Effect Evaluation Of The General Practitioners On-The–Job Training In The City Of Wuhu

Purpose:Based on referring to numerous literature at home and abroad, this study knows the current situations concerning general practitioners training in the city of Wuhu as well as in China and even abroad. By evaluating effects of general practitioners training in Anhui Province, this study finds out practical problems and relevant reasons, proposes measures to improve, summarizes experience and provides references for foster general practitioners.Methods: The study applies synthetically the methods of Health Service Management and statistics and combines questionnaires and qualitative interviews. It takes the Kirkpatrick Four Levels as the evaluation tool to evaluate effects of general practitioners- training in the city of Wuhu.Specifically, it utilizes one-way ANOVA and correlation analysis to analyze statistically the degree of satisfaction about the effect of training and factors about Chronic disease follow-up and the times of carrying out health education.Results: In 2012, there were 408 general practitioners who were trained in the city of Wuhu.According to the training needs survey that targeted 400 students,89.6% of the students are willing to participate in the post- training for general practitioners. The result of the survey shows the will of most students to participate in the training is very strong.Students who participate in the general practitioners- training hold a positive attitude. The overall degree of satisfaction is 94.5%. They give better assessment of the lecture contents, lecture preparations, teachers, teaching programs, teaching materials, time of theoretical study and practical operation, training regulations, assessment forms and logistics management. And they give worse assessment of training contents, training methods, teachers’ professional competence and base constructions. The degree of satisfaction about formentioned four aspects is less than 50%. Students have different opinions about the effect of the training because of their gender. And students make different judgements about training contents and teachers’ professional competence because of their different age, education background and professional ranks and titles. There are two factors that affect choices of training. They are different work experience and whether they are leaders. The main problems in the training that students point out are less professional teachers(59%), unpractical training contents(57.2%),unreasonable training methods(56.5%),imperfect base construction(54%).86% students think the training has achieved the desired effects. This evaluation is relevant to professional ranks and titles, education background and gender. On the mastery of training contents, 98.6% students think their basic public health service ability has been improved.78.1%Students think they are still not clear how to teach.72.6% students carry out the chronic disease management. Interviews about chronic disease and times of carrying out health education are relevant to work experience of general practitioners, whether they trained as general practitioners and whether they handled chronic disease management. Problems that students confront in chronic disease management are lack of staff, unclear duty of public health doctors and departments, enormous work, no time and lack of professional knowledge and skills. Residents know little of chronic disease management so that they are unlikely to cooperate.Conclusion:The overall evaluation of general practitioners training is relatively high, especially students who are male, young, less work experience, less educated, lower titles and who worked in public health field, internal medicine or surgery. Most students think the general practitioners training has achieve the desired effects, particularly the improvement of basic public health service ability. 72.6% students manage chronic disease. Interviews about chronic disease and times of carrying out health education are relevant to work experience of general practitioners, whether they trained as general practitioners and whether they handled chronic disease management. Problems that students confront in chronic disease management are lack of staff, unclear duty of public health doctors and departments, enormous work, no time and lack of professional knowledge and skills. Residents know little of chronic disease management so that they are unlikely to cooperate.