Master in General Practice

ICHO Curriculum

Practical training Seminars/Peer review & selfstudy

Masterthesis Selection of the practice trainers Selection of the group trainers Assessment & Evaluation Facts & Figures

6 years undergraduate

first year of education in General

Practice Master in Family Medicine

Practical training in a GP’s practice (2 years)

Seminars/Peer review (min. 40 hrs a year)

Thematical training sessions - Selfstudy

Masterthesis

L G A B

ICHO

ICHO

Consortium founded in 1984 Co-operation of the 4 Flemish universitary centres

of GP (Louvain, Ghent, Antwerp, Brussels) Primary goal: combine strength to liberate means

and staff for the development of GP vocational training as a universitary degree (1995)

01/10/2006: Master in General Practice

Curriculum

System of adult education Global aim = task profile of the GP Described in the “Final terms/Learning

aims”-document Personal learning agenda: trainees have to

take up responsability and put together their own training program

Curriculum

Practical training in a GP’s practice 24 months Preferably in the practice of a GP trainer (max.

12 months in a hospital) In selected training practices/appointed practice

trainers System of quality control & train the trainer 90% of the trainees do 2 years in a GP’s practice

Curriculum

Peer review and individual guidance by the group trainer Individual guidance

Intake discussion Regular short meetings before or after a seminar Yearly feedback and evaluation discussion Yearly evaluation report taking into account the evaluation by

the practice trainer During the seminars, the trainer pays attention to the personal

growth of every trainee Coaching via electronic portfolio

Curriculum

Peer review and individual guidance by the group trainer Peer review

Focus on critical reflection on concrete experiences Variety of experiences and personalities; group support Educational methods: case discussions, continuous registration of

patient contacts, thematic registration, discussion of literature, role playing difficult consultations, etc.

Function of group trainer = crucial!

Curriculum

Thematical training sessions & selfstudy In 2007-2008 20 topics are offered by ICHO

Live training sessions of 0,5 > 2,5 days (Orthopaedic examination of the shoulder, knee, ...; Menopause; Social problems in general practice; Taping; The psychotic patient; Etc)

Internet supported modules (Prevention of suicide; Spirometrics, Etc)

Each session = evaluated by trainees / feedback to lecturerHigh satisfaction trainees

Curriculum

Thematical training sessions & selfstudy Trainees choose topics (offered bij ICHO or

other organisations) according to their personal learning agenda

Medical literature Additional training: centres for family planning,

centres for psychological care, etc.

Masterproof

1) a project

2) a portfolio

Masterproof

Project A (quality improving) project Steps: study of literature – definition of the

research methodology – observation – analysis – conclusion – quality improving proposition – implementation - evaluation

Guidance by a promotor and the GP trainer

Masterproof

Learning portfolio Documenting & archiving the most important

learning activities Critical reflections on the learning activities Electronic support > exchanging information and

experiences with other trainees and trainers Guidance by the group trainer

Selection of the practice trainers

Minimum criteria: 2 introduction days with ICHO Being appointed as trainer by the Federal Public Service of Health 7 years of experience as a GP Variety of morbidity in the practice Well-organised patientfilesystem Practicing EBM Developing a personal learning plan Etc.

at least 2 educational sessions a year Personal development plans and electronic portfolio

Selection of the practice trainers

2 steps in the appointment & training by staff members of the universitary centres of GP 1st appointment for 2 years

Training of teaching competencies & the use of a portfolio

Re-appointment (4 years)Focus on personal learning plans & quality of

portfolio

Selection of the group trainers

Appointed by ICHO Introduction and specific agogic training Special training sessions by staff members of

the universitary centres of GP (yearly minimum 2 days training and/or workshops)

Peer-intervision

Assessment & Evaluation

Formative assessment based on learning agenda A list of goals set by the trainee and/or his trainers Regular assessment of the trainee by all trainers

summative evaluation Year 1: evaluative discussion with trainers; written

examination; interim report masterthesis; cases; video-analyses

Year 2: written knowledge test; oral examination; trainers report; OSCE’s; masterproof (manuscript-presentation-portfolio)

Final evaluation

Evaluation by trainer and coach Written knowledge test Oral examination OSCE: 20 stimulation stations Evaluation masterproof:

manuscript presentation (electronic) portfolio

Final evaluation

Reliability composite score = 0,92

Reliability knowledge test: 0,90 (Cronbach’s alfa internal consistency)

Final evaluation

Written knowledge test Based on a blueprint which indicates the

frequence of the themes to be questioned (all domains of competence of GP are covered)

160 multiple choice questions (extrended matching type)

Questions prepared each year by 5 GP’s and validated by staff members of the universitary centres of GP

Final evaluation

Oral examination 1 hour with two jury’s of 2 GP’s from at least 2 different

universities To show his competenties

5 cases from the trainees own practice With relevant literature Documentation on the handling of the problem

The jury’s chooses 2 cases: interrogation in depth (trainees critical reflection ability, professional maturity, trainees decisions based on sound evidence)

Final evaluation

Trainers report Evaluation of the learning process

(competencies, participation, personal development, progress)

Evaluation of the competence of the trainee as a GP

Group trainer’s report based on his own observations and on a report of the GP trainer

Final evaluation

OSCE’s (Objective Structured Clinical Examination) 20 sequential stations with various primary

health care problems Given period of time (8 minutes/station) Observation and scoring by GP’s

Final evaluation

Masterproof Manuscript (55%) - Presentation (20%) –

Portfolio (25%) Evaluation based on “Dublin descriptors”,

proven knowledge, used methodology, decision making, communication, attitude of life long learning, originality, etc.

Facts & Figures

230 GP-trainees 22 group trainers 20 stafmembers 350 GP-trainers (General Practices) 28 pairs GP-trainers (Hospital Services)