Joint responsibility of a doctor, professional community and health education in preparing of health care system personnel
Keywords:joint responsibility, training of medical personnel, continuous professional development, quality of training
Due to the release of 302 decision of the Cabinet of Ministers, the paradigm of professional medical personnel training in Ukraine has changed. The continuous professional development of doctors, which is based on self-training processes, has been introduced. The reform of the health care system and the training of medical personnel carries a major risk: the lack of a responsible person for the outcome - public health. The problem is finding ways to harmonize the existing system of health care and new approaches to medical personnel training. The purpose of this study is to identify subjects, who are responsible for ensuring the quality of education. The analysis of the constituent models of doctors’ training in the USA and Europe (the model of Donald Kirkpatrick for corporate training and the taxonomy of Donald Moore for continuous professional development) is carried out. The integration of the employer and provider processes is shown. At the same time, the employer identifies the need for the formation of staff competencies to ensure the quality of medical services and places an order with the provider. The provider builds competencies and together with the employer evaluates the effectiveness of the training process. It is concluded, that it is advisable to ensure joint responsibility: the provider of educational services, the employer and the professional community. The introduction of informal education (self-education) also imposes on the physician him/herself the responsibility for: determining the need for new competencies, choosing a provider, learning outcomes. Thus, taking into account current trends in the development of the profession and the requirements that society puts forward for the profession, it is concluded, that it is necessary to create a system of professional personnel training in which the doctor, the professional community and the organizer (provider) of training would be jointly responsible for the quality
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