Train-the-Trainer-Seminare (TtT-Seminare) für Weiterbildungsbefugte (WBB) sind Bestandteile der nach § 75 SGB V eingerichteten Kompetenzzentren Weiterbildung Allgemeinmedizin (KW). Ziele der vorliegenden Studie waren die Analyse der bestehenden TtT-Angebote in Deutschland und die darauf aufbauende Überarbeitung der Checkliste TtT der Sektion Weiterbildung der DEGAM. In einer interprofessionellen Arbeitsgruppe wurde ein an der Checkliste TtT (Version 1, 2017) orientierter, strukturierter Interviewleitfaden konzipiert, konsentiert und mit zwei Testinterviews pilotiert. Über vier Monate (1.3.–30.6.2019) wurden alle KW mehrfach via E-Mail und telefonisch zur Teilnahme eingeladen. Die Auswertung der Ergebnisse der Befragung erfolgte deskriptiv und wurde durch Vertreter*innen der KW auf dem Jahreskongress der DEGAM inhaltlich bestätigt. 15 von 16 KW (94

As of the start of the COVID-19-pandemic, basis undergraduate, postgraduate as well as continuous medical education had often been switched to e-learning. This is a chance and a challenge at the same time. In this work, we describe the e-learning experiences of the competence center for postgraduate medical education in Baden-Wurttemberg. We aim to support broad implementation of e-learning by the exchange of educational as well as organizational approaches. In March 2020, we planned synchronic (live) webinars with asynchronic preparation and postprocessing (flipped classroom). We focused on elements to improve interaction. All the process was managed with respect to the program curriculum in a multicentered team. In 2020, n = 263 postgraduate trainees in family medicine (FM trainees) participated in n = 12 online single seminar days of the KWBW Verbundweiterbildungplus. Due to multiple participation, they induced n = 379 participations. N = 353 evaluations could be included (93,1 % response rate). 77 % (n = 182/236) assessed the use of the software Zoom® with satisfying or very satisfying, 75 % (n = 122/163) the use of the software Heiconf® with satisfying or very satisfying. 59 % (n = 208) wanted to continue with seminar days during workdays, whereas 26 % (n = 91) wished for trainings on Saturdays. A technical check was rated as very helpful. From the organizational point of view, an additional lecturer (= moderator) was necessary. Some lecturers needed extra support in advance of the e-learning. We provide didactic elements that can help to improve the interaction between participants which have to be planned ahead. We present a successful approach to face the educational and organizational challenges of e-learning. E-learning was broadly accepted which supports permanent implementation. However, social and collegial interaction is both, most challenging and most important for postgraduate training in family medicine. Therefore, approaches supporting the interaction in e-learning should be developed and implemented. © 2021, Deutscher Arzte-Verlag GmbH. All rights reserved.

Seit Beginn der COVID-19-Pandemie werden in Aus-, Fort- und Weiterbildung bestehende Lehrformate verstärkt auf E-Learning umgestellt. Dieses neue Format ist Chance und Herausforderung zugleich. In dieser Arbeit beschreiben wir die Erfahrungen, die das Kompetenzzentrum Weiterbildung (KW) in Baden-Württemberg bei der Umstellung seiner Seminartage gemacht hat. Wir wollen didaktische und organisatorische Anregungen geben, um E-Learning erfolgreich nutzen zu können. Die Veranstaltungen wurden als synchrone Online-Seminare konzipiert, mit asynchroner Vor- und Nachbereitung im Sinne der Flipped-classroom-Methode. Zusätzlich wurden Elemente zur Förderung der Interaktion integriert. Die standortübergreifende Planung in einem multizentrischen Team orientierte sich an dem bestehenden Curriculum. Im Jahr 2020 nahmen n = 263 Ärzt*innen in Weiterbildung (ÄiW) an n = 12 Online-Einzelseminartagen der KWBW Verbundweiterbildungplus teil und erzeugten n = 379 Teilnahmen. N = 353 beteiligten sich an der Evaluation (93,1

