作为一名医学学生,提出专业性的问题:如果他们这样做,他们会被诅咒,如果他们不这样做,他们会被诅咒?
Erica Sullivan1, Harish Thampy2, Simon Gay3
1University of Manchester, Manchester, UK. erica.sullivan@manchester.ac.uk.
BMC medical education
|February 29, 2024
概括
医学学生报告同行专业性的决定是复杂的,受隐藏的课程因素和个人考虑因素的影响. 医学院必须支持学生应对这些挑战,并培养专业精神.
科学领域:
- 医学教育 医学教育
- 专业精神 研究 研究 专业精神
- 医疗保健道德 医疗保健道德
背景情况:
- 专业精神对于医生来说至关重要,以保持患者和社会信任.
- 识别和报告问题对于确保高质量,安全的患者护理至关重要.
- 医学专业的学生有很好的观察和报告专业的缺失,特别是在同龄人之间.
研究的目的:
- 探索医学学生愿意报告在临床和非临床环境中遇到的专业性问题.
- 专门调查医学学生之间的同行相关的专业性问题.
主要方法:
- 对来自英国医学院的10名高级医学学生进行了深入的半结构面试.
- 利用专题分析从录制和转录的采访中识别中央组织概念.
主要成果:
- 隐藏的课程元素 (角色模型,层次结构,报告系统) 影响了报告决策.
- 学生们引用个人脆弱性,价值观和同伴的同情心作为不报告的原因.
- 报告决策是由同行队列动态和保持个人同行关系的愿望所塑造的.
结论:
- 医学学生面临一个复杂的决策过程,当决定报告同行专业性的担忧.
- 课程对报告的期望往往通过影响因素的复杂相互作用来导航.
- 医学院应提供支持性流程,以帮助学生管理冲突并培养专业精神.
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