Authors (including presenting author) :
Chu LS (1), Fok PA(1), Chan CW (1)
Affiliation :
(1) Department of Family Medicine and Primary Health Care, Kowloon West Cluster
Introduction :
Difficult adaptation of trainees from Hospital Base to General Out Patient Clinic (GOPC) work life was noticed. Three main problems were identified, including 1) trainees having insufficient experience to deal with heavy patient load and time pressure, 2) insufficient knowledge of common diseases and chronic diseases and 3) trainers having different approach and unclear trainees’ progress. Therefore, Hospital Based training sit in program was reviewed and updated in 6/2018. Changes included 1) adding a training log of chronic diseases management and common clinical conditions, 2) having consensus with trainers on how to implement the changes. 3) facilitating trainee to see at least half GOPC quota during last 3-6 month HBT training under supervision.
Objectives :
To collect the feedback from trainees about the updated program. To explore any further improvement for the program
Methodology :
Questionnaires with 4 questions (2 open questions, 2 questions with different items with score ranking) were distributed to hospital based trainees who finished two year of updated HBT sit in program since 7/2019.
Result & Outcome :
16 trainees completed the questionnaire with the response rate of 100% till 1/2021. 16/16 (100%) were familiar with chronic disease diagnostic criteria. 15/16 (93%) they were familiar with basic CMS usage, they learnt consultation skills during sit in session, learnt about proper clinical notes documentation and they though that the amount of content was appropriate. 14/16 (87%) knew what common conditions will be encountered and thought that sit in session can help them to adapt coming GOPC life. 13/16 (81%) were familiar with approach of newly diagnosed Hypertension and Diabetes Mellitus. 12/16 (75%) were familiar with chronic diseases management and were well equipped for coming GOPC life.
Besides the items listed above, most impressive aspects they have learnt also include: consultation skills, management of common condition and chronic diseases, titration of medication for chronic condition, time management, how to handle patients with multiple complaints, how to deal with difficult and demanding patients, to differentiate patients that need inpatient care, how to build up rapport with patients, principle of family medicine and whole person care in GOPC.
Trainees also suggested to start to count consultation time so that they can see patients in a suitable pace; increase clinic attachment session e.g. once per week and extend the introductory sit in program to longer duration if possible. Besides, also suggest can sit in trainers to observe trainer’s demonstration of consultation skills when seeing patients in practical setting. They also suggest trainee to trainer ratio becomes 1:1 rather than 2:1.
