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评估基础医学第一年(FY1)医生在从医学院过渡到基础培训计划时的准备情况。

Assessing the preparedness of foundation year 1 (FY1) doctors during the transition from medical school to the foundation training programme.

机构信息

University of Nicosia Medical School, Makedonitissis 46, 2417, Nicosia, Cyprus.

出版信息

BMC Med Educ. 2020 Apr 7;20(1):106. doi: 10.1186/s12909-020-01999-5.

DOI:10.1186/s12909-020-01999-5
PMID:32264871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7137288/
Abstract

BACKGROUND

To assess how ready current FY1 doctors felt when starting their first posting as newly qualified doctors.

METHODS

We created an online survey where 45 FY1 doctors in South Yorkshire rated how confident they were across different domains (Induction and Assistantship, Hospital Systems, and Skills) using a scale ranging from 0 (no confidence performing task) to 5 (highly confident).

RESULTS

The ICE system and observations had a mean rating of 3.645 (95% CI 3.446 to 3.844), and 4.425 (95% CI 4.248 to 4.602) with a standard deviation (SD) of 1.10 and 0.83 respectively. The radiological platform, referral system, telephone system, and hospital notes had a mean score of 3.149 (95% CI 2.876 to 3.422), 2.340 (95% CI 2.096 to 2.584), 3.573 (95% CI 3.407 to 3.739) and 4.061 (95% CI 3.931 to 4.191), with a SD of 1.281, 1.153, 0.961 and 0.752 respectively. Patient needs and diagnostic procedures had a mean score of 3.933 (95% CI 3.749 to 4.117) and 4.250 (95% CI 4.140 to 4.360) with a SD of 1.190 and 0.944 respectively. Patient care, prescribing, and therapeutic procedures gave a mean score of 3.634 (95% CI 3.432 to 3.836), 4.130 (95% CI 3.959 to 4.301), 3.386 (95% CI 3.228 to 3.544) with a SD of 1.133, 0.958 and 1.256 respectively. No statistically significant difference in the overall mean score was found between respondents who attended medical schools in Yorkshire, and those who had not.

CONCLUSION

Overall, confidence differs across different domains and categories. A larger sample size across a wider geographical area would allow us to compare and contrast results across the different regions in the UK.

摘要

背景

评估当前 FY1 医生在作为新合格医生开始其第一份职位时的准备情况。

方法

我们创建了一个在线调查,其中 45 名南约克郡的 FY1 医生使用 0(对执行任务没有信心)到 5(非常有信心)的量表对不同领域(入职和助理、医院系统和技能)的自信程度进行评分。

结果

ICE 系统和观察的平均评分为 3.645(95%置信区间 3.446 至 3.844),4.425(95%置信区间 4.248 至 4.602),标准差(SD)分别为 1.10 和 0.83。放射学平台、转诊系统、电话系统和医院记录的平均评分为 3.149(95%置信区间 2.876 至 3.422)、2.340(95%置信区间 2.096 至 2.584)、3.573(95%置信区间 3.407 至 3.739)和 4.061(95%置信区间 3.931 至 4.191),SD 分别为 1.281、1.153、0.961 和 0.752。患者需求和诊断程序的平均评分为 3.933(95%置信区间 3.749 至 4.117)和 4.250(95%置信区间 4.140 至 4.360),SD 分别为 1.190 和 0.944。患者护理、处方和治疗程序的平均评分为 3.634(95%置信区间 3.432 至 3.836)、4.130(95%置信区间 3.959 至 4.301)、3.386(95%置信区间 3.228 至 3.544),SD 分别为 1.133、0.958 和 1.256。在参加过约克郡医学院培训的受访者和未参加过的受访者之间,总体平均评分没有发现统计学上的显著差异。

结论

总体而言,不同领域和类别之间的信心存在差异。在更广泛的地理区域内增加样本量,将使我们能够在英国不同地区之间比较和对比结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fd2/7137288/6219799ea80c/12909_2020_1999_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fd2/7137288/6219799ea80c/12909_2020_1999_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fd2/7137288/6219799ea80c/12909_2020_1999_Fig1_HTML.jpg

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