辅导对医学生最后一年内科轮流的自我反思和能力的影响
Markus B Heckmann1,2,3, Christine Mages1,2, Daniel Finke1,2
1Department for Cardiology, Angiology, and Pneumology, Heidelberg University Hospital, Heidelberg, Germany.
PloS one
|September 2, 2025
概括
辅导策略对最后一年的医学学生的自我反思能力的影响很小. 在临床轮换期间,积极指导并没有显著提高自我反思或洞察力.
科学领域:
- 医学教育
- 临床心理学
- 医疗保健专业发展
背景情况:
- 德国最后一年的医学学生面临着将理论知识转化为临床实践的挑战.
- 在FYMS中存在着结构化的指导,反和自我反思的缺陷.
- 这项研究解决了医疗培训中更好的自我反思和自我审视的需要.
研究的目的:
- 调查三个指导策略对培养自我反思和内省的影响.
- 评估指导在日常临床活动中的感知能力的影响.
- 评估医学教育中不同辅导方法的有效性.
主要方法:
- 在海德堡大学医院的46名FYMS被随机分为被动或主动的辅导小组 (结构化/非结构化).
- 在轮换前和轮换后进行了8周的自我反思和内省 (SRIS) 评估.
- 使用克朗巴赫的α和item-drop分析分析了问卷;曼·惠特尼U测试比较了变化.
主要成果:
- 观察到学生不愿意与导师建立关系 (p < 0. 0001).
- 与外部评估相比,FYMS倾向于低估他们的能力 (3.6比4.5,p<0.0001).
- 所有参与者都改善了自我反思能力 (SRIS-IN),但积极的指导并没有显著影响自我反思能力.
结论:
- 在8周的轮换期间,积极的导师对FYMS的自我反思和洞察力几乎没有影响.
- 干预性学习研究得到了很好的接受,参与率很高.
- 低填表率需要未来的研究重点是改善数据收集的激励措施.
相关概念视频
03:00Self-Evaluation: Self-Enhancement and Self-Verification
5.3K
Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
5.3K
01:26Metacognition
278
Metacognition is a conscious process where individuals are aware of their cognitive and executive processes, such as planning before solving a problem or self-monitoring during reading. For instance, a writer may need help with composing a piece. The situation involves a writer who is working on a piece of writing, but while doing so, they realize that something is missing. They notice that their characters lack depth or details. This realization occurs because the writer is reflecting on their...
278
01:13Patient-centered Care
2.3K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.3K
02:57The Sense of Self: Reflected Self-Appraisal and Social Comparison
51.4K
According to Charles Cooley, we base our image on what we think other people see (Cooley 1902). We imagine how we must appear to others, then react to this speculation. We don certain clothes, prepare our hair in a particular manner, wear makeup, use cologne, and the like—all with the notion that our presentation of ourselves is going to affect how others perceive us. We expect a certain reaction, and, if lucky, we get the one we desire and feel good about it. But more than that, Cooley...
51.4K
01:23Influence of Parents and Peers on Identity
127
Adolescence is a pivotal period of identity formation, during which individuals begin to answer questions central to their sense of self, such as "Who am I?" and "Who do I hope to become?" Both parents and peers play critical roles in guiding adolescents through this complex developmental phase.
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....
127
01:25Critical Thinking II
3.0K
Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
3.0K