Boor Klarke, Teunissen Pim W, Scherpbier Albert J J A, van der Vleuten Cees P M, van de Lande Jonas, Scheele Fedde
Sint Lucas Andreas Hospital, Department of Medical Education, Amsterdam, The Netherlands.
Eur J Obstet Gynecol Reprod Biol. 2008 Oct;140(2):152-7. doi: 10.1016/j.ejogrb.2008.03.010. Epub 2008 May 2.
The object of this study was to establish what residents in 1994 and 2003 characterised as an ideal clinical teacher and whether differences existed between residents' views in 1994 and 2003.
postgraduate medical education in the Netherlands.
207 obstetric-gynaecologic residents.
open-ended questionnaire.
qualitative data analysis with two coding dictionaries based on current literature. Differences between 1994 and 2003 were estimated using the Chi-square test.
Residents preferred the 'person' role both in 1994 (42%) and in 2003 (48%). The 'physician' role was significantly more important in 1994 than in 2003; the 'supervisor' role was significantly more important in 2003 than in 1994 (p<0.05). Seventy percent of the comments related to 'direct interaction' (i.e., between residents and clinical teachers), 30% to 'indirect interaction' (i.e., clinical teachers' behaviour affecting residents indirectly).
The data showed that almost half of residents' comments described 'person' role characteristics. There was a significant shift in the role ranked second, from the physician role in 1994 to the supervisor role in 2003. The findings highlighted that teachers, in order to be perceived as ideal, should adapt their behaviour to residents' learning needs.
本研究旨在确定1994年和2003年住院医师心目中理想的临床教师形象，以及1994年和2003年住院医师观点之间是否存在差异。
荷兰的研究生医学教育。
207名妇产科住院医师。
开放式问卷调查。
基于当前文献使用两个编码词典进行定性数据分析。使用卡方检验估计1994年和2003年之间的差异。
1994年（42%）和2003年（48%）的住院医师都更倾向于“个人”角色。“医师”角色在1994年比2003年明显更重要；“监督者”角色在2003年比1994年明显更重要（p<0.05）。70%的评论与“直接互动”（即住院医师与临床教师之间）有关，30%与“间接互动”（即临床教师的行为对住院医师产生间接影响）有关。
数据显示，几乎一半的住院医师评论描述了“个人”角色特征。排名第二的角色发生了显著转变，从1994年的医师角色转变为2003年的监督者角色。研究结果强调，教师若想被视为理想教师，应使其行为适应住院医师的学习需求。
