Department of Medical Education, Konkuk University School of Medicine, Chungju, Korea.
Korean J Med Educ. 2022 Sep;34(3):213-222. doi: 10.3946/kjme.2022.231. Epub 2022 Aug 26.
Despite attempts to teach medical students and trainees about uncertainty in medical practice and how to tolerate it, studies on how to promote tolerance to uncertainty remain scarce. this study aims to investigate factors that could foster residents' tolerance to uncertainty.
The authors used data sources, including semi-structured individual in-depth interviews with 20 medical residents working in two tertiary university hospitals. Inductive analysis of interview records determined key themes, identified categories, and performed a theoretical-type analysis of the participants' coping behaviors according to the attributes of uncertainty tolerance.
Two characteristics of residents which could lead to constructive coping with uncertainty were discovered: (1) communicative/collaborative behavior with their colleagues, superiors, and patients and (2) self-reflective/self-directed attitude in their medical practice. Both were used to classify four types of uncertainty coping behaviors: adaptive, self-contained, submissive, and isolated.
Fostering communicative/collaborative behaviors and self-reflective/self-directed attitude throughout the training period may result in residents being more tolerant of uncertainties in medical practice.
尽管人们试图向医学生和受训者教授医学实践中的不确定性以及如何容忍不确定性，但关于如何促进对不确定性的容忍度的研究仍然很少。本研究旨在调查哪些因素可以培养住院医师对不确定性的容忍度。
作者使用了数据源，包括对在两家三级大学医院工作的 20 名住院医师进行的半结构化个人深入访谈。根据不确定性容忍度的属性，对访谈记录进行归纳分析，确定关键主题、确定类别，并对参与者的应对行为进行理论类型分析。
发现了两种可能导致对不确定性进行建设性应对的住院医师特征：（1）与同事、上级和患者的沟通/协作行为，以及（2）在医疗实践中的自我反思/自我导向态度。这两者都用于对四种不确定性应对行为进行分类：适应型、自我包容型、顺从型和孤立型。
在整个培训期间培养沟通/协作行为和自我反思/自我导向态度可能会导致住院医师对医疗实践中的不确定性更加容忍。
