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针对妇产科住院医师的反思性练习的有效性。

Effectiveness of reflective exercises for obstetrics and gynaecological residents.

作者信息

Khanum Zohra

机构信息

Department of Obstetrics and Gynaecology Unit III, Services Institute of Medical Sciences / Services Hospital, Lahore.

出版信息

J Coll Physicians Surg Pak. 2013 Jul;23(7):468-71.

Abstract

OBJECTIVE

To evaluate the effectiveness of reflective exercises in obstetrics and gynaecology (OB/GY) residents for the improvement in certain identified skills.

STUDY DESIGN

Experimental study.

PLACE AND DURATION OF STUDY

Gynaecology Unit III, Services Institute of Medical Sciences / Services Hospital, Lahore, from September 2009 to August 2010.

METHODOLOGY

Twenty-four residents from all 4 years of residency program were included in the study after their informed consent. The competencies identified were surgical skills, professionalism, communication skills and critical appraisal skills. The reflective exercises evaluation was done on questionnaire designed for this purpose.

RESULTS

The results showed that the residents initially had underdeveloped ability to engage into purposeful reflective exercises, which improved with practice and showed encouraging results. Reflective exercises particularly helped in improvement of surgical skills as opposed to other identified competencies.

CONCLUSION

Regular engagement of postgraduate trainees in reflective exercises in a purposeful manner has encouraging results in terms of improvement in surgical, communication, critical appraisal skills and has a role in boosting professionalism among residents. However, a longitudinal multicentre study can give better insight regarding the effectiveness of this practice.

摘要

目的

评估反思性练习对妇产科住院医师某些特定技能提升的有效性。

研究设计

实验性研究。

研究地点及时间

2009年9月至2010年8月,拉合尔服务医学科学研究所/服务医院第三妇科病房。

方法

在获得24名来自住院医师培训项目四年的住院医师知情同意后将其纳入研究。确定的能力包括手术技能、职业素养、沟通技能和批判性评估技能。反思性练习评估通过为此目的设计的问卷进行。

结果

结果显示,住院医师最初进行有目的反思性练习的能力发展不足,但通过练习得到改善,并呈现出令人鼓舞的结果。与其他确定的能力相比,反思性练习尤其有助于提高手术技能。

结论

研究生学员有目的地定期参与反思性练习,在提高手术、沟通、批判性评估技能方面取得了令人鼓舞的结果,并对提升住院医师的职业素养有作用。然而,一项纵向多中心研究能更深入了解这种做法的有效性。

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