定义外科手术的文化
Erika K Bisgaard1, Megan K Moore2, Kathryn M Stadeli3
1From the Departments of Surgery (Bisgaard, Champan, Sanapoori, Maine), University of Washington, Seattle, WA.
Journal of the American College of Surgeons
|June 16, 2023
概括
在早期和晚期的职业生涯中,外科医生对手术文化的看法不同,这影响了培训. 了解这些代际差异是改善沟通和管理外科教育期望的关键.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 定性研究是指质量研究.
背景情况:
- 手术文化是医学培训的一个定义不佳但有影响力的方面.
- 研究生医学教育改革影响外科实习生的期望.
- 这些变化对外科医生对文化理解及其对培训的影响的影响尚不清楚.
研究的目的:
- 探索外科文化及其对外科培训的影响.
- 从不同经验水平的不同外科医生的角度了解这些动态.
主要方法:
- 对21名外科医生和实习生进行了半结构化的定性访谈.
- 使用定向内容分析进行采访转录,编码和分析.
主要成果:
- 确定了7个影响外科文化的主要主题.
- 早期和晚期的外科医生都优先考虑以患者为中心的护理,等级,高标准和有意义的工作.
- 职业生涯晚期的外科医生专注于基于经验的主题,如挑战和谦卑; 职业生涯早期的外科医生专注于个人目标,教育和工作与生活平衡.
结论:
- 以患者为中心的护理是外科文化中共同的核心价值.
- 在感知文化 (个人福祉与专业成就) 中的代际差异可能会导致摩擦.
- 了解这些差异对于加强在外科培训和职业生涯中的沟通,互动和期望管理至关重要.
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