General practitioners, revalidation and appraisal: a cross sectional survey of attitudes, beliefs and concerns in Lincolnshire

被引:9
|
作者
Middlemass, J
Siriwardena, AN
机构
[1] W Lincolnshire Primary Care Trust, Bracebridge LN4 2HN, Lincoln, England
[2] De Montfort Univ, Leicester LE1 9BH, Leics, England
关键词
education; medical; continuing; standards; clinical competence; family practice; methods; attitude; educational measurement; questionnaires; England;
D O I
10.1046/j.1365-2923.2003.01469.x
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Background All general practitioners (GPs) are expected to have an appraisal from 2002 and the first cohort will experience revalidation in 2005. Although there is a link between appraisal and revalidation, this has yet to be clarified. Objective To investigate the knowledge, attitudes and beliefs of GPs towards revalidation and appraisal. Design Cross sectional survey. Setting Lincolnshire, UK. Participants General practitioners. Method In 2000 a self-administered postal questionnaire survey was sent to all 343 GP principals on the list of Lincolnshire Health Authority. The questionnaire consisted of 47 attitudinal statements on appraisal and revalidation. It also included open questions on concerns about appraisal and revalidation and questions on attributes of responders. Results Of the 343 GPs sent questionnaires, 272 (79%) replied. Lincolnshire GPs had more positive attitudes towards appraisal than towards revalidation. They welcomed appraisal provided that it had local ownership and took into account their views and concerns on the process. Other factors that correlated with a positive attitude towards appraisal included agreement that the purpose of appraisal is educational and that it should result in an agreed development plan. Those who had a positive view of appraisal were more likely to agree set objectives. Previous experience of appraisal either as an appraiser or appraisee was associated with a positive attitude towards appraisal. General practitioners who felt they had more control over the process tended to be more positive. General practitioners who were in favour of appraisal were also more likely to be in favour of revalidation and agree that appraisal formed part of the revalidation process. They were less likely to feel that there was a hidden agenda on the part of government and more likely to agree that revalidation would provide evidence of acceptable care being provided to patients. Time involved and lack of resources were the two main concerns. Conclusions A better understanding of knowledge, beliefs and attitudes towards appraisal will ultimately help in setting up a successful appraisal system for GPs. The current emphasis on appraisal as an educational tool will help to foster positive attitudes. The relationship between appraisal and revalidation needs to be clarified. Concerns relating to lack of time and resources for appraisal and revalidation need to be addressed by primary care organisations.
引用
收藏
页码:778 / 785
页数:8
相关论文
共 50 条
  • [1] Osteopathy in Germany: attitudes, beliefs and handling among general practitioners - results of a nationwide cross-sectional questionnaire survey
    Schmid, Gordian L.
    Kluge, Jeremias
    Deutsch, Tobias
    Geier, Anne-Kathrin
    Bleckwenn, Markus
    Unverzagt, Susanne
    Frese, Thomas
    [J]. BMC FAMILY PRACTICE, 2021, 22 (01)
  • [2] Osteopathy in Germany: attitudes, beliefs and handling among general practitioners – results of a nationwide cross-sectional questionnaire survey
    Gordian L. Schmid
    Jeremias Kluge
    Tobias Deutsch
    Anne-Kathrin Geier
    Markus Bleckwenn
    Susanne Unverzagt
    Thomas Frese
    [J]. BMC Family Practice, 22
  • [3] Chaperones for intimate examinations: cross sectional survey of attitudes and practices of general practitioners
    Rosenthal, J
    Rymer, J
    Jones, R
    Haldane, S
    Cohen, S
    Bartholomew, J
    [J]. BRITISH MEDICAL JOURNAL, 2005, 330 (7485): : 234 - 235
  • [4] Attitudes and behaviour of general practitioners and their prescribing costs: a national cross sectional survey
    Watkins, C
    Harvey, I
    Carthy, P
    Moore, L
    Robinson, E
    Brawn, R
    [J]. QUALITY & SAFETY IN HEALTH CARE, 2003, 12 (01): : 29 - 34
  • [5] General Practitioners' Attitudes and Beliefs Regarding the Management of Chronic Low Back Pain in Ireland A Cross-sectional National Survey
    Fullen, Brona M.
    Baxter, G. David
    Doody, Catherine
    Daly, Leslie E.
    Hurley, Deirdre A.
    [J]. CLINICAL JOURNAL OF PAIN, 2011, 27 (06): : 542 - 549
  • [6] General practitioners’ attitudes towards early diagnosis of dementia: a cross-sectional survey
    Stéphanie Giezendanner
    Andreas U. Monsch
    Reto W. Kressig
    Yolanda Mueller
    Sven Streit
    Stefan Essig
    Andreas Zeller
    Klaus Bally
    [J]. BMC Family Practice, 20
  • [7] General practitioners' attitudes towards early diagnosis of dementia: a cross-sectional survey
    Giezendanner, Stephanie
    Monsch, Andreas U.
    Kressig, Reto W.
    Mueller, Yolanda
    Streit, Sven
    Essig, Stefan
    Zeller, Andreas
    Bally, Klaus
    [J]. BMC FAMILY PRACTICE, 2019, 20 (1)
  • [8] Knowledge and attitudes of Australian general practitioners towards medicinal cannabis: a cross-sectional survey
    Karanges, Emily A.
    Suraev, Anastasia
    Elias, Natalie
    Manocha, Ramesh
    McGregor, Iain S.
    [J]. BMJ OPEN, 2018, 8 (07):
  • [9] General practitioners' experiences with, views of, and attitudes towards, general practice-based pharmacists: a cross-sectional survey
    Ibrahim, Ameerah S. Hasan
    Barry, Heather E.
    Hughes, Carmel M.
    [J]. BMC PRIMARY CARE, 2022, 23 (01):
  • [10] General practitioners’ experiences with, views of, and attitudes towards, general practice-based pharmacists: a cross-sectional survey
    Ameerah S. Hasan Ibrahim
    Heather E. Barry
    Carmel M. Hughes
    [J]. BMC Primary Care, 23