家庭医生随着获得经验,是否会培养对模两可的容忍度? 一个多中心的横截面研究
Hirohisa Fujikawa1,2, Takuya Aoki3,4, Takayuki Ando1
1Center for General Medicine Education, School of Medicine Keio University Shinjuku-ku Tokyo Japan.
Journal of general and family medicine
|April 28, 2025
概括
家庭医生发展出更大的模两可的容忍度和更多的研究生年 (PGYs) 的工作参与度. 这表明,在住院培训过程中,对模两可的容忍度有所改善,这对患者护理和医生福祉都有好处.
科学领域:
- 医学教育 医学教育
- 医生福利 医生福利
- 医疗保健专业人员 医疗保健专业人员
背景情况:
- 对模两可的耐受性对于最佳的患者护理和医生福祉至关重要.
- 之前的研究表明,与非家庭医生相比,家庭医生的模两可容忍度更高.
- 在家庭医生中,对模两可的容忍度的发展轨迹仍然不清楚.
研究的目的:
- 调查研究生年数 (PGYs) 和家庭医生对模两可的容忍度之间的关系.
- 探索PGYs,对模两可的容忍,倦怠和工作参与之间的关联.
- 了解何时在家庭医疗住院期间产生对模两可的容忍度.
主要方法:
- 进行了一项全国性的横截面研究,涉及14个日本住院计划中的173名家庭医生.
- 使用日本版本的医学学生和医生对模两可的容忍度尺度来测量模两可的容忍度.
- 用验证的日本尺度来评估倦怠和工作参与度.
主要成果:
- 与3-6个PGY相比,拥有7年或更多研究生年龄 (PGY ≥7) 的家庭医生表现出明显更高的模糊性耐受性.
- 在PGY≥7组的医生也表现出更低的倦怠风险.
- 与3-6个PGY相比,有7-20个PGY的医生的工作参与度显著更高.
结论:
- 家庭医学医生在培训期间可能会感到脆弱,但随着时间的推移,他们可能会发展出更多的模两可的容忍度和幸福感.
- 居住计划的监督者应评估和优化学习环境,以支持实习生发展.
- 这些发现强调了考虑研究生培训的持续时间与医生的能力和福祉相关的重要性.
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