在一般外科住院医生,教师和工作人员中,工会化的经验
Darci C Foote1, Audrey E Rosenblatt2,3, Daniela Amortegui4
1Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
JAMA network open
|July 17, 2024
概括
工会为外科住院医生提供了发言权和代理权,但在福利和培训方面可能导致意想不到的后果. 居民积极参与是工会结构内外有效倡导的关键.
科学领域:
- 医疗教育 医学教育
- 进行外科手术培训.
- 居民健康 居民健康
背景情况:
- 工会是员工的倡导者,但它们对外科住院人员幸福感的影响尚不清楚.
- 了解居民和教师的工会化经验对于改善外科住院计划至关重要.
研究的目的:
- 探索一般外科院士,教师和工作人员与工会的经验.
- 确定在外科实习生中工会化的感知好处和缺点.
主要方法:
- 一项探索性定性研究,使用半结构化采访与来自15个整体外科住院计划的住院人员,教师和工作人员进行半结构化采访.
- 通过基于国家比较数据 (SECOND) 的有针对性干预来优化外科教育文化试验数据进行了分析.
- 诱导编码和不断的比较分析被用来识别新出现的主题,包括工会化.
主要成果:
- 工会化是为了应对居民缺乏声音和代理权的感觉而出现的.
- 确定的主要好处包括增加的工资和住房津贴.
- 意想不到的后果包括不相关的福利,失去现有的部门福利,和敌对的居民教师动态.
结论:
- 虽然工会化可以为居民倡导提供一个平台,但它也可能给福利,灵活性和教学带来挑战.
- 有效的宣传需要外科住院医生的积极参与,无论是通过工会还是其他机制.
- 需要与更多机构进行进一步的研究,以了解外科住院中工会化的长期演变.
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