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医院药学专科培训:住院带教老师的关注点、需求和现状概述。

Specialized training in hospital pharmacy: an overview of the concerns, needs and current situation of resident tutors.

机构信息

Department of Pharmacy, Hospital Universitario Fundación Alcorcón. Alcorcón (Madrid). Spain..

Department of Pharmacy, Hospital Clínico Universitario San Carlos, Madrid. Spain..

出版信息

Farm Hosp. 2021 Oct 16;45(6):289-304.

Abstract

OBJECTIVE

To provide new insight into the training needs and resources required by hospital pharmacy resident tutors in Spain, as well as  into their level of motivation and satisfaction with their teaching. Method: Google Forms® was used to design a survey addressed to hospital pharmacy resident tutors between January and March 2019. They survey consisted of generic (tutor, hospital, service) and specific  questions (available resources, teaching activities, teaching satisfaction,  training needs). A univariate exploratory analysis was conducted to study  possible factors related to teaching satisfaction and motivation. Results: Replies were received from 83 tutors (rate of response: 52.8%), from  15/17 Spanish regions. The annual resident/tutor ratio was 4 (IQR = 2- 4). A total of 96.4% of tutors conducted interviews, of whom 65.1% did so  quarterly. Other activities included the management of external training  rotations (97.6%), planning of rotations (97.6%) and annual  appraisals  (96.4%). Only 17.1% of respondents were given time off their regular duties  for their tutorship work, with 71.4% stating that the time they were allowed  was insufficient. A total of 70.7% of tutors from eight Spanish regions where  the granting of protected time was regulated said were not given any time off  for their teaching endeavors. Most tutors declared to be satisfied (66.7%) and  motivated (63%) with their teaching work. Motivation appeared to fall with  age, and both motivation and satisfaction decreased as a function of the tutors'  years of professional experience and when they were given no time off  for their tutorship work or when the remuneration was low, without any  relationship being identified between these factors. Tutors pointed out that work should be done to increase the number of hours assigned to tutorships  (78%), preparing SEFH-validated training plans (76.8%), improving teaching  techniques (65.9%), and decreasing the clinical workload (62.2%). Over the  past 3 years, 69.1% of tutors had received training. This training was arranged  by educational committees (63.3%), the Spanish regional authorities  (42.4%) and SEFH (13.6%). All the training in clinical, teaching, and communicative competencies enjoyed wide acceptance (> 90%). The  preferred delivery method was hybrid (partly on-line and partly onsite)  (64.6%).

CONCLUSIONS

SEFH's tutors' group conducted its first national survey  addressed to hospital pharmacy resident tutors. The survey showed that, although tutors are highly satisfied with their teaching activities, they  ould like more training and to be able to devote more time to their tutorship work. It was also shown that a regulatory framework needs to be  implemented in various Spanish regions and that compliance with existing  regional regulations must be improved.

摘要

目的

深入了解西班牙医院药剂师住院导师的培训需求和资源,以及他们的教学动机和满意度。方法:2019 年 1 月至 3 月期间,使用 Google Forms®向医院药剂师住院导师设计了一项调查。该调查由通用(导师、医院、服务)和特定(可用资源、教学活动、教学满意度、培训需求)问题组成。进行了单变量探索性分析,以研究与教学满意度和动机相关的可能因素。结果:收到了来自西班牙 17 个地区中的 15 个地区的 83 名导师的回复(回复率:52.8%)。住院医师/导师的年度比例为 4(IQR=2-4)。总共 96.4%的导师进行了面试,其中 65.1%的导师每季度进行一次面试。其他活动包括管理外部培训轮转(97.6%)、轮转计划(97.6%)和年度评估(96.4%)。只有 17.1%的受访者被允许在正常工作时间之外从事导师工作,其中 71.4%表示他们的工作时间不足。来自 8 个西班牙地区的总共 70.7%的导师表示,他们没有被给予任何时间来从事教学工作,而这些地区的导师工作时间是有规定的。大多数导师表示对他们的教学工作感到满意(66.7%)和有动力(63%)。动机似乎随着年龄的增长而下降,动机和满意度随着导师的专业经验年限的增加而下降,当他们没有时间从事导师工作或薪酬较低时,动机和满意度也会下降,而这些因素之间没有任何关系。导师们指出,应努力增加分配给导师工作的时间(78%)、制定 SEFH 验证的培训计划(76.8%)、改进教学技巧(65.9%)和减少临床工作量(62.2%)。在过去的 3 年中,69.1%的导师接受了培训。培训是由教育委员会(63.3%)、西班牙地区当局(42.4%)和 SEFH(13.6%)安排的。所有在临床、教学和沟通能力方面的培训都得到了广泛的认可(>90%)。首选的教学方法是混合式(部分在线和部分现场)(64.6%)。结论:SEFH 的导师小组进行了首次针对医院药剂师住院导师的全国性调查。调查显示,尽管导师对他们的教学活动非常满意,但他们希望接受更多的培训,并能够投入更多的时间从事导师工作。此外,还需要在各个西班牙地区实施监管框架,并改进对现有地区法规的遵守情况。

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