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保障还是娇惯?一项探索性研究描述了在澳大利亚中部的原住民社区中,医学生实习期间发生的潜在有害事件。

Safeguard or mollycoddle? An exploratory study describing potentially harmful incidents during medical student placements in Aboriginal communities in Central Australia.

机构信息

Bath Street Family Medical Practice, Alice Springs, NT. ameeta.patelATinternode.on.net

出版信息

Med J Aust. 2011 May 16;194(10):497-500. doi: 10.5694/j.1326-5377.2011.tb03079.x.

DOI:10.5694/j.1326-5377.2011.tb03079.x
PMID:21644890
Abstract

OBJECTIVE

To assess the number and characteristics of potentially harmful incidents occurring during placement of medical students in remote Aboriginal communities in the Northern Territory.

DESIGN, PARTICIPANTS AND SETTING: A retrospective audit of medical students' files from Northern Territory General Practice Education placements in Central Australia for the period from January 2006 to December 2007.

MAIN OUTCOME MEASURES

Number and type of potentially harmful incidents.

RESULTS

A total of 163 placements were undertaken. Of these, 98 (60%) had adequate documentation to determine whether an incident had occurred. There were 28 cases (17%) where potentially harmful incidents were judged to have occurred. Most incidents fell under several descriptive categories, but clinical supervision, professional practice and administrative issues were most common.

CONCLUSIONS

One in six students experienced a potentially harmful incident during remote area placement in 2006-2007. While acknowledging the exploratory nature of this investigation and the major educational benefits that clearly arise from these placements, our findings indicate problems with clinical supervision and administration.

摘要

目的

评估医学生在北领地偏远原住民社区实习期间发生的潜在有害事件的数量和特征。

设计、参与者和地点:对 2006 年 1 月至 2007 年 12 月期间在澳大利亚中部进行的北领地全科医学教育实习中医学生档案进行的回顾性审计。

主要观察指标

潜在有害事件的数量和类型。

结果

共有 163 个实习岗位。其中,98 个(60%)有足够的文件记录来确定是否发生了事件。有 28 例(17%)被认为发生了潜在的有害事件。大多数事件属于几个描述性类别,但临床监督、专业实践和行政问题最为常见。

结论

在 2006-2007 年期间,有六分之一的学生在偏远地区实习期间经历了潜在的有害事件。尽管承认本调查具有探索性,并且这些实习确实带来了明显的教育益处,但我们的研究结果表明临床监督和行政方面存在问题。

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