433 Assessment Of Clinical Performance In Postgraduate Training In General Practice

Author(s): 
L. Plas, A. Kramer
Centre for Postgraduate Training in General Practice (VOHA), University Medical Centre Nijmegen, The Netherlands
Text: 
Introduction
Postgraduate training in general practice has to include assessment of clinical performance in daily practice to give insight into how trainees put their clinical competence into practice. Recently, an instrument for assessment of clinical performance of experienced GP's has been developed. This instrument is based on national, evidence-based guidelines for the GP. The instrument is sufficiently valid and reliable.
In this study the usability of this instrument for application in postgraduate training in general practice is examined. Research questions were: Is application of the instrument feasible? Where does the instrument best fit into the training programme? What does the instrument add to the current training programme?
Method In a pilot study a group of 12 GP-trainees registered their clinical performance by completing a structured questionnaire after consulting a patient. To get an impression of how the trainees judged their performance, they completed a semi-structured self-assessment questionnaire, in which they estimated to what extent they had followed the guidelines. Each trainee received a feedback report with information about whether or not he/she performed according to the guidelines and information about the self-assessment. The trainees and their GP-teacher discussed the feedback report. After the pilot the participants judged the instrument for providing information about their performance in practice and the value of this information for education.
Results/discussion
Results will be presented at the conference. In the discussion the feasibility and value of the instrument will be addressed.
Literature: 
433 ASSESSMENT OF CLINICAL PERFORMANCE IN POSTGRADUATE TRAINING IN GENERAL PRACTICE