居民面临的困难和解决方案的线索:定性研究
Ozlem Mıdık1, Meral Demirören2, Zeynep Baykan3
1Ondokuz Mayıs University Medical Faculty, Samsun, Turkey.
概括
医疗人员在复杂的医疗保健系统中面临重大挑战,影响他们的福祉和能力. 了解这些困难和实施系统支持对于研究生医学教育至关重要.
科学领域:
- 医学教育 医学教育
- 医疗保健系统 医疗保健系统
- 心理学 心理学 心理学
背景情况:
- 复杂的医疗保健系统为医疗居民创造了多样化的体验.
- 研究生医学教育 (PGME) 需要了解居民的挑战,后果和应对机制.
研究的目的:
- 揭示医疗居民在研究生教育期间所面临的困难.
- 确定这些困难的后果.
- 探索居民使用的应对策略.
主要方法:
- 现象学研究使用最大多样性的有目的抽样.
- 与10名跨越各个学科的医疗住院医生进行了半结构化采访.
- 面试数据的七步主题分析.
主要成果:
- 在学习教学过程,学术环境,医疗保健系统互动和专业认知中发现的关键挑战.
- 后果包括福祉的恶化和被认为的无能.
- 应对策略涉及个人努力 (解决问题,社交) 和寻求机构/心理支持.
结论:
- 居民的困难源于教育,文化,系统和时间因素.
- 解决方案需要在机构和国家层面进行系统设计和支持,承认居民是年轻成年人.
- 解决内部结构约束和外部因素对于有效的PGME至关重要.
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