A Qualitative Exploration of Hong Kong Medical Educators' Perspectives on Factors Influencing Their Resilience.

IF 3.9 2区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Perspectives on Medical Education Pub Date : 2025-09-24 eCollection Date: 2025-01-01 DOI:10.5334/pme.1616
Linda Chan, Paul Po Ling Chan, Fraide A Ganotice, Julie Yun Chen, Tai Pong Lam, Carmen Ka Man Wong, Emma Victoria Marianne Bilney, Zoe Ho Wai Tang, Sam Cheuk Hong Yuen, Samuel Yeung Shan Wong, Cynthia R Whitehead, George L Tipoe
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引用次数: 0

Abstract

Introduction: Globally, alarming trends of psychological distress among physicians and medical students threaten patient care and professionalism. The resilience and well-being of medical educators have been recognised as key influences on learners. However, relevant research is limited, especially in Asian contexts. Using the National Academy of Medicine (NAM) model as a lens, this study explores what external and individual factors impact the resilience of Hong Kong (HK)-based medical educators.

Methods: HK-based medical educators, who taught medical students and physicians, were recruited using purposive sampling. They participated in semi-structured online interviews from 06/2021 to 04/2022. Anonymous sociodemographic information was collected through an online survey, and video recordings were transcribed anonymously. Guided by the NAM model, a hybrid deductive and inductive thematic analysis was conducted.

Results: Twenty medical educators participated. They identified factors capturing all seven NAM model domains as influencing their resilience. Of those, "organisational factors" (institutional expectations, recognition, and rewards) and "personal factors" (social support from family, friends, and colleagues, and a sense of purpose in their roles) were perceived as influencing their resilience to a similar extent, suggesting that both organisational support and individual connections can bolster medical educators' resilience.

Discussion: This study, the first of its kind in Asia, examined the applicability and contextual suitability of the NAM model for use among HK-based medical educators. They perceived organisational and individual factors as complementary in influencing their resilience. Our findings highlighted the importance of considering both system- and individual-level aspects when designing strategies for promoting resilience in this population.

香港医学教育工作者心理韧性影响因素的质性探讨
导言:在全球范围内,医生和医学生中令人担忧的心理困扰趋势威胁着病人的护理和专业精神。医学教育者的适应力和幸福感已被认为是对学习者的关键影响。然而,相关的研究是有限的,特别是在亚洲背景下。本研究以美国国家医学院(NAM)模型为视角,探讨了外部因素和个人因素对香港医学教育工作者弹性的影响。方法:采用有目的抽样方法,招募在香港的医学教育工作者,他们教授医学生和医生。他们在2021年6月至2022年4月期间参加了半结构化的在线访谈。通过在线调查收集匿名社会人口统计信息,并匿名转录视频记录。在不结盟运动模型的指导下,进行了混合演绎和归纳主题分析。结果:20名医学教育工作者参与。他们确定了捕获所有七个NAM模型域的因素,以影响它们的复原力。其中,“组织因素”(制度期望、认可和奖励)和“个人因素”(来自家庭、朋友和同事的社会支持,以及他们角色的使感)被认为在类似程度上影响了他们的弹性,这表明组织支持和个人联系都可以增强医学教育者的弹性。讨论:本研究是亚洲同类研究中的第一个,研究了不不合作模式在香港医学教育工作者中使用的适用性和上下文适应性。他们认为组织和个人因素在影响他们的弹性方面是互补的。我们的研究结果强调了在设计促进这一人群恢复力的策略时考虑系统和个人层面方面的重要性。
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来源期刊
CiteScore
5.70
自引率
8.30%
发文量
31
审稿时长
28 weeks
期刊介绍: Perspectives on Medical Education mission is support and enrich collaborative scholarship between education researchers and clinical educators, and to advance new knowledge regarding clinical education practices. Official journal of the The Netherlands Association of Medical Education (NVMO). Perspectives on Medical Education is a non-profit Open Access journal with no charges for authors to submit or publish an article, and the full text of all articles is freely available immediately upon publication, thanks to the sponsorship of The Netherlands Association for Medical Education. Perspectives on Medical Education is highly visible thanks to its unrestricted online access policy. Perspectives on Medical Education positions itself at the dynamic intersection of educational research and clinical education. While other journals in the health professional education domain orient predominantly to education researchers or to clinical educators, Perspectives positions itself at the collaborative interface between these perspectives. This unique positioning reflects the journal’s mission to support and enrich collaborative scholarship between education researchers and clinical educators, and to advance new knowledge regarding clinical education practices. Reflecting this mission, the journal both welcomes original research papers arising from scholarly collaborations among clinicians, teachers and researchers and papers providing resources to develop the community’s ability to conduct such collaborative research. The journal’s audience includes researchers and practitioners: researchers who wish to explore challenging questions of health professions education and clinical teachers who wish to both advance their practice and envision for themselves a collaborative role in scholarly educational innovation. This audience of researchers, clinicians and educators is both international and interdisciplinary. The journal has a long history. In 1982, the journal was founded by the Dutch Association for Medical Education, as a Dutch language journal (Netherlands Journal of Medical Education). As a Dutch journal it fuelled educational research and innovation in the Netherlands. It is one of the factors for the Dutch success in medical education. In 2012, it widened its scope, transforming into an international English language journal. The journal swiftly became international in all aspects: the readers, authors, reviewers and editorial board members. The editorial board members represent the different parental disciplines in the field of medical education, e.g. clinicians, social scientists, biomedical scientists, statisticians and linguists. Several of them are leading scholars. Three of the editors are in the top ten of most cited authors in the medical education field. Two editors were awarded the Karolinska Institute Prize for Research. Presently, Erik Driessen leads the journal as Editor in Chief. Perspectives on Medical Education is highly visible thanks to its unrestricted online access policy. It is sponsored by theThe Netherlands Association of Medical Education and offers free manuscript submission. Perspectives on Medical Education positions itself at the dynamic intersection of educational research and clinical education. While other journals in the health professional education domain orient predominantly to education researchers or to clinical educators, Perspectives positions itself at the collaborative interface between these perspectives. This unique positioning reflects the journal’s mission to support and enrich collaborative scholarship between education researchers and clinical educators, and to advance new knowledge regarding clinical education practices. Reflecting this mission, the journal both welcomes original research papers arising from scholarly collaborations among clinicians, teachers and researchers and papers providing resources to develop the community’s ability to conduct such collaborative research. The journal’s audience includes researchers and practitioners: researchers who wish to explore challenging questions of health professions education and clinical teachers who wish to both advance their practice and envision for themselves a collaborative role in scholarly educational innovation. This audience of researchers, clinicians and educators is both international and interdisciplinary. The journal has a long history. In 1982, the journal was founded by the Dutch Association for Medical Education, as a Dutch language journal (Netherlands Journal of Medical Education). As a Dutch journal it fuelled educational research and innovation in the Netherlands. It is one of the factors for the Dutch success in medical education. In 2012, it widened its scope, transforming into an international English language journal. The journal swiftly became international in all aspects: the readers, authors, reviewers and editorial board members. The editorial board members represent the different parental disciplines in the field of medical education, e.g. clinicians, social scientists, biomedical scientists, statisticians and linguists. Several of them are leading scholars. Three of the editors are in the top ten of most cited authors in the medical education field. Two editors were awarded the Karolinska Institute Prize for Research. Presently, Erik Driessen leads the journal as Editor in Chief. Perspectives on Medical Education is highly visible thanks to its unrestricted online access policy. It is sponsored by theThe Netherlands Association of Medical Education and offers free manuscript submission.
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