DeForge B R, Sobal J
Department of Family Medicine, University of Maryland, Baltimore.
Fam Med. 1991 Aug;23(6):466-8.
The art of clinical medicine involves learning to deal with varying levels of ambiguity and uncertainty. Tolerance of ambiguity was examined by giving Budner's Intolerance of Ambiguity Scale to a sample of 37 family practice residents from a university hospital residency and 22 from a community hospital residency. Residents in both the community and university programs had similar scores. No differences existed between men and women. Compared to studies of medical students, first-year family practice residents were slightly more intolerant of ambiguity. However, intolerance of ambiguity was lower among third-year residents, suggesting that as training advances, residents may become more tolerant of ambiguity. The residency training process may lead to a reduction in intolerance of ambiguity, which produces physicians who can deal with the ambiguity and uncertainty of clinical practice.
临床医学的艺术在于学会应对不同程度的模糊性和不确定性。通过向来自大学医院住院医师培训项目的37名家庭医学住院医师样本以及来自社区医院住院医师培训项目的22名住院医师发放布德纳的模糊性不耐受量表，对模糊性耐受性进行了研究。社区和大学项目的住院医师得分相似。男性和女性之间没有差异。与医学生的研究相比，一年级家庭医学住院医师对模糊性的不耐受程度略高。然而，三年级住院医师的模糊性不耐受程度较低，这表明随着培训的推进，住院医师可能会对模糊性更具耐受性。住院医师培训过程可能会导致对模糊性不耐受程度的降低，从而培养出能够应对临床实践中的模糊性和不确定性的医生。
