1
|
Roos M, Schneider A, Gensichen J, Simmenroth A, Kühlein T, Schneider D. The "Seminartage Weiterbildung Allgemeinmedizin" (SemiWAM ®) - development, implementation and evaluation of a five-year, competence-based postgraduate programme in Bavaria. GMS JOURNAL FOR MEDICAL EDUCATION 2022; 39:Doc19. [PMID: 35692362 PMCID: PMC9174077 DOI: 10.3205/zma001540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 12/18/2021] [Accepted: 01/24/2022] [Indexed: 06/15/2023]
Abstract
INTRODUCTION Starting in 2013, a five-year, competence-based postgraduate programme, the "Seminartage Weiterbildung Allgemeinmedizin" (SemiWAM®) for continuing education in general practice, was developed and offered in Bavaria. This evaluation reports on the experiences of SemiWAM® after a first cycle. MATERIAL AND METHODS Process reflection based on the cycle of Kern: In addition to qualitative findings, results of the evaluation forms (mean values with standard deviation) are presented. The evaluation form contained questions on organisational issues, content of presentation, didactic preparation of the supervisor, transfer to real life practice as well as demographic variables. All questions were voted on a six-point Likert scale from "1=very satisfied" to "6=very dissatisfied". RESULTS The reflection showed three crucial entry points: Choosing "reason for encounter" as a content precondition to ensure target audience needs, the close didactic supervision of supervisor, and the continuous growth of supervisor team with newly qualified GP. The evaluation results for the overall assessment (MW 1.11-1.60), the didactic concept (MW 1.30-1.87), as well as the transfer into daily life practice (MW 1.48-2.35) reflect the high quality of the SemiWAM®. DISCUSSION The SemiWAM® curriculum presented can be easily transferred to comparable structures in Germany that accompany specialty training, such as the competence centres for residency training in general practice. The process evaluation based on the core cycle also provides important support for the agile implementation of these or similar programmes.
Collapse
Affiliation(s)
- Marco Roos
- Universität Augsburg, Medizinische Fakultät, Allgemeinmedizin, Augsburg, Germany
| | - Antonius Schneider
- Technische Universität München, Institut für Allgemeinmedizin und Versorgungsforschung, München, Germany
| | - Jochen Gensichen
- Ludwig-Maximilians-Universität München, Institut für Allgemeinmedizin, München, Germany
| | - Anne Simmenroth
- Universitätsklinikum Würzburg, Institut für Allgemeinmedizin, Würzburg, Germany
| | - Thomas Kühlein
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Allgemeinmedizinisches Institut, Erlangen, Germany
| | - Dagmar Schneider
- Bavarian Competence Centre for Residency Training (BBCCRT), Munich, Germany
| |
Collapse
|
2
|
Stengel S, Förster C, Fuchs M, Bischoff M, Ledig T, Streitlein-Böhme I, Gulich M, Haumann H, Valentini J, Kohlhaas A, Graf von Luckner A, Reith D, Fehr F, Magez J, Eismann-Schweimler J, Szecsenyi J, Joos S, Schwill S. Developing a seminar curriculum for the Competence Center for General Practice in Baden-Wuerttemberg - a progress report. GMS JOURNAL FOR MEDICAL EDUCATION 2021; 38:Doc36. [PMID: 33763521 PMCID: PMC7958914 DOI: 10.3205/zma001432] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 11/04/2020] [Accepted: 11/20/2020] [Indexed: 05/31/2023]
Abstract
Aim: The seminar program of the KWBW Verbundweiterbildungplus® is offered by the Competence Center for Postgraduate Medical Education in Baden-Württemberg (KWBW) for physicians specializing in general practice (GP trainees). Attendance is a voluntary one comprised of 48 curricular units of 45 minutes each per GP trainee. This seminar program is meant to be attended in parallel to the postgraduate medical education in clinic or practice. The intention behind this project was to develop objectives, topics and a feasible structure for a seminar curriculum while taking time and financial constraints into account. Method: The Kern cycle was applied in an open, modified nominal group consensus technique in the form of an iterative process. Participating were 17 experts from the departments of general practice at the universities in Freiburg, Heidelberg, Tuebingen and Ulm, plus a pediatrician. Results: The main objective was defined as empowering GP trainees to independently provide high-quality primary care, including in rural areas. A basic curriculum was defined based on relevant frameworks, such as the 2018 Model Regulation for Postgraduate Medical Training (Musterweiterbildungsordnung/MWBO) and the Competency-based Curriculum General Practice (KCA). Overall, the seminar curriculum has 62 basic modules with 2 curricular units each (e.g. Basic Principles of General Practice, Chest Pain, Billing) and another 58 two-unit modules on variable topics (e.g. digitalization, travel medicine) adding up to 240 (124+116) curricular units. A blueprint with a rotation schedule for all of the teaching sites in Baden-Württemberg allows regular attendance by n=400 GP trainees over a period of five years, with individual variability in terms of program length. Conclusion: The model entails a five-year, flexible program to accompany the postgraduate medical education in general practice which can also be implemented in multicenter programs and those with high enrollments. The model's focus is on acquisition of core competencies for general practice. Despite the current shift to eLearning seminars due to SARS-CoV, the program's implementation is being continued, constantly evaluated, and used to further develop the KWBW Verbundweiterbildungplus® program.
Collapse
Affiliation(s)
- Sandra Stengel
- University Hospital Heidelberg, Department of General Practice and Health Services Research, Heidelberg, Germany
| | - Christian Förster
- University Hospital Tübingen, Institute of General Practice and Interprofessional Care, Tübingen, Germany
| | - Monika Fuchs
- University Hospital Ulm, Institute of General Practice, Ulm, Germany
| | - Martina Bischoff
- University of Freiburg, Division of General Practice, Medical Center, University Freiburg, Germany
| | - Thomas Ledig
- University Hospital Heidelberg, Department of General Practice and Health Services Research, Heidelberg, Germany
| | - Irmgard Streitlein-Böhme
- University of Freiburg, Division of General Practice, Medical Center, University Freiburg, Germany
- Ruhr-University Bochum, Medical Faculty, Department of General Practice, Bochum, Germany
| | - Markus Gulich
- University Hospital Ulm, Institute of General Practice, Ulm, Germany
| | - Hannah Haumann
- University Hospital Tübingen, Institute of General Practice and Interprofessional Care, Tübingen, Germany
| | - Jan Valentini
- University Hospital Tübingen, Institute of General Practice and Interprofessional Care, Tübingen, Germany
| | - Anja Kohlhaas
- University Hospital Heidelberg, Department of General Practice and Health Services Research, Heidelberg, Germany
| | - Andreas Graf von Luckner
- University of Freiburg, Division of General Practice, Medical Center, University Freiburg, Germany
| | - Dorothee Reith
- University Hospital Heidelberg, Department of General Practice and Health Services Research, Heidelberg, Germany
| | - Folkert Fehr
- Group Practice Dr. Folkert Fehr & Dr. Jan Buschmann, Sinsheim, Germany
| | - Julia Magez
- University Hospital Heidelberg, Department of General Practice and Health Services Research, Heidelberg, Germany
| | | | - Joachim Szecsenyi
- University Hospital Heidelberg, Department of General Practice and Health Services Research, Heidelberg, Germany
| | - Stefanie Joos
- University Hospital Tübingen, Institute of General Practice and Interprofessional Care, Tübingen, Germany
| | - Simon Schwill
- University Hospital Heidelberg, Department of General Practice and Health Services Research, Heidelberg, Germany
| |
Collapse
|