Educational needs of Russian general practitioners: survey results
- Authors: Volnukhin A.V.1, Morozova T.E.1, Skvirskaya G.P.2, Zhernakova N.I.3, Pomytkina T.E.4, Stremoukhov A.A.5, Zaugol’nikova T.V.1, Samokhina E.O.1, Chеgaeva T.V.1, Reze A.G.1, Gertsog A.A.1
-
Affiliations:
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
- The Russian Presidential Academy of National Economy and Public Administration», Institute of Industry Management
- Belgorod State National Research University
- Kemerovo State Medical University
- Russian Medical Academy of Continuous Professional Education
- Issue: Vol 68, No 3 (2024)
- Pages: 226-233
- Section: PROBLEMS OF MEDICAL EDUCATION
- Submitted: 25.10.2024
- URL: https://rjonco.com/0044-197X/article/view/638112
- DOI: https://doi.org/10.47470/0044-197X-2024-68-3-226-233
- EDN: https://elibrary.ru/gonnpa
- ID: 638112
Cite item
Abstract
Introduction. The health of the population largely depends on the availability for a general practitioner (GP) with the knowledge and practical skills necessary to provide high-quality primary health care.
Purpose: to study the educational needs, preferred forms, and methods in training Russian GP.
Materials and methods. The study was conducted at the Departments of General Medical Practice of the Institute of Vocational Education of Sechenov University, Family Medicine of Belgorod State University, Polyclinic Therapy, Postgraduate Training and Nursing of Kemerovo State Medical University, General Medical Practice and Polyclinic Therapy of the Russian Medical Academy of Continuing Professional Education. The study used sociological, statistical and analytical research methods. The final analysis included four hundred two questionnaires for GP.
Results. The disciplines (modules) of the specialty of the therapeutic profile have the greatest practical significance for Russian GP: internal medicine, laboratory and instrumental diagnostics, emergency medical care and oncology. In relation to all disciplines (modules), the need to improve the level of theoretical and practical training was identified. Its main directions are determined. Full-time and part-time forms of education are the most acceptable modes. Most prefer traditional teaching methods. The most convenient is training for 144 hours or short-term thematic educational programs.
Research limitations. The limitations of the study are the urban working conditions of the GPs who took part in the survey, as well as subjective assessment, which was the subject of study and analysis.
Conclusion. Improving the quality of training in GP will contribute to increasing the satisfaction and motivation of doctors, as well as improving the quality of primary health care and the health in the country’s population.
Compliance with ethical standards. Compliance with ethical standards: the study was approved by the local ethics committee of the I.M. Sechenov First Moscow State Medical University (Sechenov University), protocol No. 06-21 dated 07.04.2021.
Contribution of the authors:
Volnukhin A.V. — research concept and design, writing the text, compilation of the list of literature;
Morozova T.E. — writing the text, editing;
Skvirskaya G.P. — writing the text, editing;
Zhernakova N.I. — collection and processing of material, editing;
Pomytkina T.E. — collection and processing of material, editing;
Stremoukhov A.A. — collection and processing of material, editing;
Zaugol’nova T.V. — collection and processing of material;
Samokhina E.O. — collection and processing of material;
Chegaeva T.V. — collection and processing of material;
Reze A.G. — collection and processing of material;
Gertsog A.A. — statistical data processing.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.
Acknowledgment. The study had no sponsorship.
Conflict of interest. The authors declare no conflict of interest.
Received: January 9, 2023 / Revised: February 15, 2023 / Accepted: April 12, 2023 / Published: June 28, 2024
About the authors
Artem V. Volnukhin
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Author for correspondence.
