早期职业生涯家庭医生对其在加拿大的住院经验和实践选择的观点:一种定性研究
Catherine Moravac1, Agnes Grudniewicz2, Ian Scott3
1Department of Family Medicine, Dalhousie University, Nova Scotia, Canada.
Canadian medical education journal
|November 26, 2024
概括
住院培训影响了家庭医生早期职业生涯的实践选择,但综合护理方面的差距仍然存在. 教育改革和系统变化是必要的,以更好地为医生准备实践现实.
科学领域:
- 医学教育 医学教育
- 家庭医学 家庭医学 家庭医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 尽管加拿大家庭医生和住院计划的数量增加,但获得综合护理仍然是一个挑战.
- 职业生涯早期家庭医生的实践选择显著影响护理的提供.
- 了解住院培训的作用对于解决这些准入差距至关重要.
研究的目的:
- 探索住院培训经验如何影响加拿大家庭医生早期职业生涯的实践决策.
- 确定在住院内影响选择提供综合社区护理的因素.
主要方法:
- 从一个更大的混合方法研究中对63个定性访谈进行二次分析.
- 利用布劳恩和克拉克关于实习生培训经验的反射主题分析.
主要成果:
- 积极的培训方面 (指导,纵向照顾,暴露范围) 影响了实践选择.
- 关于理想化的实践,缺乏教师多样性和有限的跨专业合作,出现了紧张局势.
- 隐藏的真相包括对业务的不准备,行政负担,支付模式现实以及各种角色选择.
结论:
- 住院培训在很大程度上影响了实践选择,但系统因素也起到了关键作用.
- 教育改革是必要的,以更好地支持从居住到实践的过渡.
- 除了培训之外,解决系统性问题对于改善获得综合护理的机会至关重要.
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