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屏幕背后:通过Reddit叙述探索与顾问有关的冲突的实习生经验.
B T B Preti1,2,3, B Shih4, M Merrick4
1Department of Oncology, Division of Medical Oncology, Western University, London, Ontario, Canada.
The clinical teacher
|February 4, 2026
概括
医疗学员与顾问发生各种冲突,包括沟通问题和道德分歧. 发展冲突解决能力和安全的汇报空间对于在医学教育中应对这些挑战至关重要.
科学领域:
- 医学教育 医学教育
- 医疗保健专业发展
- 社交媒体在医学中的作用
背景情况:
- 医疗学员经常在像Reddit这样的匿名平台上分享坦率的经历.
- 涉及顾问的冲突对医学学习环境和实习生经验产生重大影响.
研究的目的:
- 探索实习生在医学教育中与顾问有关的冲突的经验.
- 从学员的角度确定这些冲突的类型,驱动因素和管理策略.
主要方法:
- 分析了208个Reddit讲述从医疗学员在一年内.
- 利用叙事和内容分析来理解冲突动态.
主要成果:
- 确定了五种冲突类型:沟通,医疗文化,实践分歧,思维失调和道德冲突.
- 发现了四个冲突驱动因素:自我认知,专业性解释,学习欲望和道德价值观.
- 发现了五种冲突管理策略:愤怒,意识,寻求帮助,沟通和避免.
结论:
- 强调有必要为实习生提供安全空间,以了解与顾问有关的冲突.
- 强调需要加强医学学习者的冲突解决和对话技能培训.
- 建议将现实冲突示例和解决方案培训纳入医学课程.
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