Well prepared for work? Junior doctors' self-assessment after medical education
Well prepared for work? Junior doctors' self-assessment after medical education
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DOI：
10.1186/1472-6920-11-99
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发表时间：
2011-11-24
影响因子：
3.6
通讯作者：
Schmid, Klaus
中科院分区：
文献类型：
--
作者：
Ochsmann, Elke B.;Zier, Ulrike;Schmid, Klaus
背景资料：除了客观的考试成绩外，从学生到合格医生的成功过渡过程中，整体的准备感也很重要。本研究探讨了自我评估的医疗技能和知识的赤字和准备的初级医生的感觉之间的关联，以确定医学教育的哪些方面需要更详细地解决，以提高这个过渡阶段的质量，以增加病人的安全。方法：一个队列的637名医生，长达两年的临床工作经验被纳入本分析，并询问了准备和自我评估的赤字方面的临床知识和技能的整体感觉。三个逻辑回归模型被用来确定医疗技能预测的感觉prepared.Results：总的来说，约60%的参与医生觉得准备不足的研究生培养。自我评估的ECG判读缺陷（aOR：4.39; 95% CI：2.012-9.578）、治疗和治疗计划（aOR：3.42; 95%CI：1.366-8.555），插管（aOR：2.10; 95%CI：1.092-4.049）被发现与最终回归模型中的总体准备感独立相关。德国的许多初级医生觉得自己没有做好当医生的准备。关于医学课程的内容，我们的研究结果表明，更多地强调心电图解释，治疗和治疗计划和插管需要提高医学毕业生的准备感。
Background: Apart from objective exam results, the overall feeling of preparedness is important for a successful transition process from being a student to becoming a qualified doctor. This study examines the association between self-assessed deficits in medical skills and knowledge and the feeling of preparedness of junior doctors in order to determine which aspects of medical education need to be addressed in more detail in order to improve the quality of this transition phase and in order to increase patient safety.Methods: A cohort of 637 doctors with up to two years of clinical work experience was included in this analysis and was asked about the overall feeling of preparedness and self-assessed deficits with regard to clinical knowledge and skills. Three logistic regression models were used to identify medical skills which predict the feeling of preparedness.Results: All in all, about 60% of the participating doctors felt poorly prepared for post-graduate training. Self-assessed deficits in ECG interpretation (aOR: 4.39; 95% CI: 2.012-9.578), treatment and therapy planning (aOR: 3.42; 95% CI: 1.366-8.555), and intubation (aOR: 2.10; 95% CI: 1.092-4.049) were found to be independently associated with the overall feeling of preparedness in the final regression model.Conclusions: Many junior doctors in Germany felt inadequately prepared for being a doctor. With regard to the contents of medical curricula, our results show that more emphasis on ECG-interpretation, treatment and therapy planning and intubation is required to improve the feeling of preparedness of medical graduates.