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与住院医师合作:对实习生认知与经历的定性研究

Working with registrars: a qualitative study of interns' perceptions and experiences.

作者信息

Lack Christopher S, Cartmill John A

机构信息

Faculty of Medicine, University of Sydney, NSW, Australia.

出版信息

Med J Aust. 2005 Jan 17;182(2):70-2. doi: 10.5694/j.1326-5377.2005.tb06578.x.

Abstract

OBJECTIVE

To identify and explore behavioural characteristics of registrars that interns find helpful in their working relationships and workplace learning.

DESIGN, SETTING AND PARTICIPANTS: Semistructured interviews with 18 interns at Nepean Hospital, Penrith, NSW, at the end of their first working year as doctors. The survey was conducted between December 2003 and February 2004.

MAIN OUTCOME MEASURE

Desirable and undesirable behavioural characteristics in registrars, as reported by interns.

RESULTS

Overall, interns' opinions of registrars were positive. Desirable characteristics in registrars included approachability, availability, good communication skills, and a willingness to teach. Undesirable characteristics included an unwillingness to listen, unreasonably high expectations, a condescending attitude, apathy and rudeness.

CONCLUSION

The behavioural characteristics of registrars that interns find helpful are identifiable, and there is significant room for improvement in the quality of clinical mentoring by registrars. The next step is to facilitate regular feedback from interns on registrars' performance, and to develop ways to encourage desirable behaviours in registrars while actively discouraging undesirable behaviours.

摘要

目的

识别并探究住院医生的行为特征,这些特征对实习医生的工作关系及职场学习有帮助。

设计、地点与参与者:对新南威尔士州彭里斯市尼平医院的18名实习医生进行半结构化访谈,访谈时间为他们作为医生的首个工作年结束时。调查于2003年12月至2004年2月进行。

主要观察指标

实习医生报告的住院医生的理想和不理想行为特征。

结果

总体而言,实习医生对住院医生的评价是积极的。住院医生的理想特征包括平易近人、随时可提供帮助、良好的沟通技巧以及愿意教学。不理想特征包括不愿倾听、期望过高、居高临下的态度、冷漠和粗鲁。

结论

实习医生认为有帮助的住院医生行为特征是可识别的,住院医生的临床指导质量有很大的改进空间。下一步是促进实习医生对住院医生表现的定期反馈,并制定方法鼓励住院医生的理想行为,同时积极抑制不理想行为。

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