Min Alice A, Stoneking Lisa R, Grall Kristi H, Spear-Ellinwood Karen
Department of Emergency Medicine, University of Arizona, Tucson, AZ, USA.
Office of Medical Student Education, University of Arizona, Tucson, AZ, USA.
Adv Med Educ Pract. 2014 Aug 25;5:275-9. doi: 10.2147/AMEP.S67239. eCollection 2014.
The transition from medical student to first-year intern can be challenging. The stress of increased responsibilities, the gap between performance expectations and varying levels of clinical skills, and the need to adapt to a new institutional space and culture can make this transition overwhelming. Orientation programs intend to help new residents prepare for their new training environment.
To ease our interns' transition, we piloted a novel clinical primer course. We believe this course will provide an introduction to basic clinical knowledge and procedures, without affecting time allotted for mandatory orientation activities, and will help the interns feel better prepared for their clinical duties.
First-year Emergency Medicine residents were invited to participate in this primer course, called the Introductory Clinician Development Series (or "intern boot camp"), providing optional lecture and procedural skills instruction prior to their participation in the mandatory orientation curriculum and assumption of clinical responsibilities. Participating residents completed postcourse surveys asking for feedback on the experience.
Survey responses indicated that the intern boot camp helped first-year residents feel more prepared for their clinical shifts in the Emergency Department.
An optional clinical introductory series can allow for maintenance of mandatory orientation activities and clinical shifts while easing the transition from medical student to clinician.
从医学生转变为一年级住院医师可能具有挑战性。责任增加带来的压力、绩效期望与不同临床技能水平之间的差距,以及适应新的机构环境和文化的需求,可能会使这种转变让人应接不暇。入职培训项目旨在帮助新住院医师为新的培训环境做好准备。
为了缓解我们实习生的转变压力,我们试点了一门新颖的临床入门课程。我们相信这门课程将介绍基本的临床知识和操作程序,而不会影响分配给强制性入职培训活动的时间,并将帮助实习生更好地为临床工作做好准备。
邀请一年级急诊医学住院医师参加这门入门课程,即临床医生发展入门系列课程(或“实习生新兵训练营”),在他们参加强制性入职培训课程并承担临床职责之前,提供选修讲座和操作技能指导。参与的住院医师完成了课程后的调查,要求对体验提供反馈。
调查反馈表明,实习生新兵训练营帮助一年级住院医师对在急诊科的临床轮班更有准备。
一个选修的临床入门系列课程可以在维持强制性入职培训活动和临床轮班的同时,缓解从医学生到临床医生的转变。