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医学院校培训期间指导学习者:教员对指导经历的反思

Coaching Learners During Medical School Training: Faculty Reflections on the Coaching Experience.

作者信息

Blanco Maria A, Boehm Lauren, Hayes Victoria

出版信息

Acad Med. 2025 Sep 1;100(9):1074-1079. doi: 10.1097/ACM.0000000000006054. Epub 2025 Apr 1.

Abstract

PURPOSE

Research has shown the impact that coaching medical trainees has on the coaches' professional development and relationships. However, this research has not specifically investigated the evolution of this impact. The authors conducted a longitudinal qualitative research study to follow faculty as they developed their role as coaches of medical students during a 4-year coaching experience.

METHOD

The authors conducted 60-minute semistructured interviews with a selected group of faculty coaches at Tufts University School of Medicine, Boston, Massachusetts, from September 2019 to June 2023. Interviews were conducted at the beginning of the coaching experience and revisited at the end of the coaching experience with the first cohort of students. The authors performed a reflexive thematic analysis of all the transcripts using inductive open coding to construct themes.

RESULTS

Nine faculty coaches participated in the study. The coaches' reflections on their experiences coaching the same group of medical students for 4 years focused on the centrality of relationships in coaching, the evolving nature of the coaching relationship with medical students, and the impact of coaching on the coaches' professional and personal relationships, including their relationship with the field of medicine. The coaches found building the relationship as the most meaningful, as well as the most challenging, aspect of their coaching.

CONCLUSIONS

The authors propose continuing to define skills for faculty to strengthen and expand relationships with trainees in these coaching relationships, which are at the core of the coaching endeavor and which our participants found as the most rewarding and yet challenging aspect of their role.

摘要

目的

研究表明指导医学生对指导教师的职业发展和人际关系有影响。然而,这项研究并未具体考察这种影响的演变过程。作者进行了一项纵向定性研究,以跟踪教员在为期4年的指导经历中如何发展其作为医学生指导教师的角色。

方法

2019年9月至2023年6月,作者对马萨诸塞州波士顿塔夫茨大学医学院一组选定的教员指导教师进行了60分钟的半结构化访谈。访谈在指导经历开始时进行,并在第一批学生的指导经历结束时再次进行。作者使用归纳开放式编码对所有访谈记录进行了反思性主题分析,以构建主题。

结果

九名教员指导教师参与了该研究。这些指导教师对他们连续4年指导同一组医学生的经历的反思集中在指导中人际关系的核心地位、与医学生指导关系的不断演变的性质,以及指导对指导教师职业和个人关系的影响,包括他们与医学领域的关系。指导教师们发现建立关系是他们指导工作中最有意义也是最具挑战性的方面。

结论

作者建议继续确定教员的技能,以加强和扩大在这些指导关系中与学员的关系,这些关系是指导工作的核心,也是我们的参与者发现其角色中最有回报但也最具挑战性的方面。

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