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劳动力:新毕业医生独自进行医疗查房的经历:一项区域横断面研究。

WORKFORCE: Newly graduated doctors' experiences of conducting medical ward rounds alone: A regional cross-sectional study.

作者信息

Pearce Jessica, Govan Sameet, Harlinska Anna, Tremain Rebecca, Gajebasia Sareena, Redman Melody

机构信息

Leeds Teaching Hospitals NHS Trust, Leeds, UK.

The Mid Yorkshire Hospitals NHS Trust, Wakefield, UK.

出版信息

Future Healthc J. 2019 Feb;6(1):47-51. doi: 10.7861/futurehosp.6-1-47.

DOI:10.7861/futurehosp.6-1-47
PMID:31098586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6520087/
Abstract

Newly graduated doctors may be expected to conduct ward rounds alone, yet studies exploring this are limited. A regional cross-sectional study was undertaken to explore foundation year 1 doctors' (FY1s) experiences of conducting ward rounds alone; all 289 FY1s on medical rotations in Yorkshire and the Humber Foundation School were invited to participate in an online survey in November 2016. Thirty-four percent (n=98) responded. The majority (62%, n=61) of respondents reported conducting the daily ward round alone (without a more senior doctor present) two or more times a week. However, 56% (n=55) reported that they had never received teaching on ward round conduct and only 7% (n=7) reported feeling prepared for conducting ward rounds alone at the start of their medical rotation. FY1-led ward rounds are a regular occurrence yet training is not commonplace; widespread, early training should be considered to prepare future doctors for their role.

摘要

新毕业的医生可能会被期望独自进行查房,但探索这方面情况的研究却很有限。一项区域性横断面研究开展起来,以探究第一年住院医生(FY1)独自进行查房的经历;2016年11月,邀请了约克郡和亨伯基础医学院所有289名参与医学轮转的FY1参加一项在线调查。34%(n = 98)的人做出了回应。大多数(62%,n = 61)受访者报告称每周独自(没有更资深的医生在场)进行每日查房两次或更多次。然而,56%(n = 55)的人报告说他们从未接受过关于查房流程的教学,只有7%(n = 7)的人报告说在医学轮转开始时就感觉为独自进行查房做好了准备。由FY1主导的查房很常见,但培训却并不普遍;应该考虑进行广泛的早期培训,以使未来的医生为其角色做好准备。

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Reflective practice from a systems perspective: enhancing service redesign and delivering optimal patient care.从系统视角进行反思性实践:加强服务重新设计并提供最佳患者护理。
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本文引用的文献

1
Ward rounds: can an aide-memoire help new doctors?查房:备忘单对新医生有帮助吗?
Clin Teach. 2019 Apr;16(2):147-151. doi: 10.1111/tct.12789. Epub 2018 Apr 17.
2
Preparing medical students for clinical practice: easing the transition.让医学生为临床实践做好准备:助力平稳过渡。
Perspect Med Educ. 2017 Aug;6(4):277-280. doi: 10.1007/s40037-017-0352-2.
3
Using simulation to prepare for clinical practice.运用模拟技术为临床实践做准备。
Clin Teach. 2018 Feb;15(1):57-61. doi: 10.1111/tct.12631. Epub 2017 Mar 30.
4
Developing non-technical ward-round skills.培养非技术性查房技能。
Clin Teach. 2015 Oct;12(5):336-40. doi: 10.1111/tct.12344. Epub 2015 May 15.
5
Teaching a 'good' ward round.讲授一次“优质”的查房
Clin Med (Lond). 2015 Apr;15(2):135-8. doi: 10.7861/clinmedicine.15-2-135.
6
Improving ward round skills.提高查房技能。
Med Teach. 2014 Sep;36(9):783-8. doi: 10.3109/0142159X.2014.909585. Epub 2014 May 7.
7
Ward rounds: how prepared are future doctors?查房:未来医生准备得如何?
Med Teach. 2008 Feb;30(1):88-91. doi: 10.1080/01421590701753468.