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医院药房住院医师带教老师的需求评估研究

A needs assessment study of hospital pharmacy residency preceptors.

作者信息

Truong Christine, Wyllie Andrew, Bailie Toni, Austin Zubin

机构信息

, BScPhm, ACPR, RPh, is a Critical Care and Clinical Trials Pharmacist in the Department of Pharmacy, Mount Sinai Hospital, Toronto, Ontario.

出版信息

Can J Hosp Pharm. 2012 May;65(3):202-8. doi: 10.4212/cjhp.v65i3.1143.

Abstract

BACKGROUND

Canadian pharmacy residency programs rely on preceptors to support the growing demand of graduates wishing to pursue hospital residencies. Understanding the educational needs of these preceptors is important to ensure that they are well prepared to deliver successful programs.

OBJECTIVE

To determine what new and experienced residency preceptors self-identify as learning needs in order to become more effective preceptors for pharmacy residents.

METHODS

A needs assessment of preceptors from the 31 accredited Canadian general hospital pharmacy residency programs was conducted. The study had 4 key components: interviews and focus group discussions with key informants, a pilot study, an online survey, and member checking (seeking clarification and further explanation from study participants). The residency coordinators and a convenience sample of 5 preceptors from each program were invited to participate in the survey component.

RESULTS

Of a possible 186 participants, 132 (71%) responded to the survey. Of these, 128 (97%) were confident that they met the 2010 standards of the Canadian Hospital Pharmacy Residency Board (CHPRB). Preceptors ranked communication skills, giving effective feedback, and clinical knowledge as the most important elements of being an effective preceptor. Managing workload, performing evaluations, and dealing with difficult residents were commonly reported challenges. Preceptors expressed a preference for interactive workshops and mentorship programs with experienced colleagues when first becoming preceptors, followed by 1-day training sessions or online learning modules every other year for ongoing educational support. The most beneficial support topics selected were providing constructive feedback, practical assessment strategies, small-group teaching strategies, effective communication skills, and setting goals and objectives.

CONCLUSIONS

This study identified several learning needs of hospital residency preceptors and showed that preceptors would appreciate educational support. Utilization of these results by residency program administrators, the CHPRB, and faculties of pharmacy could be beneficial for residency programs across Canada.

摘要

背景

加拿大药房住院医师培训项目依靠带教教师来满足希望参加医院住院医师培训的毕业生日益增长的需求。了解这些带教教师的教育需求对于确保他们做好充分准备以开展成功的培训项目至关重要。

目的

确定新的和经验丰富的住院医师培训带教教师自我认定的学习需求,以便成为更有效的药房住院医师带教教师。

方法

对加拿大31个经认可的综合医院药房住院医师培训项目的带教教师进行了需求评估。该研究有4个关键部分:与关键信息提供者进行访谈和焦点小组讨论、一项试点研究、一项在线调查以及成员核对(向研究参与者寻求澄清和进一步解释)。邀请了住院医师培训协调员以及每个项目的5名带教教师组成的便利样本参与调查部分。

结果

在可能的186名参与者中,132名(71%)回复了调查。其中,128名(97%)确信他们符合加拿大医院药房住院医师委员会(CHPRB)2010年的标准。带教教师将沟通技巧、提供有效反馈和临床知识列为成为有效带教教师的最重要因素。管理工作量、进行评估以及应对难相处的住院医师是普遍报告的挑战。带教教师表示,在刚开始担任带教教师时,他们更喜欢与经验丰富的同事参加互动式工作坊和导师指导项目,其次是每隔一年参加为期一天培训课程或在线学习模块以获得持续的教育支持。所选的最有益的支持主题是提供建设性反馈、实用评估策略、小组教学策略、有效的沟通技巧以及设定目标。

结论

本研究确定了医院住院医师培训带教教师的若干学习需求,并表明带教教师会感激教育支持。住院医师培训项目管理人员、CHPRB和药学院利用这些结果可能对加拿大各地的住院医师培训项目有益。

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