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在临床环境中进行的对偶实践的定性研究。

A qualitative study on dyad practice in a clinical setting.

出版信息

Dan Med J. 2021 May 28;68(6):A01210016.

PMID:34060460
Abstract

INTRODUCTION

General practice in Denmark is at risk of experiencing an educational capacity problem in which the quality of medical students' clinical stays is compromised due to reduced tutor capacity. Dyad practice, in which students work and acquire competencies in pairs, is known from simulation and ultrasound training to be as effective with regard to learning outcome as single practice despite reduced hands-on time. This study aimed to explore the experience of dyad practice during a group of medical students' first clinical stay in general practice.

METHODS

A focus group interview was conducted with eight medical students who had attended clinical stays in general practice in four dyads. Individual semi-structured interviews were held with three general practitioners who tutored the medical students during the clinical stays. Data were transcribed by the interviewer and analysed using systematic text condensation.

RESULTS

Both the medical students and general practitioners described how dyad practice enhanced the students' self-reflection and introduced new learning experiences. Furthermore, the medical students experienced shared memory with their peer and a broader overview before, during and after the consultation with the patient.

CONCLUSIONS

Dyad practice was experienced by both medical students and general practitioners as suitable for medical students' first-time clinical stay in general practice. Dyad practice may thus reduce the capacity problems with regard to medical education in general practice.

FUNDING

This study was funded in part by the PLU Foundation.

TRIAL REGISTRATION

not relevant.

摘要

简介

丹麦的全科医学正面临着教育能力不足的问题,由于导师人数减少,医学生临床实习的质量受到影响。尽管实践时间减少,但双人实践(学生两人一组工作并获得能力)在模拟和超声培训中被证明在学习效果方面与单人实践一样有效。本研究旨在探讨一组医学生在首次全科医学临床实习中进行双人实践的体验。

方法

对八名在四个双人组中参加全科医学临床实习的医学生进行了焦点小组访谈。对在临床实习中指导医学生的三位全科医生进行了单独的半结构化访谈。访谈者对数据进行了转录,并使用系统文本压缩进行了分析。

结果

医学生和全科医生都描述了双人实践如何增强学生的自我反思并带来新的学习体验。此外,医学生在与患者进行咨询之前、期间和之后,与同伴共同记忆,并获得更广泛的了解。

结论

双人实践被医学生和全科医生都认为适合医学生首次在全科医学临床实习。因此,双人实践可能会减少全科医学教育方面的能力问题。

经费

本研究部分由 PLU 基金会资助。

试验注册

不相关。

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