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Commentary: grounded theory and the constant comparative method.评论:扎根理论与持续比较法
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Patients' action during their cardiac event: qualitative study exploring differences and modifiable factors.心脏事件期间患者的行为:探索差异和可改变因素的定性研究
BMJ. 1998 Apr 4;316(7137):1060-4. doi: 10.1136/bmj.316.7137.1060.
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Sustaining the development of primary care in academic medicine. Working Group on Sustaining the Development of Academic Primary Care. Association of American Medical Colleges.
Acad Med. 1998 Mar;73(3):245-57. doi: 10.1097/00001888-199803000-00012.
4
Can general internal medicine be taught in general practice? An evaluation of the University College London model.普通内科能在全科医疗中教授吗?对伦敦大学学院模式的评估。
Med Educ. 1997 Sep;31(5):369-74. doi: 10.1046/j.1365-2923.1997.00678.x.
5
General practitioner teaching in the community: a study of their teaching experience and interest in undergraduate teaching in the future.社区全科医生教学:对其教学经验及未来本科教学兴趣的研究
Br J Gen Pract. 1997 Oct;47(423):623-6.
6
The use and compensation of community preceptors in U.S. medical schools.美国医学院校中社区带教教师的使用与薪酬情况。
Acad Med. 1998 Jan;73(1):95-7. doi: 10.1097/00001888-199801000-00019.
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Acquisition of basic clinical skills in the general practice setting.
Med Educ. 1997 Mar;31(2):99-104. doi: 10.1111/j.1365-2923.1997.tb02466.x.
8
Educational objectives and requirements of an undergraduate clerkship in general practice. The outcome of a consensus procedure.本科全科实习的教育目标与要求。一项共识程序的结果。
Fam Pract. 1997 Apr;14(2):153-9. doi: 10.1093/fampra/14.2.153.
9
The primary care workforce crisis: a time for decisive action.基层医疗劳动力危机:采取果断行动的时候了。
Br J Gen Pract. 1997 Jan;47(414):3-4.
10
Undergraduate teaching in the community: can general practice deliver?社区本科教学:全科医疗能否胜任?
Br J Gen Pract. 1996 Aug;46(409):457-60.

本科生教学对全科医生的影响:对伦敦全科医生教师的定性研究

Influence on general practitioners of teaching undergraduates: qualitative study of London general practitioner teachers.

作者信息

Hartley S, Macfarlane F, Gantley M, Murray E

机构信息

Department of Primary Health Care and General Practice, London W2 1PG.

出版信息

BMJ. 1999 Oct 30;319(7218):1168-71. doi: 10.1136/bmj.319.7218.1168.

DOI:10.1136/bmj.319.7218.1168
PMID:10541508
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC28267/
Abstract

OBJECTIVE

To examine the perceived effect of teaching clinical skills and associated teacher training programmes on general practitioners' morale and clinical practice.

DESIGN

Qualitative semistructured interview study.

SETTING

General practices throughout north London.

SUBJECTS

30 general practitioners who taught clinical skills were asked about the effect of teaching and teacher training on their morale, confidence in clinical and teaching skills, and clinical practice.

RESULTS

The main theme was a positive effect on morale. Within teacher training this was attributed to developing peer and professional support; improved teaching skills; and revision of clinical knowledge and skills. Within teaching this was attributed to a broadening of horizons; contact with enthusiastic students; increased time with patients; improved clinical practice; improved teaching skills; and an improved image of the practice. Problems with teaching were due to external factors such as lack of time and space and anxieties about adequacy of clinical cover while teaching.

CONCLUSION

Teaching clinical skills can have a positive effect on the morale of general practitioner teachers as a result of contact with students and peers, as long as logistic and funding issues are adequately dealt with.

摘要

目的

探讨临床技能教学及相关教师培训项目对全科医生士气和临床实践的感知影响。

设计

定性半结构式访谈研究。

地点

伦敦北部的全科诊所。

研究对象

30名教授临床技能的全科医生被问及教学和教师培训对他们的士气、临床和教学技能信心以及临床实践的影响。

结果

主要主题是对士气有积极影响。在教师培训方面,这归因于发展同行和专业支持;提高教学技能;以及复习临床知识和技能。在教学方面,这归因于拓宽视野;与热情的学生接触;增加与患者相处的时间;改善临床实践;提高教学技能;以及提升诊所形象。教学中的问题是由于外部因素,如时间和空间不足以及教学时对临床覆盖充分性的担忧。

结论

只要后勤和资金问题得到妥善处理,通过与学生和同行的接触,临床技能教学可对全科医生教师的士气产生积极影响。