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Descriptive analysis of junior doctor assessment in the first postgraduate year

机译：研究生第一年初级医生评估的描述性分析

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Introduction: Preparing graduates for the role of the junior doctor is the aim of all medical schools. There has been limited published description of junior doctor performance in the workplace within Australia.Methods: This cohort study describes junior doctors' performance in the first postgraduate year, the influence of gender, rotation type and amount of experience and explores the feedback process used for junior doctors across a two year period.Results: Participants obtained lower scores for performing procedures, managing emergencies and adverse event identification and highest scores for interpersonal skills, teamwork, written communication and professional behavior. There were no observed effects of the amount of experience but, were effects of the discipline in which the rotation occurred. Five juniors doctors, two female and three male, were classified as having overall borderline performance, 2.5% of the respondents. These findings were supported by content analysis of the written feedback. While feedback was documented in 94% of occasions, this was not given to the junior doctor 25% of the time.Conclusions: The findings in this study support the claim that the tools and processes being used to monitor and assess junior doctor performance could be better. The Australian medical board appears to be looking for an assessment process that will both discriminate the poorly performing doctor and provide educational guidance for the training organization. These two intents of the assessment may be in opposition to each other.
机译：简介：为毕业生提供初级医生的职位是所有医学院校的目标。方法：这项队列研究描述了澳大利亚第一工作年级的初级医生的绩效，性别，轮岗类型和经验量的影响，并探索了用于以下方面的反馈过程：结果：参与者在执行程序，处理突发事件和不良事件的识别方面得分较低，在人际交往技巧，团队合作，书面沟通和职业行为方面得分最高。没有观察到经验量的影响，但是发生轮换的学科的影响。五名初级医生（两名女性和三名男性）被归类为总体边缘表现，占受访者的2.5％。这些发现得到了书面反馈意见的内容分析的支持。虽然在94％的情况下记录了反馈，但25％的时间未向初级医生提供反馈。结论：本研究的结果支持这样一种说法，即用于监视和评估初级医生绩效的工具和过程可能是更好。澳大利亚医学委员会似乎正在寻找一种评估程序，该程序既可以区分表现不佳的医生，又可以为培训机构提供教育指导。评估的这两个意图可能彼此相反。

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