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泰赛德地区普通外科专科住院医师培训:一项定性研究

Training specialist registrars in general surgery: a qualitative study in Tayside.

作者信息

Reid M, Ker J S, Dunkley M P, Williams B, Steele R J

机构信息

Department of Surgery, University of Dundee, Ninewells Hospital, U.K.

出版信息

J R Coll Surg Edinb. 2000 Oct;45(5):304-10.

PMID:11077778
Abstract

BACKGROUND

Owing to decreased hours of work and duration of training, there is a need to refashion the training of surgical specialist registrars (SpRs) in the United Kingdom. This requires more guidance for trainers, but consensus regarding good trainer attributes does not exist. This study describes the training practices of Tayside general surgical trainers working with SpRs and highlights good training practice involving technical and patient management skills.

METHODS

  1. Semi-structured interviews carried out with eighteen consultant trainers and twelve SpRs, 2) Action inquiry (i.e. observations and dialogue with participants) during ward, theatre, outpatient clinic and other hospital-based settings with eleven consultant and SpRs pairs.

RESULTS AND CONCLUSION

Participants reflected on multiple training episodes and evaluated their impact. Relatively positive or negative impacts on their skill learning, self-esteem and relationship with the trainee or trainer were described. These are presented and discussed in terms of their implications for equipping trainers with techniques for training registrars and those factors which have hindered the adoption of successful strategies.

摘要

背景

由于工作时长和培训时间的减少,英国需要重新调整外科专科住院医师(SpRs)的培训。这需要为培训师提供更多指导,但对于优秀培训师的特质尚未达成共识。本研究描述了泰赛德地区普通外科培训师与SpRs合作的培训实践,并突出了涉及技术和患者管理技能的良好培训实践。

方法

1)对18名顾问培训师和12名SpRs进行半结构化访谈,2)在病房、手术室、门诊诊所及其他医院环境中,对11对顾问培训师和SpRs进行行动探究(即观察并与参与者对话)。

结果与结论

参与者回顾了多个培训事件并评估了其影响。描述了对他们技能学习、自尊以及与学员或培训师关系的相对积极或消极影响。根据其对培训师掌握培训住院医师技巧的影响以及那些阻碍成功策略采用的因素,对这些影响进行了呈现和讨论。

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