Shweiki Ehyal, Martin Niels D, Beekley Alec C, Jenoff Jay S, Koenig George J, Kaulback Kris R, Lindenbaum Gary A, Patel Pankaj H, Rosen Matthew M, Weinstein Michael S, Zubair Muhammad H, Cohen Murray J
Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Adv Med Educ Pract. 2015 Apr 29;6:339-46. doi: 10.2147/AMEP.S76587. eCollection 2015.
Medical resident education in the United States has been a matter of national priority for decades, exemplified initially through the Liaison Committee for Graduate Medical Education and then superseded by the Accreditation Council for Graduate Medical Education. A recent Special Report in the New England Journal of Medicine, however, has described resident educational programs to date as prescriptive, noting an absence of innovation in education. Current aims of contemporary medical resident education are thus being directed at ensuring quality in learning as well as in patient care. Achievement and work-motivation theories attempt to explain people's choice, performance, and persistence in tasks. Expectancy Theory as one such theory was reviewed in detail, appearing particularly applicable to surgical residency training. Correlations between Expectancy Theory as a work-motivation theory and residency education were explored. Understanding achievement and work-motivation theories affords an opportunity to gain insight into resident motivation in training. The application of Expectancy Theory in particular provides an innovative perspective into residency education. Afforded are opportunities to promote the development of programmatic methods facilitating surgical resident motivation in education.
几十年来，美国住院医师教育一直是国家优先事项，最初通过研究生医学教育联络委员会体现，后来被研究生医学教育认证委员会取代。然而，《新英格兰医学杂志》最近的一篇特别报道将迄今为止的住院医师教育项目描述为规定性的，指出教育缺乏创新。当代医学住院医师教育的当前目标因此旨在确保学习质量以及患者护理质量。成就和工作动机理论试图解释人们在任务中的选择、表现和坚持。期望理论作为其中一种理论得到了详细审视，似乎特别适用于外科住院医师培训。探讨了作为工作动机理论的期望理论与住院医师教育之间的相关性。理解成就和工作动机理论为深入了解住院医师培训动机提供了机会。特别是期望理论的应用为住院医师教育提供了一个创新视角。这为促进有助于外科住院医师教育动机的项目方法的发展提供了机会。
