Trent P J, Hock R A, Yancy W S
J Med Educ. 1982 Feb;57(2):113-8. doi: 10.1097/00001888-198202000-00006.
The evaluation of a behavior and development training program that was integrated into a general pediatric training residency is reported. Thirty-two residents who participated in the program were evaluated over one year on measures designed to assess residents' opinions about the relevance of behavior and development concepts, residents' perceptions of their own competence in behavior and development knowledge and skills, supervisors' ratings of residents' general clinical performance, and residents' attitudes about 10 specific illnesses. Results suggest that residents perceive a high relevance for psychosocial concepts and an increasing competence with these concepts after training. Establishing rapport with patients emerged as an important variable in supervisors' ratings of resident performance and in residents' self-ratings of competence. Attitudes were initially negative toward the more behavioral and psychophysiological disease entities but showed some positive change over the year. These results and their implications are discussed.
本文报告了一项融入普通儿科住院医师培训的行为与发育培训项目的评估情况。对参与该项目的32名住院医师进行了为期一年的评估,评估指标包括:旨在评估住院医师对行为与发育概念相关性的看法、住院医师对自身行为与发育知识及技能能力的认知、上级对住院医师总体临床绩效的评分,以及住院医师对10种特定疾病的态度。结果表明,住院医师认为心理社会概念具有高度相关性,且培训后对这些概念的能力有所提高。与患者建立融洽关系在上级对住院医师绩效的评分以及住院医师对自身能力的自评中成为一个重要变量。住院医师最初对行为和心理生理疾病实体的态度较为消极,但在这一年中呈现出一些积极变化。本文讨论了这些结果及其意义。