Moreno Díaz J, Aranda Sánchez M, González Munera A, Demelo Rodríguez P, Martín Iglesias D, Macía Rodíguez C, Muñoz Muñoz C, Ortiz Llauradó G, Lorenzo López Reboiro M, Salgado Ordóñez F
Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, España.
Medicina Interna, Consorcio Sanitario de Terrassa, Barcelona, España.
Rev Clin Esp (Barc). 2019 Mar;219(2):67-72. doi: 10.1016/j.rce.2018.06.009. Epub 2018 Sep 25.
Mentors are responsible for planning the residents' learning. The aim of this study was to determine the situation of internal medicine mentors in Spain and detect areas of improvement that can facilitate their work.
Online surveys were sent to internal medicine mentors from May to July 2017, the results of which were subsequently analysed.
A total of 110 mentors from 13 autonomous communities and from hospitals of all levels with courses in internal medicine responded to the survey. Of these mentors, 63 were men (57.3%), and the mean age was 48 years. The mean experience as mentors was 8.5 years. Some 88.2% of the cases had a ratio of 5 residents to 1 mentor; 46% of the mentors believed this ratio should be decreased to optimize their work. A third of the mentors were chosen by the heads of the department, and 30% had not previously taken courses on training. The mentor-resident interview was used by most mentors (96.4%) as a communication tool. A quarter of the rotations were not planned by the mentors, and only half had contact with the centres where the residents performed the external rotations. Sixty-one percent of the mentors were of the opinion that resident assessments were not conducted properly, with very little use of the new assessment tools.
Reducing the mentor-resident ratio and adding training in assessment techniques and learning development could improve the quality of the mentoring.
导师负责规划住院医师的学习。本研究旨在确定西班牙内科导师的情况,并找出有助于其工作的改进领域。
2017年5月至7月,向内科导师发送了在线调查问卷,随后对结果进行了分析。
来自13个自治区和各级设有内科课程医院的110名导师回复了调查。在这些导师中,63名是男性(57.3%),平均年龄为48岁。导师的平均经验为8.5年。约88.2%的情况是5名住院医师对应1名导师;46%的导师认为应降低这一比例以优化工作。三分之一的导师由科室主任选定,30%以前未参加过培训课程。大多数导师(96.4%)将导师-住院医师面谈用作沟通工具。四分之一的轮转计划不是由导师制定的,只有一半的导师与住院医师进行外部轮转的中心有联系。61%的导师认为对住院医师的评估做得不好,新的评估工具很少使用。
降低导师与住院医师的比例,并增加评估技术和学习发展方面的培训,可能会提高指导质量。