住院医师指导与培训中考试成绩之间的关系：日本全国横断面研究

IF 1.8 Q2 MEDICINE, GENERAL & INTERNAL Journal of General and Family Medicine Pub Date : 2024-05-10 DOI:10.1002/jgf2.703

Kohta Katayama MD, PhD, Yuji Nishizaki MD, MPH, PhD, Toshihiko Takada MD, MPH, MSc, PhD, Koshi Kataoka MMSc, Nathan Houchens MD, Taro Shimizu MD, PhD, MSc, MPH, MBA, Yu Yamamoto MD, Takashi Watari MD, MHQS, MCTM, PhD, Yasuharu Tokuda MD, MPH, Yoshiyuki Ohira MD, PhD

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引用次数: 0

摘要

导师制是一种动态的互惠关系，新手（被指导者）在高级职业导师（指导者）的鼓励下不断成长。导师制在医学培训项目中广泛实施。然而，有关导师制在日本的教育效果的报道却很少。本研究调查了日本临床住院医师培训项目中导师制与在训考试成绩之间的关系。本研究在日本进行了一项横断面研究，对象是将于2021学年结束时参加全科医学在训考试（GM-ITE）的一年级和二年级住院医师（PGY-1和PGY-2）。GM-ITE 由一家非营利组织于 2012 年开发，用于评估 PGY-1 和 PGY-2 住院医师的整体临床知识。有关导师指导的数据是在 GM-ITE 结束后立即通过电子调查获得的。在总共 4929 名住院医师中，有 3266 人（66.3%）报告有导师。然而，导师与 GM-ITE 分数之间没有关联（调整后分数差异 [aSD] = -0.22；95% 置信区间 [95% CI]：-0.64 至 0.19）：-在日本住院医师中，培训中考试成绩与导师关系无关。

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The relation between resident mentorship and in-training examination scores: A nation-wide, cross-sectional study in Japan

Background

Mentorship is a dynamic reciprocal relationship, wherein a novice (mentee) grows with the encouragement of an advanced careerist (mentor). It is widely implemented in medical training programs. However, there are few reports on mentorship's educational effects in the Japanese context. This study investigated the association between mentorship and in-training examination scores during a clinical residency program in Japan.

Methods

A cross-sectional study was conducted in Japan, involving first and second year postgraduate (PGY-1 and PGY-2) residents set to take the General Medicine In-Training Examination (GM-ITE) at the end of the academic year of 2021. The GM-ITE, developed by a non-profit organization in 2012, assesses the overall clinical knowledge of PGY-1 and PGY-2 residents. Data on mentorship were obtained through an electronic survey, conducted immediately after the GM-ITE. The association between a resident's self-reported identification of at least one mentor and GM-ITE score was analyzed at multiple levels.

Results

Of the total 4929 residents, 3266 (66.3%) reported having mentors. However, there was no association between mentorship and GM-ITE scores (adjusted score difference [aSD] = −0.22; 95% confidence interval [95% CI]: −0.64 to 0.19).