The supervision during the formative
moments: a continuous formation f or
practitioners in Italy.
2nd annual meeting of GP/FM teachers
in Europe -Assessment in FP/GP
Kranjska Gora 23-24 September 2005
Carmela Zotta MD and Diego Sabbi MD
Family Physicians - AIMEF
( Italian Association of Family Physicians) Italy
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The supervision during the formative moments: a continuous formation for
practitioners in Italy.
In Italy the continuous formation postgraduate of medicine
family’s phisicians is obligatory for law;
nevertheless precise rules don't exist for the disbursement of the
contents.
Historically, until the
operativeness bylow about
Continuous Education in Medicine
(ECM-2002), the assignement to
organize courses of scientific
updating and professional
formation has been developed by
the Medical Societies.
__________________________________________________________
The fragmentation of various Scientific Societes didn’t permit to
formulate objectives and shared didactic methodologies.
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The supervision during the formative moments: a continuous formation for practitioners in
Italy.
They are still currently the Scientific Societies, with private and public provider,
to organize the formative appointments, that after recording on special form
internet of the Health’s Ministery, is appraised, with the attribution of a score
(ECM credits), by 3 referees divided for the various medical specialties.
The score estimates the
methodologies of teaching,
the hours used in
classroom and the
availability of didactic
materials etc.
__________________________________________________________
The weight of the pharmaceutical industry is notable and this makes unbalanced
the formative offer toward sectors that the business marketing makes more desirable.
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The supervision during the formative moments: a continuous formation for practitioners in
Italy.
The physicians are forced, as by law enacted, to reach a number of
annual credits, for now thirty and subsequently fifty.
__________________________________________________________
All the costs of professional formation burden on the physician.,because are
not anticipated for contract abstentions from the job for updating
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The supervision during the formative moments: a continuous formation for practitioners in
Italy.
In the courses of the family’s medicine one or more facilitator (GPs graduated in
the various Scientific Societies ) manage the event with the contribution of experts
of the medical specialties dealt.
The didactic materials are
often "formative packets"
self made in the respect of
the active pedagogy.
__________________________________________________________
Not always the formation meets the interest of all sharers : indeed an ample
knapsack of colleagues without motivation is interested only in the attainment of
the credits necessary.
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The supervision during the formative moments: a continuous formation for practitioners in
Italy.
The experience of formation that AIMEF has developed in the last
years has brought to the elaboration of a new figure:
The Supervisor
__________________________________________________________
It derives from the necessity to transfer also methodological contained to
experts of the medical specialties devoid of didactics and to check in
progress the activity of the facilitators of our scientific society.
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The supervision during the formative moments: a continuous formation for practitioners in
Italy.
The supervisor is an experienced GP of didactics and formation who
observes ,without directly participating, a formative event.
Using special
evaluation’s
grates he
expresses a
judgment and he
writes possible
suggestions for
the improvement
of the following
events.
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The supervision during the formative
moments: a continuous formation for
practitioners in Italy.
The grates appraise the logistic organization, the teachers
and the classroom. The judgment so formulated allows to
check the event in its entirety with a considered, repeatable
and comparable system.
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The supervision during the formative moments: a continuous formation for practitioners in
Italy.
Example of supervision (La Thuile, february 2003)
Used
exercises
Interaction
teacher group
Interaction Interaction Messages Take
group-group intergroup
Home
Inserible in
AIMEF
bullettin
Teacher
Title of the lesson
Used audiovisual
means
********
********
good slides
anybody
discreet/excellent
anybody
anybody
not
yes/not
********
********
sufficient slides
anybody
discreet
anybody
anybody
not
not
********
********
sufficient slides
anybody
insufficient
anybody
anybody
not
not
********
********
good slides
anybody
excellent
anybody
anybody
yes
yes
********
********
insufficient slides
anybody
excellent
anybody
anybody
not
yes/not
********
********
insufficient slides
anybody
insufficient
anybody
anybody
yes
not/yes
********
********
any mean
anybody
insufficient
anybody
anybody
not
not
*********
********
good
anybody
discreet
anybody
anybody
yes
not
********
exercise 1
anybody
simulated clinical
cases
******
discreet
excellent
*****
******
********
exercise 2
****
not administered
*****
*****
*****
*****
******
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Before: score 012345
The teacher appears quite
Then:
score 012345
When the lesson is completed the teacher gives bibliographic guidelines of concern and updating
Evaluation about
Score
0
Introduction
nothing
He offer to participants
He encourages the message among the participants
He
creates
a confortable atmosphere
Si presenta
ai discenti
Favorisce la comunicazione tra i discenti
He
shows the educational metods ed tecniques
Crea un atmosfera adeguata
Illustra
i metodi e le tecniche
He
consitutes
the didattiche
work’s groups
Forma i gruppi di lavoro
He
getsaspettativa
in prospects
and
demands of participants
Raccoglie
ed esigenze dei
discenti
Score
1
Score
2
Score
3
Score
4
not much
partially
very much
fully
He frames the lesson Lesson
into the course
He uses a properly and intelligible language
He describes logically the steps of formative example
Inquadra la lezione all’interno del corso
He
choose
thepertinente
educational
techniques and adjusts the language
Utilizza
un linguaggio
chiaro e preciso
Descrive logicamente
le fasi
del modello formativo
esteeming
the
framework
Sceglie le tecniche educative ed adegua il linguaggio tenendo conto del
contesto
He
is mindful and receptive although the breakings
Mantiene lucidità e disponibilità nonostante le interruzioni
He
uses
thee pantomime
and
motions
to network the participants
Utilizza
la mimica
la gestualità per mettersi
in contatto
con i discenti
He describes the materials in exhaustive way
Model
He shows propery the handlings to observe
He organizes the group’s exercises
Descrive i materiali in modo esauriente
He
accomplishes an evaluation about singles exciting them to make better
Illustra adeguatamente le manovre da compiere
Organizza
esercitazioni
di gruppoattitude toward the participant through the lesson
He
keeps
an equal
Esegue una valutazione sui singoli stimolandoli a far meglio
Mantiene
un atteggiamento
con il discente
spiegazione
He
puts
back theparitetico
materials
afterdurante
thelamodel
Ripone i materiali al termine della simulazione
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The supervision during the formative
moments: a continuous formation for
practitioners in Italy.
As regards to the experts of the medical specialties this has allowed the Scientific
Society to understand better personal motivations, didactic ability and knowledges
of the single professionals and to begin to word a list of the most suitable
colleagues to intervene in our formative moments.
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The supervision during the formative moments: a continuous formation
for practitioners in Italy.
I thank for your attention and let you work
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