对高级居民为无监督实践做好准备的策略进行定性研究
Max Griffith1, Alexander Garrett1, Bjorn K Watsjold1
1University of Washington, Department of Emergency Medicine, Seattle, Washington.
The western journal of emergency medicine
|December 11, 2025
概括
高级急诊医生在无监督实践之前使用自我调节的学习策略来弥合知识和自主性的差距. 他们主动设定目标,并反思反,以确保为主治医生角色做好准备.
科学领域:
- 医学教育 医学教育
- 医生培训 医生培训 医生培训
- 紧急医疗 紧急医疗
背景情况:
- 紧急医疗 (EM) 住院人员从监督培训过渡到无监督实践.
- 这种转变需要预见作为主治医生的新角色和责任.
- 自主调节的学习框架指导了对这种过渡的理解.
研究的目的:
- 探索EM老年居民如何主动确定目标并制定学习策略,以便过渡到无监督实践.
- 在这种情况下,研究自我调节学习框架的应用.
主要方法:
- 使用了一个构造主义的基于理论的方法.
- 采访了来自两个方案的16名EM老年居民.
- 进行了成绩单的诱导编码,以自我调节学习框架为指导.
主要成果:
- 居民发现了知识/技能差距和自主性差距.
- 具体的学习策略被采用:桃挑选,基于案例的假设,降落,和打电话.
- 对内部和外部反的反思被用来评估战略的有效性.
结论:
- 在EM居民战略性地使用学习策略,在无监督实践之前弥合自我评估能力差距.
- 实习生通过目标设定,战略行动和反思来展示代理.
- 居住计划可以支持资深居民机构为未来的实践做准备.
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