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患有阅读障碍的医生:策略与支持

Doctors with dyslexia: strategies and support.

作者信息

Locke Rachel, Alexander Gail, Mann Richard, Kibble Sharon, Scallan Samantha

机构信息

Faculty of Education, Health and Social Care, the University of Winchester, Hampshire, UK.

Professional Support Unit, Health Education Wessex, Otterbourne, Hampshire, UK.

出版信息

Clin Teach. 2017 Oct;14(5):355-359. doi: 10.1111/tct.12578. Epub 2016 Oct 6.

Abstract

BACKGROUND

Looking beyond dyslexia as an individual doctor's issue requires adjusting a working environment to better serve the needs of doctors with dyslexia. With an increasing number of doctors disclosing dyslexia at medical school, how can educators best provide this support? Our research looks at the impact of dyslexia on clinical practice and the coping strategies used by doctors to minimise the effect.

METHODS

Qualitative data were collected from 14 doctors with dyslexia using semi-structured interviews and by survey. 'In situ' demonstration interviews were conducted in order to understand how dyslexia is managed in the workplace from first-hand experience. Employers and educators who have responsibility for meeting the needs of this group were also consulted.

RESULTS

Even in cases of doctors who had a diagnosis, they often did not disclose their dyslexia to their employer. Study participants reported having developed individual ways of coping and devised useful 'workarounds'. Support from employers comes in the form of 'reasonable adjustments', although from our data we cannot be sure that such adjustments contribute to an 'enabling' work environment. Supportive characteristics included the opportunity to shadow others and the time and space to complete paperwork on a busy ward. How can educators best provide support [for doctors with dyslexia]?

DISCUSSION

Doctors with dyslexia need to be helped to feel comfortable enough to disclose. Educators need to challenge any negative assumptions that exist as well as promote understanding about the elements that contribute to a positive working environment. As a result of the research there is now practice available for educators to identify evidence-based strategies and resources.

摘要

背景

要超越将诵读困难视为个别医生的问题,就需要调整工作环境,以更好地满足诵读困难医生的需求。随着越来越多的医生在医学院校披露自己有诵读困难,教育工作者如何才能最好地提供这种支持?我们的研究着眼于诵读困难对临床实践的影响以及医生为尽量减少其影响而采用的应对策略。

方法

通过半结构化访谈和调查从14名有诵读困难的医生那里收集定性数据。进行了“现场”示范访谈,以便从第一手经验了解在工作场所如何应对诵读困难。还咨询了负责满足这一群体需求的雇主和教育工作者。

结果

即使在那些已被诊断出有诵读困难的医生中,他们也常常不向雇主披露自己的情况。研究参与者报告说,他们已经形成了个人应对方式,并想出了有用的“变通办法”。雇主的支持形式为“合理调整”,不过从我们的数据中无法确定这些调整是否有助于营造一个“有利的”工作环境。支持性特征包括有机会跟随他人学习以及在繁忙病房有完成文书工作的时间和空间。教育工作者如何才能最好地[为有诵读困难的医生]提供支持?

讨论

需要帮助有诵读困难的医生能够自在地披露自己的情况。教育工作者需要挑战现有的任何负面假设,并促进对有助于营造积极工作环境的因素的理解。由于这项研究,现在教育工作者有了可用于确定基于证据的策略和资源的做法。

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