), (6), and (9) are mostly established and should be continued evaluating the KW. In addition, appropriate methods should be introduced for content-related quality indicators such as the competence development of participants in self-perception (3), practical training (2), objective competence measurement after training (5), general effects (8), and the effects of KW on the quality of care (7). Methodologically, the comparison of participants and nonparticipants by means of an external, systematic survey would be desirable both during and after the training. Procedures for objective competence assessment of graduates should be established in general medical training. [ABSTRACT FROM AUTHOR]