McGlynn T J, Wynn J B, Munzenrider R F
J Med Educ. 1978 Dec;53(12):973-81. doi: 10.1097/00001888-197812000-00004.
The process of resident education in an internal medicine practice was examined through interviews with 14 residents, who discussed their educational experience while caring for 10 patients. These retrospective evaluations provided insights about how the residents learned when caring for their patients. The study results suggest that resident education in this setting depends upon feedback provided through residents' use of educational resources or through their participation in elements of patient care. These essential elements of resident education were identified: treating and following patients, having cases reviewed by consultants and supervisors, encountering and recognizing diseases, and reading about problems. The study results provide a conceptual model of resident education upon which to base future research projects that should focus on patient selection and organizational aspects of the residents' practice.
通过对14名住院医师的访谈，考察了内科实习中住院医师的教育过程，这些住院医师在照顾10名患者时讨论了他们的教育经历。这些回顾性评估提供了关于住院医师在照顾患者时如何学习的见解。研究结果表明，这种环境下的住院医师教育取决于通过住院医师使用教育资源或参与患者护理要素所提供的反馈。确定了住院医师教育的这些基本要素：治疗和跟踪患者、由顾问和上级审查病例、遇到和识别疾病以及阅读相关问题。研究结果提供了一个住院医师教育的概念模型，可作为未来研究项目的基础，这些项目应关注住院医师实习中的患者选择和组织方面。
