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伊朗临床教师职业素养评估:来自住院医师和专科培训学员的视角

Assessment of Clinical Teachers' Professionalism in Iran: From Residents and Fellowships' Perspective.

作者信息

Garshasbi Sima, Bahador Hamidollah, Fakhraei Nahid, Farbod Abolfazl, Mohammadi Maryam, Ahmady Soleiman, Emami Razavi Seyed Hassan

机构信息

Department of Medical Education, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. AND Brain and Spinal Cord Injury Research Center, Neurosciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

Department of Medical Education, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Acta Med Iran. 2017 Jan;55(1):59-67.

Abstract

In the present study, professional conduct of clinical teachers in Tehran University of Medical Sciences in Iran was assessed by their residents (n=292) and fellowships (n=48) using a standard questioner called self-reported measurement equipment. This evaluation was a descriptive cross-sectional study. Professionalism was questioned in four domains including clinical teacher-patient, clinical teacher-student, inter-professional and clinical teacher-self relationships. Accordingly, mean scores of the teachers in cases of clinical teacher-patient; clinical teacher-student, inter-professional (teamwork) and clinical teacher-self relations were 61%, 62.2%, 60.6% and 57.6%, respectively. Generally, the teachers achieved 60.35% of the positive scores, and as a result, they were assessed intermediate in the professional behaviors. The residents and fellowships stated that they were not completely satisfied with their teacher's professional conduct and had hidden concerns. It shows that the clinical teachers in our project may not be ideal role models. As a result, developing a comprehensive professionalism and implementing regulations to ensure a successful professionalism are necessary. The precise evaluation of professional conduct in clinical faculty could encourage the maintenance of professional behaviors and potentially decrease negative role modeling and positively influence the hidden curriculums. Operational approaches to formulating regulations and appropriate measures for establishing professional ethics are of great importance.

摘要

在本研究中,伊朗德黑兰医科大学的住院医师(n = 292)和研究员(n = 48)使用一种名为自我报告测量工具的标准问卷,对临床教师的专业行为进行了评估。该评估是一项描述性横断面研究。在四个领域对专业性提出了质疑,包括临床教师与患者、临床教师与学生、跨专业以及临床教师与自身的关系。相应地,临床教师与患者、临床教师与学生、跨专业(团队合作)以及临床教师与自身关系方面教师的平均得分分别为61%、62.2%、60.6%和57.6%。总体而言,教师获得了60.35%的积极分数,因此,他们在专业行为方面被评估为中等水平。住院医师和研究员表示,他们对教师的专业行为并不完全满意,并且存在潜在担忧。这表明我们项目中的临床教师可能不是理想的榜样。因此,制定全面的专业素养并实施相关规定以确保成功的专业素养是必要的。对临床教师专业行为的精确评估可以鼓励维持专业行为,并有可能减少负面的榜样作用,对隐性课程产生积极影响。制定规定的操作方法以及建立职业道德的适当措施非常重要。

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