Nevalainen Maarit, Kuikka Liisa, Sjoberg Lena, Eriksson Johan, Pitkala Kaisu
Department of General Practice, University of Helsinki, Finland.
Fam Med. 2012 Apr;44(4):240-6.
Tolerance of uncertainty is an important skill among general practitioners (GPs). Our aim was to study fifth-year medical students' feelings related to facing uncertainty and fears of making mistakes in medical decisions. Further, we studied the associations of intolerance of uncertainty with demographic factors, the students' fears of making mistakes, and their views of a GP's work prior to their ultimate course in general practice.
A questionnaire-based survey was carried out among the fifth-year medical students prior to their main course in general practice at the University of Helsinki. The questionnaire included demographic variables and inquired about their views of their own tolerance of uncertainty, fear of making mistakes, and of a GP's work overall.
During the years 2008--2010, 307/359 medical students (mean age 25.7 years, 64% females) responded. Of the respondents, 22% felt they had difficulty tolerating uncertainty when making medical decisions. Females reported that they tolerated uncertainty poorly more often (27%) than did males (11%). Those tolerating uncertainty more poorly were more often afraid of making mistakes (100% versus 86%). This group more often considered a GP's work too difficult and challenging than did others.
Poor self-reported tolerance of uncertainty among medical students is associated with considering a GP's work too challenging.
不确定性耐受能力是全科医生的一项重要技能。我们的目的是研究五年级医学生面对不确定性时的感受以及对医疗决策中犯错的恐惧。此外，我们还研究了不确定性不耐受与人口统计学因素、学生对犯错的恐惧以及他们在全科医学最终课程之前对全科医生工作的看法之间的关联。
在赫尔辛基大学五年级医学生的全科医学主课程之前进行了一项基于问卷的调查。问卷包括人口统计学变量，并询问了他们对自己不确定性耐受能力、对犯错的恐惧以及对全科医生工作总体看法的情况。
在2008 - 2010年期间，307/359名医学生（平均年龄25.7岁，64%为女性）做出了回应。在受访者中，22%的人觉得他们在做出医疗决策时难以耐受不确定性。女性报告称她们难以耐受不确定性的情况比男性更频繁（27%对11%）。那些更难以耐受不确定性的人更常害怕犯错（100%对86%）。与其他人相比，这一组更常认为全科医生的工作过于困难和具有挑战性。
医学生自我报告的不确定性耐受能力较差与认为全科医生的工作过于具有挑战性有关。
