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挪威精神病学领域的外籍医生——是否需要一个指导计划?

Foreign doctors in Norwegian psychiatry – is there a need for a mentoring scheme?

作者信息

Sandbu Morten, Kamps Anne, Preljevic Valjbona, Javo Cecilie

机构信息

Avdeling for psykosomatisk medisin Seksjon for akuttpsykiatri Oslo universitetssykehus, Ullevål.

Avdeling for psykosomatisk medisin Lovisenberg DPS Lovisenberg Diakonale Sykehus.

出版信息

Tidsskr Nor Laegeforen. 2015 Jun 30;135(12-13):1133-7. doi: 10.4045/tidsskr.14.0764.

Abstract

BACKGROUND

In line with other Western countries, the number of foreign doctors in Norway has greatly increased in recent years. Inadequate language skills and cultural differences may give rise to challenges. The objective of this study was to investigate the views of Norwegian specialty registrars in psychiatry with regard to a mentoring scheme for foreign doctors and how such a support scheme ought to be designed.

MATERIAL AND METHOD

Data were collected in focus-group interviews with specialty registrars in psychiatry. Altogether 24 Norwegian and 16 foreign doctors participated in a total of five focus groups. Thematic analysis was used as methodology.

RESULTS

One consistent finding pertained to the differing views on the need for a mentoring scheme among the Norwegian and foreign doctors respectively. The foreign doctors perceived few problems in terms of language and culture, while their Norwegian colleagues had occasionally experienced considerable problems in this respect. Moreover, obstacles in terms of attitude to a mentoring scheme were revealed among the foreign doctors, as well as differing opinions regarding the organisation of such a scheme, especially in terms of its voluntariness and having peers as mentors (horizontal organisation) versus having superiors as mentors (vertical organisation).

INTERPRETATION

The differences in attitude to a mentoring scheme are partly caused by perception of the problem's extent and partly by varying norms and values among foreign and Norwegian doctors respectively. We propose that various forms of mentoring scheme be tested in a pilot project, in which the foreign doctors are actively involved.

摘要

背景

与其他西方国家一样,近年来挪威外国医生的数量大幅增加。语言技能不足和文化差异可能带来挑战。本研究的目的是调查挪威精神科专科住院医生对外国医生指导计划的看法,以及这种支持计划应如何设计。

材料与方法

通过对精神科专科住院医生进行焦点小组访谈收集数据。共有24名挪威医生和16名外国医生参加了总共五个焦点小组。采用主题分析法作为研究方法。

结果

一个一致的发现是,挪威医生和外国医生对指导计划的必要性分别存在不同看法。外国医生认为在语言和文化方面几乎没有问题,而他们的挪威同事偶尔在这方面遇到了相当大的问题。此外,外国医生中存在对指导计划的态度障碍,以及对于该计划组织方式的不同意见,特别是在其自愿性以及由同行担任导师(横向组织)与由上级担任导师(纵向组织)方面。

解读

对指导计划态度的差异部分是由于对问题程度的认知,部分是由于外国医生和挪威医生各自不同的规范和价值观。我们建议在一个试点项目中测试各种形式的指导计划,外国医生要积极参与其中。

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