Gupta Amol, Gupta Kush, Vasudevan Viswanath
Cardiology, The Brooklyn Hospital Center, New York City, USA.
Cardiology, Heart, Vascular & Leg Center, Bakersfield, USA.
Cureus. 2020 Jun 11;12(6):e8564. doi: 10.7759/cureus.8564.
Purpose The purpose of this study was to identify best practices, strategies, and methods leading to the success of experienced and accomplished physicians to provide a reference for residents of graduate medical programs. Methods Ten practicing physicians and resident mentors each with at least 10 years of experience were interviewed with open-ended, narrative-based questions related to themes of paths to success, the proper role of a resident, lessons learned, helpful skills, and advice for a new resident/physician. Results Surprisingly, interviewees' answers reflected the Accreditation Council for Graduate Medical Education (ACGME) core competencies of patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice. The importance of mentorship was also emphasized. Conclusion ACGME core competencies serve as a roadmap to success based on the experience of many successful physicians. Given that mandated mentor programs in many graduate medical programs are ineffectively impersonal and mechanical, residents can follow interviewees' advice and proactively form mentor-mentee relationships with experienced physicians to learn the best paths of success.
目的 本研究旨在确定促使经验丰富且成就卓越的医生取得成功的最佳实践、策略和方法，为毕业后医学教育项目的住院医师提供参考。方法 对10名执业医师和住院医师导师（每人至少有10年经验）进行访谈，问题为开放式、基于叙述的，涉及成功之路、住院医师的恰当角色、经验教训、有用技能以及对新住院医师/医生的建议等主题。结果 令人惊讶的是，受访者的回答反映了毕业后医学教育认证委员会（ACGME）在患者护理、医学知识、基于实践的学习与改进、人际和沟通技能、职业素养以及基于系统的实践等方面的核心能力。同时也强调了导师指导的重要性。结论 基于众多成功医生的经验，ACGME核心能力是成功的路线图。鉴于许多毕业后医学教育项目中规定的导师项目缺乏人情味且机械无效，住院医师可以遵循受访者的建议，主动与经验丰富的医生建立师徒关系，以学习最佳的成功路径。
