圆形设置对医疗实习生经验质量的影响
Kain Kim1, Sarah Joseph2, James Pennoyer1
1From Massachusetts General Hospital, Boston, Massachusetts.
Southern medical journal
|December 3, 2025
概括
大多数居民和医学学生更喜欢桌面或混合圆形,而不是床边圆形. 虽然学生们注意到床边巡回对教学和患者护理的一些好处,但对于其广泛采用存在障碍.
科学领域:
- 医学教育 医学教育
- 临床实践 临床实践
- 医疗保健管理的管理
背景情况:
- 医院的圆形实践已经从床边转移到工作室设置.
- 以前关于床边圆形态度的研究主要集中在居民的教育价值上,忽视了医学学生和其他学习者经验.
研究的目的:
- 综合评估居民和医学学生对床边圆形的看法.
- 评估圆形设置对学习者关键领域的影响.
- 为了确定有效的床边圆形化的常见障碍.
主要方法:
- 在一个大型学术医疗中心对内科住院医生和医学学生进行了匿名调查.
- 进行了结构化的定性访谈,并使用构造主义理论进行了分析.
- 在关键领域检查了学习者对圆形设置影响的观点.
主要成果:
- 调查包括77名居民 (45%的响应率) 和112名医学学生 (39%的响应率).
- 进行了18次采访 (10名住院医生,8名医学学生).
- 大多数居民和医学学生都更喜欢桌面或混合圆形,而不是大多数领域的床边圆形.
结论:
- 医学学生认为床边圆形化有更多好处,包括教学机会和改善患者护理.
- 调查结果表明,需要制定机构指导方针和教师发展,以加强学习者参与床边巡回活动.
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