Aim: The seminar program of the KWBW Verbundweiterbildungplus® is offered by the Competence Center for Postgraduate Medical Education in Baden-Württemberg (KWBW) for physicians specializing in general practice (GP trainees). Attendance is a voluntary one comprised of 48 curricular units of 45 minutes each per GP trainee. This seminar program is meant to be attended in parallel to the postgraduate medical education in clinic or practice. The intention behind this project was to develop objectives, topics and a feasible structure for a seminar curriculum while taking time and financial constraints into account. Method: The Kern cycle was applied in an open, modified nominal group consensus technique in the form of an iterative process. Participating were 17 experts from the departments of general practice at the universities in Freiburg, Heidelberg, Tuebingen and Ulm, plus a pediatrician. Results: The main objective was defined as empowering GP trainees to independently provide high-quality primary care, including in rural areas. A basic curriculum was defined based on relevant frameworks, such as the 2018 Model Regulation for Postgraduate Medical Training (Musterweiterbildungsordnung/MWBO) and the Competency-based Curriculum General Practice (KCA). Overall, the seminar curriculum has 62 basic modules with 2 curricular units each (e.g. Basic Principles of General Practice, Chest Pain, Billing) and another 58 two-unit modules on variable topics (e.g. digitalization, travel medicine) adding up to 240 (124+116) curricular units. A blueprint with a rotation schedule for all of the teaching sites in Baden-Württemberg allows regular attendance by n=400 GP trainees over a period of five years, with individual variability in terms of program length. Conclusion: The model entails a five-year, flexible program to accompany the postgraduate medical education in general practice which can also be implemented in multicenter programs and those with high enrollments. The model’s focus is on acquisition of core competencies for general practice. Despite the current shift to eLearning seminars due to SARS-CoV, the program’s implementation is being continued, constantly evaluated, and used to further develop the KWBW Verbundweiterbildungplus® program.

Background: The task of the Competence Centers for vocational training (KW) is to increase the attractiveness and quality of vocational (=post-graduate) training in general practice. For this purpose, they offer, among other things, a structured seminar program for post-graduate trainees in general practice (GP-trainees). During the Covid-19 pandemic the seminar program of the KWBW-Verbundweiterbildungplus® in Baden-Württemberg was converted to digital formats. The goal of the paper is to evaluate the acceptance by the GP-trainees and lecturers, to describe experiences with the conversion to e-learning and to derive recommendations with regard to the future orientation of seminar programs in post-graduate as well as continuing medical education. The implementation was based on a modified Kern-cycle and aimed at offering eight teaching units of 45 minutes each to a large number of GP-trainees. It tried to maintain the high quality of content and education as well as the interactive character of the previous seminars. For this purpose, the events were designed as synchronous webinars (six units) with asynchronous preparation and post-processing (two units) according to the flipped classroom method. The evaluation by the participating GP-trainees and lecturers was performed online using a multi-center developed and pre-piloted questionnaire. Results and discussion: N=101 GP-trainees participated in the evaluation of five individual seminar days in the second quarter of 2020 (response rate 97%). 58% (N=59) of the trainees were satisfied or very satisfied with the implementation. 82% (n=83) rated pre-tasks as helpful. 99% (n=100) would participate in an online seminar again. For 52% (n=53) of the trainees, the attitude towards e-learning had changed positively. The main advantages mentioned were no travel, save in time and costs as well as increased flexibility. The main disadvantages mentioned were less personal interaction and technical obstacles. The high acceptance of the new digital format showed the fundamental potential of e-learning in continuing medical education. The experiences can be a source of inspiration for other departments and KW. However, it also shows that important goals of KW, such as the personal interaction of the peer group, could not be achieved. In the future, it is important to develop a suitable mix of presence and digital formats with the aim to improve the attractiveness as well as sustainability of continuing medical education.

