当代实践的挑战:实习生在多个专业中保持能力
Jason J Weiner1,2,3, Steven J Durning1,2,3, Anne Wildermuth1,2,3
1Dr. Jason J. Weiner: Assistant Professor, Department of Medicine, F. Edward Hébert School of Medicine, Uniformed Services University, Bethesda, MD; Chair, Department of Medicine, Naval Medical Center San Diego, San Diego, CA.
追求多种专业的医生受到社会责任,专业知识和个人成就的激励. 终身学习和跨学科教育对于保持在不断发展的医疗领域的能力至关重要.
科学领域:
- 医学教育 医学教育
- 医生能力 医生能力
- 持续的专业发展 持续的专业发展
背景情况:
- 医生专业化的增加需要高质量的持续专业发展,以掌握学习.
- 董事会认证,作为医生能力的替代品,可能与其预期的目的不完全一致.
- 了解医生在多个专业保持能力的动机是必不可少的.
研究的目的:
- 探索驱使医生在多个医学专业中追求和保持能力的动机.
- 确定影响各种领域董事会认证医生的继续教育和终身学习的因素.
主要方法:
- 采用对半结构化虚拟访谈进行主题分析的定性研究.
- 从社会文化学习理论中利用"实践景观"的理论框架.
- 包括十五名实习医生及其从事持续董事会认证的子专业.
主要成果:
- 确定了六个关键主题,激励医生在多个专业中保持能力.
- 主题包括:社会责任,专业知识的承诺,增强就业机会,扩大专业知识,专业要求和个人满足.
- 医生受到利他主义,专业和个人驱动的混合动力所激励.
结论:
- 医生能力维护是不断变化的医疗环境中的持续,终身学习过程.
- 一部分内科医生有动力跨多个专业从事实践,并认识到相关的机遇和挑战.
- 组织教育应侧重于混合学习,强调跨学科培训,以解决持续专业发展当前的差距.
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