准备好了,还是没有? 紧急医疗的定性研究,高级住院人员对准备实践的观点
Max Griffith1, Alexander Garrett1, Bjorn K Watsjold1
1Department of Emergency Medicine University of Washington Seattle Washington USA.
AEM education and training
|February 24, 2025
概括
高级紧急医疗人员通过从经验中汲取信心和发展适应能力来概念化准备. 他们通过特定的解决问题的互动和对无监督实践的整体自我评估来评估准备.
科学领域:
- 医学教育 医学教育
- 紧急医疗培训培训 紧急医疗培训
- 医生专业发展医生专业发展
背景情况:
- 从住院到独立实践的过渡给医生带来了重大挑战.
- 关于在培训期间居民如何主动为这种过渡做好准备的研究有限.
- 了解居民对准备的看法对于有效的医学教育至关重要.
研究的目的:
- 探索高级紧急医疗住院医生的观点,以了解他们对无监督实践的准备.
- 调查居民如何利用培训经验来评估他们不断变化的准备感.
- 确定影响居民独立实践信心和自我评估的因素.
主要方法:
- 采用了一个构造主义的基于理论的方法.
- 半结构面试与16名第四年急诊医学专科医生进行了半结构面试.
- 使用编码面试数据的持续比较分析来开发主题.
主要成果:
- 居民们根据过去和预期的经验对准备有了个性化的概念.
- 关键主题包括从经验中建立信心,培养适应不确定性的能力.
- 居民使用社交互动来衡量具体的准备和整体的自我评估,以评估整体的准备.
结论:
- 实习生利用过去的经验来预测他们管理实践不确定性的能力.
- 准备的概念与能力方法一致,强调知情的信心和自我评估.
- 调查结果为医学教育工作者提供了洞察力,以提高学员在无监督实践中的能力.
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