Schnelle Christoph, Jones Mark A
Institute for Evidence-Based Healthcare, Bond University, Robina, QLD, 4226, Australia.
Adv Med Educ Pract. 2022 Jul 17;13:717-731. doi: 10.2147/AMEP.S370980. eCollection 2022.
It is generally accepted that there is a therapist effect in psychotherapy, with master therapists being studied using qualitative methods. There are surgeons with exceptionally positive patients' physical health outcomes, and qualitative research on what makes good doctors. However, characteristics of exceptionally good doctors are less studied and understood.
To qualitatively study the opinions of physicians on exceptionally good doctors.
Thirteen semi-structured interviews of English-speaking medical doctors of any specialty were conducted. Recruitment was achieved through the authors' network; contacting authors of relevant research papers; and Bond University's General Practitioner recruitment program. Their opinion was sought on what makes an exceptionally good doctor, whether they have met such a person, what was their experience of that person, and whether they consider themselves as exceptionally good doctors.
A six-phase thematic analysis in an experiential framework, as per Braun and Clarke, was implemented to identify themes and their details in an inductive approach with a realist epistemological position, ie, assuming truthful knowledge on what makes exceptionally good doctors can be obtained.
Each interviewee had met and been inspired by exceptionally good doctors. Descriptions covered six themes: character traits; other characteristics; patient relationships; peer and health care system relations; education; and treatment examples. Exceptionally good doctors were found to have up-to-date extensive medical knowledge and skills, relate well with patients, and have excellent diagnostic abilities. They tend to be humble, approachable, inspiring, and are long-remembered role models. However, they may not always be appreciated by their peers and their health care system because of their exceptional abilities.
Exceptional doctors are beneficial for their peers, their patients, and their health care system. Identifying, acknowledging, and making such doctors more accessible to medical students and junior doctors could have a positive impact on medical practice.
心理治疗中存在治疗师效应，这一点已被广泛接受，目前正在使用定性方法对资深治疗师展开研究。有些外科医生能让患者的身体健康状况得到格外积极的改善，也有关于优秀医生特质的定性研究。然而，对于极为优秀的医生的特质，人们的研究和了解较少。
定性研究医生对极为优秀的医生的看法。
对13名各专业说英语的医生进行了半结构化访谈。通过作者的人脉网络、联系相关研究论文的作者以及邦德大学的全科医生招募计划来招募受访者。询问他们对于成为一名极为优秀的医生的要素、是否遇见过这样的人、对那个人的印象以及他们是否认为自己是极为优秀的医生的看法。
按照布劳恩和克拉克的方法，在经验框架内进行了六个阶段的主题分析，以归纳法在现实主义认识论立场下确定主题及其细节，即假设能够获取关于极为优秀的医生特质的真实知识。
每位受访者都遇见过极为优秀的医生并深受其启发。描述涵盖六个主题：性格特质；其他特征；医患关系；同行及医疗系统关系；教育；以及治疗实例。极为优秀的医生具备最新且广泛的医学知识和技能，与患者关系融洽，诊断能力出色。他们往往谦逊、平易近人、鼓舞人心，是令人铭记的榜样。然而，由于他们能力出众，同行和医疗系统可能并不总是欣赏他们。
优秀的医生对同行、患者和医疗系统都有益处。识别、认可并让医学生和初级医生更容易接触到这样的医生，可能会对医疗实践产生积极影响。
