居民如何培养美德:一种定性纵向研究
Pleuntje M B Verstegen1, J J Jos Kole2, A Stef Groenewoud2
1Ear, Nose and Throat department of Radboud university medical center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands.
Journal of surgical education
|November 1, 2025
概括
医疗人员阶段性地发展美德,从智力和核心美德开始,然后发展到专业和道德的美德. 角色模范和工作场所文化在培训期间显著影响这种美德发展.
科学领域:
- 医学教育 医学教育
- 德行 伦理 伦理学
- 专业发展专业发展
背景情况:
- 研究生医学培训包括培养能力和个人品质,称为美德.
- 在复杂的医疗情况下,美德对于道德决策至关重要.
- 在专业培训期间的美德发展过程还不太清楚.
研究的目的:
- 调查居民在研究生医学教育期间如何发展美德.
- 为医疗培训中的美德发展提供经验知情的解释.
主要方法:
- 定性,多中心,对耳鼻喉科住院医生和教育工作者进行纵向研究.
- 与15名居民和13名教育工作者进行了半结构化采访.
- 在日常活动中观察居民.
- 用美德伦理作为框架进行主题分析.
主要成果:
- 居民在不同的阶段发展美德:早期阶段专注于枢机和智力美德,后期阶段专注于专业和道德美德.
- 居民对职业目标的概念在培训过程中隐含地演变.
- 角色模范,工作场所环境和文化显著影响美德的形成.
结论:
- 耳鼻喉科住院医生隐含地逐步发展美德,从智力/枢机美德转向专业/道德美德.
- 了解这些轨迹和影响 (角色模型,文化) 是外科教育的关键.
- 促进对个人观点的讨论可以增强居民的美德发展.
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