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神经内科专科住院医师的临床培训:住院医师的视角

Clinical training of specialist registrars in neurology: the registrar's perspective.

作者信息

Fuller G N

机构信息

Department of Neurology, Gloucester Royal Hospital.

出版信息

J R Coll Physicians Lond. 1999 Jan-Feb;33(1):56-9.

Abstract

OBJECTIVES

To find out how closely consultants supervise specialist neurology registrars in different clinical settings (acute admissions, routine admissions, ward referrals, new outpatients and old outpatients) and how much registrars value this supervision.

DESIGN

Questionnaire asked: how often clinical assessments were done (from 'not done' to 'almost always'); how useful these were for training (from 'not useful' to 'very useful').

SUBJECTS

Distributed via regional education supervisors to registrars in their region.

RESULTS

Sixty-one responses from 88 distributed questionnaires (69%). Acute admissions were closely supervised (> 80%) and valued as training. Routine admissions and ward referrals were less frequently reviewed, though review was valued. New outpatients were reviewed 'infrequently' or 'not at all' in 65%, though review was valued for training (> 80%). Old outpatients were less frequently reviewed but this was less valued.

CONCLUSIONS

Inpatient supervision of neurology trainees is close and valued by trainees, though review of ward referrals is often a missed opportunity for training. Outpatient supervision is limited, though highly valued by trainees. Time needs to be made available within the outpatient clinic to allow supervision and training.

摘要

目的

了解在不同临床环境(急性入院、常规入院、病房转诊、新门诊患者和旧门诊患者)中,顾问医生对神经科专科住院医生的监督程度,以及住院医生对这种监督的重视程度。

设计

问卷调查内容包括:临床评估的频率(从“未进行”到“几乎总是进行”);这些评估对培训的有用性(从“无用”到“非常有用”)。

研究对象

通过地区教育主管分发给所在地区的住院医生。

结果

88份分发问卷中有61份回复(69%)。急性入院患者受到密切监督(>80%),并被视为培训机会。常规入院患者和病房转诊患者的检查频率较低,不过检查被认为是有价值的。65%的新门诊患者很少或根本没有接受检查,不过检查对培训很有价值(>80%)。旧门诊患者接受检查的频率较低,且重视程度也较低。

结论

神经科住院医生的住院患者监督密切,且受到住院医生重视,不过病房转诊检查往往是错过的培训机会。门诊监督有限,不过受到住院医生高度重视。需要在门诊诊所留出时间进行监督和培训。

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