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Table 5 List of training programs relevant to primary care

From: Assessing system-based trainings for primary care teams and quality-of-life of patients with multimorbidity in Thailand: patient and provider surveys

Project title (year of implementation) Trainees Objectives Available implementation details Assessment Results: number of the targets completed the training and other outcomes
1. CUP leadership (2009–2013) Managers of contracting unit for primary care (CUP):
-district hospital directors or representative (physicians or dentists)
-district health officers
To enhance conceptual and managerial skills in development of primary care suitable to area-based context and health needs Classroom sessions: didactic lectures, group discussion based on experiences from management practices - not clear 213 trainees from 200 districts
2. Training of family practice doctor (2006–2007) Doctors from district hospitals and/or health centers To enhance: -FMP in district hospitals and/or health centers
-knowledge and skills in: applied psycho-analysis and patient communication; management of primary care network of practitioners
Classroom sessions: didactic lectures, group discussion based on experiences from clinical clerkship Cognitive knowledge assessment before and after the training 200 trainees
3. In service training for family medicine practice (FMP) (2009–2015) Second or third year medical graduates To enhance FMP in district hospitals -Week-end classroom sessions for 3 years: didactic lectures, group discussion based on experiences from real life practices
−26 medical school faculties and affiliates as trainers
-Self assessment
-Year-end summative assessment
91 trainees
4. Family practice learning (FPL)(2012–2014) A multidisciplinary team of 3 to 5 members with at least 1 doctor or pharmacist in each team To enhance team-based FMP in district hospitals and health centers -classroom sessions for 1 year: didactic lectures,
clinical rotation and community practice (home visits and community dialogues), case conferences
-Minimum requirement: a team report of family assessment and interventions
-Individual portfolios of doctors or pharmacists
-Comments of academic advisors
− 210 doctors
−14 pharmacists
− 1 dentist
- over 1000 other health alliances such as nurses, public health workers, physiotherapists
5. District Health Management Learning (DHML)
(2014- present)
A multidisciplinary team of 5 to 8 members from each district (district health officers, district hospital staffs (the directors and some of the followings: physicians, pharmacists, senior nurses or dentists), local authority, community leaders (village heads, sub-district heads, district head officers), organized groups of people (elderly clubs, housewife clubs)) To strengthen: resource sharing, unity in teamwork, community participation, health information systems, management skills of the leaders, coordination, integrated service delivery, inter-sectoral collaboration class-based learning, clinical practice and community practice, standard practice guideline, team contest sessions (to encourage sharing of knowledge and practices) -Individual self- assessment
-Improvement of collaboration and coordination among key actors in DHS in terms of regularity, continuity and knowledge sharing
− 224 teams
−44 emerging coordinating centers to perpetuate training of DHML in district health offices, district hospitals and academic institutes
6. District Health System (DHS) Appreciation (2011) The same as no. 5 To consolidate lessons learned from implementation of DHS Group sessions focusing on functions of multi-sectoral multidisciplinary collaboration and coordination towards innovations for delivery of essential care on continual basis with multi-source resource mobilization and development of health information systems Self-assessment using broad thematic guideline: unity of the team, community participation, appreciation, resource sharing, essential care 48 districts
7. Community nurse training (2008–2011) local high school graduates recruited by district hospital directors and senior nurses using verbal interview and results of local resident opinion survey To produce graduate nurses with emphasis on community practices in order to enhance retention in district hospitals - Nationally approved standard curricula for a nursing school (4-year period)
- On-top clinical clerkship rotations in the summer, annually, at district hospitals where the nurse graduates will work during compulsory period of 8 years
-Collaborative recruitment and sponsorship by district hospitals, local administrative authorities and schools of nursing
-Close monitoring by supervisor (a nurse and/or physician) from district hospitals during the training
- national license examination
− 808 nurse graduates from 442 districts
8. General practice nurse training (2006–2007) Graduate nurses from district hospitals or health centers To enhance knowledge and skills in family practice -clinical clerkship rotation under supervision of physicians
-classroom sessions: didactic lectures, group discussion based on experiences from the clinical clerkship
Not clear 1000 nurses
9. Family and Community Pharmacist Learning (FCPL)(2014–2015) Pharmacists from district hospitals To enhance knowledge and skills in family practice -classroom sessions: didactic lectures, group discussion based on experiences from clinical clerkship -A report on drug delivery models for home-based and community-based settings
-A report of case studies of continuity of care from home to hospital
59 trainees
10. Supervisors in primary care practice (2006–2007) Supervisors from district hospitals and district health offices To enhance knowledge and skills in human resource development Not clear Cognitive knowledge assessment before and after the training 4100 trainees
11. Training of clinical health workers in primary care (2007) Health workers in health centers or primary care unit in hospitals To enhance knowledge and skills in primary care practice Not clear Cognitive knowledge assessment before and after the training 18,000 trainees
12. Training of public health workers in primary care (2006–2007; 2015) public health workers in health centers To enhance knowledge skills and attitude in public health functions: community diagnosis, project planning and implementation Classroom activities: case studies, didactic lectures, group discussion Cognitive knowledge assessment before and after the training 720 trainees