title: Postgraduate training program.
abstract: BACKGROUND
  Faculties face the permanent challenge to design training programs with well-balanced educational outcomes, and to offer various organised and individual learning opportunities.
  
  
  OBJECTIVE
  To apply our original model to a postgraduate training program in rheumatology in general, and to various learning experiences in particular, in order to analyse the balance between different educational objectives.
  
  
  METHODS
  Learning times of various educational activities were reported by the junior staff as targeted learners. The suitability of different learning experiences to achieve cognitive, affective and psychomotor learning objectives was estimated. Learning points with respect to efficacy were calculated by multiplication of the estimated learning times by the perceived appropriateness of the educational strategies.
  
  
  RESULTS
  Out of 780 hours of professional learning per year (17.7 hours/week), 37.7% of the time was spent under individual supervision of senior staff, 24.4% in organised structured learning, 22.6% in self-studies, and 15.3% in organised patient-oriented learning. The balance between the different types of learning objectives was appropriate for the overall program, but not for each particular learning experience. Acquisition of factual knowledge and problem solving was readily aimed for during organised teaching sessions of different formats, and by personal targeted reading. Attitudes, skills and competencies, as well as behavioural and performance changes were mostly learned during caring for patients under interactive supervision by experts.
  
  
  CONCLUSIONS
  We encourage other faculties to apply this approach to any other curriculum of undergraduate education, postgraduate training or continuous professional development in order to foster the development of well-balanced learning experiences.
authors.affiliation: Department of Rheumatology and Clinical Immunology/Allergology, University Hospital, Berne, Switzerland. christine.beyeler@iml.unibe.ch
authors.forename: Christine
authors.initials: C
authors.lastname: Beyeler
authors.forename: Peter M
authors.initials: PM
authors.lastname: Villiger
authors.forename: Ara
authors.initials: A
authors.lastname: Tekian
mesh_terms: D003479:Curriculum; D004503:Education, Medical, Graduate / Q000458:organization & administration*; D005260:Female; D006801:Humans; D007858:Learning; D008297:Male; D012219:Rheumatology / Q000193:education*; D013557:Switzerland