医学实践的过渡是如何被新型的过渡性角色所塑造的? 一个混合方法的研究研究
Bryan Burford1, Karen Mattick2, Daniele Carrieri2
1School of Medicine, Newcastle University, Newcastle upon Tyne, UK bryan.burford@newcastle.ac.uk.
BMJ open
|August 24, 2023
概括
临时基础第一年 (FiY1) 角色改善了新医生的准备工作. 这一过渡期提供了支持的自主权,增强了医生的信心,而不会对健康产生负面影响.
科学领域:
- 医学教育 医学教育
- 博士学位培训 博士学位培训
- 医疗保健的转型 医疗保健的转型
背景情况:
- 从医学院到基础计划 (FP) 的过渡给新医生带来了挑战.
- 一个新的临时角色,FiY1 (临时基础年1),是试点弥合这一差距.
- 这一角色是为了应对COVID-19大流行而实施的,但具有更广泛的意义.
研究的目的:
- 评估FiY1角色对医生的福祉和准备能力的影响.
- 了解对医生进行FiY1.1.的过渡体验的影响.
- 在医疗培训中探索"制度化临界性"的概念.
主要方法:
- 一个连续的混合方法研究设计.
- 两个阶段的问卷评估准备,压力,焦虑,抑郁,倦怠和身份.
- 与一小部分参与者进行半结构面试,以深入探讨经验.
主要成果:
- 与非FiY1同事相比,FiY1职位的医生报告说,他们对FP的准备程度明显更高.
- 在基金会计划的最初几个月里,准备的优势一直存在.
- FiY1角色促进了"支持自主",通过结构性和人际关系支持增强了医生的独立性,没有明显的长期损害福祉.
结论:
- 像FiY1这样明确的过渡性作用可以显著地使新医生受益.
- "制度化的临界性"的概念有效地描述了这种角色的结构化"之间和之间的"性质.
- 这一框架可以指导优化医学毕业生过渡培训位.
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