住院远程轮流的挑战和好处:实习生观点
Lynne Sterni1,2, Erin S Barry2,3, Franciele Schreiber Franz4
1Naval Medical Center San Diego, San Diego, CA 92134, United States.
Military medicine
|September 18, 2025
概括
远程轮换为麻醉师提供了宝贵的临床经验,但可能会造成个人压力并影响家庭生活. 需要进一步的支持,以平衡教育目标与居民福祉.
科学领域:
- 研究生医学教育研究生医学教育
- 麻醉师住院培训 麻醉师住院培训
- 医生福利 医生福利
背景情况:
- 远程轮换在居住培训中很常见,以满足教育要求.
- 由于病例可用性有限,这些轮换在军事麻醉学计划中至关重要.
- 远程轮流对居民个人和职业生活的影响还未得到充分研究.
研究的目的:
- 为了调查麻醉学住院医生在出院轮换期间的实践经验.
- 从实习生的角度了解挑战和好处.
- 为优化培训和支持提供军事和民用居住计划的信息.
主要方法:
- 具有建设主义范式的定性描述方法.
- 与来自四个军事计划的PGY-3和PGY-4麻醉学住院医生进行半结构面试.
- 专题分析以确定反复出现的模式和见解.
主要成果:
- 居民获得了多样化的临床接触和职业机会.
- 报告了个人和专业的成长.
- 由于失去社会支持而造成的情绪和心理压力是显而易见的.
- 确定了对家庭和家庭责任的负担.
结论:
- 远程轮换提供了重要的教育和网络效益.
- 个人挑战包括孤立,压力和负面的家庭影响,增加了倦怠风险.
- 支持系统对于解决个人困难,家庭义务和健康至关重要.
- 未来的研究应该集中在减轻个人后果和平衡健康与教育.
相关概念视频
01:13Patient-centered Care
2.9K
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...
2.9K
01:27Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K
01:30Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
01:29Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
01:15Methods of Documentation VI: Case Management Model
861
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
861
01:28Current Trends in Nursing I
5.3K
Current trends in nursing include:
5.3K