导师作为一个复杂的适应系统 - - 一个系统的覆盖审查医学教育中普遍存在的导师理论
Mac Yu Kai Teo1,2,3, Halah Ibrahim4, Casper Keegan Ronggui Lin1,2,3,5,6
1Yong Loo Lin School of Medicine, National University of Singapore, Level 11 NUHS Tower Block, 1E Kent Ridge Road, Singapore, 119228, Singapore.
BMC medical education
|July 5, 2024
概括
医疗教育中的指导功能是一个复杂的适应系统 (CAS),而不是一个简单的线性过程. 这一发现需要重新评估指导计划是如何设计,支持和评估的.
科学领域:
- 医学教育 医学教育
- 系统科学 系统科学
- 导师研究 导师研究
背景情况:
- 有效的指导在医学教育中至关重要,有利于所有参与方.
- 导师理念已经超越了传统的一对一关系,发展到包括团体和同行模式.
- 当前的理论未能捕捉到辅导的个性化,动态和特定环境的性质.
研究的目的:
- 系统地审查文献,以确定辅导是否可以被概念化为一个复杂的适应系统 (CAS).
主要方法:
- 在主要数据库中对2000-2023年期间的文章进行系统的范围审查.
- 专注于医学学生和居民的辅导账户和CAS概念.
- 采用主题和内容分析来识别和综合发现.
主要成果:
- 对216篇文章的分析揭示了导师关系和方法表现出CAS特征.
- 导师经常作为实践社区 (CoP) 运作.
- CAS的特点包括明确的边界,螺旋轨迹和纵向支/评估.
结论:
- 将指导视为CAS需要重新考虑其设计,支持,评估和监督.
- 需要进一步的研究来优化导师评估,培训和支持.
- 这种模式的转变影响了导师的角色和责任.
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