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家庭医学住院医师对模糊性的不耐受。

Intolerance of ambiguity among family practice residents.

作者信息

DeForge B R, Sobal J

机构信息

Department of Family Medicine, University of Maryland, Baltimore.

出版信息

Fam Med. 1991 Aug;23(6):466-8.

PMID:1936724
Abstract

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.

摘要

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。

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