了解和解决对自主权的不同看法
Krystina N Choinski1, Ageliki G Vouyouka1
1Division of Vascular Surgery, Department of Surgery, Mount Sinai Hospital, New York, NY.
外科住院医生的自主性由于各种因素而下降,包括互动和偏见的减少. 拟议的战略包括加强教师参与和多样化的招聘,以提高在外科培训中的居民独立性.
科学领域:
- 外科教育的外科教育
- 医学培训 医学培训 医学培训
- 居民自主权 居民自主权
背景情况:
- 在手术室中观察到,外科住院医生的自主性显著下降.
- 这种下降归因于诸如分散的住院互动,生产力需求和公众的看法等因素.
研究的目的:
- 分析多个因素对外科住院者自主权的现状的影响.
- 提出加强在外科培训中的居民自主权的策略.
主要方法:
- 对影响居民自主权的因素的文献综述.
- 分析碎片化互动,医院需求和偏见的影响.
- 开发一种战略方法,以增加居民的自主权.
主要成果:
- 在培训期间,外科住院医生的独立性减少了.
- 诸如分散的互动,生产力压力和偏见等因素会对自主性产生负面影响.
- 文献审查证实了影响居民自治的因素的复杂相互作用.
结论:
- 增加居民和教师的互动对于提高自主性至关重要.
- 加强案例规划和招聘多元化的实习生和教师可以促进居民更大的独立性.
- 需要一个多方面的战略来恢复和增强外科住院医生的自主权.
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