Acceptability and feasibility of an evaluation table to assess the competency of general medicine interns during ambulatory rotations in Brest

BMC Med Educ. 2024 Jun 6;24(1):636. doi: 10.1186/s12909-024-05357-7.

Abstract

Background: General practitioner interns need to acquire the expected clinical, communication, personal and professional competencies. Internship evaluations use qualitative evaluation tables to assess competency acquisition. However, there is no standardised evaluation table used in France. Some faculties use the exhaustive, precise, and manageable Exceler evaluation tool. We aim to evaluate opinions of General practice interns in Brest about the acceptability and feasibility of using the Exceler evaluation tool to monitor competency acquisition during internships.

Methods: This qualitative study used intern focus groups. Six-open ended questions with optional follow-up questions were asked. Cards from the Dixit® game were used to guide and facilitate discussion. Open, axial, then integrative analysis of the verbatim was performed.

Results: This is the first study to evaluate intern opinions about GP internship evaluations using focus groups. Participants felt that the quality of existing evaluations was insufficient, and it was difficult to monitor their progress. Adapting evaluations to individual profiles and backgrounds seemed necessary. Exceler appeared to be a possible solution due to its content validity, flexibility of use and accessibility. However, there were comments about possible modifications.

Conclusions: Analysing opinions of tutors, supervisors and other practice centers could help identify potential barriers and reveal solutions to facilitate its implementation and use.

Trial registration: Not applicable.

Keywords: Competency-based education; Educational assessment; General practice; Internship and residency; Teaching.

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Clinical Competence* / standards
  • Educational Measurement / methods
  • Feasibility Studies*
  • Female
  • Focus Groups*
  • France
  • General Practice* / education
  • Humans
  • Internship and Residency* / standards
  • Male
  • Qualitative Research*