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这是八还是反? 外科主持人对在实习室内八的看法
Joseph C L'Huillier1, John M Woodward2, Sarah Lund3
1Department of Surgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY; Department of Epidemiology and Environmental Health, Division of Health Services Policy and Practice, School of Public Health and Health Professions, University at Buffalo, Buffalo, NY; Department of Health Professions Education, MGH Institute for Health Professions Education, Boston, MA.
参与手术的外科医生认为八是负面的,但使用它作为居民反,尽管在手术培训中减轻其有害影响仍然具有挑战性. 客观的沟通和仔细的信息共享是打击有害言的关键.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 定性研究是指质量研究.
背景情况:
- 八,定义为对一个缺席的第三方进行评价性谈话,存在于外科住院计划中.
- 参与手术的外科医生可能会使用八来提供居民反,可能引入偏见.
- 参与手术的外科医生在培训中关于八的观点以前没有被研究过.
研究的目的:
- 探索外科医生在外科住院计划中的言角色的看法.
- 了解在住院评估和反的背景下,主治外科医生如何看待和利用八.
主要方法:
- 定性研究采用半结构面试与参与手术的外科医生.
- 使用接地理论方法,对采访成绩单进行反思性主题分析.
- 采访了7个外科培训计划中的18名外科医生.
主要成果:
- 临床医生通常对八有负面的看法,经常不会把演出讨论视为八.
- 人们担心谣言会损害声誉,以及其他与会者预先形成的意见的影响.
- 手术层次结构限制了信息流动,使得在程序层面上很难减轻八,尽管它用于反.
结论:
- 关于居民表现的重要对话不应该被视为八.
- 打击有害的八需要致力于客观的沟通和规范的信息共享.
- 具体的行为,比如在医生形成自己的意见之前限制共享的信息,以及在高风险环境中规范八,至关重要.
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