住院医师和主管对获得全科产科能力的看法:一项定性描述性研究。

Canadian medical education journal Pub Date : 2024-11-13 eCollection Date: 2024-11-01 DOI:10.36834/cmej.78131
Nisha Arora, Sudha Koppula, Judith Belle Brown
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引用次数: 0

摘要

简介:加拿大全科医学(FM)住院医师毕业后不愿意提供产前护理。十多年来,随着全科医学环境的变化,人们从未研究过全科住院医师在产科培训方面的经验。本研究探讨了妇产科住院医师在提高产科能力方面的经验,这也是影响他们决定是否提供产科护理的主要因素之一:采用定性描述设计,我们对安大略省一个妇产科专业的二年级妇产科住院医师(7 人)和产科主管(8 人)进行了半结构化访谈。我们对访谈记录进行了编码和解释,以寻找共同的主题:结果:学习产前技能的妇产科住院医师受到以下主题的影响:学习者独特的个人经历和期望;培训环境中的机遇;在不断变化的妇产科环境中学习产科。值得注意的是,产科监护榜样的影响贯穿了所有主题:本研究为改善妇产科住院医师培训产前护理经验的潜在干预领域提供了见解。在本科生和研究生医学课程中对调频产科教育进行投资,并在实践中继续提供支持,对于保持全面的教育和患者护理至关重要,尤其是在加拿大面临产科护理危机的时候。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Resident and supervisor perceptions of gaining obstetrical competency in Family Medicine: a qualitative descriptive study.

Introduction: Canadian Family Medicine (FM) residents, upon graduation, are disinclined to provide intrapartum care. The FM resident experience with obstetrical training has not been studied in over a decade while the FM landscape has changed. This study explored the FM resident experience in working towards their obstetrical competencies as one of the chief influences on their career decision to provide intrapartum care or not.

Methods: Using a qualitative descriptive design, we conducted semi-structured interviews with second-year FM residents (n = 7) and obstetrical supervisors (n = 8) from one Ontario FM program. We coded and interpreted the transcripts for common themes.

Results: FM residents working towards their intrapartum skills are influenced by the following themes: the learners' unique and individual experience and expectations; opportunities in the training environment; and learning obstetrics in the changing FM landscape. Notably, the influence of FM maternity care role models permeated all themes.

Conclusion: This study offers insight into potential areas of intervention to improve the FM residency training experience in intrapartum care. Investment in FM maternity education, in the undergraduate and postgraduate medical curricula, with continued support in practice, is critical to maintain comprehensive education and patient care, especially while Canada faces a maternity care crisis.

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