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一个基于理论、注重过程的住院医师奖学金项目。

A theory-informed, process-oriented Resident Scholarship Program.

作者信息

Thammasitboon Satid, Darby John B, Hair Amy B, Rose Karen M, Ward Mark A, Turner Teri L, Balmer Dorene F

机构信息

Department of Pediatrics, Center for Research, Innovation and Scholarship in Medical Education, Baylor College of Medicine, Houston, TX, USA;

Department of Pediatrics, Center for Research, Innovation and Scholarship in Medical Education, Baylor College of Medicine, Houston, TX, USA.

出版信息

Med Educ Online. 2016 Jun 14;21:31021. doi: 10.3402/meo.v21.31021. eCollection 2016.

DOI:10.3402/meo.v21.31021
PMID:27306995
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4910303/
Abstract

BACKGROUND

The Accreditation Council for Graduate Medical Education requires residency programs to provide curricula for residents to engage in scholarly activities but does not specify particular guidelines for instruction. We propose a Resident Scholarship Program that is framed by the self-determination theory (SDT) and emphasize the process of scholarly activity versus a scholarly product.

METHODS

The authors report on their longitudinal Resident Scholarship Program, which aimed to support psychological needs central to SDT: autonomy, competence, and relatedness. By addressing those needs in program aims and program components, the program may foster residents' intrinsic motivation to learn and to engage in scholarly activity. To this end, residents' engagement in scholarly processes, and changes in perceived autonomy, competence, and relatedness were assessed.

RESULTS

Residents engaged in a range of scholarly projects and expressed positive regard for the program. Compared to before residency, residents felt more confident in the process of scholarly activity, as determined by changes in increased perceived autonomy, competence, and relatedness. Scholarly products were accomplished in return for a focus on scholarly process.

CONCLUSIONS

Based on our experience, and in line with the SDT, supporting residents' autonomy, competence, and relatedness through a process-oriented scholarship program may foster the curiosity, inquisitiveness, and internal motivation to learn that drives scholarly activity and ultimately the production of scholarly products.

摘要

背景

研究生医学教育认证委员会要求住院医师培训项目为住院医师提供参与学术活动的课程,但未规定具体的教学指南。我们提出了一个以自我决定理论(SDT)为框架的住院医师奖学金项目,并强调学术活动的过程而非学术成果。

方法

作者报告了他们的纵向住院医师奖学金项目,该项目旨在支持自我决定理论的核心心理需求:自主性、能力和关联性。通过在项目目标和项目组成部分中满足这些需求,该项目可能会促进住院医师学习和参与学术活动的内在动机。为此,评估了住院医师在学术过程中的参与度,以及他们在自主性、能力和关联性方面的感知变化。

结果

住院医师参与了一系列学术项目,并对该项目给予了积极评价。与住院前相比,住院医师在学术活动过程中感到更有信心,这通过自主性、能力和关联性感知的增加得以体现。学术成果是专注于学术过程的回报。

结论

根据我们的经验,并与自我决定理论一致,通过一个以过程为导向的奖学金项目支持住院医师的自主性、能力和关联性,可能会激发他们的好奇心、求知欲和内在学习动机,从而推动学术活动并最终产生学术成果。

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本文引用的文献

1
A Compass for Scholarship: The Scholarly Activity Expectations Rubric.学术指南针:学术活动期望评分标准
J Grad Med Educ. 2014 Dec;6(4):636-8. doi: 10.4300/JGME-D-14-00235.1.
2
Enhancing pediatric residents' scholar role: the development of a Scholarly Activity Guidance and Evaluation program.加强儿科住院医师的学者角色:一项学术活动指导与评估计划的制定。
Med Educ Online. 2015 Jun 8;20:27452. doi: 10.3402/meo.v20.27452. eCollection 2015.
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Residents' scholarly activity: a cost analysis with regard to its effects on departments.住院医师的学术活动:关于其对各科室影响的成本分析。
Curr Opin Anaesthesiol. 2015 Apr;28(2):180-5. doi: 10.1097/ACO.0000000000000162.
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Discordance between resident and faculty perceptions of resident autonomy: can self-determination theory help interpret differences and guide strategies for bridging the divide?住院医师与教员对住院医师自主性认知的不一致:自我决定理论能否有助于解释差异并指导弥合分歧的策略?
Acad Med. 2015 Apr;90(4):462-71. doi: 10.1097/ACM.0000000000000522.
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Research training among pediatric residency programs: a national assessment.儿科住院医师培训项目中的研究培训:一项全国性评估。
Acad Med. 2014 Dec;89(12):1674-80. doi: 10.1097/ACM.0000000000000404.
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Effectiveness of a mentored, longitudinal program fostering scholarly research by residents.
J Grad Med Educ. 2014 Jun;6(2):379-80. doi: 10.4300/JGME-D-13-00468.1.
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Scholar quest: a residency research program aligned with faculty goals.学者探索:一个与教员目标相一致的住院医师研究项目。
West J Emerg Med. 2014 May;15(3):299-305. doi: 10.5811/westjem.2013.8.16155. Epub 2013 Dec 9.
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Restructuring the orthopedic resident research curriculum to increase scholarly activity.重组骨科住院医师研究课程以增加学术活动。
J Grad Med Educ. 2013 Dec;5(4):646-51. doi: 10.4300/JGME-D-12-00303.1.
9
Defining the scholarly and scholarship common program requirements.定义学术及学术共同项目要求。
J Grad Med Educ. 2013 Dec;5(4):539-40. doi: 10.4300/JGME-D-13-00326.
10
Engaging students and faculty: implications of self-determination theory for teachers and leaders in academic medicine.激发学生和教师的积极性:自主决定理论对学术医学领域的教师和领导者的启示。
BMC Med Educ. 2013 Nov 11;13:151. doi: 10.1186/1472-6920-13-151.