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从实习生到培训者:帮助资深精神科实习生向顾问医生转型

Trainee to trained: helping senior psychiatric trainees make the transition to consultant.

作者信息

MacDonald Joanna, Cole Julia

机构信息

Department of Psychological Medicine, Wellington School of Medicine & Health Sciences, Wellington South, New Zealand.

出版信息

Med Educ. 2004 Apr;38(4):340-8. doi: 10.1046/j.1365-2923.2004.01790.x.

Abstract

PURPOSE

To describe the contents and results of a series of annual fora for senior psychiatric trainees in New Zealand. These fora were designed to address a perceived gap in the training of psychiatrists in non-clinical skills.

PROCEDURES

The contents of the fora are described, and qualitative and quantitative feedback from participants is reported, These data were gathered from participants for the purposes of quality improvement, using questionnaires designed for this setting. Issues addressed included participants' self-ratings of gains in knowledge, as well as their ratings of tutor effectiveness, the forum overall and the extent to which their needs were met. Qualitative feedback included suggestions for improvements and identification of key learning gains.

MAIN FINDINGS

There was an increase in understanding in all topic areas as assessed by the participants. In addition, participants made unanticipated gains in confidence and their sense of empowerment. The opportunity to meet with peers and the increased sense of collegiality were valued. Suggestions for improvements were incorporated into fora held in successive years.

PRINCIPAL CONCLUSIONS

Non-clinical skills can be taught successfully to senior trainees in a forum setting, which can also facilitate development of peer support and empowerment. More time for practice and discussion of how the teachers coped with challenging situations would improve the forum. It is recommended that such non-clinical skills also be incorporated into the teaching of senior trainees in the workplace.

摘要

目的

描述新西兰一系列面向高级精神科实习医生的年度研讨会的内容和成果。这些研讨会旨在弥补精神科医生非临床技能培训方面的明显差距。

程序

描述了研讨会的内容,并报告了参与者的定性和定量反馈。这些数据是为了质量改进从参与者那里收集的,使用的是针对该情况设计的问卷。涉及的问题包括参与者对知识收获的自我评估,以及他们对导师有效性、研讨会整体以及他们的需求得到满足程度的评估。定性反馈包括改进建议和关键学习收获的识别。

主要发现

参与者评估显示,所有主题领域的理解都有所增加。此外,参与者在信心和自主感方面有意外收获。与同行交流的机会以及更强的团队合作意识受到重视。改进建议被纳入后续年份举办的研讨会。

主要结论

在研讨会环境中,可以成功地向高级实习生传授非临床技能,这也有助于同伴支持和自主感的发展。增加实践时间以及讨论教师如何应对具有挑战性的情况将改进研讨会。建议将此类非临床技能也纳入工作场所高级实习生的教学中。

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