辅导对学员倦怠,专业成就和错误的影响:随机对照试验
概括
辅导显著减少了医疗学员的倦怠和提高了医疗学员的专业成就. 这种方法促进了心理安全和整体支持,提高了医学研究生教育参与者的整体福祉.
科学领域:
- 医学教育研究 医学教育研究
- 在医疗保健领域的专业发展.
- 医疗培训中的心理健康
背景情况:
- 毕业后的医学教育学员面临着高水平的倦怠和医疗错误的可能性.
- 有效的支持系统对于培训员的福祉和患者的安全至关重要.
- 辅导干预越来越多地被探索,以应对苛刻的医疗培训环境中的挑战.
研究的目的:
- 评估结构化指导计划对研究生医学教育学员的倦怠和医疗错误的影响.
- 确定辅导通过哪些机制影响学员的福祉和表现.
- 探索参与辅导和指导随机对照试验的学员和教师的经验.
主要方法:
- 一个混合方法随机对照试验,比较大型学术医疗中心的辅导与辅导与辅导单独的辅导.
- 实习生与来自不同专业的教师教练配对,利用一种新的教练课程.
- 用斯坦福专业成就指数来评估倦怠,医疗错误是自我报告的;定性焦点小组探索了教练经验.
主要成果:
- 与对照人群相比,辅导干预导致实习生明显减少倦怠 (得分差异 -0.37) 和提高职业成就 (得分差异0.50).
- 执教者不太可能报告医疗错误的不确定性,尽管报告没有错误的差异在统计学上并不显著.
- 定性发现强调了专业不一致性,整体教练意识和积极重构和正常化等特定教练技能的价值.
结论:
- 辅导有效地提高了专业成就,并减轻了研究生医疗学员的倦怠.
- 辅导关系和获得的技能有助于心理安全和整体支持,积极影响学员的福祉.
- 这项研究表明,辅导是改善研究生医学教育经验和潜在的患者安全的宝贵工具.
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