哦,你要去的地方急诊医学住院医师职业决定的定性研究

IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES AEM Education and Training Pub Date : 2024-03-20 DOI:10.1002/aet2.10956
Jaime Jordan MD, MAEd, Jack Buckanavage BS, Jonathan Ilgen MD, PhD, Michael Gottlieb MD, Laura R. Hopson MD, MEd, Adam Janicki MD, MS, Mark Curato DO, Anne K. Chipman MD, MS, Samuel O. Clarke MD, MAS
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引用次数: 0

摘要

目的 实习后的职业选择是一项复杂的决定,涉及个人、专业和经济偏好,并可能受到培训计划的影响。目前尚不清楚住院医师在急诊医学(EM)住院医师培训期间是如何做出这些决定的。我们探讨了急诊科住院医师对职业决策的看法,以及住院医师培训项目如何支持职业规划。 方法 我们对来自不同地区和培训形式的七个经认证的急诊科住院医师培训项目进行了半结构式访谈。我们采用了有目的的抽样,以反映受训者在性别、培训水平和职业规划方面的多样性。两名研究人员独立对记录誊本进行编码。我们采用了建构主义-解释主义范式来指导我们的主题分析。 结果 我们对 11 名住院医师进行了访谈,确定了三个类别的主要主题。住院医师描述了通过正规课程(如必修轮转、职业招聘会和亚专科方向)接触职业选择的情况,强调了接触具有不同临床和学术领域专业知识的教师的重要性。许多人指出,接触职业往往是自我驱动的。我们确定了有关职业决策的三大主题:工具性因素、相关人员和决策过程。工具性因素包括个人兴趣、目标和价值观,以及实践特点、财务考虑、时机和机会成本。导师和家人高度参与住院医师的职业决策。住院医师在决策过程中通常会进行反思,并与导师和同行进行交流。与会者建议,课程应在培训初期提供多样化的职业选择,为职业教育留出时间,并确保有足够的导师和支持性社区。参与者还提出了支持职业决策的具体课程内容和策略。 结论 本研究揭示了住院医师职业决策中的重要因素,以及项目如何为学员提供支持。基本要素包括多样化的经验和建立反思性的指导环境。
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Oh, the places you'll go! A qualitative study of resident career decisions in emergency medicine

Objectives

Postresidency career choices are complex decisions that involve personal, professional, and financial preferences and may be influenced by training programs. It is unknown how residents navigate these decisions during emergency medicine (EM) residency. We explored EM residents’ perspectives on career decision making and how residency programs can support career planning.

Methods

We conducted semistructured interviews at seven accredited EM residency programs from diverse locations and training formats. We used purposive sampling to reflect the diversity of trainees with regard to gender, level of training, and career plans. Two researchers independently coded the transcripts. We used a constructivist–interpretivist paradigm to guide our thematic analysis.

Results

We interviewed 11 residents and identified major themes in three categories. Residents described being exposed to career options through formalized curricula such as required rotations, career fairs, and subspeciality tracks, highlighting the importance of access to faculty with diverse areas of clinical and academic expertise. Many noted that exposure was often self-driven. We identified three major themes regarding career decisions: instrumental factors, people involved, and processes of decision making. Instrumental factors included personal interests, goals, and values as well as practice characteristics, financial considerations, timing, and opportunity costs. Mentors and family were highly involved in resident career decisions. Residents often utilized reflection and conversations with mentors and peers in their decision-making process. Participants recommended that programs provide exposure to diverse career options early in training, protect time for career education, and ensure adequate mentorship and a supportive community. Participants suggested specific curricular content and strategies to support career decisions.

Conclusions

This study illuminates important factors involved in resident career decision making and how programs can support their trainees. Essential components include diverse experiences and building a reflective mentorship environment.

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来源期刊
AEM Education and Training
AEM Education and Training Nursing-Emergency Nursing
CiteScore
2.60
自引率
22.20%
发文量
89
期刊最新文献
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