Tokumasu Kazuki, Obara Haruo, Hirosawa Takanobu, Ogawa Hiroko, Otsuka Fumio
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.
Department of General Internal Medicine, Okinawa Chubu Hospital, Uruma 904-2243, Japan.
Healthcare (Basel). 2024 Aug 14;12(16):1621. doi: 10.3390/healthcare12161621.
Clinical experiences, helping relationships, and reflection are key factors for personal development for physicians. However, few studies have shown which experiences are important for personal growth and how medical residents specifically use their experiences for personal growth. The aim of this study was to identify from the medical residents' perspective which clinical experiences contribute to their personal development. We employed a qualitative design, conducting semi-structured interviews with ten postgraduate year two medical residents at a Japanese teaching hospital. The interviews were transcribed in interview memos, anonymized, and subjected to reflective thematic analysis to generate themes relevant to personal and professional development. Successful clinical experiences with autonomy and responsibility in clinical management were shown to be essential points for personal development as a physician. Autonomy in this study was the attitude of making one's own choices when managing patients. Responsibility was the obligation of the resident to take charge of a patient. Instructing junior trainees, appreciation received from patients, and approval granted by attending physicians reinforced their feelings of personal growth. The realization of what experiences and concepts influence medical residents' personal growth and development will make their professional development more effective.
临床经验、帮助关系和反思是医生个人发展的关键因素。然而,很少有研究表明哪些经历对个人成长很重要,以及住院医生如何具体利用他们的经历实现个人成长。本研究的目的是从住院医生的角度确定哪些临床经历有助于他们的个人发展。我们采用定性设计,对日本一家教学医院的十名二年级住院医生进行了半结构化访谈。访谈内容转录为访谈备忘录,进行匿名处理,并进行反思性主题分析,以生成与个人和职业发展相关的主题。在临床管理中具有自主性和责任感的成功临床经验被证明是作为医生个人发展的关键点。本研究中的自主性是指在管理患者时做出自己选择的态度。责任感是住院医生负责照顾患者的义务。指导低年级实习生、患者的感激之情以及主治医生的认可增强了他们的个人成长感。了解哪些经历和观念会影响住院医生的个人成长和发展,将使他们的职业发展更有成效。