Centre for Mental Health, Baycrest, Toronto, Ontario.
Can J Psychiatry. 2012 Apr;57(4):269-72. doi: 10.1177/070674371205700411.
Studies have reported that medical trainees do not get sufficient direct observation. Our study aimed to determine the frequency of direct observation and the enablers and barriers to direct observation in the department of psychiatry at a large Canadian university.
Focus groups and interviews explored the role and use of direct observation, followed by a survey both of faculty and of residents.
Direct observation was used in various contexts in the residents' last rotation. Missed opportunities are identified. Enablers include financial compensation, guidelines, and a discussion at the beginning of each clinical rotation. Barriers are identified at the resident, faculty, and administrative levels.
Direct observation is used in many contexts in psychiatric training. While there are barriers which limit its use, our data indicate numerous potential enablers and missed opportunities for more observation.
研究报告称，医学实习生没有得到足够的直接观察。我们的研究旨在确定在加拿大一所大型大学精神病学系进行直接观察的频率，以及直接观察的促进因素和障碍。
焦点小组和访谈探讨了直接观察的作用和用途，随后对教师和住院医师进行了调查。
直接观察在住院医师最后一轮的各种情况下都有使用。确定了错失的机会。促进因素包括经济补偿、指导方针以及每个临床轮转开始时的讨论。在住院医师、教师和行政层面都发现了障碍。
直接观察在精神病学培训中被广泛应用。尽管存在限制其使用的障碍，但我们的数据表明，有许多潜在的促进因素和更多观察的机会被错失。
