一年级医生指导计划的好处,障碍和促进者:系统审查
Joelle Winderbaum1, Linda L Coventry1
1School of Nursing and Midwifery, Edith Cowan University, Perth, Australia.
Medical education
|January 15, 2024
概括
导师计划显著有利于面临艰难转型的第一年医生,改善福祉和职业满意度. 这些计划有助于弥合培训差距,并解决医学中的文化挑战.
科学领域:
- 医学教育 医学教育
- 专业发展专业发展
- 博士学位培训 博士学位培训
背景情况:
- 从医学学生到一年级医生的过渡是具有挑战性的,其特点是高燃烧率和心理健康问题.
- 一年级医生遇到独特的障碍,包括绩效差距,身份斗争和职业压力.
- 导师是医学的一个常见的专业成长和幸福的策略,但它对第一年医生的具体应用缺乏系统的审查.
研究的目的:
- 评估现有的针对一年级医生量身定制的指导研究.
- 为了确定这个特定群体的辅导计划的好处,障碍和促进者.
- 为转换医生的医生提供有效支持系统的发展提供信息.
主要方法:
- 使用PEO (人口,暴露,结果) 框架和PRISMA指南进行了系统审查.
- 在多个数据库中进行了广泛的文献搜索 (例如,科学网,Medline,Scopus).
- 研究选择,质量评估 (Joanna Briggs 仪器) 和数据综合由独立审稿人严格执行.
主要成果:
- 在4137篇获取的文章中,有13篇符合审查的纳入标准.
- 出现了三个关键主题:辅导的好处,方案实施的障碍,以及成功的促进因素.
- 导师提供心理社会和职业优势,有助于过渡,并可以减轻负面的文化动态.
结论:
- 一年级医生面临严峻的工作条件,导致心理健康不佳和疲劳.
- 正式化的指导,特别是近同行和马赛克模型,提供了至关重要的支持,弥合了教育差距.
- 虽然指导是有价值的,但系统性的文化变化也是必要的,以充分解决医疗行业的挑战.
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