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医学学生在第三年外科实习的专业性观点 - 混合方法研究研究
Sandra DiBrito1, Jacob Mago1, Annika Reczek1
1Department of Surgery, Albany Medical College, Albany NY.
Journal of surgical education
|September 19, 2024
概括
医学学生在外科实习期间经常遇到专业性问题,导致道德困扰和不愿意向导师信任. 解决这些问题对于专业发展至关重要.
科学领域:
- 医学教育 医学教育
- 在外科手术的专业性.
- 医疗保健中的伦理学
背景情况:
- 外科培训规范需要更好地了解学生的专业经验.
- 关于学生对外科职工职位专业性的解释的经验证据有限.
研究的目的:
- 分析医学学生在外科实习期间对专业精神,道德困境和沟通的看法.
- 调查学生与临床监督员 (导师) 在专业问题上的互动.
主要方法:
- 对书面案例简介和医学学生调查答案的回顾性分析.
- 用于分析241名医学三年级学生数据的定性和定量方法.
- 在一所私立学术医学院进行的研究.
主要成果:
- 学生认为43.9%的案件是专业性问题;研究人员认为61.4%.
- 关键问题包括缺乏尊重 (38.5%),偏见 (30.4%) 和未能达到医疗标准 (29.1%).
- 遇到专业性问题的学生报告道德困境更高 (58.8%),不太可能模仿或与导师分享担忧.
结论:
- 在手术职位上出现了大量的专业性问题,造成了相当大的道德痛苦.
- 学生往往不想效仿他们的导师,犹不决地分享他们的担忧.
- 学生需要正式的课程机会来讨论他们的担忧,保护他们的学习和专业身份.
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