研究生医学教育中的自主学习:在奥地利九个月的基础培训中,自我判断和监督者对能力发展的判断
Gudrun Khünl-Brady-Ertl1, Reinhard Oeser2, Barbara Seemann-Hlawati3
1Vienna Healthcare Group, General Directorate, Human Resources Development and Training Department, Vienna, Austria.
GMS journal for medical education
|October 17, 2024
概括
工作场所轮换有助于初级医生 (JPs) 发展自我指导的学习技能. 尽管在改变部门后,认知能力的初始下降,在基本培训结束时,JP在很大程度上掌握了学习目标.
科学领域:
- 医学教育 医学教育
- 专业发展专业发展
- 工作场所学习 工作场所学习
背景情况:
- 自主学习对于掌握工作场所目标至关重要,能力判断指导学习和反接受.
- 内科和外科部门的轮换为初级医生 (JPs) 在基础培训期间提供了自我指导的学习.
研究的目的:
- 测试旋转增强JP的自我指导学习的假设,通过自我和主管的判断来衡量.
- 描述合作伙伴愿意反思学习需求的基础培训后培训.
主要方法:
- 一项纵向研究涉及147名JPs,在三个诊所使用伪名的日志.
- 合作伙伴和监督者每月评价培训目标完成率.
- 共同项目在特定的时间间隔评估了他们对学习目标的能力水平 (知识,经验,熟练程度).
主要成果:
- 自我评估的培训目标完成显示出越来越多的,多峰值的趋势,密切反映了主管的判断.
- 不掌握的学习目标的比例随着时间的推移而下降.
- 大约25%的合作项目在第九个培训月之前确定了至少10%的目标需要进一步学习.
结论:
- 部门切换暂时降低了培训目标完成的感知,表明轮换促进了现实的自我评估.
- 大多数合作伙伴认为,在基础培训结束时,他们已经掌握了学习目标.
- 合作伙伴表现出持续愿意批判性地评估他们的学习需求.
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