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教学住院医师轮转对急诊医学住院医师的影响

Impact and Influence of a Teaching Resident Rotation on Emergency Medicine Resident Physicians.

作者信息

Yu Catherine, Bavolek Rebecca, Varilla Luigi, Jordan Jaime, Lai Steven

机构信息

Department of Emergency Medicine Rutgers Robert Wood Johnson Medical School New Brunswick New Jersey USA.

Department of Emergency Medicine David Geffen School of Medicine at UCLA Los Angeles California USA.

出版信息

AEM Educ Train. 2025 Mar 31;9(2):e70034. doi: 10.1002/aet2.70034. eCollection 2025 Apr.

Abstract

BACKGROUND

The Accreditation Council for Graduate Medical Education requires residency programs to train their residents to be teachers. Teaching resident (TR) rotations in emergency medicine (EM) residency programs provide both an opportunity to train residents in teaching skills and a dedicated teaching service for junior learners in the clinical setting. The impact that this experience has on the residents themselves is unknown. We sought to explore the impact of our residency program's TR rotation on our recent graduates.

METHODS

We conducted a qualitative study using semistructured interviews. We recruited our residency program's recent graduates and interviewed participants over a videoconferencing platform. We used a constructivist paradigm to guide our thematic analysis.

RESULTS

We interviewed 11 graduates and identified major themes regarding how the TR rotation impacted their comfort and preparedness to teach and supervise learners postgraduation: discovery of their teaching identity, communication skills, development of teaching and supervisory skills, and professional development.

CONCLUSIONS

EM residents found TR rotations helpful in developing skills that prepared them to educate learners and supervise patient care postgraduation. The findings of this study may inform the use and development of TR rotations in EM and other specialties.

摘要

背景

毕业后医学教育认证委员会要求住院医师培训项目培养其住院医师成为教师。急诊医学(EM)住院医师培训项目中的教学住院医师(TR)轮转既为住院医师提供了培养教学技能的机会,也为临床环境中的初级学习者提供了专门的教学服务。这种经历对住院医师自身的影响尚不清楚。我们试图探讨我们住院医师培训项目的TR轮转对我们近期毕业生的影响。

方法

我们采用半结构化访谈进行了一项定性研究。我们招募了我们住院医师培训项目的近期毕业生,并通过视频会议平台对参与者进行了访谈。我们使用建构主义范式来指导我们的主题分析。

结果

我们采访了11名毕业生,并确定了关于TR轮转如何影响他们毕业后教授和指导学习者的舒适度和准备情况的主要主题:发现他们的教学身份、沟通技巧、教学和监督技能的发展以及职业发展。

结论

急诊医学住院医师发现TR轮转有助于培养技能,使他们有能力在毕业后教育学习者并监督患者护理。本研究的结果可能为急诊医学及其他专业中TR轮转的使用和发展提供参考。

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