Programme no. 357-P
Promoting professional development of general practice tutors in the Arkhangelsk region
Elena Andreeva*1, Marina Bakurova2, Nadezhda Ryzhkova 3, Sergey Shchukin4, Irina Matveeva 5, Natalia Chervina 6, Odd Arild Haugen 7
1Family Medicine Department,Northen State Medical University,Arkhangelsk,Russian Federation, 2Stroevskaya Health Center,Arkhangelsk region,Russian Federation, 3Rikasikha Health Center,Arkhangelsk region,Russian Federation, 4Kegostrov Health Center,Arkhangelsk,Russian Federation, 5Shegovarskaya Health Center,Arkhangelsk region,Russian Federation, 6 the Department of Public Health,Arkhangelsk Regional Institute of Open Education,Arkhangelsk,Russian Federation, 7Directorate of Health ,Oslo,Norway
* = Presenting author
Objectives: Our objective is to develop a tutor group of GPs in order to help healthcare providers who recently began working in the field of general practice in their professional development. The main idea of tutorship is to share professional knowledge and practice new skills through interactive learning instead of lectures.
Background: Tutorship plays an important role in the increasing professional competence of general practitioners (GPs). Our tutor group of GPs has been functioning as a part of the Russian-Norwegian project “Reform of the Arkhangelsk Region (AR) Health Care System with the emphasis on primary healthcare” between the Directorate of Health (Norway) and the Ministry of Health and Development of the AR (Russia) since 2008.
Results: Our tutor group was established by the most experienced GPs in 2008. Thematic instructional meetings have been taking place two or three times per year in one of the rural districts. We started with traditional lectures and a few years later we began introducing interactive methods into our regular meetings of GPs and nurses. Several meetings were dedicated to the comprehensive topic of dependency (including alcohol, suicidal attempts, old-age problems and depression). Another important aspect of our work was prevention of major risk factors (physical inactivity, unhealthy nutrition, and smoking) and main NSDs (cardio-vascular, cancer, diabetes and chronic obstructive pulmonary disease) based on the elements of motivational interviewing.
Material/Methods: Different methods such as role play, brain storm and a group work (that include a patient, a doctor or a nurse and an observer) have been used in our regular meetings of GPs and nurses in the three rural districts of the AR. The principles of motivational interviewing were integrated into the prevention activities with risk factors of non-communicable diseases (NSDs). Teamwork was the foundation of all instructional sessions. Our tutor group was supported by the Family Medicine Department of the Northern State Medical University.
Conclusion: Tutorship can be one of the basic elements of GPs’ professional development and it can become an important part of the professional GP Association.
Points for discussion: 1) How to make all participants interested in active learning? 2) How to convince head physicians on the necessity of tutorship?