Local regional workforce returns on investment of a locally governed and delivered general practice vocational training program

2020 ◽  
Vol 44 (2) ◽  
pp. 254
Author(s):  
Scott Kitchener

This study evaluated a program arising from the Commonwealth policy of regionalised training for general practice with regard to the outcomes for the region investing in the training program. A complete operational audit was performed of the outcomes of a training provider of the Commonwealth program, evaluating workforce contribution and retention in the region during and after training, stratified for the effects of locally contextualising, advanced skill training and origin of trainee. The local regional workforce contribution during training peaked at 130 full-time equivalents in 2015. Cumulatively, 53% of alumni remained in the region, but over 40% moved to practice in metropolitan south-east Queensland and other Australian capital cities. Local contextualising of training, completing additional advanced skills training and being an Australian graduate were associated with increased retention in the region. A regional training program is a significant local asset introducing potential general practitioners (GPs) to the region. However, this regional area has become a ‘rural’ training ground for GPs into metropolitan practice rather than local investment translating as comprehensively as possible into long-term local workforce. The Commonwealth program should focus on local workforce outcomes as an evaluation metric rather than the proportion of trainees in rural training. What is known about the topic?Retention in regional areas following the Australian General Practice Training (AGPT) program measured on a national basis is greater following regional-based training. What does this paper add?Local workforce return on investment for training providers in GP is substantial. Contextualised local rural training, Australian graduates and trainees completing advanced rural training improve local return on training investment. A significant proportion of this rural local training program investment provides GPs for metropolitan southeast Queensland. What are the implications for practitioners?National and regional investment in the AGPT should recognise that despite the lesser supervisory medical workforce and resources, regional training still supports metropolitan GP workforce development. Australian graduates are more likely to remain in a region following local training, as are those who have additionally completed advanced rural skill training.

2016 ◽  
Vol 22 (6) ◽  
pp. 559
Author(s):  
Christina Aggar ◽  
Jacqueline G. Bloomfield ◽  
Cynthia Stanton ◽  
Catherine Baynie ◽  
Christopher J. Gordon

Practice managers are often involved in the employment of practice nurses and are likely to have a significant role in future transition programs in general practice. Therefore, the aim of the study was to explore practice managers’ expectations of new graduate registered nurses working in general practice. A nation-wide web-based electronic survey distributed by the Australian Association of Practice Management was used to collect demographic data and practice managers’ expectations of new graduate nurses directly transitioning into general practice in their first year of practice. The sample was broadly representative of the Australian state and territory population numbers. Respondents were predominantly female with postgraduate qualifications. The findings of this study highlight that practice managers who currently work with practice nurses would be supportive of graduate registered nurses in general practice in their first year with preceptor support. The results of this study have important implications for nursing workforce development and it is recommended that such initiatives are widely introduced with appropriate financial support.


