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临床教师在临床教育中的专业性。

The professionalism of clinical teachers in clinical education.

机构信息

Associate Professor, Medical Education Department, Education Development Center, Shahid Sadoughi University of Medical Sciences, Yazd, IRAN.

Medical Student, Internal Medicine Department, Faculty Of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, IRAN.

出版信息

Indian J Med Ethics. 2024 Jan-Mar;IX(1):18-25. doi: 10.20529/IJME.2023.069.

Abstract

BACKGROUND

Professionalism has long been recognised as a core competency for clinical teachers as role models and educators. The present study aimed to evaluate the adherence to professionalism of clinical teachers from the perspectives of resident doctors and undergraduate medical students.

METHODS

This is a descriptive and cross-sectional study. All learners, including undergraduate medical students and residents who were studying in the medical school and teaching hospitals affiliated with Shahid Sadoughi University, were entered into this study as evaluators (n = 311). Of these, 151 clinical teachers were assessed by the learners. The students were asked to assess the two clinical teachers with whom they had interacted during the previous month in the clinical department. The Faculty Professionalism Evaluation Questionnaire was used in this study.

RESULTS

The results of the confirmatory factor analysis (CFA) confirmed the adequacy of the model. The total mean score was 1.98 (standard deviation=0.36, range = 0.96 to 2.82). In addition, the total mean score of the adherence to professionalism among clinical teachers was reported at the level of "met expectations". The results showed that the teachers' scores in the domains of "doctor-patient relationship" and "doctor-student relationship" were reported under the "met expectations" level. Their scores in the "inter-professional relationship" and "doctor-self relationship" domains were reported as "below expectations". The results showed the scores of teachers' professionalism were significantly lower from the viewpoints of residents than in the perceptions of medical students (p=0.0001).

CONCLUSION

The professionalism scores of clinical teachers were evaluated as "below expectations" from the learners' perspectives.

摘要

背景

专业精神长期以来一直被认为是临床教师作为榜样和教育者的核心能力。本研究旨在从住院医师和医学生的角度评估临床教师的专业精神遵守情况。

方法

这是一项描述性和横断面研究。所有学习者,包括在医学院和附属医院学习的医学生和住院医师,都作为评估者(n=311)进入本研究。其中,有 151 名临床教师由学习者进行评估。学生被要求评估他们在过去一个月在临床科室与谁互动过的两位临床教师。本研究使用了教师专业精神评估问卷。

结果

验证性因素分析(CFA)的结果证实了该模型的充分性。总平均得分为 1.98(标准差=0.36,范围=0.96 至 2.82)。此外,临床教师遵守专业精神的总平均分报告为“符合期望”水平。结果表明,教师在“医患关系”和“师生关系”领域的得分报告为“符合期望”水平。他们在“专业间关系”和“医生自我关系”领域的得分报告为“低于期望”。结果表明,从住院医师的角度来看,教师的专业精神评分明显低于医学生的看法(p=0.0001)。

结论

从学习者的角度来看,临床教师的专业精神评分被评估为“低于期望”。

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