Authors (including presenting author) :
Ho KM(1), Law TC(1), Li YC(1), Ko SH(1)
Affiliation :
(1)Family Medicine and Primary Healthcare, Kowloon Central Cluster
Introduction :
Hospital Authority is the major location providing family medicine specialist training in Hong Kong. With the primary healthcare blueprint released in 2022, ensure sufficient provision of local family medicine specialist training post would be one of the essential tasks to strengthen the concept of “Family doctor for all”.
Family medicine trainers are tasked with fostering an environment that enables trainees to acquire new knowledge, skills, and competencies. With the increased family medicine trainees allocated to our department, ensure the standard of family medicine trainers would be essential to ensure the quality of family medicine training. TTT workshop has been held to enhance the standard and quality of our trainers with introduction of various training modalities and updated knowledge of family specialist examinations.
Objectives :
1. To maintain family medicine training trainers’ standard
2. To update family medicine trainers ‘understanding of family medicine specialist examinations
3. To enhance Consultation Skills Assessment(CSA） training by assisting participants to acquire the ability to:
• assess and calibrate the consultation performance of family medicine trainee in a systematic manner
• accurately identify and prioritize trainees’ consultation strength and area for improvement
• select appropriate strategies to assist trainees to improve their consultation competency
• deliver feedback structurally and effectively
4. To learn and teach with other training formats: Random Case Analysis (RCA) and Problem Case Analysis (PCA)
Methodology :
Two TTT workshops were held in 2023 and 2024 with 12 trainers in total. It consists of 4 intensive training workshops, FM seminar attachments, optional exit seminars attachment and optional Practice Assessment(PA) mock exam attachment. Pre-course and post-course evaluations were filled by participants to review their expectations and the effectiveness of the workshop.
The workshop was held by family medicine trainers with credentials of TTT level 2 and level 3.
The contents of the workshop are as below.
• Introduction to Leicester Assessment Packages (LAP)
• Standardization of CSA with standard consultation videos and trainees’ consultation videos
• Introduction to effective feedback
• Introduction to RCA
• Introduction to PCA
• Demonstration and practice of PCA with standard training videos and trainees
• Updates of FHKCFP exam formats
• Updates of FHKAM(FM) exam formats
Result & Outcome :
Two TTT workshops were held in 2023 and 2024. Each workshop had invited 6 trainers with various training experiences.
Pre-course and post-course evaluations were filled by participants to review their expectations and the effectiveness of the TTT workshop.
After the TTT workshop, the participants have increased in confidence to use LAP to review consultations with their trainees (Pre vs Post means: 3.1 vs 4.67, p < .0001). They also have increased level of confidence to feedback their trainees effectively (Pre vs Post means: 3.59 vs 4.59, p< .001) and effectiveness to feedback current trainees (Pre vs Post means: 3.67 vs 4.25, p< 0.01).
Only 3 out of 12(25%) of participants knew RCA and PCA before TTT. And 11 out of 12(92%) participants did not know RCA would be the most appropriate method to review a series of trainees’ referral indications before TTT. TTT introduced new training formats to the participants and allow them to use most appropriate training method to train their trainees.
After TTT, all participants increased their familiarity to family medicine specialist examinations (Pre vs Post means: 4.17 vs 4.73, p=0.0882). Before TTT, 5 out of 12(42%) participants knew the new format of FHKCFP exam Applied Knowledge Test (AKT) segment. Half of participants know the new format of FHKAM(FM) exam Pre-Exit Review of Medical records (PERM). 5 out of 12(42%) of the participants did not know the updated requirement of FHKAM(FM) exam CSA segments. About half of participants knew the updated requirements of FHKAM(FM) exam PA segments. After TTT, all participants had updated knowledge about the FHKAM(FM) exam.
All participants (100%) agreed TTT could fulfil their expectations.
TTT workshop could enhance the standard and quality of family medicine trainers with introduction of various training modalities and updated knowledge of family medicine specialist examinations.
