卒後臨床研修で特に伸ばしたい能力とは何か―質的研究によるアプローチ―

DOI Web Site 被引用文献1件 参考文献6件

書誌事項

タイトル別名
  • What Are Core Clinical Competencies for Medical Residents?: A Qualitative Study
  • ソツ ゴ リンショウ ケンシュウ デ トクニ ノバシタイ ノウリョク トワ ナニ カ シツテキ ケンキュウ ニ ヨル アプローチ
  • A Qualitative Study
  • 質的研究によるアプローチ

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抄録

To clarify the core competencies developed through postgraduate clinical training, we analyzed the conditions of our residency program with qualitative research methods. Seven residents (6 first-year residents and 1 second-year resident) answered a questionnaire and underwent semistructured interviews about postgraduate training. We also worked with the residents as “participant observers” of the treatment team. We found that residents often had trouble formulating diagnostic/treatment plans and tended to rely excessively on laboratory data to make decisions. We attribute these problems to a lack of practice in questioning expectations. We hypothesized that mitate-ryoku, the ability to describe the course of a patient's illness, is an extremely important clinical competency. According to the hypothesis, we tried to listen to the residents' description and to discuss it logically as colleagues. The residents described the patients expected condition over the next few days, considering both data and information they obtained from interviews and physical examinations. They adapted their ideas through logical discussion and were thus able to make acceptable decisions by themselves.

収録刊行物

  • 医学教育

    医学教育 35 (1), 25-31, 2004

    日本医学教育学会

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