Well prepared for work? Junior doctors' self-assessment after medical education

BMC Medical Education

Research Article

Ulrike Zier¹  Klaus Schmid²  Hans Drexler²  Elke B Ochsmann³ 

[1] Environmental and Social Medicine, Institute of Occupational, Mainz University Medicine, Obere Zahlbacher Strasse 67, D-55131, Mainz, Germany;Environmental and Social Medicine, Institute of Occupational, University of Erlangen-Nuremberg, Schillerstrasse 25/29, D-91054, Erlangen, Germany;Institute of Occupational and Social Medicine, Medical Faculty, RWTH Aachen University, Pauwelsstrasse 30, D-52074, Aachen, Germany;

关键词: Medical Education;    Core Competency;    Junior Doctor;    Medical Curriculum;    Therapy Planning;   

DOI  :  10.1186/1472-6920-11-99

 received in 2011-04-11, accepted in 2011-11-24,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundApart from objective exam results, the overall feeling of preparedness is important for a successful transition process from being a student to becoming a qualified doctor. This study examines the association between self-assessed deficits in medical skills and knowledge and the feeling of preparedness of junior doctors in order to determine which aspects of medical education need to be addressed in more detail in order to improve the quality of this transition phase and in order to increase patient safety.MethodsA cohort of 637 doctors with up to two years of clinical work experience was included in this analysis and was asked about the overall feeling of preparedness and self-assessed deficits with regard to clinical knowledge and skills. Three logistic regression models were used to identify medical skills which predict the feeling of preparedness.ResultsAll in all, about 60% of the participating doctors felt poorly prepared for post-graduate training. Self-assessed deficits in ECG interpretation (aOR: 4.39; 95% CI: 2.012-9.578), treatment and therapy planning (aOR: 3.42; 95% CI: 1.366-8.555), and intubation (aOR: 2.10; 95% CI: 1.092-4.049) were found to be independently associated with the overall feeling of preparedness in the final regression model.ConclusionsMany junior doctors in Germany felt inadequately prepared for being a doctor. With regard to the contents of medical curricula, our results show that more emphasis on ECG-interpretation, treatment and therapy planning and intubation is required to improve the feeling of preparedness of medical graduates.

【 授权许可】

CC BY   
© Ochsmann et al; licensee BioMed Central Ltd. 2011