title: Video-assisted feedback in general practice internships using German general practitioner's guidelines.
abstract: BACKGROUND
  The planned modification of the Medical Licenses Act in Germany will strengthen the specialty of general practice. Therefore, medical students should get to know the daily routine of general practitioners during their academic studies. At least 10% of students should get the possibility to spend one quarter of the internship, in the last year of their academic studies, in a practice of family medicine. The demonstrated teaching method aims at giving feedback to the student based on video recordings of patient consultations (student-patient) with the help of a checklist. Video-feedback is already successful used in medical teaching in Germany and abroad. This feasibility study aims at assessing the practicability of video-assisted feedback as a teaching method during internship in general practice.
  
  
  METHODS
  First of all, the general practice chooses a guideline as the learning objective. Secondly, a subsequent patient - student - consultation is recorded on video. Afterwards, a video-assisted formative feedback is given by the physician. A checklist with learning objectives (communication, medical examination, a structured case report according to the guideline) is used to structure the feedback content.
  
  
  RESULTS
  The feasibility was assessed by a semi structured interview in order to gain insight into barriers and challenges for future implementation. The teaching method was performed in one general practice. Afterwards the teaching physician and the trainee intern were interviewed. The Following four main categories were identified: feasibility, performance, implementation in daily routine, challenges of the teaching concept.The results of the feasibility study show general practicability of this approach. Installing a video camera in one examination room may solve technical problems. The trainee intern mentioned theoretical and practical benefits using the guideline. The teaching physician noted the challenge to reflect on his daily routines in the light of evidence-based guidelines.
  
  
  CONCLUSIONS
  This teaching method supports quality control and standardizing of learning objectives during the internship in general practice by using general practice guidelines. The use of a checklist enhances this method in general practice. We consider the presented teaching method in the context of the planned modification of the Medical Licenses Act is part of quality control and standardisation of medical teaching during general practice internships. In order to validate these presumptions, further, evaluation of this method concerning the learning objectives using the guidelines of general practice need to be carried out.
authors.affiliation: Dept. of General Practice and Health Services Research, University Hospital Heidelberg, Heidelberg, Germany. regine.boelter@med.uni-heidelberg.de
authors.forename: Regine
authors.initials: R
authors.lastname: Bölter
authors.forename: Tobias
authors.initials: T
authors.lastname: Freund
authors.forename: Thomas
authors.initials: T
authors.lastname: Ledig
authors.forename: Bernhard
authors.initials: B
authors.lastname: Boll
authors.forename: Joachim
authors.initials: J
authors.lastname: Szecsenyi
authors.forename: Marco
authors.initials: M
authors.lastname: Roos
mesh_terms: D057189:Checklist; D003479:Curriculum; D019317:Evidence-Based Medicine; D005240:Feasibility Studies; D005246:Feedback; D058006:General Practice / Q000193:education*; D005858:Germany; D006801:Humans; D007396:Internship and Residency; D008007:Licensure, Medical; D010817:Physician-Patient Relations; D010865:Pilot Projects; D017410:Practice Guidelines as Topic; D013663:Teaching; D014741:Video Recording