Beaumier A, Bordage G, Saucier D, Turgeon J
Unité de médecine familiale, Hôpital Laval, Sainte-Foy, Que.
CMAJ. 1992 Feb 15;146(4):489-97.
To determine and classify the difficulties of first-year family medicine residents observed during clinical interviews.
Retrospective, descriptive study.
Family practice unit at a teaching hospital.
Forty-seven of the 56 first-year family medicine residents during their 2-month compulsory rotation in ambulatory family medicine, between July 1983 and December 1988, and 4 physicians who supervised the residents.
The residents' difficulties noted on the observation forms.
A total of 1500 difficulties were observed during 194 interviews, an average of 7.7 (standard deviation 5.2) per interview. There were 167 different difficulties, which were classified into seven categories (introduction, initial contract, body of the interview, techniques and organization, interpersonal aspects, final contract and miscellaneous) and 20 subcategories. The 17 most frequently noted difficulties accounted for 40% of the total.
The results constitute a useful starting point for developing a classification of residents' difficulties during clinical interviews. We believe that the list of difficulties is applicable to residents at all levels and in other specialties, especially in ambulatory settings. The list can be used to develop learning materials for supervisors and residents.
确定并分类在临床访谈中观察到的一年级家庭医学住院医师所面临的困难。
回顾性描述性研究。
一家教学医院的家庭医疗科。
1983年7月至1988年12月期间，56名一年级家庭医学住院医师在为期2个月的门诊家庭医学强制轮转期间中的47名，以及4名指导住院医师的医生。
观察表上记录的住院医师的困难。
在194次访谈中总共观察到1500个困难，每次访谈平均有7.7个（标准差5.2）。共有167种不同的困难，被分为七大类（介绍、初步约定、访谈主体、技巧与组织、人际方面、最终约定和其他）以及20个子类别。最常被提及的17个困难占总数的40%。
这些结果是制定临床访谈中住院医师困难分类的有用起点。我们认为，这份困难清单适用于各级住院医师以及其他专业，尤其是在门诊环境中。该清单可用于为指导教师和住院医师编写学习材料。
