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从医学生视角看临床查房的挑战与策略:一项质性研究

Challenges and strategies of clinical rounds from the perspective of medical students: A qualitative research.

作者信息

Beigzadeh Amin, Yamani Nikoo, Bahaadinbeigy Kambiz, Adibi Peyman

机构信息

Sirjan School of Medical Science, Sirjan, Iran.

Management and Leadership in Medical Education Research Center, Kerman University of Medical Sciences. Kerman, Iran.

出版信息

J Educ Health Promot. 2021 Jan 28;10:6. doi: 10.4103/jehp.jehp_104_20. eCollection 2021.

Abstract

INTRODUCTION

Clinical rounds provide opportunities for medical students to acquire essential skills to practice medicine in the real world. Although this kind of training is one of the most important components of medical education, it is replete with barriers in its effective implementation. This study aimed to investigate medical students' experiences concerning the barriers and strategies of clinical rounds in Kerman University of Medical Sciences (KMU).

MATERIALS AND METHODS

This qualitative research was conducted on 12 medical students in KMU in 2017. Purposive sampling was used and participants in three grades (stagers, interns, and residents) were selected, and individual semi-structured interviews were conducted until data saturation. The average of the interview time differed among the three batches (stagers, 51 min; interns, 38 min; and residents, 31 min). Content analysis using deductive approach was used for data analysis. MAXQDA version 10 was used for data analysis.

RESULTS

Data analysis yielded the identification of six themes related to the system of clinical education, fields of clinical education, clinical environment, educational program, medical teachers, and medical students concerning the barriers and five themes related to the strategies for clinical rounds.

CONCLUSIONS

Findings revealed a deeper understanding of medical students' experiences. Our investigation identified multiple challenges embedded in our context and strategies to overcome them. As teaching in clinical rounds is invaluable, there is a need to take into account the identified challenges and overcome them. Thus, more effective rounds with higher efficacy toward students' professional development can be implemented.

摘要

引言

临床查房为医学生提供了在现实世界中获取行医必备技能的机会。尽管这种培训是医学教育最重要的组成部分之一,但在有效实施方面却充满了障碍。本研究旨在调查克尔曼医科大学(KMU)医学生在临床查房中的障碍及策略方面的经历。

材料与方法

2017年对KMU的12名医学生进行了这项定性研究。采用目的抽样法,选取了三个年级(见习生、实习生和住院医师)的参与者,并进行了个人半结构化访谈,直至数据饱和。三个批次(见习生,51分钟;实习生,38分钟;住院医师,31分钟)的访谈时间平均有所不同。采用演绎法进行内容分析以分析数据。使用MAXQDA 10版进行数据分析。

结果

数据分析得出了与临床教育体系、临床教育领域、临床环境、教育计划、医学教师和医学生相关的六个关于障碍的主题,以及与临床查房策略相关的五个主题。

结论

研究结果揭示了对医学生经历的更深入理解。我们的调查确定了我们环境中存在的多重挑战以及克服这些挑战的策略。由于临床查房教学非常宝贵,有必要考虑已确定的挑战并加以克服。因此,可以实施对学生专业发展更有效、效能更高的查房。

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