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http://www.unaformec.org unaformec@wanadoo.fr. RESEARCH – ACTION about the computerised collection of data for training with the help of a self managed tool : the PPCU (BPP) Personalized Professional Check UP by UNAFORMEC. Philippe BONET — Pierre CLAVEIROLE — Pierre COLOMBIER
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http://www.unaformec.org unaformec@wanadoo.fr
RESEARCH – ACTION about the computerised collection of data for training with the help of a self managed tool : the PPCU (BPP) Personalized Professional Check UP by UNAFORMEC Philippe BONET — Pierre CLAVEIROLE — Pierre COLOMBIER Jean-Jacques CRAPPIER — Charlotte CRAPPIER Eric DRAHI — Roger PICOT EQuiP Heidelberg 2003
Outline • Introduction • Méthod • Results • Discussion
Physicians use to select training themes based on interest not what they need most
To optimise on going medical training Personal education program PFP Personalised professional check-up PPCU (BPP) The principle: To allow the volunteer participating physicians to optimise their professional education adapting this to their individual training needs
ThePPCU • A training needs identification tool • 3 main steps • Self managed • Computerised • Covering the fields of: • Knowledge • Know-how (or ability) • Non technical behaviour
PPCU:3 tools for 3 steps • 1°/ what do I do ? or what's my professional life reality • The activity I think I have • The activity I really have • My satisfaction level • 2°/ Who am I ? or how my personality influences my professional activity • Psycho behaviorist tests • Explaining comments • 3°/ What do I know ? or what is my knowledge ? • Self evaluation of knowledge by themes • Questions about operational knowledge • Argued and referenced answers with evidences levels
What do I do? 3 steps « What do I do? » What I really do A randomized Collect by a PDA What I believe that I do Self questionnaire on CD rom What my fellows do? (consultation of the group results on internet)
« Who am I? » • 8 Psycho behaviourist tests with an analysis grid and explanatory comments focused on decision taking and the relationship to one's self and to the others • How my personality influences in my professional practice as : • a physician • a person • and a learner
« What do I know ? » Self evaluation of knowledge and decisional strategies To increase the critical ability characteristic to each speciality
« What do I know ? » • Strategies coming out of the Guidelines • Argued answers • Referenced data • An indication of the evidence level with an EBM approach • ( RIGHT – right – WRONG – wrong - IDK )
« What do I know ? » • 56 themes of which 34 are finalised for the family practice coming from : • the most frequently care noted causes • Public health themes (national public health meeting) • PPCU pilotage committee priority themes
An action research study with 100 general practitioners participants • The 3 tools have been developed during the 2 past years • The results have been collected by E-mail • More than 350 files have been received • 1% of non exploitable files
The results • 88 general practitioners have completed the study protocol • Picture of the individual activity and the problems identified by the physicians in their practice • Globally the physicians are satisfied with their practice
PPCU is revealing scotomas • Most physicians are very confident with their abilities • The first step of the PPCU (a priori or practice tests) rarely shows training needs • The personality test results amaze but also provides insight about one's medical practice • Knowledge tests show clear divergences between perceived and real needs
Conclusion • PPCU allows the screening of a very wide field of practice • It allows the consideration of personal development strategies • Outside help may be necessary for physicians to identify their priorities • The required training and their own way through the different suggested offers • The data that has been collected with the tool are of course useful for the physician, individually ,but also for the entire profession • The next step of our research will be to keep track of the physicians having completed the PPCU in order to verify the following hypothesis