Mauksch L B, Heldring M
Department of Family Medicine, University of Washington School of Medicine, Seattle, USA.
Fam Med. 1995 Feb;27(2):103-8.
In earlier years, the majority of behavioral scientists in family medicine were physicians. Recent data suggest that the vast majority now come from disciplines outside of medicine. Little is known about how behavioral scientists view their work environments, which roles and teaching approaches are used most often, and if these variables change among groups with different amounts of experience.
Data from a survey mailed to 384 family practice residencies addressed four objectives, to: 1) collect behavioral scientists' demographic data, 2) assess behavioral scientists' perceptions of their work environments, 3) measure frequency of use of teaching approaches, and 4) measure frequency of assuming different roles among groups with different amounts of experience.
Behavioral scientists from 214 of the 384 surveyed programs responded, for a total response rate of 56%. An additional 15 program directors (4%) reported no behavioral scientist on their faculty. Relative time allocation for various roles was the same in the three experience groups; the most emphasis was placed on consultation and teaching. One-on-one teaching was the teaching modality used most frequently. Case-based teaching was used more in experienced groups. Behavioral scientists felt strongly supported by faculty and moderately supported by residents.
This study's results offer insight into how behavioral scientists spend their time and the teaching approaches they use most frequently. The relationship between behavioral scientists' years of experience and teaching approaches is examined. Behavioral scientists stay in their jobs longer and feel more included than their earlier cohorts in family medicine.
在过去,家庭医学领域的行为科学家大多是医生。最近的数据表明,现在绝大多数行为科学家来自医学以外的学科。对于行为科学家如何看待他们的工作环境、最常采用哪些角色和教学方法,以及这些变量在不同经验水平的群体中是否会发生变化,我们了解得很少。
一项邮寄给384个家庭医学住院医师培训项目的调查数据涉及四个目标:1)收集行为科学家的人口统计学数据;2)评估行为科学家对其工作环境的看法;3)衡量教学方法的使用频率;4)衡量不同经验水平群体承担不同角色的频率。
384个被调查项目中有214个项目的行为科学家做出了回应,总回应率为56%。另外15名项目主任(4%)报告称其教职员工中没有行为科学家。在三个经验组中,各种角色的相对时间分配是相同的;最受重视的是咨询和教学。一对一教学是最常使用的教学方式。基于案例的教学在经验丰富的组中使用得更多。行为科学家感到得到了教职员工的大力支持,得到了住院医师的适度支持。
本研究结果深入了解了行为科学家如何分配时间以及他们最常使用的教学方法。研究了行为科学家的工作年限与教学方法之间的关系。与早期的家庭医学同行相比,行为科学家在工作岗位上的任职时间更长,并且感觉融入度更高。