Background: In face of the looming shortage of general practitioners, primary healthcare providers and post-graduate training in general practice are increasingly becoming part of the political agenda in Germany. In 2009 the program "Verbundweiterbildung plus Baden-Wurttemberg" (VWBplus BW) was developed by the Competence Center for General Practice in Baden-Wuerttemberg to ensure primary healthcare in the future by enhancing the attractiveness of general medicine. This paper describes the experiences that have been gathered in developing a post-graduate training-program for physicians undergoing specialist training in general practice.Project description: The Competence Center for General Practice in Baden-Wuerttemberg supports the organization of regional networks dedicated to post-graduate medical education. First core element of the VWBplus BW program is a special seminar series for physicians pursuing post-graduate training. This seminar program is aligned with the German competency-based curriculum in general medicine and is meant to promote medical expertise and other related competencies, such as business and medical practice management and communication skills. Mentoring and advising the physicians regarding professional and personal planning form the second core element. The third core element is seen in the train-the-trainer seminars that address the competencies of the trainers. In order to focus the program's content closely on the needs of the target groups, scientifically based evaluations and research are carried out.Results: Since starting in 2009, 685 physicians have entered the program and 141 have passed the examination to become medical specialists (as of December 2016). In total, 31 networks, 60 hospitals and 211 general practices have participated. The seminar sessions have been rated on average with 1.43 on a six-point Likert scale by the physician trainees (1=extremely satisfied, 6=extremely dissatisfied). Alongside the medical training, these physicians viewed the exchange of information and experiences with other physicians as very positive and important. In 185 seminars lasting 90 minutes each, the seminar program has presently covered 250 out of 320 units in the competency-based curriculum for general medicine. A total of 281 trainers have been trained in 13 train-the-trainer courses and have rated this course on average with 1.36 on a six-point Likert scale. Above all, the trainers emphasized the exchange of information and experiences with other trainers as very positive. In 2013 the DEGAM concept for its Verbund-weiterbildung(plus) program was developed based on that of the VWBplus BW. Since 2008 over 40 articles on the topic of post-graduate medical education have been published.Conclusion: The steadily increasing number of participants over the years demonstrates that the VWBplus BW is relevant for recent medical graduates and contributes to the attractiveness of general practice. The consistently excellent evaluations of the training program and the train-the-trainer course affirm the focus on the needs of the target groups. The post-graduate VWBplus BW program advances structured, competency-based and quality-oriented specialist training and fosters professional sharing between physicians - something that could also be relevant for other fields. The increasing numbers of participating physicians and specialists in general practice in Baden-Wurttemberg lead to the conclusion that the VWBplus BW program positively influences the number of general practitioners.

BackgroundA Train-The-Trainer course (TTT course) for general practice trainers was developed as part of the program Verbundweiterbildungplus Baden-Württemberg. The course included aspects of training such as organizational and legal knowledge as well as didactic skills for trainers in 9.5 teaching units (45 minutes each). The present article analyzes the evaluation of the course and considers possible future developments for TTT courses in Germany.MethodsAn evaluation tool was used covering aspects such as information, relevance for daily work, opportunities for participant engagement in the seminars and working environment as well as didactic competencies among teachers. Within five years, 256 trainers participated in a TTT course and received an evaluation sheet. Data were analyzed descriptively.Results249 evaluation sheets were included (response rate 97 %). Overall, the participants were (very) satisfied with the course in general, its organization, the exchange with colleagues and the teaching units. The participants used the free text mode to give positive feedback; in particular, teaching units in organizational and legal regulations as well as practical feedback training to strengthen professionalism were evaluated positively. Suggestions for improvements included follow-up courses or a deepening of understanding of course contents.ConclusionThe participants gave a very positive overall rating and claimed to have benefited from the course contents. Future projects should address further qualifications of general practice trainers and facilitate the exchange with colleagues on an ongoing basis.

