"一个不同的世界":对儿科手术轮换居民学习环境的定性探索
Michael A Kochis1, Ikemsinachi C Nzenwa1, Sarah Jung2
1Massachusetts General Hospital, Boston, Massachusetts.
Journal of surgical education
|September 10, 2025
概括
这项研究确定了一般外科住院医生的儿科手术轮换方面的挑战. 关键建议包括调整期望,改善教学互动,并提供更好的资源来增强学习环境.
科学领域:
- 医疗教育 医学教育
- 进行外科手术培训.
- 儿科手术 儿科手术
背景情况:
- 在儿科手术轮换中,一般外科住院医生的学习环境对于开发专业技能至关重要.
- 了解教育挑战和确定最佳实践对于优化儿科外科住院培训至关重要.
研究的目的:
- 描述在儿科手术轮换期间一般外科住院医生的学习环境.
- 确定共同的教育挑战和有效的干预措施,以改善学习体验.
主要方法:
- 半结构面试与整体外科住院医生,儿科外科主治医生,高级实践提供者 (APP) 和研究员进行.
- 来自16所美国机构的28名受访者的数据使用专题分析和常数比较方法进行了分析.
主要成果:
- 在临床学习环境的个人,社会,组织和物理领域确定了11个挑战.
- 挑战包括居民对儿科护理的不适,自主权的减少,独特的团队动态,不清楚的期望和不足的工作空间.
结论:
- 建议包括通过定义学习目标,使居民和教育工作者期望一致.
- 优化非正式教学互动和提供获得优质参考资源的机会是关键干预措施.
- 这些策略可以在地方和国家层面实施,以增强儿科外科学习环境.
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