节目主任如何看待实习生的退缩? 在荷兰的三个教学医院进行了一项定性焦点小组研究
Kirsten Dijkhuizen1, Jacqueline Bustraan1, Maartje E D van den Bogaard2
1Center for Innovation in Medical Education, Leiden University Medical Center, Leiden, The Netherlands.
BMJ open
|June 4, 2025
概括
项目主管认为,医疗教育中的实习生退缩是一个复杂的问题,受到个人,工作场所和系统因素的影响. 解决冲突的角色和促进主动支持是关键的干预措施.
科学领域:
- 医学教育研究 医学教育研究
- 研究生培训研究生培训
- 医疗保健专业发展
背景情况:
- 从研究生医学教育 (PGME) 中的实习生退出给医疗保健系统带来了挑战.
- 了解节目主管 (PD) 的观点对于制定有效的保留策略至关重要.
研究的目的:
- 探讨PDs对PGME实习生 attrition的看法.
- 确定导致消耗的因素,包括利益相关者的互动和PD角色.
- 了解PD在消耗过程中的作用.
主要方法:
- 焦点小组研究涉及来自荷兰三个教学医院的27名PD.
- 使用模板分析对成绩单进行定性分析.
主要成果:
- 磨损被认为是一个多层次的问题 (个人,工作场所,系统因素).
- 实习生的关键因素包括平衡职业/个人责任 (家长,雄心壮志).
- PDs经历角色冲突 (评估者与导师) 和对磨损的情感反应.
- 对实习生的支持往往是反应性的;工作与生活平衡的世代差异阻碍了理解.
- 系统性问题,如隐含的信念和负面相互作用,会影响学员的幸福感.
结论:
- 实习生退出是一个复杂的,多层面的问题,影响PD的角色和情绪.
- 建议的干预措施包括重新分配PD任务,主动非评估支持,提高对假设的认识,并促进支持性的学习气候.
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