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探索医学生与多学科团队(MDT)互动的早期经历:一项定性研究。

Exploring medical students' early experiences of interacting with the multi-disciplinary team (MDT): A qualitative study.

作者信息

Ainsworth James

机构信息

Swansea Bay University Health Board.

出版信息

MedEdPublish (2016). 2021 Feb 2;10:30. doi: 10.15694/mep.2021.000030.1. eCollection 2021.

Abstract

UNLABELLED

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BACKGROUND

Interprofessional education relates to educators and learners from two or more different health professions working together to create a collaborative learning environment which aims to improve patient care and teamwork. Part of a doctor's role requires an understanding and respect for the multiple professions involved in patient care and an ability to work within an interprofessional team. Development of future NHS highlights a central role for IPE.This study aims to explore the early experiences that medical students have with the MDT, looking at IPE at Barts and London School of Medicine and Dentistry.It aims to understand students preconceptions of different professional roles involved in patient care, and the effect of these shadowing experiences on these views, and explore students opinions on what are the barriers to effective interprofessional collaboration.

METHODS

Thematic analysis of student reflections 50 reflections usedOrganised using NvivoThematic analysis approachTree like framework of codes and subcodes Focus group and interviews More detailed exploration of key themes and issuesTotal 50 minutes recording timeSame codes used and organised in NVivo Results: Students interacted with a variety of health professionals, developing awareness of interprofessional teamwork, and of the different roles involved in patient care. Students showed very limited prior knowledge and stereotyped views of some professional roles in healthcare, but demonstrated changes in attitude as a result of IPE, and were able to gain a greater understanding and appreciation of different professions.

CONCLUSIONS

Students feel more comfortable approaching and learning from those who are actively involved in working and communicating with them and their team throughout their placement. It is important that opportunities for the students to shadow other professions are encouraged and supported as students find it challenging approaching and initiating these encounters themselves.

摘要

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背景

跨专业教育涉及来自两个或更多不同健康专业的教育工作者和学习者共同努力创建一个协作学习环境,旨在改善患者护理和团队合作。医生角色的一部分要求对参与患者护理的多个专业有理解和尊重,并具备在跨专业团队中工作的能力。未来英国国家医疗服务体系(NHS)的发展凸显了跨专业教育的核心作用。本研究旨在探索医学生在多学科团队(MDT)中的早期经历,考察伦敦大学圣乔治医学院和牙科学院的跨专业教育情况。其目的是了解学生对参与患者护理的不同专业角色的先入之见,以及这些见习经历对这些观点的影响,并探讨学生对有效跨专业合作的障碍的看法。

方法

对学生反思进行主题分析(使用了50条反思),使用NVivo进行组织,采用主题分析方法,构建代码和子代码的树状框架,进行焦点小组讨论和访谈,更详细地探讨关键主题和问题,总记录时间为50分钟,在NVivo中使用和组织相同的代码。结果:学生与各种健康专业人员互动,培养了跨专业团队合作意识以及对参与患者护理的不同角色的认识。学生对医疗保健中一些专业角色的先前知识非常有限且看法刻板,但由于跨专业教育而态度有所改变,并且能够对不同专业有更深入的理解和欣赏。

结论

学生在实习期间与那些积极与他们及他们的团队合作和交流的人接触并向其学习时会感觉更自在。鼓励并支持学生有机会见习其他专业很重要,因为学生发现自己主动进行这些接触具有挑战性。

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