Van Hamel C, Jenner L E
Health Education South West , UK.
Med Teach. 2015 Feb;37(2):181-8. doi: 10.3109/0142159X.2014.947929. Epub 2014 Aug 26.
Mandatory induction for foundation year 1 trainees (F1s) was introduced in 2012 to ease the transition from student to doctor. The aims of this national study were to assess anxiety levels and preparedness in the 2012 F1 cohort and whether these varied according to medical school of graduation and foundation school of practice.
Online surveys were completed anonymously and voluntarily by F1s and F1 supervisors from participating foundation schools. Questions assessed how prepared F1s were for practice and how well they coped with the transition from medical school. A validated screening tool was used to assess anxiety levels.
1829 F1s and 1145 supervisors participated. 27.8% of F1s screened positive for pathological anxiety. Increased time spent in a 'shadowing' type role during medical school and each additional day of induction reduced anxiety levels. How prepared F1s were for different aspects of their jobs varied according to medical and foundation school, from both the F1 and supervisor perspective.
How prepared F1s feel can vary according to the medical school of graduation and foundation school of practice. F1 anxiety may be reduced with a prolonged F1 induction programme and an extended shadowing period during the final year of medical school.
2012年引入了针对一年级住院医师培训学员（F1）的强制入职培训，以缓解从学生到医生的过渡。这项全国性研究的目的是评估2012年F1学员群体的焦虑水平和准备情况，以及这些是否因毕业医学院校和实习基地学校而异。
参与研究的基地学校的F1学员和F1导师自愿匿名完成在线调查。问题评估了F1学员对实习的准备程度以及他们应对从医学院过渡的能力。使用经过验证的筛查工具评估焦虑水平。
1829名F1学员和1145名导师参与了研究。27.8%的F1学员病理性焦虑筛查呈阳性。医学院期间在“跟班”角色上花费的时间增加以及每增加一天入职培训都能降低焦虑水平。从F1学员和导师的角度来看，F1学员对工作不同方面的准备程度因医学院校和基地学校而异。
F1学员的准备感受可能因毕业医学院校和实习基地学校而异。延长F1入职培训计划以及在医学院最后一年延长跟班时间可能会降低F1学员的焦虑。
