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Background <p>Uncertainty is a pervasive aspect of primary healthcare, significantly impacting clinical decision-making and patient outcomes. Medical Uncertainty Training (MUT) courses aim to equip healthcare providers with the skills needed to manage this uncertainty effectively.</p> Objective <p>To explore post-graduate General Practitioners’ (GPs) experiences and perspectives on attending MUT courses during standardized residency training in China, focusing on the potential mechanism of such courses in handling uncertainty and identified areas for improvement.</p> Methods <p>A qualitative study was conducted using semi-structured interviews with postgraduate GPs who attended the MUT course. Participants were selected through purposive sampling, and recruitment continued until data saturation was reached. Interviews were conducted between January and March 2024, transcribed verbatim, and analyzed thematically using the Donabedian structure-process-outcome framework. NVivo 14 software was used to support data coding and theme development.</p> Results <p>Three principal themes emerged from the process evaluation interviews, categorized according to the Donabedian structure-process-outcome framework as teaching structure, teaching process, and teaching outcome. These themes were further subdivided into specific sub-themes including necessity of the course, comprehensive curriculum design, flexibility and accessibility, continuous feedback and reflection, cognitive, emotional, and behavioral transformation, Real-World application challenges.</p> Conclusion <p>The process evaluation provided deeper insight into GPs’ experiences with the MUT course. Rather than merely increasing tolerance for uncertainty, participants emphasized the development of practical competence in uncertain clinical scenarios. By integrating cognitive, emotional, and behavioral elements, the training enhanced their confidence and skills in managing complex cases. Future research should explore the generalizability and long-term impact of these outcomes across diverse clinical contexts.</p>

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Postgraduate GPs’ experience of attending medical uncertainty training during the standardised training of residents: a qualitative process evaluation

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年10月21日

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  • Zhihui Liu,
  • Yingshuai Zhao,
  • Weili Shi,
  • Liuyi Wang

摘要

Background

Uncertainty is a pervasive aspect of primary healthcare, significantly impacting clinical decision-making and patient outcomes. Medical Uncertainty Training (MUT) courses aim to equip healthcare providers with the skills needed to manage this uncertainty effectively.

Objective

To explore post-graduate General Practitioners’ (GPs) experiences and perspectives on attending MUT courses during standardized residency training in China, focusing on the potential mechanism of such courses in handling uncertainty and identified areas for improvement.

Methods

A qualitative study was conducted using semi-structured interviews with postgraduate GPs who attended the MUT course. Participants were selected through purposive sampling, and recruitment continued until data saturation was reached. Interviews were conducted between January and March 2024, transcribed verbatim, and analyzed thematically using the Donabedian structure-process-outcome framework. NVivo 14 software was used to support data coding and theme development.

Results

Three principal themes emerged from the process evaluation interviews, categorized according to the Donabedian structure-process-outcome framework as teaching structure, teaching process, and teaching outcome. These themes were further subdivided into specific sub-themes including necessity of the course, comprehensive curriculum design, flexibility and accessibility, continuous feedback and reflection, cognitive, emotional, and behavioral transformation, Real-World application challenges.

Conclusion

The process evaluation provided deeper insight into GPs’ experiences with the MUT course. Rather than merely increasing tolerance for uncertainty, participants emphasized the development of practical competence in uncertain clinical scenarios. By integrating cognitive, emotional, and behavioral elements, the training enhanced their confidence and skills in managing complex cases. Future research should explore the generalizability and long-term impact of these outcomes across diverse clinical contexts.