Use of a 2-year continuing professional development programme to change Japanese physicians’ attitudes to learning primary care: a qualitative study

Objective To evaluate changes in the learning attitudes of primary care physicians.Design Qualitative study through one focus group interview with the programme’s participants. Analysis of the focus group content using the Steps for Coding and Theorization method.Setting Japan.Participants Eight pri...

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Main Authors: Masato Matsushima, Yasuki Fujinuma, Masayasu Seki, Tatsuhiro Joki, Hideo Okonogi, Yasuhiko Miura, Iwao Ohno, Jun Hiramoto
Format: Article
Language:English
Published: BMJ Publishing Group 2022-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/7/e059925.full
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author Masato Matsushima
Yasuki Fujinuma
Masayasu Seki
Tatsuhiro Joki
Hideo Okonogi
Yasuhiko Miura
Iwao Ohno
Jun Hiramoto
author_facet Masato Matsushima
Yasuki Fujinuma
Masayasu Seki
Tatsuhiro Joki
Hideo Okonogi
Yasuhiko Miura
Iwao Ohno
Jun Hiramoto
author_sort Masato Matsushima
collection DOAJ
description Objective To evaluate changes in the learning attitudes of primary care physicians.Design Qualitative study through one focus group interview with the programme’s participants. Analysis of the focus group content using the Steps for Coding and Theorization method.Setting Japan.Participants Eight primary care physicians who completed a 2-year continuing professional development (CPD) programme using a problem-based learning (PBL) approach, focused on acquiring the skills needed to practise as primary care physicians in the community.Results Participants described positive changes in their attitudes and behaviours as a result of the training programme. These changes were grouped into three main themes: ‘changes in learning methods regarding medical practice’, ‘encounters with diverse perspectives and values, and confidence gained from those encounters’, and ‘showing one’s attitude towards learning and its influence on others’. The experienced practitioners participating in this study reported that the programme helped them apply their skills more broadly; for example, searching the literature for psychosocial aspects of practice and engaging more comfortably with diverse perspectives. They reported the positive impact of their learning on their coworkers.Conclusion A 2-year CPD programme using PBL can influence primary care physicians’ attitudes and learning-related behaviours. Further research is needed to determine which specific aspects of the programme are the most effective and whether the changes in attitudes and behaviours described affect patient care.
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spelling doaj-art-06ff6a664295440684335ddf4e11e0e72025-01-30T19:55:09ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-059925Use of a 2-year continuing professional development programme to change Japanese physicians’ attitudes to learning primary care: a qualitative studyMasato Matsushima0Yasuki Fujinuma1Masayasu Seki2Tatsuhiro Joki3Hideo Okonogi4Yasuhiko Miura5Iwao Ohno6Jun Hiramoto71 Division of Clinical Epidemiology, Jikei University School of Medicine, Minato-ku, Tokyo, JapanCentre for Family Medicine Development, Japanese Health and Welfare Co-operative Federation, Tokyo, JapanDivision of General Medicine, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, JapanDivision of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, JapanDivision of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, JapanDivision of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, JapanDivision of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, JapanDivision of Nephrology and Hypertension, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, JapanObjective To evaluate changes in the learning attitudes of primary care physicians.Design Qualitative study through one focus group interview with the programme’s participants. Analysis of the focus group content using the Steps for Coding and Theorization method.Setting Japan.Participants Eight primary care physicians who completed a 2-year continuing professional development (CPD) programme using a problem-based learning (PBL) approach, focused on acquiring the skills needed to practise as primary care physicians in the community.Results Participants described positive changes in their attitudes and behaviours as a result of the training programme. These changes were grouped into three main themes: ‘changes in learning methods regarding medical practice’, ‘encounters with diverse perspectives and values, and confidence gained from those encounters’, and ‘showing one’s attitude towards learning and its influence on others’. The experienced practitioners participating in this study reported that the programme helped them apply their skills more broadly; for example, searching the literature for psychosocial aspects of practice and engaging more comfortably with diverse perspectives. They reported the positive impact of their learning on their coworkers.Conclusion A 2-year CPD programme using PBL can influence primary care physicians’ attitudes and learning-related behaviours. Further research is needed to determine which specific aspects of the programme are the most effective and whether the changes in attitudes and behaviours described affect patient care.https://bmjopen.bmj.com/content/12/7/e059925.full
spellingShingle Masato Matsushima
Yasuki Fujinuma
Masayasu Seki
Tatsuhiro Joki
Hideo Okonogi
Yasuhiko Miura
Iwao Ohno
Jun Hiramoto
Use of a 2-year continuing professional development programme to change Japanese physicians’ attitudes to learning primary care: a qualitative study
BMJ Open
title Use of a 2-year continuing professional development programme to change Japanese physicians’ attitudes to learning primary care: a qualitative study
title_full Use of a 2-year continuing professional development programme to change Japanese physicians’ attitudes to learning primary care: a qualitative study
title_fullStr Use of a 2-year continuing professional development programme to change Japanese physicians’ attitudes to learning primary care: a qualitative study
title_full_unstemmed Use of a 2-year continuing professional development programme to change Japanese physicians’ attitudes to learning primary care: a qualitative study
title_short Use of a 2-year continuing professional development programme to change Japanese physicians’ attitudes to learning primary care: a qualitative study
title_sort use of a 2 year continuing professional development programme to change japanese physicians attitudes to learning primary care a qualitative study
url https://bmjopen.bmj.com/content/12/7/e059925.full
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