通用医疗实习生如何体验从医院到通用医疗的过渡:一项定性研究
Alice O'Neill1, Fódhla Ní Dhalaigh2, Tony Foley2
1Cork General Practice Training Scheme, St Mary's Health Campus, Cork, Ireland.
概括
从医院到全科医院 (GP) 的过渡对于实习生来说是一个挑战. 在这个关键的职业生涯阶段,有效的培训师支持对于导航自主性,临床不确定性和专业身份发展至关重要.
科学领域:
- 医学教育 医学教育
- 一般实践培训一般实践培训
- 定性研究是一种定性研究.
背景情况:
- 通用医疗 (GP) 专业培训整合了医院和社区环境.
- 从医院到社区GP实践的过渡带来了重大挑战.
- 负面的过渡经历可能会阻止学员继续在通用实践中.
研究的目的:
- 探索爱尔兰从医院医疗到社区医疗过渡期间的全科医生 (GP) 实习生的经验.
- 确定影响GP学员适应全科医生实践的关键挑战和支持因素.
主要方法:
- 一项定性研究,采用GP实习生组成的初始焦点小组.
- 在13个国家培训计划中,与15名全科医生实习生进行了一对一的半结构化采访.
- 数据分析利用反射主题分析来识别新出现的主题.
主要成果:
- 主要主题包括教练作为导航者的角色,培养学员的自主性,以及平衡竞争需求.
- 培训师在支持过渡,应对临床不确定性和塑造专业身份方面的不断变化的作用得到了强调.
- 确定了诸如时间压力,临床责任增加和对社区决策的信心等挑战.
结论:
- 调查结果可以为GP实习生提供增强的支持结构的开发提供信息.
- 改进过渡支持对于在通用实践中留住实习生至关重要.
- 了解实习生经验对于优化全科医生医学教育至关重要.
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