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英国研究生医学培训中的教育督导综述:角色、职责及对学员发展的影响

A Review of Educational Supervision in UK Postgraduate Medical Training: Roles, Responsibilities, and Impact on Trainee Development.

作者信息

Ismail Omar M, Said Umar N, El-Omar Omar M, Jizan Aryana, Bhutta Mohammed A

机构信息

Trauma and Orthopaedics, Northern Care Alliance NHS Foundation Trust, Manchester, GBR.

Trauma and Orthopaedics, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, GBR.

出版信息

Cureus. 2024 Nov 13;16(11):e73615. doi: 10.7759/cureus.73615. eCollection 2024 Nov.

DOI:10.7759/cureus.73615
PMID:39677073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11642175/
Abstract

This review examines the roles and responsibilities of educational and clinical supervisors in the UK postgraduate medical education system, focusing on their impact on trainee doctors' educational experiences and professional development. Guidance from the General Medical Council and the Department of Health underscores the importance of consistent supervision in various clinical settings. Educational supervisors are critical in helping trainees establish clear, competency-based goals, engage in career planning, and develop resilience. Supervisors are expected to build productive relationships, provide structured feedback, and support workplace-based assessments. Various feedback models, including Pendleton's and one-minute preceptor models, are discussed for their effectiveness in promoting reflective practice and competence. By fostering open communication and structured assessment, educational supervisors help trainees navigate the complexities of clinical practice and advance in their medical careers. This review outlines the essential supervisory skills, training recommendations, and best practices contributing to effective supervision and trainee success within the UK medical education framework.

摘要

本综述探讨了英国研究生医学教育体系中教育督导和临床督导的角色与职责,重点关注他们对实习医生教育经历和职业发展的影响。英国医学总会和卫生部的指导意见强调了在各种临床环境中进行持续督导的重要性。教育督导对于帮助实习生确立明确的、基于能力的目标、进行职业规划以及培养适应能力至关重要。督导人员应建立富有成效的关系,提供有条理的反馈,并支持基于工作场所的评估。文中讨论了包括彭德尔顿模型和一分钟导师模型在内的各种反馈模型在促进反思性实践和能力提升方面的有效性。通过促进开放沟通和结构化评估,教育督导帮助实习生应对临床实践的复杂性并在其医学职业生涯中取得进步。本综述概述了在英国医学教育框架内有助于有效督导和实习生成功的基本督导技能、培训建议和最佳实践。

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本文引用的文献

1
The one-minute preceptor model: A systematic review.一分钟导师模型:系统评价
J Am Assoc Nurse Pract. 2019 Jan;31(1):46-57. doi: 10.1097/JXX.0000000000000099.
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A Randomized Trial of SMART Goal Enhanced Debriefing after Simulation to Promote Educational Actions.一项随机试验:通过模拟后强化 SMART 目标汇报以促进教育行动。
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How to give and receive 
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The importance of mentoring during educational supervision.教育督导期间指导的重要性。
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Competencies to enable learning-focused clinical supervision: a thematic analysis of the literature.实现以学习为导向的临床监督能力:文献的主题分析。
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The "educational alliance" as a framework for reconceptualizing feedback in medical education.“教育联盟”作为重新构想医学教育中反馈的框架。
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J R Soc Med. 2008 Jan;101(1):6. doi: 10.1258/jrsm.2007.070342.
9
AMEE Guide No. 27: Effective educational and clinical supervision.《医学教育与实践指南》第27号:有效的教育与临床督导
Med Teach. 2007 Feb;29(1):2-19. doi: 10.1080/01421590701210907.
10
Clinical supervision of SpRs: where does it happen, when does it happen and is it effective? Specialist registrars.专科住院医生的临床督导:在哪里进行、何时进行以及是否有效?专科住院医生。
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