探索医学学生在儿科实习期间直接观察的经验
概括
直接观察 (DO) 的医学生是不一致的,与看守观察重要的临床技能比预期的少. 提高DO质量对于培养合格的医生劳动力至关重要.
科学领域:
- 医学教育研究 医学教育研究
- 临床技能评估 临床技能评估
- 研究生医学教育研究生医学教育
背景情况:
- 直接观察 (DO) 是指在职务期间评估医学生能力的任务.
- 没有充分记录DOs的频率,持续时间,质量和背景.
- 这项研究调查了多个机构的儿科医生实习期间的DOs.
研究的目的:
- 检查儿科医生实习期间直接观察的质量,数量和特征.
- 确定影响医学生对DOs感知价值的因素.
- 评估当前儿科医生职位中DO实践的现状.
主要方法:
- 一项涉及6所美国机构的多方法研究,从2022年3月到10月进行.
- 定性阶段:聚焦小组和半结构面试与医学三年级学生.
- 定量阶段:采访后进行的匿名调查,主题和统计分析.
主要成果:
- 73名学生参与了调查,71名学生完成了调查. 主要由居民 (87.3%) 进行,而不是医务人员 (8.4%).
- 参与者经常观察到临床推理 (53.5%),沟通 (54.9%) 和演讲技巧 (81.7%).
- 三分之一的学生从未被观察到接受过病史 (32.4%),四分之一从未被观察到接受过体检 (25.4%).
结论:
- 临床医生对临床关键技能的直接观察在住院患者环境中比预期的少.
- 当期望明确,环境安全,反可操作时,医学学生会重视DO.
- 目前的DO实践不足于最佳,需要对基于能力的临床教育和未来的患者护理进行改进.
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