家庭医学の大学院研修における初心者の監督者の信頼決定に影響を与える要因:定性的な研究
Aminah Al-Sulaiman1, Sylvia Heeneman2, Muhammad Zafar Iqbal3,4
1Family Medicine Academy, Al Khobar, Saudi Arabia.
Frontiers in medicine
|February 20, 2026
まとめ
初心者の監督者は,経験と関係を通して信頼を築くが,システム上の障壁に直面する. 教員育成と支援の強化は,大学院医学研修における信頼の校正を改善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
- 臨床監督 臨床監督について
- トラスト形成 トラスト形成
背景:
- 信頼は,研修生の自律性のための臨床監督において極めて重要です.
- 初心者の監督者による信頼決定は,経験のある監督者と比較して,十分に調査されていない.
研究 の 目的:
- 初心者の監督者の信頼に対する認識を調査する.
- 博士課程の家族医学における信頼構築に影響を与える要因を特定する.
主な方法:
- サウジアラビアにおける質的記述的研究 (2022-23年)
- 20人の初心者監督者 (5年未満の経験) との半構造面接.
- 信頼形成モデルによるフレームワーク分析.
主要な成果:
- 信頼は,観察,リスクの認識,説明責任を通じて進化する.
- 初期の高い監督/低い信頼は,曝露と関係構築にシフトします.
- システム的な問題 (短いローテーション,ワークロード) は信頼を阻害し",偽"の委託を引き起こします; 経験豊富な監督者はより自信があります.
結論:
- 初心者の監督者は,文脈的な障壁に直面しながら,徐々に信頼を育みます.
- 教員育成,構造的支援,長期のローテーションにより,信頼の校正と監督が改善されます.
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