School of Health Care Administration, Taipei Medical University, Taipei, Taiwan.
Department of Public Health, Fu Jen Catholic University, New Taipei, Taiwan.
BMJ Open. 2022 Nov 2;12(11):e059656. doi: 10.1136/bmjopen-2021-059656.
During the COVID-19 outbreak, medical educators' main concern has been how to prepare new physicians and medical students to meet their obligations as healthcare providers under novel circumstances. This study aims at exploring how trainees perceive their commitments as physicians under the threat of a pandemic.
A qualitative method was employed. Researchers interviewed medical students under clerkship training (fifth and sixth-year medical students) and new physicians undergoing postgraduate year (PGY) and specialty training.
A university hospital in Taipei, Taiwan.
The team conducted three focus groups for participants in three separate training stages: clerks, PGY students (PGYs), and residents. Researchers collected data from 31 March to 2 April 2020 and analysed the thematic analysis results.
Seventeen medical students and new physicians took part in the focus groups, five of whom (31.25%) were female. Participants consisted of four residents, six PGYs, and seven medical students. Through their responses, the authors determined four major dimensions with corresponding subdimensions that significantly affected their sense of medical professionalism, including medical knowledge and clinical skills, sense of duty towards public health, teamwork and protection of patient rights.
We therefore concluded that participants grew to accept their roles after acquiring the knowledge and skills needed to care for patients with COVID-19. Alternative teaching arrangements and their impact on trainees' clinical performance require further discussion.
在 COVID-19 疫情期间,医学教育者主要关注的是如何培养新医生和医学生,使他们能够在新的环境下履行医疗服务提供者的义务。本研究旨在探讨在大流行威胁下,实习生如何看待自己作为医生的职责。
采用定性方法。研究人员采访了实习医师培训(五年级和六年级医学生)和住院医师规范化培训(PGY)和专科培训的新医生。
台湾台北的一家大学医院。
该团队在三个不同的培训阶段进行了三个焦点小组:实习医生、PGY 学生(PGYs)和住院医师。研究人员于 2020 年 3 月 31 日至 4 月 2 日收集数据,并对主题分析结果进行分析。
17 名医学生和新医生参加了焦点小组,其中 5 名(31.25%)是女性。参与者包括 4 名住院医师、6 名 PGY 和 7 名医学生。通过他们的回答,作者确定了四个主要维度及其相应的子维度,这些维度对他们的医学职业精神产生了重大影响,包括医学知识和临床技能、对公共卫生的责任感、团队合作和保护患者权利。
因此,我们得出结论,参与者在获得照顾 COVID-19 患者所需的知识和技能后,开始接受自己的角色。需要进一步讨论替代教学安排及其对学员临床表现的影响。