Babenko Oksana, Szafran Olga, Koppula Sudha, Au Lillian
a Department of Family Medicine , University of Alberta , Edmonton , Canada.
Educ Prim Care. 2018 Mar;29(2):86-93. doi: 10.1080/14739879.2017.1362666. Epub 2017 Aug 16.
Family physicians regularly encounter clinical uncertainty and ambiguity and thus, are expected to engage in on-going learning to respond to changing needs of family practice. Using Achievement Goal Theory, the objective of this study was to examine motivations for learning of family medicine residents in a competency-based program.
This was a cross-sectional study, employing a survey methodology with family medicine residents at the mid-point of training at a Canadian university. Multivariate analyses of variance and covariance were used to examine residents' goal orientations (performance approach, mastery approach, performance avoidance, mastery avoidance) for the group as a whole and to test for the effects of residents' gender and program stream (urban/rural), respectively.
A total of 52 (67%) residents completed the survey. Overall, residents scored highest on mastery approach and lowest on performance avoidance, thus, exhibiting adaptive motivations for learning. Male residents demonstrated higher levels of performance approach, performance avoidance, and mastery avoidance than female residents. No significant differences in goal orientations were found between urban and rural residents.
Family medicine residents trained in the culture of competency-based education appear to be mastery approach oriented. This motivation orientation is critical in the dynamic practice of family medicine and is consistent with the life-long learning mandate of the medical profession.
家庭医生经常会遇到临床的不确定性和模糊性，因此，他们需要不断学习以应对家庭医疗不断变化的需求。本研究运用成就目标理论，旨在探讨基于胜任力的项目中家庭医学住院医师的学习动机。
这是一项横断面研究，采用问卷调查法，对加拿大一所大学处于培训中期的家庭医学住院医师进行调查。运用多变量方差分析和协方差分析，分别考察住院医师群体的目标导向（成绩趋近、掌握趋近、成绩回避、掌握回避），并检验住院医师性别和项目类型（城市/农村）的影响。
共有52名（67%）住院医师完成了调查。总体而言，住院医师在掌握趋近方面得分最高，在成绩回避方面得分最低，因此表现出适应性学习动机。男性住院医师在成绩趋近、成绩回避和掌握回避方面的水平高于女性住院医师。城市和农村住院医师在目标导向方面未发现显著差异。
接受基于胜任力教育培养的家庭医学住院医师似乎以掌握趋近为导向。这种动机导向在家庭医学的动态实践中至关重要，并且与医学专业的终身学习要求相一致。
