Armitage-Chan E, Maddison J, May S A
Department of Veterinary Clinical Sciences and Services, Royal Veterinary College, Hawkshead Lane, North Mymms, Hatfield AL9 7TA, UK.
Vet Rec. 2016 Mar 26;178(13):318. doi: 10.1136/vr.103471. Epub 2016 Feb 8.
Professionalism and professional skills are increasingly being incorporated into veterinary curricula; however, lack of clarity in defining veterinary professionalism presents a potential challenge for directing course outcomes that are of benefit to the veterinary professional. An online continuing education course in veterinary professionalism was designed to address a deficit in postgraduate support in this area; as part of this course, delegates of varying practice backgrounds participated in online discussions reflecting on the implications of professional skills for their clinical practice. The discussions surrounding the role of the veterinary professional and reflecting on strengths and weaknesses in professional skills were analysed using narrative methodology, which provided an understanding of the defining skills and attributes of the veterinary professional, from the perspectives of those involved (i.e. how vets understood their own career identity). The veterinary surgeon was understood to be an interprofessional team member, who makes clinical decisions in the face of competing stakeholder needs and works in a complex environment comprising multiple and diverse challenges (stress, high emotions, financial issues, work-life balance). It was identified that strategies for accepting fallibility, and those necessary for establishing reasonable expectations of professional behaviour and clinical ability, are poorly developed.
专业精神和专业技能越来越多地被纳入兽医课程；然而，在界定兽医专业精神方面缺乏明确性，这对指导有益于兽医专业人员的课程成果构成了潜在挑战。一门关于兽医专业精神的在线继续教育课程旨在解决该领域研究生支持方面的不足；作为该课程的一部分，不同实践背景的学员参与了在线讨论，反思专业技能对其临床实践的影响。围绕兽医专业人员的角色以及对专业技能的优缺点进行反思的讨论，采用叙事方法进行了分析，这从相关人员的角度（即兽医如何理解自己的职业身份）提供了对兽医专业人员的定义技能和属性的理解。兽医被理解为跨专业团队成员，他们在面对相互竞争的利益相关者需求时做出临床决策，并在一个包含多种复杂挑战（压力、强烈情绪、财务问题、工作与生活平衡）的复杂环境中工作。研究发现，接受自身易犯错的策略以及确立对专业行为和临床能力合理期望所需的策略，都发展得很不完善。
