Caldwell Patrina Hy, Oldmeadow Wendy, Jones Cheryl A
Discipline of Paediatrics and Child Health, The Children's Hospital at Westmead Clinical School, University of Sydney, New South Wales, Australia.
J Paediatr Child Health. 2012 Oct;48(10):907-12. doi: 10.1111/j.1440-1754.2012.02522.x. Epub 2012 Aug 16.
BACKGROUND/HYPOTHESIS: Teaching hospitals affiliated with universities are now common sites for research higher degree supervision. We hypothesised that the hospital environment poses unique challenges to supervision compared with the traditional university research institute setting.
This study aimed to identify and rank important supervision issues in a clinical setting from the students' perspective.
Using the Delphi method to explore issues and facilitate consensus, small group discussions were conducted with 10 research doctoral students from a tertiary teaching hospital.
We identified supervision issues that are unique to the hospital-based context. These include the demands placed on supervisors combining clinical and supervisory roles, the challenges of academic medical/scientific writing and career issues for students who are already established in their professions. Other issues identified, common to all doctoral students, include differing expectations between students and supervisors (with students wanting support for their career plans, training in research skills and increasing autonomy and responsibility), supervisor access, quality and frequency of meetings, lack of training in writing and dealing with conflicts.
Our research identified that postgraduate students of supervisors who combine clinical and supervisory roles report significant issues with supervision, some of which are unique to the clinical setting. Clinician researchers who supervise postgraduate students need to balance clinical and supervisory responsibilities, identify and negotiate student expectations early in candidature and provide career counselling to students who are already highly experienced. Furthermore, clinician supervisors should undertake postgraduate supervisor training programme tailored to the hospital setting to better support their students.
背景/假设：大学附属医院如今是研究型高等学位督导的常见场所。我们假设，与传统的大学研究机构环境相比，医院环境给督导带来了独特的挑战。
本研究旨在从学生的角度识别并排列临床环境中重要的督导问题。
采用德尔菲法探讨问题并促进达成共识，与一家三级教学医院的10名研究型博士生进行了小组讨论。
我们识别出了基于医院环境所特有的督导问题。这些问题包括对兼任临床和督导角色的导师的要求、学术医学/科学写作的挑战以及对已经从业的学生的职业问题。识别出的其他所有博士生共有的问题包括学生和导师之间的期望差异（学生希望在职业规划、研究技能培训以及增加自主性和责任感方面得到支持）、导师的可及性、会议的质量和频率、写作培训的缺乏以及冲突处理。
我们的研究表明，兼任临床和督导角色的导师指导的研究生在督导方面存在重大问题，其中一些是临床环境所特有的。指导研究生的临床研究人员需要平衡临床和督导职责，在候选人资格初期识别并协商学生的期望，并为经验丰富的学生提供职业咨询。此外，临床导师应参加针对医院环境量身定制的研究生导师培训计划，以更好地支持他们的学生。