Email: volnuhin81@gmail.com
ORCID iD: 0000-0001-5113-2108
MD, PhD, DSci., Professor, Department of general practice, Institute of Vocational Education, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, 119991, Russian Federation
e-mail: volnuhin81@gmail.com
Russian FederationTatiana E. Morozova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: temorozova@gmail.com
ORCID iD: 0000-0002-3748-8180
MD, PhD, DSci., Professor, Head, Department of general practice, Institute of Vocational Education, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, 119991, Russian Federation
e-mail: temorozova@gmail.com
Russian FederationGalina P. Skvirskaya
The Russian Presidential Academy of National Economy and Public Administration», Institute of Industry Management
Email: gskvirskaya@mail.ru
ORCID iD: 0000-0002-1297-6743
MD, PhD, DSci., Professor of the Institute of Industry Management, Russian Presidential Academy of National Economy and Public Administration, Moscow, 119571, Russian Federation
e-mail: gskvirskaya@mail.ru
Russian FederationNina I. Zhernakova
Belgorod State National Research University
Email: zhernakova@bsu.edu.ru
ORCID iD: 0000-0001-7648-0774
MD, PhD, DSci., Professor, Head, Department of family medicine, Medical Institute, Belgorod State National Research University, Belgorod, 308015, Russian Federation
e-mail: zhernakova@bsu.edu.ru
Russian FederationTatiana E. Pomytkina
Kemerovo State Medical University
Email: docentpom@mail.ru
ORCID iD: 0000-0002-2086-483X
MD, PhD, DSci., Professor, Head, Department of polyclinic therapy and nursing, Kemerovo State Medical University, Kemerovo, 650056, Russian Federation
e-mail: docentpom@mail.ru
Russian FederationAnatoliy A. Stremoukhov
Russian Medical Academy of Continuous Professional Education
Email: astremo@bk.ru
ORCID iD: 0000-0002-4393-3543
MD, PhD, DSci., Professor, Head, Department of general practice and polyclinic therapy, Russian Medical Academy of Continuous Professional Education, Moscow, 125993, Russian Federation
e-mail: astremo@bk.ru
Russian FederationTatiana V. Zaugol’nikova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: tzaugol@gmail.com
ORCID iD: 0000-0001-5148-1551
MD, PhD, Associate Professor, Department of general practice, Institute of Vocational Education, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, 119991, Russian Federation
e-mail: tzaugol@gmail.com
Russian FederationElena O. Samokhina
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: elenasamokhina@mail.ru
ORCID iD: 0000-0001-6550-2915
MD, PhD, Associate Professor, Department of general practice, Institute of Vocational Education, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, 119991, Russian Federation
e-mail: elenasamokhina@mail.ru
Russian FederationTatiana V. Chеgaeva
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: chegaevatv@mail.ru
ORCID iD: 0000-0003-2010-7625
MD, PhD, Associate Professor, Department of general practice, Institute of Vocational Education, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, 119991, Russian Federation
e-mail: chegaevatv@mail.ru
Russian FederationAndrey G. Reze
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: andrey.reze@gmail.com
ORCID iD: 0000-0002-2337-7420
MD, PhD, Associate Professor, Department of general practice, Institute of Vocational Education, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, 119991, Russian Federation
e-mail: andrey.reze@gmail.com
Russian FederationAnna A. Gertsog
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: aamaam.ap@gmail.com
ORCID iD: 0000-0002-3324-5472
Assistant, Department of general practice, Institute of Vocational Education, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, 119991, Russian Federation
e-mail: aamaam.ap@gmail.com
Russian FederationReferences
- Resources and activities of medical healthcare organizations. Part I. Medical personnel: Statistical Handbook. Moscow; 2020. (in Russian)
- Narkevich A.N., Vinogradov K.A. Methods for determining the minimum required sample size in medical research. Sotsial’nye aspekty zdorov’ya naseleniya. 2019; 65(6): 10. https://elibrary.ru/mrapst (in Russian)
- Son I.M., Kalininskaya A.A., Gadzhieva L.A., Gazheva A.V., Shlyafer S.I. Perspective models for organizing the activities of general medical practices in the city. Kazanskii meditsinskii zhurnal. 2017; 98(6): 1034–9. https://doi.org/10.17750/KMJ2017-1034 https://elibrary.ru/ztxdqx (in Russian)
- Kuznetsova O.Yu. Teaching practical skills in general medical practice. Problems and possible ways to overcome them. Rossiiskii semeinyi vrach. 2009; 13(1): 11–5. https://elibrary.ru/khxnth (in Russian)
- Lian S., Chen Q., Yao M., Chi C., Fetters M.D. Training pathways to working as a general practitioner in China. Fam. Med. 2019; 51(3): 262–70. https://doi.org/10.22454/FamMed.2019.329090
- Arya N., Gibson C., Ponka D., Haq C., Hansel S., Dahlman B., et al. Family medicine around the world: overview by region. Can. Fam. Physician. 2017; 63(6): 436–41.
