Use of a 2-year continuing professional development programme to change Japanese physicians' attitudes to learning primary care: a qualitative study.

Autor:	Seki M; Division of General Medicine, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan masayasu-seki@jikei.ac.jp., Fujinuma Y; Centre for Family Medicine Development, Japanese Health and Welfare Co-operative Federation, Tokyo, Japan.; Seikyo-ukima Clinic, Japanese Health and Welfare Co-operative Federation, Tokyo, Japan., Matsushima M; Division of Clinical Epidemiology, The Jikei University School of Medicine, Tokyo, Japan., Joki T; Division of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan., Okonogi H; Division of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan., Miura Y; Division of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan., Ohno I; Division of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan., Hiramoto J; Division of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2022 Jul 12; Vol. 12 (7), pp. e059925. Date of Electronic Publication: 2022 Jul 12.
DOI:	10.1136/bmjopen-2021-059925
Abstrakt:	Objective: To evaluate changes in the learning attitudes of primary care physicians. Design: Qualitative study through one focus group interview with the programme's participants. Analysis of the focus group content using the Steps for Coding and Theorization method. Setting: Japan. Participants: Eight primary care physicians who completed a 2-year continuing professional development (CPD) programme using a problem-based learning (PBL) approach, focused on acquiring the skills needed to practise as primary care physicians in the community. Results: Participants described positive changes in their attitudes and behaviours as a result of the training programme. These changes were grouped into three main themes: 'changes in learning methods regarding medical practice', 'encounters with diverse perspectives and values, and confidence gained from those encounters', and 'showing one's attitude towards learning and its influence on others'. The experienced practitioners participating in this study reported that the programme helped them apply their skills more broadly; for example, searching the literature for psychosocial aspects of practice and engaging more comfortably with diverse perspectives. They reported the positive impact of their learning on their coworkers. Conclusion: A 2-year CPD programme using PBL can influence primary care physicians' attitudes and learning-related behaviours. Further research is needed to determine which specific aspects of the programme are the most effective and whether the changes in attitudes and behaviours described affect patient care. Competing Interests: Competing interests: MM received lecture fees and lecture travel fees from the Centre for Family Medicine Development of the Japanese Health and Welfare Co-operative Federation. MM is an adviser for the Centre for Family Medicine Development Practice-Based Research Network. The other authors report no conflicts of interest. (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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