2017 ◽  
Vol 4 (2) ◽  
pp. 121-132
Author(s):  
Mahfuzi Irwan

Penelitian ini bertujuan mengevaluasi: (1) context, (2) input, (3) process dan (4) product program pelatihan keterampilan mengolah limbah kertas semen yang diselenggarakan Pusat Kegiatan Belajar Masyarakat (PKBM) Cahaya. Penelitian evaluasi ini menggunakan model CIPP yang dikembangkan oleh Stufflebeam (1986) dengan pendekatan deskriptif kuantitatif. Sampel penelitian dalam evaluasi ini yaitu 21 orang peserta pelatihan keterampilan, lima orang fasilitator pelatihan, dan satu orang penyelenggara program. Instrumen pengumpul data penelitian yang digunakan ialah kuisioner dengan menggunakan skala Likert, Acuan penilaian kriteria yang dipakai adalah penilaian acuan patokan (PAP). Hasil penelitian menunjukkan bahwa (1) aspek context program pelatihan keterampilan mengolah limbah kertas semen berada dalam kategori baik dengan  rerata skor sebesar 3,00 dari total skor yang telah ditetapkan; (2) aspek input program pelatihan keterampilan mengolah limbah kertas semen  berada dalam kategori baik dengan rerata skor sebesar 2,59 dari total skor yang telah ditetapkan; (3) aspek process program pelatihan keterampilan mengolah limbah kertas semen berada dalam kategori baik dengan rerata skor sebesar 2,53 dari total skor yang telah ditetapkan; dan (4) aspek product program pelatihan keterampilan mengolah limbah kertas semen berada dalam kategori tidak baik dengan rerata skor sebesar 2,06 dari total skor yang telah ditetapkan. An evaluation of the skills training program on processing cement waste paper at the community learning center Cahaya in Binjai AbstractThis study aims to evaluate: (1) the context, (2) input, (3) process, and (4) product of the life skills training program on processing cement waste paper organized CLC Cahaya. This evaluation study used the CIPP model developed by Stufflebeam (1986) with the quantitative descriptive approach. The research sample included 21 participants of life skills training, five training facilitators, and one program provider. The research data collection instrument was a questionnaire using Likert scale, and observation sheets. The reference to the assessment criteria used was the standard benchmark assessment. The results show that (1) the context aspect of the skill training program on processing cement waste paper is in the good category with the average score of 3,00 of the total score that has been set; (2) the input aspect of the skill training program on processing cement waste paper is in the good category with the average score of 2,59 of the total score that has been set; (3) the process aspect of the skill training program on processing cement waste paper is in the good category with the average score of 2,53 of the total score that has been set; and (4) the product aspect of the skill training program on processing cement waste paper is in the poor category with the average score of 2,06 of the total score that has been set.


2016 ◽  
Vol 11 (2) ◽  
pp. 81-98
Author(s):  
Dayat Hidayat

The purpose of this study was to analyze the implementation of life skills for automotive mechanic in CLC Cepat Tepat, which includes the steps of planning, implementation and assessment to improve employment and learners income. The approach used in this study is qualitative case study method. The data collection techniques through observation, interviews and documentation study. Subjects are six people consisting of four learners, one of organizer, and one of learning resources or trainers. Analysis of data used an interactive model, through the following steps: collection of data, reduction of data, display of data, and conclusion or verification. The results showed that the implementation of life skills training for automotive mechanic started by the analysis of learning needs of learners and carrying capacity which available in the CLC. Life skill training program for automotive mechanic is going well by involving all components of life skills. The results showed that the implementation of life skill training are skill enhancing in the areas of automotive and entrepreneurial attitudes of learners independently. The impact of life skills training program showed an increasing of getting chance to have job and learners’ income to open his own workshop or others automotive ones and automotive industry companies in Karawang.


2017 ◽  
Vol 67 (662) ◽  
pp. e659-e667 ◽  
Author(s):  
Jeremy Dale ◽  
Rachel Russell ◽  
Frances Harkness ◽  
Veronica Wilkie ◽  
Matthew Aiello

BackgroundIt has been argued that UK general practice specialist training should be extended to better prepare GPs for the challenges facing 21st-century health care. Evidence is needed to inform how this should occur.AimTo investigate the experience of recently trained GPs undertaking a 1-year full-time fellowship programme designed to provide advanced skills training in urgent care, integrated care, leadership, and academic practice; and its impact on subsequent career development.Design and settingSemi-structured interviews conducted longitudinally over 2 years augmented by observational data in the West Midlands, England.MethodParticipants were interviewed on at least three occasions: twice while undertaking the fellowship, and at least once post-completion. Participants’ clinical and academic activities were observed. Data were analysed using a framework approach.ResultsSeven GPs participated in the pilot scheme. The fellowship was highly rated and felt to be balanced in terms of the opportunities for skill development, academic advancement, and confidence building. GPs experienced enhanced employability on completing the scheme, and at follow-up were working in a variety of primary care/urgent care interface clinical and leadership roles. Participants believed it was making general practice a more attractive career option for newly qualified doctors.ConclusionThe 1-year fellowship provides a defined framework for training GPs to work in an enhanced manner across organisational interfaces with the skills to support service improvement and integration. It appears to be well suited to preparing GPs for portfolio roles, but its wider applicability and impact on NHS service delivery needs further investigation.


