Grol R, Tielens V, Mokkink H
Med Educ. 1985 Nov;19(6):479-86. doi: 10.1111/j.1365-2923.1985.tb01359.x.
This investigation examined the extent to which attitudes of doctors who participated in a one-year training programme for general practice changed in intended directions by training. A large number of questionnaires, validated in earlier research, were administered to 84 trainee general practitioners (GPs) both at the start and at the end of the training year. There appeared to be a strong to very strong shift in the intended direction with regard to the demarcation of work between general practitioners and specialists, the feeling of competence at work, the fear of making mistakes, beliefs about taking risks when making medical decisions, confidence in specialist technical examinations and the way general practice work is experienced. By the end of the training students hardly differed from, or had even gone further in the intended direction than, experienced general practitioners.
本调查研究了参加为期一年全科医学培训项目的医生的态度在多大程度上按照培训预期的方向发生了改变。在培训年开始时和结束时,向84名全科医学实习医生发放了大量在早期研究中已验证有效的问卷。在全科医生与专科医生的工作划分、工作中的胜任感、对犯错的恐惧、对医疗决策时冒险的看法、对专科技术检查的信心以及对全科医学工作体验等方面,似乎都朝着预期的方向发生了强烈到非常强烈的转变。到培训结束时,学生们与有经验的全科医生相比几乎没有差别,甚至在预期方向上比有经验的全科医生走得更远。