Zusammenfassung Hintergrund Das Konzept der Deutschen Gesellschaft für Allgemeinmedizin und Familienmedizin (DEGAM) fordert Begleitseminare über die gesamte Weiterbildungszeit, um allgemeinmedizin-spezifisches Wissen und Kompetenzen sowie eine Vernetzung und Identitätsbildung von Ärzten in Weiterbildung (ÄiW) zu fördern. Seit 2009 werden solche Seminare im Rahmen der Verbundweiterbildungplus Baden-Württemberg (VWBplus Ba-Wü) angeboten. Ziel dieses Artikels ist es, die Entwicklungen der Schulungstage der VWBplus Ba-Wü zu beschreiben und daraus Implikationen für sich deutschlandweit entwickelnde Verbundweiterbildungsprogramme abzuleiten. Methoden Von 2009 bis 2015 wurden die Daten aller Schulungstage deskriptiv analysiert. Dabei wurden die abgehaltenen Unterrichtseinheiten sowie die Anzahl der Dozenten und deren fachliche Qualifikation ermittelt. Von zwei Wissenschaftlern wurden die Seminarinhalte unabhängig voneinander kategorisiert und dem Kompetenzbasierten Curriculum Allgemeinmedizin (KCA) zugeordnet. Ergebnisse Bisher nahmen 600 ÄiW an einer Auftaktveranstaltung der VWBplus Ba-Wü teil. Es wurden insgesamt 1.116 Unterrichtseinheiten mit 160 unterschiedlichen Seminarthemen abgehaltenen, die das gesamte KCA und darüber hinaus weitere Themen abdeckten. Um die organisatorischen Abläufe bewältigen zu können, wurde eine grundlegende Umstrukturierung der Schulungstage sowie die Entwicklung einer spezifischen, elektronisch unterstützenden Software notwendig. 56% der Seminare wurden von Fachärzten bzw. ÄiW für Allgemeinmedizin abgehalten. Die Veranstaltungen sowie der kollegiale Austausch wurden durchgehend (sehr) gut von den ÄiW bewertet. Schlussfolgerung Um Begleitseminare in Verbundweiterbildungsprojekten zielgruppen- und bedarfsgerecht auszurichten, ist es entscheidend, die Inhalte thematisch an allen drei Teilen des KCA – medizinische Expertise, Kompetenzen und Prozeduren - und damit spezifisch-allgemeinmedizinisch auszurichten. Ein Dozentenleitfaden soll zukünftig helfen, dass deutschlandweit einheitliche Standards für Didaktik und Qualifikationen der Dozenten bekannt sind. Die steigende Nachfrage von Verbundweiterbildungsprojekten bedeutet komplexe Organisationsabläufe, die ab einer Teilnehmerzahl von ca. 200 einer Softwareunterstützung bedürfen. Diese soll zukünftig noch weiterentwickelt werden vor allem in Hinblick auf eine Integration des KCA.

OBJECTIVE General practice offers basic medical care to patients. Therefore, general practitioners (GPs) perform a variety of medical procedures. In order to estimate GPs array of services from the perspective of health services research, it is indispensable to know the procedures that are carried out by GPs and identify relevant influencing factors. METHODS Based on the results of a selective literature search, the Medical Association's regulations on specialty training and experiences gained so far in developing the competence-based curriculum for general practice, a questionnaire covering 89 procedures was developed and sent to 1 576 general practitioners all over Germany. RESULTS The response rate was 42%; 42 of 89 procedures were carried out by at least 50% of the participants. These procedures include the anatomical areas skin, eyes, ears, nose, gastrointestinal tract, urological tract and musculoskeletal system. Significant differences were shown in 25 of the most frequent procedures regarding practices in urban and rural areas, in 9 procedures with regard to the participant's length of occupation in general practice and in 19 procedures regarding male and female participants. CONCLUSION This is the first survey that shows which procedures are performed by German GPs and how often they are performed. Factors such as practice location in either rural or urban area, physician's gender and years practiced as GP have been identified as important influences on the spectrum of services provided.

Background: A Train-The-Trainer course (TTT course) for general practice trainers was developed as part of the program Verbundweiterbildung(plus) Baden-Wurttemberg. The course included aspects of training such as organizational and legal knowledge as well as didactic skills for trainers in 9.5 teaching units (45 minutes each). The present article analyzes the evaluation of the course and considers possible future developments for TTT courses in Germany.Methods: An evaluation tool was used covering aspects such as information, relevance for daily work, opportunities for participant engagement in the seminars and working environment as well as didactic competencies among teachers. Within five years, 256 trainers participated in a TTT course and received an evaluation sheet. Data were analyzed descriptively.Results: 249 evaluation sheets were included (response rate 97 %). Overall, the participants were (very) satisfied with the course in general, its organization, the exchange with colleagues and the teaching units. The participants used the free text mode to give positive feedback; in particular, teaching units in organizational and legal regulations as well as practical feedback training to strengthen professionalism were evaluated positively. Suggestions for improvements included follow-up courses or a deepening of understanding of course contents.Conclusion: The participants gave a very positive overall rating and claimed to have benefited from the course contents. Future projects should address further qualifications of general practice trainers and facilitate the exchange with colleagues on an ongoing basis.

