预科医生认为自己需要接受哪些培训才能发展成为临床教师?

Hannah Pierce, Alex Kermack, Vikki Foley
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摘要

目的 探讨北米德兰兹大学医院基础医生的教学情况,以及他们认为作为临床教育者需要接受哪些培训。方法 采用混合方法,包括问卷调查和焦点小组讨论(FGD),采用解释性顺序设计。对 FGD 数据进行了专题分析。97% 的受访者认为教学是其工作职责的重要组成部分。每周用于教学的时间从没有到超过两小时不等,平均 25% 的教学时间发生在临床时间之外。基础医生喜欢教学并希望帮助他人。他们所面临的挑战包括缺乏时间、机会不足以及他人对其教学能力的看法。基础医生要求有针对性的培训和正式的反馈,以促进他们作为教师的发展。这些医生使用的教学方法与前辈不同,因此任何培训都应侧重于临时课程、病房督导和床边教学。地方信托机构、医学院和英国的基础项目可以通过给予基础医生更多的时间和正式的反馈机会来支持他们作为教育者的发展。基础医生可以作为一种尚未开发的资源,支持医学院的扩招计划,在未来几年内培养更多的医学生。
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What Training Do Foundation Doctors Feel They Require to Develop as Clinical Teachers?
PurposeTo explore the teaching that foundation doctors at the University Hospital of North Midlands undertake and what training they believe is necessary to develop as clinical educators.MethodsA mixed methods approach consisting of questionnaires and focus group discussions (FGDs), following an explanatory sequential design. FGD data was thematically analysed.ResultsThirty-four responses to the questionnaire were analysed. 97% respondents felt that teaching was an important part of their job role. The amount of time spent teaching each week varied from no time to more than two hours, and on average 25% of this teaching occurred outside of clinical hours.Foundation doctors enjoy teaching and want to help others. Challenges described were lack of time, shortage of opportunities and others’ perceptions of their ability to teach. Foundation doctors requested tailored training and formalised feedback to facilitate their development as teachers.ConclusionThis study has shown that foundation doctors undertake a significant amount of teaching and there is a clear desire for additional training. These doctors utilise different teaching methods to their seniors and therefore any training should focus on ad hoc sessions, ward supervision and bedside teaching. Local trusts, medical schools and the UK foundation programme could do more to support foundation doctors’ development as educators by giving them protected time and formalised feedback opportunities. Foundation doctors could be an untapped resource to support the medical school expansion plan in educating the increased numbers of medical students over the coming years.
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