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唯一的“鸟瞰”机会:全科住院医师直接观察体验。

The only chance for a 'bird's-eye view': General practice registrar experiences of direct observation.

机构信息

FRACGP, MBBS, BSc (Med), GCHPE, DRANZCOG, DCH, Practice Support and Development Coordinator, Eastern Victoria General Practice Training, Hawthorn, Vic; General Practitioner, Carnegie Medical Centre, Carnegie, Vic.

PhD, BHSc (Hons), Research Fellow, Monash Centre for Health Research and Implementation, School of Public Health and Preventative Medicine, Monash University, Clayton, Vic; Adjunct Senior Lecturer, School of Rural Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Churchill, Vic.

出版信息

Aust J Gen Pract. 2022 Nov;51(11):903-910. doi: 10.31128/AJGP-12-21-6271.

Abstract

BACKGROUND AND OBJECTIVES

Direct observation is a teaching and assessment method in general practice training, providing important and timely feedback to registrars on their clinical and consultation skills. Registrar perspectives on direct observation are essential for understanding its utility for learning. The aim of this study was to explore registrar experiences of direct observation to identify key considerations for using direct observation in general practice training.

METHOD

In-depth semi-structured interviews were conducted with seven general practice registrars in Victoria, across different stages of training. Data were analysed thematically RESULTS: The main themes identified related to registrar engagement, supervisor engagement, practice engagement and training organisation engagement.

DISCUSSION

Using the principles of adult learning and work-based learning, this study offers an understanding of the individual and workplace-based factors that affect registrar experience of direct observation and suggests some strategies for achieving best outcomes for registrar learning.

摘要

背景与目的

直接观察是全科医学培训中的一种教学和评估方法,为住院医师的临床和咨询技能提供重要和及时的反馈。了解住院医师对直接观察的看法对于理解其对学习的实用性至关重要。本研究旨在探讨住院医师对直接观察的体验,以确定在全科医学培训中使用直接观察的关键考虑因素。

方法

在维多利亚州,对来自不同培训阶段的 7 名全科住院医师进行了深入的半结构化访谈。对数据进行了主题分析。

结果

确定的主要主题与住院医师的参与度、导师的参与度、实践的参与度和培训组织的参与度有关。

讨论

本研究根据成人学习和基于工作的学习原则,深入了解了影响住院医师直接观察体验的个人和工作场所因素,并提出了一些策略,以实现对住院医师学习的最佳结果。

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