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不同群体在学术医疗中心的偏好反馈风格。

Preferred Feedback Styles Among Different Groups in an Academic Medical Center.

机构信息

Department of Surgery, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Department of Surgery, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

出版信息

J Surg Res. 2023 Aug;288:215-224. doi: 10.1016/j.jss.2023.02.044. Epub 2023 Apr 5.

Abstract

INTRODUCTION

Feedback is an essential component in complex work environments. Different generations have been shown to have different sets of values, derived from societal and cultural changes. We hypothesize that generational differences may be associated with preferred feedback patterns among medical trainees and faculty in a large academic institution.

METHODS

A survey was distributed to all students, residents/fellows, and faculty at a large academic medical institution from April 2020 through June 2020. Survey questions evaluated feedback methods for six domains: preparedness, performance, attitude, technical procedures, inpatient, and outpatient care. Participants selected a preferred feedback method for each category. Patient demographics and survey responses were described using frequency statistics. We compared differences in feedback preferences based on generation and field of practice.

RESULTS

A total of 871 participants completed the survey. Preferred feedback patterns in the medical field do not seem to align with sociologic theories of generational gaps. Most participants preferred to receive direct feedback after an activity away from their team, irrespective of their age or medical specialty. Individuals preferred direct feedback during an activity in front of their team only for technical procedures. Compared to nonsurgeons, surgeons were more likely to prefer direct feedback in front of team members for preparedness, performance, and attitude.

CONCLUSIONS

Generational membership is not significantly associated with preferred feedback patterns in this complex medical academic environment. Variations in feedback preferences are associated with field of practice that may be due to specialty-specific differences in culture and personality traits present within certain medical specialties, particularly surgery.

摘要

简介

反馈是复杂工作环境的重要组成部分。不同代际的人被证明具有不同的价值观,这些价值观源自社会和文化的变化。我们假设,代际差异可能与大型学术机构中的医学受训者和教师对反馈模式的偏好有关。

方法

我们于 2020 年 4 月至 6 月期间向一家大型学术医疗机构的所有学生、住院医师/研究员和教师分发了一份调查问卷。调查问卷评估了六个领域的反馈方法:准备情况、表现、态度、技术操作、住院患者和门诊患者护理。参与者为每个类别选择了首选的反馈方法。使用频率统计描述了患者人口统计学特征和调查结果。我们比较了基于代际和实践领域的反馈偏好差异。

结果

共有 871 名参与者完成了调查。在医学领域,反馈模式似乎与代际差异的社会学理论不一致。大多数参与者更喜欢在离开团队后进行活动时直接反馈,而不论其年龄或医疗专业如何。只有在技术操作过程中,个人才更喜欢在团队成员面前直接反馈。与非外科医生相比,外科医生更有可能在团队成员面前直接反馈准备情况、表现和态度。

结论

在这个复杂的医学学术环境中,代际成员与偏好的反馈模式没有显著关联。反馈偏好的差异与实践领域相关,这可能是由于某些医学专业中存在特定专业的文化和个性特征差异所致,尤其是外科。

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