风险问题:本科全科医生教师在初级保健中如何体验委托决策?
Jayne Victoria Cullen1, Hugh Alberti1
1School of Medicine, Newcastle University, Newcastle-upon-tyne, UK.
Medical education online
|November 20, 2025
概括
了解一般实践 (GP) 教师如何做出委托决策是改善临床培训的关键. 这项研究探讨了全科医生教师的经验,揭示了个人风险容忍度和情境因素对学习者监督的决定有重大影响.
科学领域:
- 医学教育 医学教育
- 初级护理培训培训初级护理培训
- 临床监督 临床监督
背景情况:
- 临床培训需要信任学习者,但患者安全问题限制了新医生的独立实践.
- 提出可信任的专业活动 (EPA),以解决临床环境中学习者不准备的问题.
- 在了解本科通用实践 (GP) 教师如何做出委托决策方面存在差距.
研究的目的:
- 探索全科医生教师在本科初级保健中对委托决策的经验.
- 确定影响这些决定的因素,以告知EPA在初级保健中的潜在应用.
主要方法:
- 解释性现象学研究设计.
- 半结构面试与五个最后一年的GP教师.
- 对转录的采访进行主题分析,以确定关键主题和子主题.
主要成果:
- 出现了五个主要主题和24个子主题,详细介绍了教师的委托决策过程.
- 关键的影响因素包括教师对风险的个人态度和GP角色的复杂性 (例如,管理不确定性).
- 委托决策是复杂的,个人经验丰富,并导致各种各样的监督方法.
结论:
- 在本科初级保健中委托决策是多方面的,并受到个人和背景因素的影响.
- 了解这些经验可以指导在初级保健机构委托本科生发展战略.
- 建议建议方便在初级保健中委托本科生.
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