建立一个实施框架,通过直接观察到的医生直接观察到的反
Andrew Vincent Raikhel1, Helene Starks2, Gabrielle Berger1
1Division of General Internal Medicine, University of Washington, Seattle, Washington, United States of America.
PloS one
|February 9, 2026
概括
在医学教育中直接观察到的反对于大多数住院医生和医院医生来说是可以接受的. 关键问题包括观察者关系和学习环境的影响,强调心理安全的必要性.
科学领域:
- 医学教育 医学教育
- 医疗保健专业发展
- 基于能力的教育 基于能力的教育
背景情况:
- 有效的形成性反对于基于能力的医疗教育的居民培训至关重要.
- 当前的反课程往往没有观察实际的口头反交付.
- 直接观察反是一种新的方法,对态度的研究有限.
研究的目的:
- 探索内科住院医生和医院医生对直接观察反的态度.
- 确定有关实施观察反的担忧和建议.
主要方法:
- 两项调查是为2023年华盛顿大学的内科医生和医院医生开发的.
- 调查采用了定量 (利克尔特尺度) 和定性 (自由文本) 分析.
- 研究设计结合了社会认知理论的原则.
主要成果:
- 住院医生的反应率为71%和医院医生的57% .
- 大多数人报告了观察到的反 (81%的居民,64%的医院医生) 的舒适度.
- 关注点集中在观察者关系,学习环境和反质量上;建议集中在边界,代理和完整性上.
结论:
- 对观察到的反的态度受到社会监测和心理安全需求的影响.
- 实施观察反需要仔细考虑关系动态和学习者福祉.
- 在医学培训中,心理安全对于成功的观察反计划至关重要.
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