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初级医院医生的咨询需求与经历

Counselling needs and experience of junior hospital doctors.

作者信息

Garrud P

机构信息

Behavioural Sciences Section, Queen's Medical Centre, Nottingham.

出版信息

BMJ. 1990 Feb 17;300(6722):445-7. doi: 10.1136/bmj.300.6722.445.

DOI:10.1136/bmj.300.6722.445
PMID:2107900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1662221/
Abstract

A sample of 106 senior house officers who had graduated from Nottingham University in 1987 was surveyed about their experience of and need for careers guidance, performance appraisal, and stress counselling. Of the 80 who replied, a quarter had received no careers guidance and a quarter no feedback about their work performance. Many reported having had difficulties in their post, but few had received help from senior staff or their consultant. The perceived needs for counselling were considerable. Careers counselling was thought to be essential in the preregistration year by all of the doctors and in senior house officer posts by three quarters. Nearly all would have chosen regular appraisal and nearly half wanted counselling for particular difficulties. Doctors in the training grades clearly believed that they needed counselling, but in most cases they did not receive it.

摘要

对1987年毕业于诺丁汉大学的106名高级住院医师进行了调查,了解他们在职业指导、绩效评估和压力咨询方面的经历与需求。在回复的80人中,四分之一的人未得到任何职业指导,四分之一的人未得到关于其工作表现的反馈。许多人报告称在工作中遇到困难,但很少有人得到高级职员或其顾问的帮助。对咨询的需求相当大。所有医生都认为职业咨询在注册前一年至关重要,四分之三的人认为在高级住院医师岗位上也必不可少。几乎所有人都希望进行定期评估,近一半的人希望针对特定困难接受咨询。处于培训阶段的医生显然认为他们需要咨询,但在大多数情况下他们并未得到。

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本文引用的文献

1
Medical and dental staffing prospects in the NHS in England and Wales in 1987. Medical Manpower and Education Division.1987年英格兰和威尔士国民保健制度中的医疗和牙科人员配置前景。医疗人力与教育司。
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Managing organizational stress: a field experiment.管理组织压力:一项实地实验。
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A computerized system for evaluation of residents and residency experiences.一个用于评估住院医师及住院医师培训经历的计算机化系统。
Am J Dis Child. 1988 Jul;142(7):758-62. doi: 10.1001/archpedi.1988.02150070072028.
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An empirical specification of residency performance dimensions.住院医师表现维度的实证规范。
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Emotional distress in junior house officers.住院医师的情绪困扰
Br Med J (Clin Res Ed). 1987 Aug 29;295(6597):533-6. doi: 10.1136/bmj.295.6597.533.
6
Stress in medical undergraduates and house officers.医学本科生和住院医生的压力。
Br J Hosp Med. 1989 Feb;41(2):161-4.