2009 ◽  
Vol 37 (4) ◽  
pp. 565-576 ◽  
Author(s):  
Müge Yilmaz

The effect of an emotional intelligence skill training program on the levels of consistent anger of university students was investigated in 32 volunteers. A pretest, posttest model with a control group as study design was used and 16 individuals made up the study group and 16 individuals were in the control group. Levels of consistent anger were assessed by the State Trait Anger Scale (Spielberger, Jacobs, Russell, & Crane, 1983, adapted by Özer, 1994). In the data analysis, Mann-Whitney U Test, Wilcoxon Matched-Pairs Signed Ranks Test, and One-Way ANOVA for Repeated Measures were used. Results indicate that the level of consistent anger of those who attended the 12-session emotional intelligence skill training program was lower than for those who did not attend this program (p < .001). In the follow-up study conducted 3 months later with the study group, there was no significant difference between consistent anger posttest scores and follow-up test scores. The data gathered indicate that an emotional intelligence skill training program may lower the levels of consistent anger for university students. Students whose consistent anger level is high would benefit from psychological counseling.


2021 ◽  
Vol 2111 (1) ◽  
pp. 012031
Author(s):  
Fiducia ◽  
Suprapto

Abstract Sanbercode is a digital skill training program, which can be studied by various classes of training. In the Covid-19 pandemic, much is felt: health, economics, to learning activities. These conditions require learning activities to be carried out at home. The purpose of this training is to enhance a person’s digital abilities or digital skilss. Sanbercode training is done online the web that is easy to access, it is hoped can take place more interactive, real, and fun. The approach applied to UI involves human centered-design. Found eight issues on the features consistent with human centered-design and conducted heuristic evaluations by evaluators. The results show a decline in the number following improvement solutions.


2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X696953 ◽  
Author(s):  
Matthew Aiello

BackgroundIt has been argued that UK general practice specialist training should be extended, to better prepare GPs for challenges facing 21st-century health care. Evidence is needed to inform how this should occur.AimTo investigate the experience of recently trained GPs undertaking a 1-year full-time fellowship programme; in particular, workforce impact and career development potential. The fellowship was designed to provide advanced skills training in urgent care, integrated care, leadership, and academic practice.MethodSemi-structured interviews conducted longitudinally over 2 years, augmented by observational data in West Midlands, England. Participants were interviewed on at least three occasions: twice while undertaking the fellowship, and at least once post-completion. Participants’ clinical and academic activities were observed. Data were analysed using a framework approach.ResultsSeven GPs participated in the pilot scheme. The fellowship was highly rated and felt to be balanced in terms of the opportunities for skill development, academic advancement, and confidence building. GPs experienced enhanced employability on completing the scheme, and at follow-up were working in a variety of primary care/urgent care interface clinical and leadership roles. Participants believed the fellowship made general practice a more attractive career option for newly qualified doctors.ConclusionThe fellowship provides a defined framework for training GPs to work in an enhanced manner across organisational interfaces, with the skills to support service improvement and integration. The fellowship model appears appropriate to prepare GPs for portfolio roles. Its impact on NHS service delivery continues to be investigated by Health Education England.


PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3879 ◽  
Author(s):  
Edward M. Giesbrecht ◽  
William C. Miller

BackgroundProviding mobility skills training to manual wheelchair (MWC) users can have a positive impact on community participation, confidence and quality of life. Often such training is restricted or not provided at all because of the expense of, and limited access to, occupational and physical therapists before and after discharge. This is particularly true among middle-aged and older adults, who often have limited access to rehabilitation services and require more time to learn motor skills. A monitored MWC skills training home program, delivered using a computer tablet (mHealth), was developed as an alternative approach to service delivery. The purpose of this study was to evaluate the feasibility of implementing thismHealth MWC skills training program among middle-aged and older adults.MethodsA 2 × 2 factorial design randomized controlled trial (RCT) was used to compare themHealth intervention and control groups, with additional wheeling time as a second factor. Community-dwelling MWC users aged 55 and older, who had used their MWC for less than two years and propelled with two hands, were recruited. Feasibility outcomes related to process, resources, management and treatment criteria were collected.ResultsEighteen participants were recruited, with a retention rate of 94%. Mean (±SD) duration for the first and second in-person training sessions were 90.1 ± 20.5 and 62.1 ± 5.5 min, respectively. In the treatment group, 78% achieved the minimum amount of home training (i.e., 300 min) over four weeks and 56% achieved the preferred training threshold (i.e., 600 min). Trainers reported only seven minor protocol deviations. No tablets were lost or damaged and there was one incident of tablet malfunction. No injuries or adverse incidents were reported during data collection or training activities. Participants indicated 98% agreement on the post-treatment benefit questionnaire.DiscussionOverall, the study protocol enabled implementation of the intervention in a safe, efficient and acceptable manner. Participant recruitment proved to be challenging, particularly gaining access to individuals who might benefit. Resource issue demands were acceptable for administration of the intervention; data collection was more time-consuming than anticipated but could be reduced with minor revisions. Participant retention and home program treatment adherence was high; both participant and trainer burden was acceptable. Treatment group participants reported a positive experience and clinical benefits from training program. The findings suggest a full-scale RCT evaluating the clinical impact of the Enhancing Participation In the Community by improving Wheelchair Skills (EPIC Wheels) intervention is warranted, provided the recruitment issues are addressed through collaborative partnerships and active recruitment strategies.


2016 ◽  
Vol 5 (1) ◽  
pp. 43 ◽  
Author(s):  
Maaly I. El Malky ◽  
Mervat Atia ◽  
Faten H.Alam

<p>Patients with social skills deficits such as problems with communication with other people, social withdrawal, problems with activities of daily living should be offered to social skills training. Patients with schizophrenia usually have social skills deficits. Social skills training is a set of systematic techniques and strategies useful for teaching interpersonal skills that are based on social learning theory. It is a widely used treatment of a range of psychiatric disorders as schizophrenia. The aim of this study was to examine the effectiveness of social skill training program on self-esteem, depression and interpersonal difficulties among schizophrenic patients. Design: Quasi-experimental design (one group pretest posttest design) was used to achieve the aim of the study. Setting: The study was conducted at The Psychiatric Hospital in Tanta and the Psychiatric Hospital in Mit-Khalf at Menoufyia, Egypt. Sample: A convince sample (50) was selected in the chosen setting inpatient department. Tools: four tools were used for data collection. Tool one: a structured: socio-demographic questionnaire to obtain demographic data about the studied sample. Tool two: The depression, anxiety and stress scale (DASS).In this paper the researcher used the depression scale only which consists of 14 items in the form of rating scale. The depression scale assesses dysphoria, hopelessness, and devaluation of life, self- deprecation, and lack of interest and anhedonia. Tool three: Self- Esteem Inventory Scale: It evaluates attitudes of individuals toward themselves and consists of 25 items. Tool four: Relationship Scales Questionnaire. It consists of 13 items five points Likert- scale. The results: There is a highly significant reduction of the mean score of depressive symptoms and interpersonal difficulties at 0.001 while highly significant increase of the mean score of self-esteem at 0.001 post program than pre program. Conclusion: The social skills training program had a positive effect on interpersonal difficulties, depressive symptoms and self-esteem of the schizophrenic patients after receiving social skill training program. Recommendations: Generalized of social skill training program for all psychotic patients in hospital to improve their social competence and self-esteem.</p>


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