在加拿大放射性瘤学培训计划中实施基于能力的住院课程后对同行指导的影响
David Y Mak1, Janet Papadakos2,3,4, Joanne Alfieri5
1Department of Radiation Oncology, Princess Margaret Cancer Center, University of Toronto, Toronto, Ontario.
Advances in radiation oncology
|March 29, 2024
概括
在新的设计能力 (CBD) 课程中,放射性瘤学住院人员报告说,同行指导机会较少. 研究发现,非正式的面对面互动最能支持这些有价值的专业关系.
科学领域:
- 医学教育 医学教育
- 住院培训 培训 住院培训
- 辐射瘤学 辐射瘤学
背景情况:
- 同行指导对于医学领域的专业和个人发展至关重要.
- 课程变化可以显著影响同行指导的动态和有效性.
- 关于新课程对医生指导的影响的研究有限.
研究的目的:
- 调查"设计能力" (CBD) 课程对加拿大放射性瘤学专科医生的同行指导的影响.
- 探索课程改革如何影响同行指导关系的质量和可用性.
主要方法:
- 一个使用社会构造主义方法的定性研究.
- 与加拿大放射性瘤学居民的两个组进行了半结构面试:CBD前和CBD队列.
- 采访数据使用演和归纳主题分析来分析.
主要成果:
- 与非CBD队列相比,CBD队列中的居民报告的同行指导机会较少.
- 人们对新的评估流程和CBD下后期培训阶段的不确定性表示担忧.
- 专业特定的学习受到最小的影响,同行指导在自发的,面对面的互动中最有效.
结论:
- 实施CBD课程与居民对同行指导机会的感知下降有关.
- 虽然专业学习没有受到影响,但导师的性质发生了变化,非正式的面对面互动被证明是最有益的.
- 减轻负面影响的策略包括加强关于培训目标的沟通,促进非正式居民互动.
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