内科住院医师培训项目中的团队建设与领导力培训。
Teambuilding and leadership training in an internal medicine residency training program.
作者信息
Stoller James K, Rose Mark, Lee Rita, Dolgan Colleen, Hoogwerf Byron J
机构信息
Department of Pulmonary, Allergy and Critical Care Medicine, the Cleveland Clinic Foundation, Cleveland,Ohio 44195, USA.
出版信息
J Gen Intern Med. 2004 Jun;19(6):692-7. doi: 10.1111/j.1525-1497.2004.30247.x.
OBJECTIVE
The purpose of this report is to describe and evaluate the impact of a 1-day retreat focused on developing leadership skills and teambuilding among postgraduate year 1 residents in an internal medicine residency.
METHOD
A group of organizers, including members of the staff, the chief medical residents, administrative individuals in the residency office, and an internal organizational development consultant convened to organize an off-site retreat with activities that would provide experiential learning regarding teamwork and leadership, including a "reef survival exercise" and table discussions regarding the characteristics of ideal leaders. In addition, several energizing activities and recreational free time was provided to enhance the interaction and teamwork dimensions of the retreat. To evaluate the impact of the retreat, attendees completed baseline and follow-up questionnaires regarding their experience of the retreat.
RESULTS
Attendees universally regarded the retreat as having value for them. Comparison of baseline to postretreat responses indicated that attendees felt that the retreat enhanced their abilities to be better physicians, resident supervisors, and leaders. Follow-up responses indicated significant increases in attendees' agreement that good leaders challenge the process, make decisions based on shared visions, allow others to act, recognize individual contributions, and serve as good role models. Results on the survival exercise indicated a high frequency with which team-based decisions surpassed individual members' decisions, highlighting the importance and value of teamwork to attendees.
CONCLUSIONS
Our main findings were that: participants universally found this 1-day retreat beneficial in helping to develop teamwork and leadership skills and the experiential learning aspects of the retreat were more especially highly rated and highlighted the advantages of teamwork. In the context that this 1-day retreat was deemed useful by faculty and residents alike, further study is needed to assess the impact of this learning on actual clinical practice and the durability of these lessons.
目的
本报告旨在描述和评估一次为期一天的务虚会的影响，该务虚会聚焦于培养内科住院医师第一年住院医师的领导技能和团队建设。
方法
一组组织者，包括工作人员、总住院医师、住院医师办公室行政人员以及一名内部组织发展顾问，召集起来组织了一次场外务虚会，开展了一些活动，提供有关团队合作和领导力的体验式学习，包括“珊瑚礁生存演习”以及关于理想领导者特征的小组讨论。此外，还安排了一些活力活动和休闲自由时间，以增强务虚会的互动性和团队合作维度。为评估务虚会的影响，参与者完成了关于务虚会体验的基线和后续调查问卷。
结果
参与者一致认为务虚会对他们有价值。基线与务虚会后的回答比较表明，参与者觉得务虚会增强了他们成为更好的医生、住院医师主管和领导者的能力。后续回答表明，参与者在很大程度上更认同优秀领导者会推动变革、基于共同愿景做出决策、让他人行动、认可个人贡献并成为好榜样。生存演习的结果表明，基于团队的决策超过个体成员决策的频率很高，凸显了团队合作对参与者的重要性和价值。
结论
我们的主要发现是：参与者普遍认为这次为期一天的务虚会有助于培养团队合作和领导技能，务虚会的体验式学习方面尤其得到高度评价，并突出了团队合作的优势。鉴于教师和住院医师都认为这次为期一天的务虚会有用，需要进一步研究来评估这种学习对实际临床实践的影响以及这些经验教训的持久性。
Zotero 插件