影响内部医学实习生的投资组合基础反思参与的因素:基于调查的研究
Jeorghino Lodge1, Cornelius Neptune2, Nwe Ni Tun3
1Internal Medicine, Blackpool Victoria Hospital, Blackpool, GBR.
Cureus
|June 25, 2024
概括
大多数英国的内科医生 (IMT) 写反思,但许多人看不到益处. 训练阶段和对GMC影响的恐惧等因素影响反思,时间限制是主要障碍.
科学领域:
- 医学教育 医学教育
- 研究生培训研究生培训
- 反思性实践是一种反思性实践.
背景情况:
- 当代医学教育促进反思性实践,以持续学习.
- 在英国,鼓励内部医学实习生 (IMT) 使用电子投资组合进行书面反思.
- 现有的文献表明,在实习生反思中,参与和肤浅程度各不相同.
研究的目的:
- 量化IMT参与书面反思的百分比.
- 确定影响学员反思的可能性的因素.
- 评估实习生对反思实践的感知障碍.
主要方法:
- 准实验性的横截面研究设计.
- 一项15项调查,分发给英格兰西北部的592个IMT教区.
- 使用千平方测试和对243个回答的描述性统计数据的数据分析.
主要成果:
- 81.5%的实习生 (n=198) 报告写作反思.
- 主要反思内容包括临床结果,教学和新学习.
- 重要影响因素:培训阶段,多年的实践经验,先前的监护和对法律/转基因生殖后果的恐惧;主要障碍:缺乏时间和感知到缺乏利益.
结论:
- 大多数IMT参与书面反思,但很大一部分人没有直接的利益.
- 实习生背景和经验明显影响反思参与.
- 加强反思实践的未来战略必须解决被认为是障碍,并承认培训人员的各种需求.
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