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调查第一年外科住院人员对培训期间需求,控制和支持的期望
Feyisayo Ojute1, Paul Adam Gonzales1, T Roxana Ghadimi1
1UCSF Center of Mindfulness in Surgery, Department of Surgery, University of California San Francisco, San Francisco, California.
Journal of surgical education
|February 22, 2024
概括
新来的通用外科实习生希望通过自力更生来应对挑战,但往往会高估其有效性. 了解这些期望是减少手术培训中倦怠和消耗的关键.
科学领域:
- 职业科学 职业科学 职业科学
- 医疗教育 医学教育
- 心理学 心理学 心理学
背景情况:
- 一般外科 (GS) 的实习生面临着高的倦怠率和疲劳率.
- 倦怠源于工作场所的期望与现实之间的不匹配.
- 工作场所需求,控制和支持 (DCS) 显著影响工作压力.
研究的目的:
- 了解一般外科实习生在培训前对工作场所需求,控制和支持 (DCS) 的期望.
- 确定导致潜在的"期望与现实"不匹配的因素.
- 为旨在减轻燃烧和磨损的干预提供信息.
主要方法:
- 半结构面试与14个入门的整体外科住院医生.
- 使用归纳和演推理,对采访成绩单进行主题分析.
- 工作需求资源理论框架的应用.
主要成果:
- 四个主题出现了:过去的经验 (自力更生),预期的回报 (掌握,成长),预期的挑战 (控制能力低,毒性,歧视) 和渴望归属.
- 实习生可以现实地预测挑战,但可能会高估自力更生.
- 归属的愿望是一个强大的动机,尤其对女性和非白人居民来说.
结论:
- 新来的实习生依赖于自力更生,预期特定的奖励,并承认挑战.
- 包容和归属是关键的激励因素,可能会抵消长期的努力.
- 需要进一步的研究来解决"期望与现实"的不匹配问题,并制定有针对性的干预措施.
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