Department of Educational Development and Research, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands.
Perspect Med Educ. 2012 Mar;1(1):15-23. doi: 10.1007/s40037-012-0005-4. Epub 2012 Feb 7.
This critical review found Dutch research to be strong at the undergraduate and residency levels and more or less absent in continuing medical education. It confirms the importance of coaching medical students, giving constructive feedback, and ensuring practice environments are conducive to learning though it has proved hard to improve them. Residents learn primarily from experiences encountered in the course of clinical work but the fine balance between delivering clinical services and learning can easily be upset by work pressure. More intervention studies are needed. Qualitative research designs need to be more methodologically sophisticated and use a wider range of data sources including direct observation, audio-diaries, and text analysis. Areas for improvement are clear but achieving results will require persistence and patience.
这篇评论性文章发现，荷兰的研究在本科和住院医师培训阶段较为强大，但在继续医学教育方面则相对较少。它证实了指导医学生、提供建设性反馈以及确保实践环境有利于学习的重要性，尽管改善这些方面一直很困难。住院医师主要通过临床工作中遇到的经验学习，但在提供临床服务和学习之间的微妙平衡很容易被工作压力打破。需要更多的干预研究。定性研究设计需要更加复杂的方法，并使用更广泛的数据源，包括直接观察、音频日记和文本分析。改进的领域很明确，但要取得成果需要坚持不懈和耐心。
