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Analysis of the verbal protocols resulted in identification of seventeen performance dimensions, used by the raters in assessing trainee behaviour during patient encounters.
Furthermore, experienced raters seemed to be more likely than inexperienced raters to explicitly link task- or case-specific cues to specific trainee behaviours and to effects of trainee behaviour on both the patient and the outcome of the patient consultation.
(PP12) Analysis of the verbal protocols resulted in three major categories reflecting the use of task-specific performance schemas (Table 1): identification of case-specific cues, identification of particular behaviours as (in effective, explicitly in relation to case-specific cues, and effects of trainee behaviour on the particular patient.
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Table 5 presents the number of verbal utterances concerning effective and ineffective trainee behaviours per performance (sub-) dimension, for each group of raters, for each VC at T1 and T2.
Research on formative assessment and feedback suggests that these are powerful tools to change trainees' behaviour [ 1- 4].
Current medical education programmes do not adequately equip medical trainees in behaviour change talk.
The program, provided by peer trainers included training intended to modify patient handling and transfer behaviour, trainee follow-up, prevention activities aimed at work environment improvements and follow-up monitors training.
The findings suggested that well-designed seminars, role-playing and focused curricula could affect trainee attitudes and behaviour.
A second limitation is that although the ultimate educational aim is to have GP trainers act as positive role models for GP trainees in EBM behaviour, we did not measure their actual behaviour towards their trainees in daily practice.
"The risk of bad behaviour of trainees outside Bassingbourn camp is mitigated by the provisions of their visas, the supervisory measures in place for limited excursions and the security arrangements between the MoD, police and the Home Office".
That is, before entering the field, the trainee group displayed attributes, behaviours and perceptions that have previously been shown to mediate mental health sequelae among HA worker populations, notably anxiety, burnout and PTSD (Ager et al. 2012; Brooks et al. 2015; Comoretto et al. 2015; Eriksson et al. 2012).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com