在一般实践中开始研究生医学培训,在一般实践中进行轮换 - - 关于经验和影响的定性研究
Christine Becker1, Sandra Stengel1, Marco Roos2
1University Hospital Heidelberg, Department of General Practice and Health Services Research, Heidelberg, Germany.
GMS journal for medical education
|December 23, 2024
概括
在全科医院 (GPP) 早期开始通用实践培训提供了诸如更好的监督和早期的专业身份形成等优势. 这种早期轮换是推给全科医生实习生,应该在结构上得到支持.
科学领域:
- 医学教育 医学教育
- 一般实践培训一般实践培训
- 研究生医学教育研究生医学教育
背景情况:
- 德国的全科医生培训传统上在培训期结束时将轮换到全科医生实践 (GPP) 中.
- 这项研究探讨了从全科医生 (GPs) 和GP实习生的角度来看,从GPP轮换开始研究生培训的影响.
研究的目的:
- 调查早期GPP轮换对GP实习生和GP的影响.
- 收集关于通过GPP轮换开始通用实践专业化的优点和缺点的见解.
主要方法:
- 全国招募全科医生和全科医生实习生,他们从GPP轮换开始专业化.
- 在2022年6月至10月期间使用自主开发的指南进行半结构化的电话采访.
- 通过内容分析,分析了15次文字转录的采访.
主要成果:
- 参与者报告了诸如密切监督,平坦的层次结构,更多的准备时间,自主学习,更好的薪水和定期工作时间等优势.
- 积极的结果包括加强职业选择,早期了解工作流程,发展GP态度,加强专业的自信.
- 发现的缺点是最初的不确定性和有限的同行交流机会.
结论:
- 早期的GPP轮换为GP学员的自我指导,以研究为导向的学习和早期的专业身份形成提供了便利.
- 医生实习生应该通过研究生课程寻求同学支持,以减轻潜在的孤立.
- 该研究建议结构性地促进早期GPP轮换,并建议在未来的研究中评估GP培训师的观点.
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