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"没有得到完美的它":与学术一般内科病房出席讨论智力谦卑
Michael J Battistone1,2, Lauren A Maggio3, Abigail Konopasky4
1Advanced Fellowship in Health Professions Education Evaluation and Research, George E. Wahlen Veterans Affairs Salt Lake City Health Care System, Salt Lake City, USA. michael.battistone@va.gov.
医生对智力谦卑 (IH) 的经验揭示了调查数据之外的主题,突出了其在医学教育中的重要性. 了解IH可以改善患者护理和医生福祉.
科学领域:
- 医学教育 医学教育
- 医生福利 医生福利
- 医疗保健的质量 医疗保健的质量
背景情况:
- 医生平衡展示能力与承认局限性 (智力谦卑/IH).
- IH在医生和实习生经验中未得到充分研究,尽管它有可能改善诊断和患者关系.
- 这项研究探讨了学术医院医生的IH经验,以指导学员和临床医生.
研究的目的:
- 探索学术医院医生与智力谦卑 (IH) 的生活经验.
- 在监督医学生和住院人员的背景下,专注于IH.
- 确定主题,以支持IH参与,减轻负面情绪和影响.
主要方法:
- 对12名学术医院医生进行的半结构面试的定性分析.
- 采访探讨了预测,经历或观察IH的经验.
- 分析涉及独立编码,团队讨论和以现有的IH框架为指导的专题分析.
主要成果:
- 医院医生的经验包括了超越标准IH调查类别的主题.
- 确定了其他主题:减轻限制,焦虑,职业弧度,模拟IH和心理安全.
- 实践中IH的经验不同于基于调查的概念化.
结论:
- 医生与IH的经验揭示了与调查数据不同的主题.
- 卫生专业教育 (HPE) 为IH带来了独特的挑战和机遇.
- 将IH整合到能力模型中可以增强医生与实习生的关系,共享决策和患者护理.
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