Kozlowska K, Nunn K, Cousens P
Arndell Children's Unit, Royal North Shore Hospital, New Ryde, New South Wales, Australia.
Aust N Z J Psychiatry. 1997 Oct;31(5):628-40; discussion 653-4. doi: 10.3109/00048679709062675.
To look at the perceptions of New South Wales (NSW) psychiatric trainees in relation to their training experiences and the role and quality of the consultant-registrar relationship.
A self-report questionnaire was developed to probe trainee perceptions of the consultant-trainee relationship in all those who had completed at least 1 year of training in psychiatry (n = 138) in NSW, as well as all consultants who had completed their training in the last 5 years (n = 95). Test-retest reliability was assessed at 3 months for each of the subscales (r = 0.70-0.89) and found to be acceptable. Validity issues are discussed.
The results are discussed with special reference to the perceived competence, availability, breadth of knowledge and willingness to accept responsibilities of the supervising consultant. Consultant competence as a clinician was consistently rated as more important than being emotionally supportive.
In addressing these issues, we aim to increase the degree of self-consciousness and reflectiveness of the profession of psychiatry within the Australian context. If there is to be a substantial shift for the better in trainees' perceptions of consultants, it is likely that the general consultant experience will have to be improved rather than providing small amounts of exposure to high quality consultants.
了解新南威尔士州(NSW)精神科实习医生对其培训经历以及顾问医生与实习医生关系的角色和质量的看法。
设计了一份自我报告问卷,以探究新南威尔士州所有完成至少1年精神科培训的实习医生(n = 138)以及所有在过去5年完成培训的顾问医生(n = 95)对顾问医生与实习医生关系的看法。对每个分量表在3个月时进行重测信度评估(r = 0.70 - 0.89),结果可接受。文中讨论了效度问题。
讨论结果时特别提及了对督导顾问医生的感知能力、可及性、知识广度和承担责任的意愿。作为临床医生的顾问医生能力一直被认为比给予情感支持更为重要。
在解决这些问题时,我们旨在提高澳大利亚背景下精神科专业的自我意识和反思程度。如果要大幅改善实习医生对顾问医生的看法,可能需要改善一般顾问医生的体验,而不是仅让实习医生少量接触高素质的顾问医生。