{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T18:03:25Z","timestamp":1790791405739,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2001,12,25]],"date-time":"2001-12-25T00:00:00Z","timestamp":1009238400000},"content-version":"vor","delay-in-days":724,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["asmepublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Education"],"published-print":{"date-parts":[[2000,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Evaluation of the efficacy of a short course of technical clinical skills to change performance in general practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      Subjects were self\u2010selected general practitioners (\n                      <jats:italic>n<\/jats:italic>\n                      =59) who were unaware of the study design. They were assigned to the intervention group (\n                      <jats:italic>n<\/jats:italic>\n                      =31) or control group (\n                      <jats:italic>n<\/jats:italic>\n                      =28) according to their preference for course date. The course covered four different technical clinical skills (shoulder injection technique, PAP\u2010smear, laboratory examination of vaginal discharge, ophthalmoscopic control in diabetes mellitus). Main outcome measures used were pre\u2010 and post\u2010training scores on a knowledge test of skills (60 multiple choice items), and pre\u2010 and post\u2010training performance of procedures in practice using a log\u2010diary covering 20\u2003days.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>University of Maastricht, The Netherlands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects<\/jats:title>\n                    <jats:p>Self\u2010selected general practitioners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Competence, as measured by the knowledge test of skills, improved significantly as a result of the training and skills test scores were satisfactory after training. A significant effect on performance in practice was found for PAP\u2010smear and shoulder injection technique, whereas no effect could be demonstrated for examination of vaginal discharge and ophthalmoscopic control in diabetes mellitus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A good degree of competence is a necessary but not always sufficient condition for a physician to change his performance in practice. While some skills training seems adequate to bring about desired changes, for other skills more complex interventions are probably needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1046\/j.1365-2923.2000.00401.x","type":"journal-article","created":{"date-parts":[[2003,3,12]],"date-time":"2003-03-12T05:52:05Z","timestamp":1047448325000},"page":"66-71","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Effect of a short skills training course on competence and performance in general practice"],"prefix":"10.1111","volume":"34","author":[{"family":"Jansen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Grol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Van Der Vleuten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Scherpbier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Crebolder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Rethans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2001,12,25]]},"reference":[{"key":"e_1_2_5_2_2","first-page":"1545","article-title":"Procedural skills for general practice","volume":"19","author":"Spike N","year":"1990","journal-title":"Aust Fam Physician"},{"key":"e_1_2_5_3_2","first-page":"444","article-title":"Office procedural skills in family medicine","volume":"60","author":"Heikes LG","year":"1985","journal-title":"J Med Educ"},{"key":"e_1_2_5_4_2","unstructured":"LambertsH BrouwerH MohrsJ.Reason for Encounter\u2010 Episode\u2010 and Process\u2010Oriented Standard Output from the Transition Project.Amsterdam: Department of General Practice University of Amsterdam;1991."},{"key":"e_1_2_5_5_2","unstructured":"TanLHC. 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