理想的舍监:学员的观点。

Annals of Ibadan postgraduate medicine Pub Date : 2023-12-01 Epub Date: 2024-01-30
N Alozie, K I Egbuchulem, M C Okor, F Akintepede, C A Omogiade, M M Awodiji
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引用次数: 0

摘要

背景:实习期是医生职业生涯中的一个特殊时期,有人将其形容为 "讨厌的一年",在这一年里,初级医生同时扮演着多种角色--病人的医生、教员(住院医生和顾问医生)的学生以及医学生的老师。同时,他还要接受培训和研究,以便在竞争日益激烈的社会中作为专业人员开展工作--https://youtu.be/SaaQmMHy_qI.Nigerian:一个典型的内科官员衣着整洁,黑眼圈代表着疲惫,病房大衣口袋里塞满了足以启动一个新病房的材料;从延续单、注射器、注射用水、毛细管、手套、调查表、常用药物、插管、止血带等,到灵巧的皮鞋,脚上随时可以移动的大剂量咖啡因,以及触手可及的碳酸饮料,以便在一天中快速补充葡萄糖。他(她)面临着机构问题、工作人员和工作场所的不和谐,包括缺乏足够的实习生宿舍、每天早早复工,以及在工作人员严重短缺的情况下比团队更晚退休以有效执行工作计划。大多数实习生也在努力适应实习工作,因为他们对这个系统还很陌生,一些医务工作者通常会试图利用他们,这有时会干扰他们的工作,而实习生也在努力为病人提供最好的服务。尽管如此,舍监与病人和亲属的交流还是比团队其他成员更频繁。他不仅代表自己,也代表整个团队,从而建立起病人对团队的信任、尊重和信心:威廉-奥斯勒爵士--这位伟大的医生的名字在现代医学中仍被引用--曾说过:"他的时机成熟了,他的时机也成熟了"。受训人员必须始终使自己 "时机成熟",而有关当局也必须使时间 "对受训人员成熟"。理想的情况将是理想的学员和理想的工作环境的结合。
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THE IDEAL HOUSE OFFICER: TRAINEE'S PERSPECTIVES.

Background: The housemanship period is a peculiar time in a doctor's career, and some have described it as a "Nuisance year" during which the junior doctor assumes many roles at the same time - as a doctor of his patients, a student of his trainers (Resident doctors and Consultants) and a teacher of medical students. He is also at the same time undergoing training and research to practice as a professional in an increasingly competitive society-https://youtu.be/SaaQmMHy_qI.

Nigerian perspective: A typical House officer is seen neatly dressed with black circles around the eyes depicting tiredness, ward coat pockets stuffed with enough materials to start up a new ward; ranging from continuation sheets, syringes, water for injection, capillary tubes, hand gloves, investigation forms, commonly used drugs, cannula, tourniquet et cetera, smart shoes and feet ready to move on large doses of caffeine, and with carbonated drinks at arm's reach for a quick glucose rush for the day.He or she is faced with institutional problems, staff and workplace disharmony ranging from lack of adequate residential apartment for interns, early daily resumption and retires much later than the team to effectively carry out the work plan among acute shortage of staff. Majority of interns also try to adapt to the internship workings because they are new to the system, and some health workers typically try to take advantage of them which sometimes interfere with their work and the intern struggles to give the patients his best. Despite all these, the house officer interacts with the patient and relatives more often than the rest of the team. He builds the trust, respect, and confidence the patient has for the team as he represents not only himself but also the team.

Conclusion: As once said by Sir William Osler - the great physician whose name is still being invoked in modern day medicine - that "his time was ripe for him, and he was ripe for his time". Trainees must always make themselves "ripe for their time", and the relevant authorities must also make time "ripe for trainees". The ideal scenario will then be a nexus of an ideal trainee and an ideal work environment.

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