新获得资格的医生在过渡到实习期间遇到的不确定性
Molly Dineen1, Michelle D Lazarus2,3, Georgina C Stephens2
1Centre for Academic Primary Care, University of Bristol, Bristol, UK.
Medical education
|March 29, 2025
概括
新获得资格的医生在过渡到实习期间面临着相当大的不确定性,主要来自于新的角色和任务,而不仅仅是临床模两可. 支持系统对于管理这种压力和促进专业发展至关重要.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 专业发展专业发展
背景情况:
- 不确定性耐受性 (UT) 在医学上至关重要,低UT与倦怠有关.
- 新获得资格的医生在过渡到实习期间 (TTI) 经历了高燃烧率.
- 关于医生在TTI期间面临的特定不确定性的研究有限.
研究的目的:
- 探索医生在TTI期间经历的不确定性来源.
- 为了确定这些医生如何应对不确定性.
- 了解调节这些反应的因素,以告知支持.
主要方法:
- 定性截面研究. 定性截面研究.
- 来自澳大利亚一所医学院的13名实习医生参加了这次活动.
- 半结构面试使用框架分析进行了分析.
主要成果:
- 主要的不确定性源于新的任务,责任和专业角色模糊性,而不仅仅是临床问题.
- 医生应对不确定性,寻求高级同事的帮助,经历压力.
- 支持,时间和感知风险调节了对不确定性的反应.
结论:
- 通过指导和明确的角色期望,减少TTI期间的外部不确定性.
- 促进定期反,并在高级支持下创造心理安全的环境.
- 使实习生能够探索临床的不确定性,并通过批判性反思来发展UT.
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