- Abramovich V.E. Professional training of general practitioners in France: modern experience. Nauchno-metodicheskii elektronnyi zhurnal «Kontsept». 2016; (12): 83–92. https://elibrary.ru/xeopgh (in Russian)
- Grange F., Woronoff A.S., Bera R., Colomb M., Lavole B., Fournier E., et al. Efficacy of a general practitioner training campaign for early detection of melanoma in France. Br. J. Dermatol. 2014; 170(1): 123–9. https://doi.org/10.1111/bjd.12585
- Budkova E.A., Gafarov A.G. Implementing new methods of teaching and assessing general practitioners. Rossiiskii semeinyi vrach. 2006; 10(2): 9–13. https://elibrary.ru/htwwvd (in Russian)
- Watmoug S.D., O’Sullivan H., Taylor D.C.M. Graduate from a reform undergraduate their curriculum based on Tomorrow’s doctor evaluate the effectiveness of their curriculum based on tomorrow’s doctor evaluate the effectiveness of their curriculum 6 years after graduation through interview. BMC Med. Educ. 2010; 10: 65. https://doi.org/10.1186/1472-6920-10-65
- Vykhristenko L.R., Sudibor N.F. Practice-oriented training of students at the General Practitioner Chair. Vestnik Vitebskogo gosudarstvennogo meditsinskogo universiteta. 2020; 19(1): 94–103. https://doi.org/10.22263/2312-4156.2020.1.94 https://elibrary.ru/jmtdfi (in Russian)
- Buwalda N., Braspenning J., van Dijk N., Visser M. Local and national effects of a quality system in Dutch general practitioner specialty training: a qualitative study. Qual. Higher Educ. 2018; 24(1): 43–54. https://doi.org/10.1080/13538322.2018.1445431
- Shahidi F., Saqeb M.M., Amini M., Avand A., Dowlatkhah R.H. Qualitative evaluation of general practitioner training program as viewed by graduates from Shiraz, Fasa and Jahrom Medical Universities. J. Adv. Med. Educ. Prof. 2015; 3(3): 142–9.
- Alimanova Zh.M., Karibaeva D.O., Kupensheeva D.I. Problems in the training of general practitioners and ways of its solution. Vestnik Kazakhskogo natsional’nogo meditsinskogo universiteta. 2017; (1): 467–9. https://elibrary.ru/xpahrb (in Russian)
- Sidorova N.V., Shemetova G.N., Gubanova G.V. The importance of communicative competencies while training a general practitioner. Saratovskii nauchno-meditsinskii zhurnal. 2017; 13(3): 560–3. https://elibrary.ru/yptynz (in Russian)
- Shevtsova V.V., Mikhnevich E.V., Alferova M.V., Kolosova T.V. Organizational and methodological reserves for improving the quality of training of general practitioners training. Vestnik Vitebskogo gosudarstvennogo meditsinskogo universiteta. 2020; 19(4): 90–7. https://doi.org/10.22263/2312-4156.2020.4.90 https://elibrary.ru/rpldho (in Russian)
- Kuznetsova O.Yu., Moiseeva I.E., Goncharenko O.T. Continuing medical education. Features of the implementation of educational programs in general medical practice (family medicine). Rossiiskii semeinyi vrach. 2015; 19(3): 27–32. https://elibrary.ru/vpmkgp (in Russian)
- Ahluwalia A., Crossman T., Smith H. Current training provision and training needs in oral health for UK general practice trainees: survey of General Practitioner Training Programme Directors. BMC Med. Educ. 2016; 16: 142. https://doi.org/10.1186/s12909-016-0663-8
- Aidarkhanova K.K., Otynshiev B.N., Esengel’dinova Zh.A., Mustafayeva N.S. Competence-based approach to training of general practitioners in Kazakhstan. Vestnik Almatinskogo gosudarstvennogo instituta usovershenstvovaniya vrachei. 2012; (2): 32–5. https://elibrary.ru/uoguxx (in Russian)
- Frolova E.V. Clinical analysis in the preparation of a general practitioner. Rossiiskii semeinyi vrach. 2009; 13(3): 32–41. https://elibrary.ru/jvddky (in Russian)
- Tuichiev L.N., Khalmatova B.T. The role of simulation education in the preparation of the doctors of general practice. Vestnik TMA. 2018; (2): 3–6. (in Russian)
- Ingham G., Fry J., O’Meara P., Tourle V. Why and how do general practitioners teach? An exploration of the motivations and experiences of rural Australian general practitioner supervisors. BMC Med. Educ. 2015; 15: 190. https://doi.org/10.1186/s12909-015-0474-3.
- Ren W., Hasenbieke N., Liu Y., Qiu Y., Zhou Z.N., Mao X.Y., et al. Motivations and training needs of general practitioner preceptors. Chin. Med. J. (Engl.). 2017; 130(14): 1689–93. https://doi.org/10.4103/0366-6999.209894
- Dekker A.R.J., Verheij T.J.M., Broekhuizen B.D.L., Butler C.C., Cals J.W.L., Francis N.A., et al. Effectiveness of general practitioner online training and an information booklet for parents on antibiotic prescribing for children with respiratory tract infection in primary care: a cluster randomized controlled trial. J. Antimicrob. Chemother. 2018; 73(5): 1416–22. https://doi.org/10.1093/jac/dkx542
Supplementary files
