适应一般医疗实践的监督关系度量。
Adapting the supervisory relationship measure for general medical practice.
机构信息
Faculty of Education, Monash University, 19 Ancora Imparo Way, Clayton, 3800, Australia.
School of Rural Health, Monash University, Sydney, Australia.
出版信息
BMC Med Educ. 2018 Nov 27;18(1):284. doi: 10.1186/s12909-018-1369-x.
BACKGROUND
The relationship between general practice (GP) supervisors and registrars is a critical component in effective training for the next generation of medical practitioners. Despite the importance of the relational aspect of clinical education, most evaluation has traditionally occurred from the perspective of the registrar only. As such, no validated tools exist to measure the quality of the supervisory relationship from the perspective of the supervisor. This paper presents an adaptation and validation of the clinical psychology supervisory relationship measure (Pearce et al, Br J Clin Psychol 52:249-68, 2013) for GP supervisors in an Australian context.
METHOD
Following an Expert Group review and adaptation of the items, 338 GP supervisors completed the adapted tool.
RESULTS
Using principal components analysis and Procrustes confirmatory rotation, an optimal three-component model of supervisory relationship was identified, reflecting measures of Safe base (α = .96), Supervisor investment (α = .85), and Registrar professionalism (α = .94).
CONCLUSIONS
The general practice supervisory relationship measure (GP-SRM) demonstrated excellent model fit, high internal consistency, and was theoretically consistent with the original tool. Implications for clinical education and future research are presented.
背景
全科医生（GP）导师与住院医师之间的关系是下一代医学从业者有效培训的关键组成部分。尽管临床教育的关系方面很重要，但传统上大多数评估仅从住院医师的角度进行。因此，不存在从导师角度衡量监督关系质量的经过验证的工具。本文介绍了澳大利亚背景下对普通实践监督关系量表（Pearce 等人，Br J Clin Psychol 52：249-68，2013）的改编和验证。
方法
在专家组审查和项目改编之后，338 名全科医生导师完成了改编后的工具。
结果
使用主成分分析和普罗克鲁斯确认旋转，确定了监督关系的最佳三因素模型，反映了安全基础（α=.96）、导师投资（α=.85）和住院医师专业精神（α=.94）的衡量标准。
结论
普通实践监督关系量表（GP-SRM）表现出良好的模型拟合度、高内部一致性，并且在理论上与原始工具一致。提出了对临床教育和未来研究的影响。
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