Background: The German Society of General Practice and Family Medicine (DEGAM) has defined educational seminars during post-graduate training as a core element to improve trainees' specific knowledge and competencies. Furthermore, these seminars facilitate networking among trainees and support the process of identity formation in family medicine. Since its implementation in 2009, the Verbundweiterbitdung(plus) Baden-Wurttemberg (VWBplus Ba-Wu) has offered educational seminars. Aim of this article is to analyse the content of these educational seminars and to derive implications for other family medicine training programmes in Germany.Methods: From 2009 to 2015, the data from all educational seminars was descriptively analysed. Furthermore, two researchers categorised the seminar contents independently of each other and assigned them to the competence-based curriculum for family medicine training (Kompetenzbasiertes Curriculum Allgemeinmedizin, KCA).Results: Until 2015, 600 trainees participated in a starter seminar of the VWBplus Ba-WU. In total, 1,116 teaching units and 160 different seminars covered all relevant topics of the KCA. A restructuring of organisational processes and seminars was necessary to handle the increase in the number of participants, including the development of specific software for electronic support. Of all these seminars, 56% were held by specialists or trainees in family medicine. The participating trainees rated the educational seminars in general and the possibility for networking as (very) good.Conclusions: The contents of the educational seminars included in family medicine training programs will have to be specifically based on family medicine and cover all relevant aspects of the KCA medical expertise, competencies and procedures. In order to ensure a common standard concerning didactic methods and qualifications of teachers, a didactic guideline is to be developed. The increasing demand of family medicine training programmes requires (further) development of the software eSchoolab, including integration of the KCA.

Introduction: Pre- and postgraduate education is meant to be competency-based. Over the last two decades various competency frameworks have been published. An important aspect of competency is professionalism, being discussed widely in the literature while a clear-cut definition is still lacking. The purpose of this study was to translate the Nijmegen Professionalism Scale into the German language, to adapt the scale to the German setting and to examine the psychometric properties, test-retest reliability and feasibility of the culturally adapted instrument designed to assess professionalism in general practice, in addition to the validity of the concept of professionalism and to testify the transfer across linguistic, cultural and societal differences.

INTRODUCTION:The 'Verbundweiterbildung(plus) Baden-Württemberg' (Verbundweiterbildung(plus)) - a structured general practice (GP) postgraduate training program - developed a 'rural day' as an intervention to ensure rural health exposure for GP trainees. This project report presents the outcome of the intervention: intention to work in a rural area.METHODS:At the time of the study, 500 GP trainees were enrolled in Verbundweiterbildung(plus). Invitations to complete an internet-based questionnaire were distributed by email to the 274 GP trainees who had previously been asked to participate in one of eight rural days. The questionnaire contained 4 generic and 10 specific items for participants in the rural days and 4 items specific to non-participants. Mixed-methods analyses were performed using the Statistical Package for the Social Sciences.RESULTS:Of the 274 GP trainees invited to complete the questionnaire, 38 of 80 rural day participants and 72 of 194 non-participants completed the questionnaire (overall response rate 40%). Participants and non-participants did not differ significantly regarding age, sex and origin. Nearly half of the participants claimed the rural day changed their overall attitudes towards rural areas positively. However, there was no significant difference in the intention to work in a rural area for participants before and after the rural day experience.CONCLUSIONS:The rural day increased positive attitudes towards rural areas in general but had no influence on intention to work in rural practice. More awareness and responsibility regarding workforce shortages in rural primary health care among political stakeholders, trainers and trainees is needed. Duration of the intervention should be extended and possibly complemented by offering rotations in rural practices to increase the effect. Enabling factors and barriers regarding working in rural areas are already known by political stakeholders, trainers and trainees and need to be more adequately addressed during GP postgraduate training.