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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BMJ Publishing Group
2022-07-01
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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. |
format | Article |
id | doaj-art-06ff6a664295440684335ddf4e11e0e7 |
institution | Kabale University |
issn | 2044-6055 |
language | English |
publishDate | 2022-07-01 |
publisher | BMJ Publishing Group |
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series | BMJ Open |
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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