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手术智慧作为phronesis:一个基于证据的假设关于"理解...现场存在的伟大的灰色"
Jonathan D D'Angelo1, David A Cook2, McKenna L Schimmel1
1Department of Surgery, Mayo Clinic, Rochester, MN.
Surgery
|June 25, 2025
概括
手术智慧可以理解为phronesis,用于导航复杂决策的实用智慧. 发展这种智慧需要多样化的经验,接受失败,并保持成长的心态.
科学领域:
- 医学教育 医学教育
- 外科手术实践 在外科手术实践中
- 医学哲学 医学哲学
背景情况:
- 在不确定性下进行手术决策至关重要,但人们对其了解甚少.
- 手术智慧的发展缺乏一个明确的概念框架.
- 弗罗内西斯,或实用智慧,被提出作为一种镜头来理解外科手术的智慧.
研究的目的:
- 为了探索手术智慧的概念.
- 为了确定phronesis是否提供了手术智慧的有用框架.
- 识别手术智慧的组成部分和发展因素.
主要方法:
- 对31名教师外科医生的深度半结构面试进行主题分析.
- 采访的重点是手术智慧 (观察,表演,教学) 的经验.
- 分析使用了演和归纳编码,通过phronesis的镜头进行解释.
主要成果:
- 外科医生的账户经验支持理解手术智慧作为phronesis.
- 外科智慧,和phronesis一样,涉及到导航竞争的价值观和独特的情况.
- 关键的发展因素包括多样化的经验,接受失败,对成长的开放,以及具有挑战性的情况.
结论:
- 弗罗内西斯提供了一个框架来重新构思外科手术智慧的发展.
- 了解手术智慧作为phronesis可以重新定义专业目标和在手术中的成功.
- 已识别的构建块为外科医生的发育轨迹提供了新的见解.
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