将学生监督委托给全科医生实习生 - - 对影响委托决定的因素进行定性面试研究
Sabine Gehrke-Beck1, Ylva Holzhausen2
1Institute of General Practice, Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charité Campus Mitte, Charitéplatz 1, 10117, Berlin, Germany. sabine.gehrke-beck@charite.de.
BMC medical education
|September 12, 2025
概括
委托普通医务实习生监督医学学生取决于实习生,GP和上下文因素. 培训和直接监督可以减轻诸如负担过重或知识转移错误等风险.
科学领域:
- 医学教育 医学教育
- 一般实践培训一般实践培训
- 专业发展专业发展
背景情况:
- 可信任的专业活动 (EPA) 越来越多地用于教学.
- 讨论了委托教学EPA和临床EPA之间的比较.
- 本研究的重点是影响在一般实践中委托监督医学生的因素.
研究的目的:
- 调查影响决定委托通用实践学员监督医学学生的因素.
- 在一般实践中的教学环境中理解委托的细微差别.
主要方法:
- 与9名全科医生和9名全科医生实习生进行了半结构化采访.
- 使用布劳恩和克拉克的六步方法进行的主题分析,应用于采访成绩单.
主要成果:
- 委托决策受到学员特征 (例如,教学乐趣,技能),医生因素,他们的关系,教学任务和背景 (例如,工作量,受保护时间) 的影响.
- 教学技能往往被认为是天生的,而不是可以发展的.
- 确定的风险包括实习生过度负担和错误知识的传播.
结论:
- 影响委托教学EPA的因素与临床EPA相似.
- 教学培训可以提高学员对监督的准备.
- 明确的委托和直接监督不是标准,但可以减少与教学相关的风险.
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