探索英国国家医疗服务体系中的实践社群：一名核心医学实习生的经历
Exploring communities of practice in the NHS: A core medical trainee experience.
作者信息
Amery Carolyn, Griffin Ann
机构信息
Royal Berkshire Hospital, Reading, UK.
UCL Medical School, London, UK.
出版信息
Future Healthc J. 2020 Jun;7(2):e1-e5. doi: 10.7861/fhj.2019-0034.
OBJECTIVES
A community of practice was described by Lave and Wenger as a mutual engagement using a shared repertoire of resources to attain a shared goal. This study explored the extent to which NHS workplaces function as communities of practice for core medical trainees.
METHODS
All core medical trainees in one region were invited to a semi-structured interview. A framework was produced using communities of practice themes and a hybrid deductive-inductive method used for data analysis.
RESULTS
NHS workplaces function as communities of practice by enabling engagement and by formation of mutual relationships. Joint enterprise was evidenced by multidisciplinary team working. Full participation was limited by service provision and short training rotations.
CONCLUSIONS
Trainee attendance in clinic and procedure lists should be facilitated. Trainees should be enabled to 'act up' as registrar. Flexibility is needed in jobs by allowing swaps between trainees and the facilitation of 'taster weeks'.
目的
莱夫和温格将实践共同体描述为一个通过共享资源库进行相互参与以实现共同目标的群体。本研究探讨了国民保健服务（NHS）工作场所作为核心医学实习生实践共同体的程度。
方法
邀请一个地区的所有核心医学实习生参加半结构化访谈。使用实践共同体主题构建了一个框架，并采用混合演绎-归纳法进行数据分析。
结果
NHS工作场所通过促进参与和形成相互关系来发挥实践共同体的作用。多学科团队合作证明了共同事业的存在。全面参与受到服务提供和短期培训轮转的限制。
结论
应促进实习生参加门诊和手术安排。应使实习生能够“代理”住院医师工作。通过允许实习生之间的岗位互换和安排“体验周”，工作中需要灵活性。
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