Westervelt Karen C, Hing Wayne, McGovern MaryClaire, Banks Lora, Carney Carolyn, Kunker Katrina, Magoon Ashley, Sibold Jeremy, Crane Linda
Department of Movement Science and Rehabilitation, University of Vermont, Burlington, VT, USA.
Head of Physiotherapy, Faculty of Health Sciences and Medicine, Bond Institute of Health and Sport, Bond University, Robina, Australia.
J Man Manip Ther. 2018 Jul;26(3):170-180. doi: 10.1080/10669817.2018.1447789. Epub 2018 Apr 16.
Clinical mentoring is important for novice clinicians as they are developing advanced critical-thinking skills. Research exploring innovative mentoring strategies to reduce barriers and enhance learning is needed. The purpose of this study was to examine the effects of providing online clinical mentoring to small international groups of novice clinicians treating patients with spinal dysfunction in the outpatient setting.
Eleven novice and four expert clinicians were allocated into small international groups. Four one-hour group video-conference mentoring sessions were held in which each novice clinician presented a case study. Data were collected from pre- and post-participation surveys and post-participation focus groups. Data were evaluated with a mixed-methods phenomenological analysis.
Four themes emerged from the novice qualitative data: improved confidence, enhanced critical thinking, appreciation of the structured design and accessibility to peers and mentors. The quantitative data revealed significant improvement in three confidence measures, improvement of 1.48 points on self-selected clinical goals, and 82.0% reported improved clinical decision-making. Two themes emerged from the expert data: value of the model to fill a need within the profession and viability of the model to stand alone or as part of an educational program. All participants rated their experience on average at 8.76/10 and expressed interest in future mentoring programs.
Online small group international clinical mentoring appears to be an effective strategy to provide clinical mentoring to promote confidence and critical-thinking skills. This research could provide a viable model to increase accessibility to clinical mentors and fill a need within the profession.
临床指导对于初出茅庐的临床医生培养高级批判性思维技能至关重要。需要开展研究探索创新的指导策略,以减少障碍并促进学习。本研究的目的是检验为在门诊环境中治疗脊柱功能障碍患者的小型国际初出茅庐临床医生群体提供在线临床指导的效果。
11名初出茅庐的临床医生和4名专家级临床医生被分成小型国际小组。举行了4次为时1小时的小组视频会议指导课程,每位初出茅庐的临床医生都展示了一个病例研究。数据收集自参与前和参与后的调查问卷以及参与后的焦点小组。采用混合方法现象学分析对数据进行评估。
初出茅庐者的定性数据中出现了4个主题:信心增强、批判性思维提升、对结构化设计的认可以及与同行和指导者的交流机会。定量数据显示,三项信心指标有显著改善,自选临床目标提高了1.48分,82.0%的人表示临床决策有所改善。专家数据中出现了两个主题:该模式对满足行业内需求的价值以及该模式独立存在或作为教育项目一部分的可行性。所有参与者对他们的体验平均评分为8.76分(满分10分),并表示对未来的指导项目感兴趣。
在线小型国际临床指导似乎是一种有效的策略,可为临床指导提供支持,以增强信心和批判性思维技能。这项研究可以提供一个可行的模式,以增加获得临床指导者的机会,并满足行业内需求。