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Master Thesis

Évolution des compétences addictologiques des internes de médecine générale après formation basée sur les principes de l’enseignement explicite : étude avant-après exposition

Abstract : Introduction: primary care physicians are important actors to identify and manage alcohol misuse. According to the literature, the needed skills for managing this trouble don’t seem to be acquired by the majority of general practice residents (GPRs) at the end of medical studies, despite the spreading of students learning-centered pedagogies. The effectiveness of a teaching-centered method called "Explicit Teaching" (ET) has never been explored in medical education research. Aim: to assess the effect of ET method on GPRs’ addictological skills standard. Method: this pre and post study measured the grades evolution at a skill test after the ET method exposure with a group of 18 voluntary GPRs. Results: after the ET method exposure, the participants’ grades increased significantly (p=0.0003; + 23.2% of points on average) as well as the number of GPRs reaching three quarters of points at the skill test (p=0.0009; NNT=1.8). The median went from 10.5 to 15.8 points out of 20 after the ET method exposure. Among the secondary aims, we noticed that a practical training in addictology department was linked to a higher level before the ET method (p=0.001) whereas the production of a "Story of Authentic Complex Situation" or documentary review as part of an "Exchange Group Practice" were not. Conclusion: a specific training based on an ET method seems to be an effective strategy for improving GPRs’ skills standard in management of alcohol misuse. These results need to be confirmed by larger-scale comparative studies.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03181704
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Submitted on : Thursday, March 25, 2021 - 6:29:09 PM
Last modification on : Tuesday, June 8, 2021 - 3:32:36 AM

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  • HAL Id : dumas-03181704, version 1

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Alexis Leclerc. Évolution des compétences addictologiques des internes de médecine générale après formation basée sur les principes de l’enseignement explicite : étude avant-après exposition. Médecine humaine et pathologie. 2020. ⟨dumas-03181704⟩

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