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家庭医学实习医生的指导需求。

The mentoring needs of trainees in family practice.

作者信息

Brown Judith Belle, Thorpe Cathy, Paquette-Warren Jann, Stewart Moira, Kasperski Jan

机构信息

Department of Family Medicine, University of Western Ontario, Canada.

出版信息

Educ Prim Care. 2012 May;23(3):196-203.

Abstract

This qualitative study examined medical students' and family practice residents' ideas, perceptions, and experiences of being mentored and their expectations of the mentoring experience. Eight focus groups and 16 individual interviews were used to collect data from 49 medical students and 29 family practice residents. Interviews and focus groups were audiotaped and transcribed verbatim. The analysis was iterative and interpretive, using both individual and team analyses. The analysis of the data revealed two central but related themes. The first theme reflected participants' overall experiences with mentors composed of three distinct elements: mentor roles (e.g. coach, advisor) and attributes (e.g. openness and approachability), interactions with mentors, and early exposure to family practice mentors (e.g. observing patient encounters). The second theme explicated the trainees' specific learning needs to be addressed by mentors that were categorised into three distinct yet overlapping levels: 1 practice level (i.e. guidance regarding the logistics of practice management) 2 system level (i.e. knowledge about the medical community as well as community resources) 3 personal level (i.e. guidance in balancing personal and professional responsibilities). Having the option of selecting multiple mentors to address unique aspects of the mentees' personal and professional development is critical in respecting the evolutionary nature and fluidity of the mentoring experience.

摘要

这项定性研究考察了医学生和家庭医学住院医师对于接受指导的想法、认知和经历,以及他们对指导体验的期望。研究通过8个焦点小组和16次个人访谈,收集了49名医学生和29名家庭医学住院医师的数据。访谈和焦点小组均进行了录音,并逐字转录。分析采用迭代和解释性方法,包括个人分析和团队分析。数据分析揭示了两个核心但相关的主题。第一个主题反映了参与者与导师的总体经历,由三个不同要素组成:导师角色(如教练、顾问)和特质(如开放和可接近)、与导师的互动,以及早期接触家庭医学导师(如观察患者诊疗过程)。第二个主题阐述了学员需要导师满足的特定学习需求,这些需求分为三个不同但相互重叠的层面:1. 实践层面(即关于实践管理后勤的指导);2. 系统层面(即关于医疗社区以及社区资源的知识);3. 个人层面(即平衡个人和职业责任方面的指导)。选择多位导师以满足学员个人和职业发展独特方面的需求,对于尊重指导体验的演变性质和灵活性至关重要。

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