Internship for physicians in Slovenia

  • Gaber Plavc The Institute of Oncology Ljubljana
Keywords: medical education, questionnaire, cross-sectional study, clinical skills, quality assessment


Background: Well-educated and highly-trained physicians are an essential part of high-quality health care. Therefore, quality assurance in medical education must be one of the priorities of health systems. We researched and analysed responses from physicians after completion of internship (IS) and their mentors to questions regarding preparedness to IS and IS itself.

Methods: In this cross-sectional study electronic surveys were sent to 298 physicians, having completed the IS between February 2014 and February 2015, and to their 200 mentors. Ordinal reponses of two independent groups were compared by Mann-Whitney-U test, while Kruskal-Wallis test was used for comparing more than two groups. Frequency distributions of practical procedures that were completed by interns in required quantities were compared between institutions by χ²-test. The same test was used for comparing frequency distributions of binary responses between clinical departments.

Results: Statistically significant differences were found in the following: in reported preparedness for IS between graduates of the two Slovenian medical faculties; in realisation of practical procedures in quantities as prescribed in the IS program between different health institutions; in agreement with statements about satisfaction between different clinical departments and different institutions; and in reported active participation in patient care between different clinical departments.

Conclusions: In this study we identified differences in phisicians' preparedness for IS between the graduates of the two Slovenian medical faculties, as well as differences in realization of IS program between health institutions and clinical departments. Alongside presented descriptive statistics these data allow evaluation of the current quality of IS in Slovenia. Furthermore, the results of this study will permit assessment of quality improvement after realisation of planned IS program renovation.


Download data is not yet available.

Author Biography

Gaber Plavc, The Institute of Oncology Ljubljana
The Institute of Oncology Ljubljana, Division of Radiotherapy.


Marel GM, Lyon PM, Barnsley L, Hibbert E, Parise A. Clinical skills in early postgraduate medical interns: patterns of acquisition of confidence and experience among junior doctors in a university teaching hospital. Med Educ 2000; 34: 1013–1015.

Cavendish S. Quality assuring internship. The Foundation Years. 2009 (12); 5: 27-29.

GMC. Quality Improvement Framework. Dosegljivo 24.8.2015 s spletne strani:

Kamau C. Systematic review of new medics’ clinical task experience by country. JRSM Open. 2014 May; 5(5): 1-11.

Ruddlesdin J. Competency mapping in quality management of internship. Clin Med. 2010 Dec; 10(6): 568-72.

Patel M, Oosthuizen G, Child S, Windsor JA. Training effect of skills courses on confidence of junior doctors performing clinical procedures. N Z Med J. 2008; 121: 1275.

Goldacre MJ, Lambert TW, Svirko E: Interns’ views on whether their medical school prepared them well for work: UK graduates of 2008 and 2009. Postgrad Med J. 2014 Feb; 90(1060): 63-8.

Primožič J, Mlakar G, Grosek Š. Analiza zadovoljstva študentov medicine z vajami iz pediatrije na kliničnem oddelku za otroško kirurgijo in intenzivno terapijo kirurške klinike. Med Razgl. 2007; 46: 75–80.

Bručan A. Zapisnik sestanka Delovne skupine za pripravništvo z dne 2.10.2014. Ljubljana.

Bručan A. Pripravništvo zdravnikov. ISIS februar 2014. 8.

Bručan A. Zapisnik sestanka Delovne skupine za pripravništvo z dne 4.12.2014. Ljubljana.

GMC. National Training Survey: Briefing note 3 – Annex A. General Medical Council. Dosegljivo 24.8.2015 s spletne strani:

GMC. National Training Survey: Briefing note 3 – Annex B. General Medical Council. Dosegljivo 24.8.2015 s spletne strani:

Jamieson S. Likert scales: how to (ab)use them. Med Educ. 2004; 38(12): 1217–1218.

McCrum-Gardner E. Which is the correct statistical test to use? Br J Oral Maxillofac Surg. 2008; 46: 38–41.

Goldacre MJ, Taylor K, Lambert TW. Views of junior doctors about whether their medical school prepared them well for work: Questionnaire surveys. BMC Med Educ. 2010; 10: 78.

Illing J, Morrow G, Kergon C, Burford B, Spencer J, Peile E, et al. How Prepared Are Medical Graduates To Begin Practice? A Comparison Of Three Diverse UK Medical Schools. Final Report for the GMC Education Committee. General Medical Council/Northern Deanery. 2008. Dosegljivo 24.8.2015 s spletne strani:

Miles S, Kellett J, Leinster SJ. Interns’ induction experiences. BMC Med Educ. 2015; 15: 118.

Program pripravništva za poklic zdravnik. Uradni list RS, št. 33/95, 60/95, 59/96, 62/96 in 98/99 – ZZdrS.

Dent T, Gillard J, Aarons E, Smyth-Pigott P. Variations in clinical experience of pre-registration house officers: the effect of London. Health Trends. 1995; 27(1): 22-6.

Garrood T, Iyer A, Gray K, Prentice H, Bamford R, Jenkin R, et al. A structured course teaching junior doctors invasive medical procedures results in sustained improvements in self-reported confidence. Clin Med 2010; 10: 464–7.

Ahearn D, Bhat S, Lakinson T, Baker P. Maximising responses to quality assurance surveys. Clin Teach. 2011; 8: 258–62.

Tokuda Y, Goto E, Otaki J, Jacobs J, Omata F, Obara H, et al. Undergraduate educational environment, perceived preparedness for postgraduate clinical training, and pass rate on the National Medical Licensure Examination in Japan. BMC Med Educ. 2010; 10: 35.

McColl E, Jacoby A, Thomas L, Soutter J, Bamford C, Steen N, et al. Design and use of questionnaires: a review of best practice applicable to surveys of health service staff and patients. Health Technol Assess 2002; 5(31).

How to Cite
Plavc G. Internship for physicians in Slovenia. ZdravVestn [Internet]. 7May2016 [cited 15Nov.2019];85(3). Available from:
Quality and safety