学习的途径:居民如何在急诊室的监督关系中进行过渡性导航
Kelsey A Miller1, Sarah C Cavallaro1, Kate Dorney1
1Harvard Medical School Boston Massachusetts USA.
AEM education and training
|November 4, 2024
概括
紧急部门 (ED) 的过渡性监督关系塑造了居民的学习. 较短的互动使住户接触到各种实践,而较长的互动促进了自主性和反,以提高临床能力.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 社交网络分析 社交网络分析
背景情况:
- 医生与实习生之间的关系对于工作场所的学习至关重要.
- 快速变化的监督配对对居民学习的影响尚不清楚.
- 紧急部门 (ED) 作为研究过渡性监督关系的模型.
研究的目的:
- 检查过渡性监管关系如何影响ED中的居民学习.
- 了解居民如何在动态监管结构中接近临床学习机会.
主要方法:
- 儿科和急诊医学住院人员轮换 (2018-2022) 的回顾性分析.
- 社交网络分析 (SNA) 来识别住院护理人员和患者的互动.
- 与居民进行半结构面试,以探索对监管关系过渡性的看法.
主要成果:
- 平均每轮有25名护理人员监督每个住户.
- 居民描述了基于监督关系持续时间的不同学习路径.
- 持续接触通过自主和反提高了竞争力;简短的接触提供了接触各种实践模式.
结论:
- 在ED中过渡的监督关系为居民提供了一系列的学习经验.
- 居民与护理人员互动的持续时间会影响学习路径.
- 可能需要量身定制的教育策略来优化基于互动时间的学习.
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