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  • Uvedba 360-Stopinjskega oce...
    Antolič, Živa Novak; Steblovnik, Lili

    Zdravstveno varstvo, 10/2012, Letnik: 51, Številka: 4
    Journal Article

    Uvod:Učenje in ocenjevanje profesionalnega odnosa in obnašanja sta enako pomembna kot ocenjevanje teoretičnega znanja in veščin, vendar se malokrat izvaja. Metode: Specializant razdeli ocenjevalne obrazce, ki jih ocenjevalci izpolnjene in podpisane pošljejo nacionalni koordinatorici; ko dobi deset ocen in samooceno, povabi specializanta na pogovor s presojo. Rezultati: V 6 ciklusih 360-stopinjskega ocenjevanja je bilo opravljenih 118 pogovorov. Večina je bila ocenjena dobro. V manj kot 10 % je bila ocena »sem zaskrbljen« in »sem hudo zaskrbljen«. Razprava: Večina specializantov je bila prijetno presenečena nad pohvalami, ki so jih napisali sodelavci. Osem specializantov so opozorili na manjše pomanjkljivosti v odnosu in obnašanju, ki se jih specializanti niso zavedali. Do naslednjega ocenjevanja so pomanjkljivosti večinoma odpravili. Specializanti, ocenjeni s »sem hudo zaskrbljen«, so bili redki, vendar so se pri njih take ocene ponavljale; niso bili samokritični in pogovora z odzivom niso sprejemali kot dobronamernega. Zaključki: V specializacijo porodništva in ginekologije so uvedli ocenjevanje odnosa in obnašanja specializantov. Hkrati z ocenjevanjem so uvedli tudi druga orodja, ki vodijo k zavedanju profesionalizma: učiteljsko tutorstvo na Medicinski fakulteti v Ljubljani z delavnicami samorefleksije in delavnice treniranja trenerjev. Poudarek na profesionalizmu naj bo vidnejši v izbirnem postopku za specializacijo, uvodnem intervjuju s specializantom in v pogovorih s presojo z glavnim mentorjem v rednih presledkih, v večji komunikaciji med glavnimi in neposrednimi mentorji ter v ocenjevanju mentorjev. Na uvedbo še čaka pogovor o profesionalizmu ob sprejemu na medicinsko fakulteto ter predmet profesionalizem na medicinskih fakultetah in med specializacijo. Background: When teaching and assessing, professional attitude and behaviour are as important as assessing theoretical knowledge and skills and yet it is seldom done. Methods: The trainee distributes forms to assessors, who send signed forms to a national coordinator. After ten forms and the self-assessment form are received, the trainee is invited for an appraisal interview. Results: In 6 cycles of multi-source feedback, 118 interviews were carried out. Most trainees got good marks. In less than 10% of the cases, assessors commented »I am concerned« or »I am very concerned«. Discussion: Trainees were mostly pleasantly surprised at being praised by co-workers. Eight trainees were told about minor drawbacks in attitude and behaviour that they were not aware of. The trainees had usually improved these drawbacks by the next assessment. Trainees getting »I am very concerned« comments were few, but the same comments were repeated; they did not have insight and did not accept the interview with feedback as constructive. Conclusion: Multi-source feedback was introduced into obstetrics and gynaecology training. Other tools to increase professionalism awareness were also introduced: teachers/tutors in the Ljubljana Medical faculty with Self-reflection workshops and Training the Trainers workshops. An emphasis on professionalism should be more visible during the selection interview for training, introduction interview and regular appraisal interviews with the supervisor during training, stronger communication between the supervisor and trainers, and in the assessments by supervisors and trainers. Waiting to be introduced are: the medical faculty admission interview regarding professionalism, and the introduction of professionalism as a subject in the curricula of medical faculties and during training.