Choudry Zafar Ali, Ayub Ayesha, Badar Sumera Ehsan
Prof. Dr. Zafar Ali Choudry, FCPS, FRCS. Vice Chancellor, Faisalabad Medical University, Faisalabad, Pakistan.
Dr. Ayesha Ayub, MBBS, MME/MHPE. Demonstrator, HPERD Department, Faisalabad Medical University, Faisalabad, Pakistan.
Pak J Med Sci. 2022 Mar-Apr;38(4Part-II):785-790. doi: 10.12669/pjms.38.4.5517.
To assess the preparedness of fresh medical graduates to perform the duties of an effective house officer in clinical settings independently.
A qualitative exploratory descriptive study was conducted at a public sector tertiary care teaching hospital from September to October, 2021. A total of 14 interviews of the serving house officers were conducted (7 were from Medicine and Allied and seven were from Surgical and Allied). A verbatim Thematic analysis was done.
Initial analysis revealed 45 codes which were ultimately reduced to five main themes namely Transition from studentship to house officers with sub-themes ( Sense of responsibility, Hectic and long duty hours Proper orientation and guidance, . Deficient skill Training during educational journey with, Deficiency of practical and applied aspects, inconsistent and varying training patterns, self-perception and evaluation of preparedness. Lack of awareness about Hospital settings and working system with sub-themes Support from other doctors, Being recognized as a doctor in hospital. Inter-professional co-ordination gaps having sub-themes Communication gap, Mutual respect as a team and . Impact of COVID-19 with sub-theme Online teaching with no interaction and segue and progressive skill training.
Medical graduates are not confident and well prepared to take the responsibility of patient care independently in clinical settings. Reforms in undergraduate curricula regarding skill training, hospital setup and workings and inter-professional education are advocated by young doctors to enhance their competencies for professional life.
评估刚毕业的医学专业学生独立在临床环境中履行高效住院医师职责的准备情况。
2021年9月至10月在一家公立三级护理教学医院进行了一项定性探索性描述性研究。对在职住院医师进行了总共14次访谈（7名来自医学及相关专业，7名来自外科及相关专业）。进行了逐字逐句的主题分析。
初步分析揭示了45个编码，最终归纳为五个主要主题，即从学生到住院医师的转变，其亚主题包括（责任感、忙碌且长时间的工作时间、适当的定向和指导）；教育过程中的技能培训不足，其亚主题包括（实践和应用方面的不足、不一致且多样的培训模式、自我认知和准备情况评估）；对医院环境和工作系统缺乏认识，其亚主题包括（来自其他医生的支持、在医院被认可为医生）；专业间协调差距，其亚主题包括（沟通差距、团队中的相互尊重）；以及COVID-19的影响，其亚主题包括（无互动的在线教学、技能培训的衔接和递进）。
医学毕业生在临床环境中对独立承担患者护理责任缺乏信心且准备不足。年轻医生主张对本科课程在技能培训、医院设置与运作以及专业间教育方面进行改革，以提高他们职业生涯的能力。
