Journal of the Formosan Medical Association (Jan 2020)

Immediate knowledge improvement and long-term teaching confidence after general medicine faculty training program

  • Fen-Yu Tseng,
  • Lung-Chun Lin,
  • Bor-Sheng Ko,
  • Tzong-Shinn Chu,
  • Shih-Li Tsai,
  • Wang-Huei Sheng,
  • Chung-Jen Yen,
  • Chia-Hsuin Chang,
  • Cheng-Han Wu,
  • Shyang-Rong Shih,
  • Wei-Yih Chiu,
  • Sung-Ching Pan,
  • Wei-Ping Chen,
  • Po-Yuan Chang

Journal volume & issue
Vol. 119, no. 1
pp. 538 – 543

Abstract

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Background/purpose: This study analyzed the effects of the General Medicine Faculty Training Program (GMFTP), which was implemented in 2009. The training program includes a 7-hour basic training (BT) to introduce ways of teaching and assessing the 6 core competencies identified by the Accreditation Council for Graduate Medical Education, and a 40-hour clinical training program. Methods: Physicians from different hospitals attended the GMFTPs. Since 2010, we have been using quick tests to assess trainees' familiarity of core competencies. Knowledge improvement (KI) was defined as the difference between post-BT and pre-BT test scores. Since 2013, we have been annually mailing questionnaires to assess trainees' teaching confidence (TC) of core competencies. We analyzed the correlations between trainees' characteristics, KIs, and TCs. Results: Between year 2009 and 2017, a total of 319 attending physicians (257 male, 62 female), with a mean age of 39.1 ± 6.2 years, completed the GMFTPs. Significant KI (32.6–55.4) was noted. There were no correlations between trainees' characteristics and KIs. The mean TCs for the 6 core competences were all above 4.0 (based on a 5-point Likert scale). TCs were positively correlated with age during GMFTP training, age when responding to the questionnaire, and duration between training and the last time responding to the questionnaire. TC showed no correlation with sex, hospitals, departments, or KI. Conclusion: Knowledge of teaching core competencies improved immediately after BT, but KIs did not correlate with TCs in long-term follow-up. After the training program, physicians' teaching confidence increased over time. Keywords: Core competencies, General medicine faculty training program, Knowledge improvement, Teaching confidence