Johnston Brian T, Valori Roland
Department of Gastroenterology, Royal Victoria Hospital, Belfast, UK.
Department of Gastroenterology, Gloucestershire Royal Hospital, Gloucester, UK.
Frontline Gastroenterol. 2012 Apr;3(2):112-114. doi: 10.1136/flgastro-2011-100055. Epub 2012 Mar 13.
Because of the European Working-Time Directive and 'the New Deal', there has been a significant reduction in opportunities for training. To address this deficit, consultants and junior doctors will need to alter their approach, making greater use of the learning opportunities that arise 'on the job'. This paper provides some ideas on how to maximise learning without radically increasing workload. The paper first looks at attitudes and behaviours that influence the learning environment. If the senior doctor encourages discussion and shows enthusiasm during clinical duties, junior doctors will learn more. Second, the paper focuses on key skills that can be adopted to ensure appropriate learning. These attitudes, behaviours and skills can help consultants and senior doctors improve the effectiveness of their teaching in an era when the time available for junior doctors to learn has been reduced.
由于欧洲工作时间指令和“新政”，培训机会大幅减少。为了弥补这一不足，顾问医生和初级医生需要改变他们的方式，更多地利用“工作中”出现的学习机会。本文提供了一些关于如何在不大幅增加工作量的情况下最大限度地学习的想法。本文首先探讨影响学习环境的态度和行为。如果资深医生在临床工作中鼓励讨论并表现出热情，初级医生会学到更多。其次，本文重点关注可以采用的关键技能，以确保适当的学习。在初级医生可用于学习的时间减少的时代，这些态度、行为和技能可以帮助顾问医生和资深医生提高他们教学的有效性。
