"理解する"外科レジデントの資質を定義する:教員とレジデントの認識の質的分析
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Updated: Jul 3, 2026

14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Shaleen V Sathe1, Ravi R Agrawal2, Jennifer Yu1
1Department of Surgery, Washington University in St. Louis School of Medicine, United States.
American journal of surgery
|February 19, 2026
まとめ
外科研修生と教員は,評価における曖昧な用語である"それを得る"の異なる理解を持っています. この概念の明確化は,フィードバック,研修生の成長を改善し,外科教育のバイアスを軽減することができます.
科学分野:
- 医療教育 医療教育について
- 外科研修は外科研修として行われます.
- 評価の評価について
背景:
- "getting it"という表現は,外科研修生の評価でよく使われるが,明確な定義がない.
- この曖昧さは,居住者の業績を評価する際の矛盾につながる可能性があります.
研究 の 目的:
- 外科のレジデントと教員が"それを得ること"の概念をどのように定義するかを探求する.
- この概念に対する居住者と教員の認識の一致を調査する.
主な方法:
- 11人のレジデントと13人の教員との半構造面接が行われました.
- データ分析は,反射的なテーマ分析を用いて行われました.
主要な成果:
- 住民は,臨床的能力,社会的意識,フィードバック応答性,チーム統合によって"それを得ること"を定義し,暗黙の期待と教員バイアスの課題を指摘しました.
- 教員たちは,イニシアティブ,洞察力,臨床的判断のジェスタルト認識として"それを得ること"を認識しました.
- 両グループは,この概念を教えることが困難で,曖昧で,バイアスに弱いものであることに同意した.
結論:
- 住民と教員による"理解"の異なる解釈は,この概念をより明示的にすることを必要としています.
- 明確な定義は,フィードバックの質を向上させ,研修生の開発を支援し,評価バイアスを軽減することができます.
- 将来の研究は,外科研修における技術的および非技術的能力に関する共有された言語の枠組みを開発すべきである.
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