属于外科:一个验证的工具和单一的机构试点
Rachael C Acker1,2, James Sharpe1,2, Judy A Shea3,4
1Department of Surgery, Center for Surgery and Health Economics, Department of Surgery, Philadelphia, PA.
Annals of surgery
|February 13, 2024
概括
一个新的11项工具有效地衡量了住院医生的外科归属. 这个工具揭示了归属与种族,毕业队伍和压力有关,影响了外科医生的福祉和表现.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 进行外科手术培训.
背景情况:
- 归属是一种与福祉,表现和动机相关的基本人类需求.
- 目前还没有有效的工具来评估外科住院生之间的归属性.
- 了解归属对于改善外科培训环境至关重要.
研究的目的:
- 开发和验证可靠的仪器来测量手术中的归属性.
- 评估所开发的归属度表的心理特征.
- 探索与属于外科住院相关的人口和经验因素.
主要方法:
- 一个专家小组调整了一个现有的手术住院医生的附属仪器.
- 一个28项的仪器被用于外科住院生,随后进行心理测量分析 (克朗巴赫的α,主要成分分析).
- 该工具由专家小组改进为11项版本.
主要成果:
- 最后的11项指标显示出强大的内部一致性 (克朗巴赫的α=0.90).
- 探索性分析确定了一个占主导地位的成分,解释了70%的差异.
- 与白人居民相比,黑人和亚洲居民的归属度较低,居民压力水平较高.
结论:
- 已经开发了一种经过验证的11项仪器,用于测量住院医生的手术属性.
- 这种经过验证的仪器允许调查归属是影响外科医生福祉和表现的因素.
- 调查结果突出了基于种族和队列毕业等因素的归属的潜在差异,需要进一步关注.
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