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[家庭医学住院医师对其导师有何期望?一种定性研究方法]

[What do family medicine residents expect of their tutors? A qualitative approach].

作者信息

López Santiago A, Baeza López J M, Lebrato García R M

机构信息

Centro de Salud San Antón.

出版信息

Aten Primaria. 2000 Oct 15;26(6):362-7. doi: 10.1016/s0212-6567(00)78684-7.

Abstract

OBJECTIVE

To find the view of family and community medicine (FCM) residents on the kinds of relationship between tutors and residents and their training.

DESIGN

The methodology employed was qualitative; and the technique chosen, that of focus groups.

SETTING AND PARTICIPANTS

FCM residents belonging to the teaching units in Murcia and Cartagena.

INTERVENTION

Five groups were organised, two second-year resident groups, two third-year ones, and one first-year one. At the start of each group the objectives and norms of the meeting were explained. Residents were then asked four questions about their relationship with their tutor and the training received during their residency. The information arising was classified as a function of the time of debate, the number of residents expressing the same view and the intensity of their emotional involvement on expressing their views.

RESULTS

The tutor's confidence in the resident's work was what residents valued most highly, along with the exchange of views as equals. The participants stated that they wanted to take part in planning their training and that they needed to participate in the clinical and organisational decisions taken in the tutor's clinic.

CONCLUSIONS

Trust between tutor and resident is essential. Communication between the two must be on an equal basis. Training procedures are valued higher than training content. Residents want to intervene in planning their training. Tutors are models for training.

摘要

目的

了解家庭与社区医学(FCM)住院医师对带教老师与住院医师之间关系及其培训的看法。

设计

采用定性研究方法;选用焦点小组技术。

地点与参与者

来自穆尔西亚和卡塔赫纳教学单位的FCM住院医师。

干预措施

组织了五组,两组为二年级住院医师组,两组为三年级住院医师组,一组为一年级住院医师组。每组开始时都解释了会议的目标和规范。然后向住院医师询问了四个关于他们与带教老师的关系以及住院实习期间所接受培训的问题。所产生的信息根据讨论时间、表达相同观点的住院医师人数以及他们表达观点时的情感投入强度进行分类。

结果

住院医师最看重带教老师对其工作的信任,以及平等的观点交流。参与者表示他们希望参与培训计划的制定,并且需要参与带教老师诊所做出的临床和组织决策。

结论

带教老师与住院医师之间的信任至关重要。两者之间的沟通必须基于平等。培训流程比培训内容更受重视。住院医师希望参与培训计划的制定。带教老师是培训的榜样。

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