Alshareef Maram H, Flemban Arwa F
Department of Community Medicine and Pilgrims Health, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Department of Pathology, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Adv Med Educ Pract. 2025 Jan 30;16:135-144. doi: 10.2147/AMEP.S481620. eCollection 2025.
Preceptors play an indispensable role in shaping the future of healthcare. They bridge theoretical learning and practical clinical expertise in a rapidly evolving medical education landscape. Their influence extends beyond knowledge transfer, embodying the values, attitudes, and professionalism essential to competent medical practice. Bandura's Social Learning Theory posits that individuals learn through observation and modelling. Applying this theory supports the assumption that trainees acquire skills and professional norms by observing preceptor behaviour, a process known as vicarious learning. They transmit clinical competencies, ethical standards, and interpersonal skills critical for patient-centred care. Despite their significance, challenges such as increasing workloads, diverse trainee needs, and the complexities of modern healthcare often impede their ability to mentor effectively. Preceptors shape trainees' professional identities and ethical standards, which are significantly influenced by the hidden curriculum, the set of unspoken or implicit lessons conveyed outside the formal curriculum. Globally, there is growing recognition of the need to support and enhance the role of preceptors in medical education. Due to several challenges, some factors might prevent preceptors from maintaining their role model status, including the need for experience, continuous learning, and adaptation to diverse trainee needs. Strategies such as engaging in reflective practices and implementing effective stress management techniques are crucial for preceptors to navigate these barriers and uphold their status. However, few studies have synthesised the various dimensions of preceptor influence, including role modelling, communication skills, and the hidden curriculum. This review aims to fill this gap by exploring the variable role of preceptors in shaping medical trainees' professional development. It highlights the theoretical underpinnings of preceptorship, discusses the challenges preceptors face, and proposes evidence-based strategies to enhance their impact on future healthcare professionals.
带教教师在塑造医疗保健的未来方面发挥着不可或缺的作用。在快速发展的医学教育环境中,他们架起了理论学习与临床实践专业知识之间的桥梁。他们的影响不仅限于知识传授,还体现了胜任医疗实践所必需的价值观、态度和专业素养。班杜拉的社会学习理论认为,个体通过观察和模仿来学习。应用这一理论支持了这样一种假设,即学员通过观察带教教师的行为来获得技能和专业规范,这一过程称为替代性学习。他们传授对以患者为中心的护理至关重要的临床能力、道德标准和人际技能。尽管他们很重要,但工作量增加、学员需求多样以及现代医疗保健的复杂性等挑战常常阻碍他们有效指导的能力。带教教师塑造学员的职业身份和道德标准,而这些会受到隐性课程的显著影响,隐性课程是指在正式课程之外传达的一套未言明或隐含的课程内容。在全球范围内,人们越来越认识到需要支持和加强带教教师在医学教育中的作用。由于存在一些挑战,一些因素可能会阻止带教教师保持其榜样地位,包括需要经验、持续学习以及适应学员的不同需求。参与反思性实践和实施有效的压力管理技巧等策略对于带教教师克服这些障碍并维持其地位至关重要。然而,很少有研究综合探讨带教教师影响的各个方面,包括榜样作用、沟通技巧和隐性课程。本综述旨在通过探索带教教师在塑造医学实习生职业发展中的可变作用来填补这一空白。它强调了带教工作的理论基础,讨论了带教教师面临的挑战,并提出了基于证据的策略,以增强他们对未来医疗保健专业人员的影响。